ACR Meeting Abstracts

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  • Abstract Number: 1042 • 2017 ACR/ARHP Annual Meeting

    Remote Management of Osteoporosis Screening and Treatment in US Veterans Using a Bone Health Team: A Cost-Effectiveness Analysis

    Karla L. Miller1, Jordan King2, Phillip Lawrence3, Richard Nelson4, Joanne Lafleur5, Grant Cannon6 and Scott Nelson7, 1Internal Medicine, Veterans Affairs Salt Lake City Health Care System and University of Utah School of Medicine, Salt Lake City, UT, 2Clinical Pharmacy Specialist, Research, Kaiser Permanente Colorado, Aurora, CO, 3Salt Lake City VA Medical Center and Roseman University of Health Sciences, Salt Lake City, UT, 4Epidemiology, Veterans Affairs Salt Lake City Health Care System and University of Utah School of Medicine, Salt Lake City, UT, 5University of Utah Department of Pharmacotherapy and Salt Lake City VA Medical Center, Salt Lake City, UT, 6Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 7Biomedical Informatics, Vanderbilt University Medical Center, Nashville, TN

    Remote Management of Osteoporosis Screening and Treatment in US Veterans using a Bone Health Team: A Cost-effectiveness Analysis Background/Purpose: To evaluate the cost effectiveness of…
  • Abstract Number: 1043 • 2017 ACR/ARHP Annual Meeting

    Comparison of the Costs for Hyaluronic Acid and Total Knee Arthroplasty in the Treatment of OA for the Blue Cross/Blue Shield Patient Population

    Kevin Ong1, Faizan Niazi2, Edmund Lau3, Peter Shaw2 and Steven Kurtz1, 1Exponent, Inc., Philadelphia, PA, 2Ferring Pharmaceuticals, Inc., Parsippany, NJ, 3Exponent, Inc., Menlo Park, CA

    Background/Purpose: Previous HA studies have focused on the Medicare population, but less is known of the treatment patterns and cost of HA relative to knee…
  • Abstract Number: 1044 • 2017 ACR/ARHP Annual Meeting

    Medical Care Costs Associated with Rheumatoid Arthritis in the US: A Meta-Analysis

    Andrew Hresko1, Tzu-Chieh Lin2 and Daniel H. Solomon3, 1Tufts Medical School, Boston, MA, 2Health Outcomes, Amgen, Thousand Oaks, CA, 3Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Background/Purpose:   Rheumatoid arthritis (RA) is a morbid, mortal, and costly condition without a cure. Treatments for RA have expanded over the last two decades…
  • Abstract Number: 1045 • 2017 ACR/ARHP Annual Meeting

    The Potential Value of a Shared Decision-Making Intervention for Choices Regarding Triple Therapy in Rheumatoid Arthritis

    Nick Bansback1, Tima Mohammadi2, Aslam Anis3, James R. O'Dell4 and Glen Hazlewood5, 1School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada, 2Centre for Health Evaluation and Outcome Sciences, Vancouver, BC, Canada, 3University of British Columbia, School of Population and Public Health, Vancouver, BC, Canada, 4Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, 5Division of Rheumatology, University of Calgary, Calgary, AB, Canada

    Background/Purpose: Previous studies have shown that using Triple Therapy (a combination of 3 generic drugs) prior to a biologic, is the most cost-effective strategy for…
  • Abstract Number: 1046 • 2017 ACR/ARHP Annual Meeting

    Biological and Targeted Synthetic Dmards’ Prior Authorization Time Is Significantly Reduced with Pharmacy Presence in the Rheumatology Clinic

    Wendy Ramey1, Kristine M. Lohr2, Matt Zeltner1, Haley Herrell Postonl1, Andrew Johannemann1, Aric D. Schadler1 and Aleksander Lenert3, 1University of Kentucky, Lexington, KY, 2Rheumatology, University of Kentucky, Lexington, KY, 3Internal Medicine, Div. of Rheumatology, University of Kentucky, Lexington, KY

    Background/Purpose: Treatment with biological DMARDs (bDMARD) and targeted synthetic DMARDs (tsDMARD) has led to improved outcomes for chronic rheumatic diseases. Current treat-to-target (T2T) strategy relies…
  • Abstract Number: 1047 • 2017 ACR/ARHP Annual Meeting

