ACR Meeting Abstracts

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  • Abstract Number: 1240 • 2018 ACR/ARHP Annual Meeting

    Foot Osteomyelitis in Inflammatory Rheumatic Diseases: A Retrospective Observational Study

    Alexis HOMS1, Patrick ABOUKRAT2, Christian JORGENSEN3,4 and Yves-Marie PERS5,6, 1Department of rheumatology, Clinical Immunology and Osteoarticular Diseases Therapeutic Unit, Lapeyronie University Hospital, Montpellier, France, 2Department of physical medical rehabilitation, Lapeyronie University Hospital, Montpellier, France., Montpellier, France, 3Clinical Immunology and Osteoarticular Diseases Therapeutic Unit, CHU Lapeyronie., Montpellier, France, 4biotherapy, Inserm u1183, Unite ImmunoRhumatologie Therapeutique, Montpellier, France, 5Clinical Immunology and Osteoarticular Diseases Therapeutic Unit, Lapeyronie University Hospital Montpellier, MONTPELLIER, France, 6INSERM U1183, IRMB, INSERM U1183, Montpellier, France

    Background/Purpose: Foot involvement is frequently pointed by patients with chronic inflammatory rheumatic diseases (IRD), such as rheumatoid arthritis (RA), spondyloarthritis (SpA) or psoriatic arthritis (PsA).…
  • Abstract Number: 1241 • 2018 ACR/ARHP Annual Meeting

    Pneumococcal Vaccination Quality Improvement Initiative within a Rheumatology Clinic at an Academic Medical Center

    Ali Goodson1, Bonita Libman2, Alana Nevares3, Melinda Edwards2 and Amanda Kennedy4, 1Pharmacy, The University of Vermont Medical Center, Burlington, VT, Afghanistan, 2Medicine/Rheumatology, University of Vermont Medical Center, Burlington, VT, 3Rheumatology, University of Vermont Medical Center, Burlington, VT, 4Internal Medicine, University of Vermont Medical Center, Burlington, VT

    Background/Purpose: Rheumatology patients are at an increased risk of infection secondary to immunosuppressive medications used for disease management. However, vaccination is underutilized and rates remain…
  • Abstract Number: 1242 • 2018 ACR/ARHP Annual Meeting

    Rheumatologists Participating in the RISE Registry Succeeded in the First Year of the Merit-Based Incentive Payment System (MIPS)

    Tracy Johansson1, Ryan Larosa2, Rachel Myslinski3, Norlita Brown1, Lindsay Lewis1 and Jinoos Yazdany4, 1Practice, Advocacy & Quality, American College of Rheumatology, Atlanta, GA, 2American College of Rheumatology, Atlanta, GA, 3Practice, Advocacy, & Quality, American College of Rheumatology, Atlanta, GA, 4University of California, San Francisco, San Francisco, CA

    Background/Purpose: Under the Medicare Access and CHIP Reauthorization Act (MACRA), rheumatologists face financial repercussions through the Merit-Based Incentive Payment System (MIPS) based on performance on…
  • Abstract Number: 1243 • 2018 ACR/ARHP Annual Meeting

    A Quality Improvement Initiative to Increase Adherence to Hydroxychloroquine Dosing Guidelines at an Academic Medical Center

    Ryan Jessee, Stephanie L. Giattino, Atul Kapila, Katherine Kaufman, Jon Golenbiewski, Brian J. Andonian, David Leverenz and Lisa Criscione-Schreiber, Department of Medicine, Division of Rheumatology and Immunology, Duke University, Durham, NC

    Background/Purpose: In 2016, the American Academy of Ophthalmology published revised guidelines on HCQ dosing, recommending a maximum daily dose of 5mg/kg actual body weight as…
  • Abstract Number: 1244 • 2018 ACR/ARHP Annual Meeting

    Hydroxychloroquine Quality Improvement Project at UF Health Jacksonville Rheumatology Clinics

    Shameik Brooks, Gurjit Kaeley and Lanh Dang, UF Health Jacksonville, Jacksonville, FL

