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  • Abstract Number: 1915 • 2018 ACR/ARHP Annual Meeting

    Big Data Analysis of Autoimmune Diseases Induced By Cancer Immunotherapies: Identifying Pharmacological Patterns of Organ-Specific Involvement

    Soledad Retamozo1,2,3, Alejandra Flores-Chavez4,5,6, Belchin Kostov7, Antoni Sisó-Almirall8, Marta Pérez-de-Lis9, Roberto Pérez-Alvarez10, Pilar Brito-Zerón11,12, Munther A Khamashta13 and Manuel Ramos-Casals14, 1Instituto de Investigaciones en Ciencias de la Salud, Universidad Nacional de Córdoba, Consejo Nacional de Investigaciones Científicas y Técnicas (INICSA-UNC-CONICET), Cordoba, Argentina, 2Laboratory of Systemic Autoimmune Diseases “Josep Font”, CELLEX, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Department of Systemic Autoimmune Diseases, ICMID, Hospital Clinic, Barcelona, Barcelona, Spain, 3Rheumatology Unit, Hospital Privado Universitario de Córdoba, Institute University of Biomedical Sciences University of Córdoba (IUCBC), Cordoba, Argentina, 4Department of Autoimmune Diseases, ICMiD, Hospital Clínic Barcelona, Spain., Barcelona, Spain, 5Unidad de Investigación Biomédica 02 (Unidad de Investigación en Epidemiología Clínica), UMAE, Hospital de Especialidades, Centro Médico Nacional de Occidente, Instituto Mexicano del Seguro Social, Jalisco, Mexico, 6Programa de Doctorado en Ciencias Médicas, Centro Universitario de Investigaciones Biomédicas (CUIB), Universidad de Colima, Colima, Mexico, Mexico, Mexico, 7ABS Les Corts, CAPSE, Research Group in Primary Care, IDIBAPS, ABS Les Corts, CAPSE, Barcelona, Spain, 8Primary Care Research Group, IDIBAPS, Centre d’Assistència Primària ABS Les Corts, GESCLINIC, Barcelona, Barcelona, Spain, 9Department of Anesthesia, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Spain, 10Department of Internal Medicine, Hospital Alvaro Cunqueiro, Vigo, Vigo, Spain, 11Autoimmune Diseases Unit, Department of Internal Medicine, Hospital CIMA-Sanitas, Barcelona, Barcelona, Spain, 12Department of Autoimmune Diseases, ICMiD, Hospital Clínic Barcelona, Barcelona, Spain, 13Lupus Research Unit, The Rayne Institute, Lupus Research Unit, The Rayne Institute, Kings' College London School of Medicine, St Thomas' Hospital, London, United Kingdom, 14Department of Autoimmune Diseases, ICMiD, Hospital Clínic Barcelona., Barcelona, Spain

    Background/Purpose: The scenario of biological-triggered autoimmune diseases has dramatically changed in recent years due to the increasing use of biologics in patients with solid cancers. Methods:…
  • Abstract Number: 1916 • 2018 ACR/ARHP Annual Meeting

    Neutrophil-to-Lymphocyte Ratio Prospectively Predicts the Development of Rheumatic Immune-Related Adverse Events from PD-1 Inhibitor Therapy

    Christopher McMaster1,2, David Liew3,4, Pallavi Shamdasani5, Jessica Leung3,4, Albert Frauman6,7, Jonathan Cebon7,8 and Russell Buchanan4,9, 1Department of Clinical Pharmacology and Therapeutics, Austin Health, Heidelberg, Australia, 2Health and Biomedical Informatics Centre, University of Melbourne, Parkville, Australia, 3Medicine, University of Melbourne, Parkville VIC, Australia, 4Rheumatology, Austin Health, Heidelberg VIC, Australia, 5Department of Rheumatology, Austin Health, Heidelberg, Australia, 6Department of Clinical Pharmacology and Therapeutics, Austin Health, Melbourne, Australia, 7Medicine, University of Melbourne, Melbourne, Australia, 8Olivia Newton-John Cancer Wellness & Research Centre, Melbourne, Australia, 9Medicine, University of Melbourne, Parkville, Australia

    Background/Purpose: Rheumatic immune-related adverse events (irAEs) from PD-1 inhibitor immune checkpoint immunotherapy can not only lead to cessation of immunotherapy, but also can be disabling…
  • Abstract Number: 1917 • 2018 ACR/ARHP Annual Meeting

    Physician Opioid Prescribing Patterns and Risk for Chronic Opioid Use Among Rheumatoid Arthritis Patients