    Cost-Effectiveness of Drug-Level Guided Adalimumab Dosing

    Zara Izadi1, Gabriela Schmajuk2, Milena Gianfrancesco3, Laura Trupin4, Kashif Jafri5, Jinoos Yazdany4 and Dhruv Kazi6, 1Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, 2San Francisco VA Medical Center, University of California San Francisco, San Francisco, CA, 3Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA, 4Medicine/Rheumatology, University of California San Francisco, San Francisco, CA, 5University of California, San Francisco, San Francisco, CA, 6Department of Medicine, University of California, San Francisco, Zuckerberg San Francisco General Hospital, San Francisco, CA

    Background/Purpose: Adalimumab (ADA) induces and maintains clinical remission in patients with rheumatoid arthritis (RA) and Crohn’s disease (CD) but is an expensive drug. Drug-level and…
  • Abstract Number: 1048 • 2017 ACR/ARHP Annual Meeting

    Efficacy of Educating Visiting Pharmacists Regarding Drug Administration for Patients with Rheumatoid Arthritis Who Poorly Adhere to Treatment Regimens

    Masatoshi Hayashi1, Hiroyuki Matsubara2, Kei Funamura1, Masataka Maeda1 and Toshihisa Kanamono1, 1Rheumatology, Nagano Red Cross Hospital, Nagano, Japan, 2Orthopaedics, Hekinan municipal hospital, Hekinann, Japan

    Background/Purpose: Patients with rheumatoid arthritis (RA) need to take lifelong oral or injectable medication to alleviate their symptoms and prevent disease progression. However, some patients…
  • Abstract Number: 1049 • 2017 ACR/ARHP Annual Meeting

    Heart Rate Variability Testing with Autonomic Nervous System Optimization: Could It Change the Course of Spending for Rheumatoid Arthritis Patients in the U.S.? an Exploratory Minimal Model Analysis

    Marita Zimmermann1, Elisabeth Vodicka2, Andrew J Holman3,4,5 and Louis P Garrison2, 1Constants in Global Health, University of Washington, Seattle, WA, 2Consultants in Global Health, University of Washington, Seattle, WA, 3Rheumatology, Pacific Rheumatology Associates Inc PS, Seattle, WA, 4Inmedix, Normandy Park, WA, 5Pacific Rheumatology Reseach, Seattle, WA

    Background/Purpose: Autonomic nervous system (ANS) testing with heart rate variability (HRV) has been shown to predict 52-week anti-TNF therapeutic outcomes in rheumatoid arthritis (RA).1 HRV…
  • Abstract Number: 1050 • 2017 ACR/ARHP Annual Meeting

    Prevalence and Predictors of Knee Replacement Overuse and Underuse in the US

    Hassan Ghomrawi1, Alvin Mushlin2, Raymond Kang3, Samprit Banerjee2, Jasvinder A. Singh4, Leena Sharma5, Tuhina Neogi6, Michael C. Nevitt7 and Daniel Riddle8, 1Surgery and Pediatrics/Center for Healthcare Studies, Feinberg School of Medicine of Northwestern University, Chicago, IL, 2Healthcare Policy and Research, Weill Cornell Medical College, New York, NY, 3Center for Healthcare Studies, Feinberg School of Medicine of Northwestern University, Chicago, IL, 4Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 5Division of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 6Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, 7Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, 8Virginia Commonwealth University, Richmond, VA

    Background/Purpose: The elective nature of knee replacement (KR) creates difficult decisions and the potential for both overuse and underuse. We examined the temporal relationship between…
  • Abstract Number: 1051 • 2017 ACR/ARHP Annual Meeting

    Telemedicine for Rheumatoid Arthritis in the Alaska Native Population

    Elizabeth Ferucci1, Tammy Choromanski1, Gretchen Day2 and Sarah Freeman3, 1Division of Community Health Services, Alaska Native Tribal Health Consortium, Anchorage, AK, 2Clinical and Research Services, Alaska Native Tribal Health Consortium, Anchorage, AK, 3Alaska Native Tribal Health Consortium, Anchorage, AK

    Background/Purpose: Access to a rheumatologist and frequent monitoring of disease activity in rheumatoid arthritis (RA) are associated with higher quality of care and improved outcomes.…
  • Abstract Number: 1052 • 2017 ACR/ARHP Annual Meeting

    Systematic Review of Modelling Approaches and Quality for the Cost Effectiveness of sequential Targeted Therapy in Patients with Rheumatoid Arthritis That Show an Inadequate Response to at Least One Tumor Necrosis Factor Alpha Inhibitor

    Aliza Matusevich1, Maria Suarez-Almazor1, Scott B. Cantor2 and Maria A. Lopez-Olivo1, 1Section of Rheumatology and Clinical Immunology, Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA, Houston, TX, 2Department of Health Services Research, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, USA, Houston, TX

