ACR Meeting Abstracts

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  • Abstract Number: 1102 • 2017 ACR/ARHP Annual Meeting

    Choosing Unwisely: HLA-B27 Testing and Adherence to Choosing Wisely Practices in a Large Integrated Academic Healthcare System

    Marc W. Nolan1,2, Morgan M. Brown3 and Elie Gertner1,2, 1Section of Rheumatology, Regions Hospital, St. Paul, MN, 2Division of Rheumatology, University of Minnesota Medical School, Minneapolis, MN, 3HealthPartners Institute, St. Paul, MN

    Background/Purpose: The ACR in 2013 and the Canadian Rheumatology Association (CRA) in 2015 published their respective Choosing Wisely recommendations to promote evidence-based care and reduce…
  • Abstract Number: 1103 • 2017 ACR/ARHP Annual Meeting

    Towards Recommendations on Functional Assessment Status Measures for Rheumatoid Arthritis: Preliminary Results from a Systematic Review

    Claire Barber1, JoAnn Zell2, Jinoos Yazdany3, Aileen Davis4, Linda S. Ehrlich-Jones5, Carter Thorne6, Donna Everix7, Laura Cappelli8 and Kaleb Michaud9, 1Medicine, University of Calgary, Calgary, AB, Canada, 2National Jewish Medical Center, Denver, CO, 3Medicine/Rheumatology, University of California San Francisco, San Francisco, CA, 4Health Care and Outcomes Rsrch, Toronto Western Research Institute, University Health Network, Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada, 5Rehabilitation Institute Chicago, Chicago, IL, 6Southlake Regional Health Centre, Newmarket, Newmarket, ON, Canada, 7OnMyCare Home Health, Fremont, CA, 8Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 9Rheumatology & Immunology, University of Nebraska Medical Center and National Data Bank for Rheumatic Diseases, Omaha, NE

    Background/Purpose: Functional status assessment measures (FSAMs) are important outcomes in rheumatology and used to monitor response to treatment and aid in prediction of rheumatic disease…
  • Abstract Number: 1104 • 2017 ACR/ARHP Annual Meeting