    Yvonne C. Lee1, Bing Lu2, Hongshu Guan3, Jeffrey Greenberg4, Joel Kremer5 and Daniel Solomon6, 1Northwestern University Feinberg School of Medicine, Chicago, IL, 2Rheumatology Immunology & Allergy, Brigham & Women's Hospital, Boston, MA, 3Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 4Corrona, LLC, Waltham, MA, 5Albany Medical College and The Center for Rheumatology, Albany, NY, 6Rheumatology, Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Experts have implicated physician prescribing rates as a contributing factor to the opioid crisis. However, little is known about heterogeneity in these patterns and…
  • Abstract Number: 1918 • 2018 ACR/ARHP Annual Meeting

    Defining Pain That Does Not Interfere with Activities Among Rheumatoid Arthritis (RA) Patients

    Yvonne C. Lee1, Patricia Katz2,3, Amanda Quebe4, Luna Sun4, Himanshu Patel4, Carol L. Gaich4, Natalie Boytsov4 and Kaleb Michaud5,6, 1Northwestern University Feinberg School of Medicine, Chicago, IL, 2Forward/National Data Bank for Rheumatic Diseases, Wichita, KS, 3University of California San Francisco, San Francisco, CA, 4Eli Lilly and Company, Indianapolis, IN, 5Rheumatology, University of Nebraska Medical Center, Omaha, NE, 6FORWARD, The National Databank for Rheumatic Diseases, Wichita, KS

    Background/Purpose: RA patients differ in the degree to which pain interferes with function. To improve function, an understanding of this diversity is needed. Our objectives…
  • Abstract Number: 1919 • 2018 ACR/ARHP Annual Meeting

    Individual Short-Acting Opioids and the Risk of Opioid-Related Adverse Events in Adolescents

    Cecilia P. Chung1, S. Todd Callahan2, William Cooper2, William Dupont3, Katherine Murray1, Andrew Franklin4, Kathi Hall5, Judith A. Dudley5, C. Michael Stein1 and Wayne Ray5, 1Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, 2Pediatrics, Vanderbilt University Medical Center, Nashville, TN, 3Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, 4Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, 5Health Policy, Vanderbilt University Medical Center, Nashville, TN

    Background/Purpose: Hydrocodone, codeine, oxycodone, and tramadol are frequently prescribed for moderate pain in adolescents. However, pharmacokinetic and pharmacodynamic differences between these short-acting opioids could affect…
  • Abstract Number: 1920 • 2018 ACR/ARHP Annual Meeting

    Is There Objective Evidence of Neuropathy in Knee Osteoarthritis Based on Clinical Evaluation?

    Priyanka Ballal1, Joachim Scholz2, Laura Frey-Law3, Na Wang1, Michael C. Nevitt4, Cora E. Lewis5 and Tuhina Neogi6, 1Boston University School of Medicine, Boston, MA, 2Departments of Anesthesiology and Pharmacology, Columbia University Medical Center, New York, NY, 3University of Iowa, Iowa City, IA, 4Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, 5University of Alabama Birmingham, Birmingham, AL, 6Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA

    Background/Purpose: Self-reported descriptors of pain in knee osteoarthritis (OA) such as burning and stabbing pain are suggestive of a neuropathic component of pain beyond that…
  • Abstract Number: 1921 • 2018 ACR/ARHP Annual Meeting

    Relation of Sensitization and Conditioned Pain Modulation to Post-Knee Replacement Pain

    Tuhina Neogi1, Na Wang2, Cora E. Lewis3, Michael C. Nevitt4 and Laura Frey-Law5, 1Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, 2Boston University School of Medicine, Boston, MA, 3University of Alabama Birmingham, Birmingham, AL, 4Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, 5University of Iowa, Iowa City, IA

    Background/Purpose: Alterations in pain processing, such as pain sensitization and inadequate conditioned pain modulation (CPM), may contribute to the observed pain persistence post-knee replacement (KR)…
  • Abstract Number: 1922 • 2018 ACR/ARHP Annual Meeting

    Characterization of the Pharmacology and Pharmacokinetics of Cntx-4975, a High-Purity, Synthetic Trans-Capsaicin in Clinical Development for the Treatment of Moderate to Severe OA Knee Pain

    James Campbell, Randall Stevens and Peter Hanson, Centrexion Therapeutics, Boston, MA

    Background/Purpose: CNTX-4975, a highly purified, synthetic trans-capsaicin and long-acting, non-opioid analgesic in phase 3 trials for moderate to severe OA knee pain, has demonstrated safety…
  • Abstract Number: 1923 • 2018 ACR/ARHP Annual Meeting

    Treating Rheumatoid Arthritis to Target: Is Low Disease Activity Good Enough?