    Background/Purpose: Hydroxychloroquine (HCQ) is a treatment option for lupus erythematosus and rheumatoid arthritis. The risk of retinopathy in the first 5 years of therapy is…
  • Abstract Number: 1245 • 2018 ACR/ARHP Annual Meeting

    Methotrexate Quality Improvement Project at UF Health Jacksonville Rheumatology Clinics

    Shameik Brooks, Gurjit Kaeley and Lanh Dang, UF Health Jacksonville, Jacksonville, FL

    Background/Purpose: The diagnosis of interstitial lung disease (ILD) is comprised of a large group of respiratory disorders. ILD can lead to scarring of lung tissue.…
  • Abstract Number: 1246 • 2018 ACR/ARHP Annual Meeting

    Practices of Hydroxychloroquine Dosing Based on the American Association of Ophthalmology (AAO) 2016 Recommendations: A Single Center Experience

    Anthony Ocon1, Muhammad Saad Shaukat2, Vivek Mehta3, Mohamed Tageldin1, David Morales4, Ernesto Acosta4, Jessica Calderone4, Marilyn Humantla4 and Ruben Peredo1, 1Medicine, Albany Medical Center, Albany, NY, 2Albany Medical Center, Albany, NY, 3Division of Rheumatology, Department of Medicine, Albany Medical College, Albany, NY, 4Medicine, Albany Medical College, Albany, NY

    Background/Purpose: In March 2016, the AAO updated antimalarial medication screening recommendations for retinopathy prevention, with a recommended dose of hydroxychloroquine (HCQ) ≤5.0 mg/kg total body…
  • Abstract Number: 1247 • 2018 ACR/ARHP Annual Meeting

    Pharmacist-Managed Titration of Urate-Lowering Therapy to Streamline Gout Management

    Irvin Huang1, Jean Liew2, Meredith Barnes3, Silu Zuo4, Carol Crawford4 and Alison Bays5, 1Internal Medicine, Boise VAMC, Boise, ID, 2Internal Medicine; Division of Rheumatology, University of Washington, Seattle, WA, 3Medicine, University of Washington, Seattle, WA, 4Harborview Medical Center, Seattle, WA, 5Division of Rheumatology, University of Washington, Seattle, CA

    Background/Purpose: The treat-to-target approach for serum uric acid is the recommended model in gout management according to the 2012 American College of Rheumatology (ACR) guidelines.…
  • Abstract Number: 1248 • 2018 ACR/ARHP Annual Meeting

    Revisit an Old Question: Should Glucose-6-Phosphate Dehydrogenase Level be Checked in Patients with Rheumatic Diseases Prior to Initiating Certain Drugs?

    Irina Abramova1, Swosty Tuladhar1, Kyle Park2, Carol Hosny3, Erin Taub4, Asha Patniak5 and Qingping Yao6, 1Rheumatology, Stony Brook University Hospital, Stony Brook, NY, 2Internal Medicine, Stony Brook University Hospital, Stony Brook, NY, 3Medicine, Stony Brook University Hospital, Stony Brook, NY, 4Department of Medicine, Stony Brook University Hospital, stony brook, NY, 5Stony Brook University Hospital, Stony Brook, NY, 6Rheumatology, Allergy and Immunology, Stony Brook University Hospital, Stony Brook, NY

    ABSTRACT: Background/Purpose: Glucose 6 Phosphate Dehydrogenase (G6PD) deficiency is the most common enzymatic disorder of red blood cells, and its frequency varies among different ethnicities.…
  • Abstract Number: 1249 • 2018 ACR/ARHP Annual Meeting

    Contraception Compliance in Patients with Rheumatological Diseases on Disease Modifying Antirheumatic and Cytotoxic Drugs

    Sara Naji Rad1, Paris Pacheco2, Luis Calvo2, Htet Htet Maung2, Wajiha Illyas2 and Prachi Anand3, 1Internal Medicine, Nassau University Medical Center, East meadow, NY, 2Internal Medicine, Nassau University Medical Center, East Meadow, NY, 3Chief of Rheumatology, Nassau University Medical Center, East Meadow, NY

    Background/Purpose: Women of child bearing age with autoimmune diseases are often prescribed teratogenic medications as Methotrexate, Mycophenolate Mofetil, Leflunomide and Cyclophosphamide. Contraceptive compliance in this…
  • Abstract Number: 1250 • 2018 ACR/ARHP Annual Meeting

    An Evaluation of Utilization Patterns and Appropriateness of Laboratory Tests Among New Referrals to Rheumatologists: Choosing Unwisely!