    A Genome-Wide Association Study of Gout in People of European Ancestry

    Tony R. Merriman1, Murray Cadzow1, Marilyn E. Merriman1, Amanda Phipps-Green1, Ruth Topless1, Abhishek Abhishek2, Mariano Andrés3, Linda A. Bradbury4, Russell Buchanan5, Katie Cremin6, Erika De Guzman6, Janak de Zoysa7, Michael Doherty8, Catherine Hill9, Tom W.J. Huizinga10, Tim Jansen11, M. Janssen12, Leo .A.B. Joosten13, Fina Kurreeman14, Susan Lester15, Frederic Liote16, Donia Macartney-Coxson17, Hirotaka Matsuo18, Geraldine M. McCarthy19, Sally McCormick20, Rinki Murphy21, Karel Pavelka22, Fernando Perez-Ruiz23, Juan Puig24, Timothy RDJ Radstake25, Philip Riches26, Maureen Rischmueller27, Edward Roddy28, Malcolm Smith29, Eli A. Stahl30, Blanka Stiburkova31, Richard Stubbs32, Anne-Kathrin Tausche33, Rosa Torres34, Rob Walker1, Ken Yamamoto35, Matthew A. Brown6, Hyon K. Choi36, Nicola Dalbeth21, Jeffrey N. Miner37, Alexander So38, Lisa K. Stamp39 and Tanya Major40, 1University of Otago, Dunedin, New Zealand, 2Devision of Rheumatology, University of Nottingham, NG5 1PB, England, 3Reumatología, Hospital General Universitario Alicante, Alicante, Spain, 4Queensland University of Technology, Brisbane, Australia, 5University of Melbourne, Melbourne, Australia, 6Translational Genomics Group, Institute of Health and Biomedical Innovation, Queensland University of Technology, Translational Research Institute, Brisbane, Australia, Brisbane, Australia, 7Waitemata District Health Board, Auckland, New Zealand, 8Academic Rheumatology, University of Nottingham, Nottingham, Great Britain, 9Medicine, The University of Adelaide, Adelaide, Australia, 10Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 11VieCuri Medical Center, Venlo, Netherlands, 12Department of Rheumatology, Rijnstate Hospital Arnhem, Arnhem, Netherlands, 13Internal Medicine, Radboud University Medical Center, Nijmegen, Netherlands, 14Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, Leiden, Netherlands, 15Rheumatology, Queen Elizabeth Hospital, Woodville South, Australia, 16University Paris Diderot, Paris, France, 17Institute if Environmental and Scientific Reseacrh, Wellington, New Zealand, 18Department of Integrative Physiology and Bio-Nano Medicine, National Defense Medical College, Tokorozawa, Japan, 19Div of Rheumatology, Mater Misericordiae University Hospital, Dublin, Ireland, 20Department of Biochemistry, University of Otago, Dunedin, New Zealand, 21University of Auckland, Auckland, New Zealand, 22Institute of Rheumatology, Prague, Czech Republic, 23BioCruces Health Research Institute, Barakaldo, Spain, 24Hospital Universitario La Paz, Madrid, Spain, 25Rheumatic Diseases, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 26University of Edinburgh, Edinburgh, United Kingdom, 27Rheumatology, The Queen Elizabeth Hospital, South Australia, Adelaide, Australia, 28Research Institute for Primary Care and Health Sciences, Keele University, Keele, United Kingdom, 29Flinders Medical Centre and Repatriation Hospital, Adelaide, Australia, 30Divisions of Rheumatology and Genetics, Brigham and Women's Hospital, Boston, MA, 31Institute of Inherited Metabolic Disorders, First Faculty of Medicine, Charles University, Prague, Czech Republic, 32P3 Research Limited, Wellington, New Zealand, 33Medizinische Klinik und Poliklinik III, Universitätsklinikum Carl Gustav Carus an der Technischen Universität Dresden, Dresden, Germany, 34La Paz University Hospital, Madrid, Spain, 35Department of Medical Chemistry, Kurume University School of Medicine, Kurume, Japan, 36Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 37Discovery Biology, Ardea Biosciences, Inc., San Diego, CA, 38Rheumatology, CHUV, Univ of Lausanne, Lausanne, Switzerland, 39University of Otago, Christchurch, New Zealand, 40Biochemistry, University of Otago, Dunedin, New Zealand

    A genome-wide association study of gout in people of European ancestryBackground/Purpose: Genome wide association studies (GWAS) have provided considerable insight into the molecular control of…
  • Abstract Number: 1105 • 2017 ACR/ARHP Annual Meeting

    Allopurinol Dose Escalation to Achieve Serum Urate below 6mg/Dl: An Open Label Extension Study

    Lisa K. Stamp1, Peter T. Chapman2, Murray Barclay3, Anne Horne4, Christopher Frampton1, Paul Tan5, Jill Drake6 and Nicola Dalbeth5, 1University of Otago, Christchurch, New Zealand, 2Christchurch Hospital, Christchurch, New Zealand, 3Medicine, University of Otago, Christchurch, New Zealand, 4Department of Medicine, University of Auckland, Auckland, New Zealand, 5University of Auckland, Auckland, New Zealand, 6Rheumatology, Immunology and Allergy, Christchurch Hospital, Christchurch, New Zealand

    Background/Purpose: Allopurinol at higher than CrCL based doses remains controversial due to concerns over increased risk of adverse events (AE). A recent 12month randomized controlled…
  • Abstract Number: 1106 • 2017 ACR/ARHP Annual Meeting

    Association between ABCG2 rs2231142 and Poor Response to Allopurinol: Replication and Meta-Analysis

    Mary Wallace1, Rebecca Roberts2, Payal Nanavati3, Jeffrey N Miner3, Nicola Dalbeth4, Ruth Topless5, Tony R. Merriman6 and Lisa K. Stamp7, 1Surgical Sciences, University of Otago, Dunedin, New Zealand, 2University of Otago, Dunedin, New Zealand, 3Ardea Biosciences, San Diego, CA, 4University of Auckland, Auckland, New Zealand, 5Department of Biochemistry, University of Otago, Dunedin, New Zealand, 6Biochemistry Dept, PO Box 56, University of Otago, Dunedin, New Zealand, 7University of Otago, Christchurch, New Zealand