    Background/Purpose: Results from cost-effectiveness analysis (CEAs) comparing treatment options for patients with rheumatoid arthritis (RA) who have an inadequate response to an initial tumor necrosis…
  • Abstract Number: 1053 • 2017 ACR/ARHP Annual Meeting

    Impact of Step Therapy Protocols on North Carolina Rheumatologists’ Job Satisfaction and the Quality of Care Received By Their Patients with Rheumatoid Arthritis

    Victoria Hamby1, Amanda Nelson2, Antonia Bennett1, Leigh F. Callahan3 and Stacie Dusetzina4, 1Gillings School of Global Public Health, Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC, 2Division of Rheumatology, Allergy, and Immunology and Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 3Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 4Eshelman School of Pharmacy and Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC

    Background/Purpose: Early diagnosis and treatment of rheumatoid arthritis (RA) is crucial in minimizing disease damage. Step-therapy, a form of prior authorization used by payers to…
  • Abstract Number: 1054 • 2017 ACR/ARHP Annual Meeting

    Healthcare Utilization Profiles in Rheumatoid Arthritis – a Cluster Analysis

    Nina Mars1,2, Anne M Kerola2,3, Markku J Kauppi4,5, Matti Pirinen1, Outi Elonheimo6 and Tuulikki Sokka-Isler7, 1Institute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland, 2University of Helsinki, Helsinki, Finland, 3Department of Internal Medicine, Päijät-Häme Central Hospital, Lahti, Finland, 4School of Medicine, University of Tampere, Tampere, Finland, 5Department of Rheumatology, Päijät-Häme Central Hospital, Lahti, Finland, 6FCG Finnish Consulting Group Ltd., Helsinki, Finland, 7Rheumatology, Jyvaskyla Central Hospital, Jyvaskyla, Finland

    Background/Purpose: Utilization patterns in rheumatoid arthritis (RA) are complex. For targeted interventions, patients with special healthcare needs should be recognized. Our aim was to explore…
  • Abstract Number: 1055 • 2017 ACR/ARHP Annual Meeting

    A Combination of Self-Reported Symptoms and ACPA Testing Can Identify Individuals with Previously Undiagnosed Inflammatory Arthritis in a Health-Fair Setting

    Elizabeth A. Bemis1, Nicholas Ellinwood2, Kaylynn Aiona3, Christopher C. Striebich4 and Kevin D. Deane5, 1Epidemiology, Colorado School of Public Health, Aurora, CO, 2Pharmacology and Toxicology Graduate Group, University of California Davis, Davis, CA, 3Denver Health and Hospitals and Colorado School of Public Health, Denver, CO, 4Division of Rhuematology, University of Colorado School of Medicine, Aurora, CO, 5Division of Rheumatology, University of Colorado School of Medicine, Aurora, CO

    Background/Purpose: Early identification and treatment of inflammatory arthritis (IA) and in particular rheumatoid arthritis (RA) can lead to improved outcomes. However, there are often delays…
  • Abstract Number: 1056 • 2017 ACR/ARHP Annual Meeting

    Evolution of Health Care Consumption in the Knee and Hip Osteoarthritis Long Term Assessment Cohort, a French Population Based Cohort of Symptomatic Knee and/or Hip OA Patients

    Anne-Christine Rat1,2,3, Jean-Hugues Salmon4, Willy Ngueyon Sime5, Maud Wieczorek6, Alain Saraux7, Claudine Gard8, Francis Guillemin9 and Bruno Fautrel10, 1Inserm, CIC-1433 Epidémiologie Clinique, Vandoeuvre-lès-Nancy, France, 2Rheumatology Department, CHRU Nancy, Vandoeuvre-lès-Nancy, France, 3Université de Lorraine, EA4360, APEMAC, Nancy, France, 4Rheumatology, Rheumatology Department CHU Teaching Hospital Reims, Reims, France, 5CIC 1433 Epidémiologie clinique, Inserm, Nancy, France, 6Université de Lorraine EA 4360 APEMAC, Nancy, France, 7Rheumatology Department, Rheumatology Department, CHU de la Cavale Blanche, Brest, France, Brest Cedex, France, 8Pitié Salpetrière hospital, Paris, France, 9CHRU Nancy, Clinical Epidemiology and Evaluation, Université de Lorraine, Paris Descartes University, APEMAC, EA 4360, Nancy, France, 10UPMC University Paris 06, Pitié-Salpétrière Hospital, Paris, France

    -      Background/Purpose:  in hip and knee OA, one of the leading causes of global disability, recent population-based data of health care practices and utilization are scarce.…
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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.

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