    Sierra Barrett1, Azin Ahrari1, Sherry Rohekar2, Pari Basharat3 and Janet E. Pope4, 1Schulich School of Medicine and Dentistry, London, ON, Canada, 2Western University, London, ON, Canada, 3St. Joseph's Health Care London, London, ON, Canada, 4Department of Medicine, University of Western Ontario, London, ON, Canada

    Background/Purpose: Laboratory testing comprises the highest volume procedure in medicine and is therefore an important target for improving healthcare spending and efficiency. Unnecessary testing both…
  • Abstract Number: 1251 • 2018 ACR/ARHP Annual Meeting

    Guideline Adherence for Perioperative Use of Immunosuppressive Medications in Patients with Rheumatologic Disease

    Grace Berlin, Carolyn Casey, Susan Kim and James Ross, Rheumatology, Lehigh Valley Health Network, Allentown, PA

    Background/Purpose: In response to the lack of clear data to dictate recommendations for use of DMARDs and biologic therapy in the perioperative period, The American…
  • Abstract Number: 1252 • 2018 ACR/ARHP Annual Meeting

    Screening for Tuberculosis before Initiating TNF Inhibitors: How Well Do We Do? a Nationwide Experience

    Karim Ladak1, Ting Pan2 and Catherine MacLean1, 1Rheumatology, Hospital For Special Surgery, New York, NY, 2Value Office, Hospital For Special Surgery, New York, NY

    Background/Purpose: Tumor necrosis factor inhibitors (TNFi) revolutionized treatment of various conditions, however they drastically increase the risk of latent tuberculosis (LTBI) reactivation. Many national medical…
  • Abstract Number: 1253 • 2018 ACR/ARHP Annual Meeting

    Lipid Screening and Treatment Patterns Among Patients with Rheumatic Diseases

    Alexander Peck1, Gilbert Ortega2, Jawad Bilal3, Ella Starobinska2, Phan Saligrama2 and Dominick Sudano4, 1Division of Internal Medicine, University of Arizona College of Medicine, Tucson, AZ, 2Internal Medicine, University of Arizona, Tucson, Tucson, AZ, 3Internal Medicine, University of Arizona, Tucson, AZ, 4University of Arizona Arthritis Center, University of Arizona, Tucson, AZ

    Background/Purpose: The importance of lipid management is well recognized in rheumatic diseases. In fact, annual cardiovascular risk assessment is especially recommended for individuals with rheumatoid…
  • Abstract Number: 1254 • 2018 ACR/ARHP Annual Meeting

    QI Project: Inpatient Practices in Ordering Fluorescent Anti-Nuclear Antibodies (F-ANA) and ANA Subserologies in a City Hospital in an Underserved Community

    Ivan Emil Ramirez de Oleo1, Beverly Johnson2,3 and Barbara Mendez-Agrusa4, 1Internal Medicine, Jacobi Medical Center, Bronx, NY, 2Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY, 3Rheumatology, Albert Einstein College of Medicine, Bronx, NY, 4Medicine, Department of Rheumatology, Albert Einstein College of Medicine, Bronx, NY

    Background/Purpose: It is important for internists to know how to appropriately and effectively order subspecialty labs. As part of the choosing wisely campaign in 2013,…
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All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM CT on October 25. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

Violation of this policy may result in the abstract being withdrawn from the meeting and other measures deemed appropriate. Authors are responsible for notifying colleagues, institutions, communications firms, and all other stakeholders related to the development or promotion of the abstract about this policy. If you have questions about the ACR abstract embargo policy, please contact ACR abstracts staff at [email protected].

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