    Background/Purpose: Allopurinol is the most widely used urate-lowering drug. However, some patients treated with allopurinol do not achieve serum urate (SU) treatment target of <6mg/dl,…
  • Abstract Number: 1107 • 2017 ACR/ARHP Annual Meeting

    An Illness By Any Other Name: The Effect of Changing the Disease Label of Gout on the Perceptions of the Illness and Its Management

    Keith Petrie1, Kate MacKrill1, Christina Derksen2 and Nicola Dalbeth1, 1University of Auckland, Auckland, New Zealand, 2University of Marburg, Marburg, Germany

    Background/Purpose:  Gout is a chronic disease caused by deposition of monosodium urate crystals.  Although diet is a risk factor, many other factors also contribute to…
  • Abstract Number: 1108 • 2017 ACR/ARHP Annual Meeting

    Effect of Body Mass Index on Serum Urate and Renal Uric Acid Handling Responses to an Oral Inosine Load

    Nicola Dalbeth1, Jordyn de Kwant1, Gregory Gamble2, Amanda Phipps-Green3, Anne Horne2, Lisa K. Stamp4 and Tony R. Merriman5, 1University of Auckland, Auckland, New Zealand, 2Department of Medicine, University of Auckland, Auckland, New Zealand, 3University of Otago, Dunedin, New Zealand, 4University of Otago, Christchurch, New Zealand, 5Biochemistry Dept, PO Box 56, University of Otago, Dunedin, New Zealand

    Background/Purpose:  Increased body mass index (BMI) is an important risk factor for hyperuricemia and gout. It is unknown whether overweight and obesity influences serum urate…
  • Abstract Number: 1109 • 2017 ACR/ARHP Annual Meeting

    Sex Differences in Gout Patients: Epidemiology, Flares and Hospitalization Data in a Population Based Cohort

    Mohanad Elfishawi1,2,3, Clement J. Michet Jr.4, Cynthia S. Crowson5, Eric L. Matteson6 and Tim Bongartz7, 1Rheumatology, Mayo Clinic, Rochester, MN, 2Rheumatology, Kasr Alainy Hospital, Cairo University, Cairo, Egypt, 3Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York, NY, 4Division of Rheumatology, Mayo Clinic, Rochester, MN, 5Health Sciences Research, Mayo Clinic College of Medicine and Science, Rochester, MN, 6Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN, 7Emergency Medicine, Vanderbilt University, Nashville, TN

    Background/Purpose: While gout is the most common form of inflammatory arthritis, there are relatively few studies on the influence of sex with regard to disease…
  • Abstract Number: 1110 • 2017 ACR/ARHP Annual Meeting

    Clinical Features and Risk of Recurrent Attack in Gout Patients According to Serum Urate Levels during an Acute Gout Attack

    Jung Sun Lee1, Seokchan Hong2, Oh Chan Kwon2, Byeongzu Ghang2, Wook Jang Seo3, Doo-Ho Lim4, Yong-Gil Kim2, Chang Keun Lee2 and Bin Yoo2, 1Internal medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea, Republic of (South), 2Division of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea, Republic of (South), 3Seoul Veterans Hospital, Seoul, Korea, Republic of (South), 4Division of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea, Republic of (South)

    Background/Purpose: To investigate the clinical features and risk of gout recurrence in patients with normouricemia during an acute attack Methods: This study was conducted in…
  • Abstract Number: 1111 • 2017 ACR/ARHP Annual Meeting

    Protective Effect of Allopurinol Use on Kidney Function Among Patients with Gout and Chronic Kidney Disease

    Ana Beatriz Vargas-Santos1, Christine Peloquin2, Yuqing Zhang3,4 and Tuhina Neogi4, 1Internal Medicine - Rheumatology, State University of Rio de Janeiro, Rio de Janeiro, Brazil, 2Clinical Epidemiology Unit, Boston University School of Medicine, Boston, MA, 3School Division of Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 4Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA

    Background/Purpose: There is increasing evidence that allopurinol may be protective of kidney function among hyperuricemic subjects, though clinicians are often cautious about using allopurinol in…
  • Abstract Number: 1112 • 2017 ACR/ARHP Annual Meeting

    Efficacy of High Dose Versus Moderate Dose Prednisone in the Treatment of Acute Gout

    Rochella A. Ostrowski1, Elizabeth Araujo2, Richard Hariman3 and Elaine Adams4, 1Division of Rheumatology, Loyola University Medical Center, Maywood, IL, 2Rheumatology and Immunology, Department of Internal Medicine 3, Universitätsklinikum Erlangen, Erlangen, Germany, Erlangen, Germany, 3Rheumatology, Medical College of Wisconsin, Milwaukee, WI, 4Rheumatology, Edward Hines Jr Hospital, Veterans Administration, Hines, IL

    Background/Purpose: Despite the use of corticosteroids in acute gout, there exist wide variations in treatment doses and duration.  No studies have evaluated the ideal dose…
  • Abstract Number: 1113 • 2017 ACR/ARHP Annual Meeting

    Risk of Cardiovascular Events in Older Patients with Gout Initiating Probenecid Versus Allopurinol: A Population-Based Cohort Study

    Seoyoung C. Kim1, Tuhina Neogi2, Eun Ha Kang3, Jun Liu4, Rishi J. Desai5, MaryAnn Zhang6 and Daniel H. Solomon7, 1Rheumatology, Immunology and Allergy; Pharmacoepidemiologyand Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA, 2Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, 3Division of Rheumatology, Department of Internal Medicine, Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea, Republic of (South), 4Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA, 5Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women’s Hospital, Boston, MA, 6Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 7Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Background/Purpose: Gout is associated with an increased risk of cardiovascular (CV) disease including myocardial infarction (MI), stroke and heart failure (HF). Although both probenecid and…
  • Abstract Number: 1114 • 2017 ACR/ARHP Annual Meeting

    Effects of Diacerein Controlled Release Tablets in Serum Uric Acid Reduction in Treating Subjects with Gout

    Ying-Chou Chen Sr.1, Shih-Chueh Chen2, Chung-Tei Chou3, Carl Brown4, Jing-Yi Lee4, Wei-Shu Lu5 and Chang Youh Tsai6, 1Division of Rheumatology, Allergy and Immunology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung County, Taiwan, 2Department of Endocrinology, Cheng Ching General Hospital, Taichung, Taiwan, 3Division of Allergy-Immunology-Rheumatology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, 4Medical Research, TWi Biotechnology, Inc., Taipei, Taiwan, 5TWi Biotechnology, Inc., Taipei, Taiwan, 6Division of Allergy- Immunology- Rheumatology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan

    Background/Purpose: The goal of gout treatment is to reduce serum uric acid (sUA) concentrations below the urate solubility limit. Diacerein is known as an oral…
  • Abstract Number: 1115 • 2017 ACR/ARHP Annual Meeting

    Long-Term Adherence to Urate-Lowering Therapy in Gout: Do Not Blame on the Patients

    Fernando Perez-Ruiz1 and Sandra Chinchilla2, 1Rheumatology Division, Hospital Universitario Cruces, Baracaldo, Spain, 2BioCruces Health Research Institute, Barakaldo, Spain

    Background/Purpose: adherence to urate-lowering treatment (ULT) in patients with gout is reported to be lower than 50% in the first year and below 20% at…
  • Abstract Number: 1116 • 2017 ACR/ARHP Annual Meeting

    Management of Acute Gout in Hospitalized Patients and Risk Factors for Xanthine Oxidase Inhibitor (XOI) Discontinuation or Dose Reduction

    Dawen Zhang1, Kichul Ko2, Michael A. Becker2 and Reem Jan1, 1Medicine, Rheumatology, University of Chicago, Chicago, IL, 2Medicine, University of Chicago, Chicago, IL

    Background/Purpose: Patients with gout frequently have multiple serious co-morbidities, take concomitant medications, and have complex clinical profiles, making treatment of acute flares in hospital settings…
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