    Elena Nikiphorou1, Sam Norton2, Adam Young3, Lewis Carpenter2, Josh Dixey4, David Walsh5 and Patrick Kiely6, 1Academic Rheumatology, Department of Inflammation Biology, King's College London, London, Great Britain, 2Academic Rheumatology, King's College London, London, United Kingdom, 3University of Hertfordshire, Hertford, United Kingdom, 4Rheumatology, The Royal Wolverhampton, Wolverhampton, United Kingdom, 5Academic Rheumatology, University of Nottingham, Nottingham, Great Britain, 6Rheumatology Dept, St Georges Hospital, London, Great Britain

    Treating Rheumatoid Arthritis To Target: Is Low Disease Activity Good Enough? Background/Purpose:  It is now widely recognised that treat-to-target (T2T) principles in rheumatoid arthritis (RA)…
  • Abstract Number: 1924 • 2018 ACR/ARHP Annual Meeting

    Mitigating Medication Risk Aversion in the Confident Treatment Decisions for Living with Rheumatoid Arthritis Trial

    Maria I. Danila1, Lang Chen1, Justin K Owensby1, Ronan O'Beirne1, Joshua A. Melnick1, Eric M. Ruderman2, Leslie R. Harrold3 and Jeffrey R. Curtis1, 1University of Alabama at Birmingham, Birmingham, AL, 2Medicine/Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 3University of Massachusetts Medical School, Worcester, MA

    Background/Purpose: Controlling disease activity in RA using a treat-to-target (T2T) strategy can optimize clinical and patient-important outcomes. Yet, many patients are not familiar with T2T…
  • Abstract Number: 1925 • 2018 ACR/ARHP Annual Meeting

    Goal Concordance in Rheumatoid Arthritis: Beyond Pain Reduction, Is There Agreement?

    Jennifer Barton1,2, Shelia Markwardt2, Allison Schue1, Somnath Saha2,3 and Edward H. Yelin4, 1VA Portland Health Care System, Portland, OR, 2Oregon Health & Science University, Portland, OR, 3Medicine, VA Portland Health Care System, Portland, OR, 4Medicine/Rheumatology, University of California San Francisco, San Francisco, CA

    Background/Purpose: Goal concordance between patients with chronic diseases and their clinicians has been linked to improved outcomes, but not explored in rheumatoid arthritis (RA). Our…
  • Abstract Number: 1926 • 2018 ACR/ARHP Annual Meeting

    Effects of Social Networking on Chronic Disease Management in Rheumatoid Arthritis

    Maria A. Lopez-Olivo1, Jessica Foreman2, Heather Lin3, Cheuk Hong Leung4, Tiffany Westrich-Robertson5, Catherine Hofstetter6, Susan K. Peterson7, Anne Lyddiatt8, Amye L. Leong9, Irmgard U. Willcockson10 and Maria Suarez-Almazor1, 1Section of Rheumatology and Clinical Immunology, Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, 2Section of Rheumatology and Clinical Immunology, Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA, Houston, TX, 3Biostatistics, Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA, Houston, TX, 4Department of Biostatistics, Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA, Houston, TX, 5International Foundation for Autoimmune and Autoinflammatory Arthritis, Saint Louis, Missouri, USA, St Louis, MO, 6OMERACT patient research partner group, Ottawa, ON, Canada, 7Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston Texas, USA, Houston, TX, 8Musculoskeletal Group, Cochrane Collaboration, Hamilton, ON, Canada, 9Spokesperson; Strategic Relations, Bone and Joint Decade, Santa Barbara, CA, 10School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, TX

    Background/Purpose: We evaluated a social networking intervention to help patients with rheumatoid arthritis become active partners in their own care. We developed a closed independent…
  • Abstract Number: 1927 • 2018 ACR/ARHP Annual Meeting

    Do Remission and Low Disease Activity State Go Hand in Hand with Patient’s Perception of Disease Burden and Quality of Life in Systemic Lupus Erythematosus?

    Chiara Tani1, Elena Elefante1, Chiara Stagnaro2, Viola Signorini2, Linda Carli1, Meenakshi Jolly3 and Marta Mosca1, 1Rheumatology Unit, University of Pisa, Pisa, Italy, 2University of Pisa, Rheumatology Unit, PISA, Italy, 3Rush University Medical Center, Chicago, IL

    Background/Purpose: Disease remission is the ideal treatment target in SLE; when remission cannot be reached, the lowest possible disease activity state should be targeted. Available…
  • Abstract Number: 1928 • 2018 ACR/ARHP Annual Meeting

    Patient-Physician Communication about Medication Costs in Rheumatoid Arthritis

    K. Julia Kaal1, Nick Bansback1,2,3, Aslam Anis4,5 and Mark Harrison5,6,7,8, 1University of British Columbia, Vancouver, BC, Canada, 2St Paul's Hospital, Centre for Health Evaluation and Outcomes Sciences, Vancouver, BC, Canada, 3Arthritis Research Canada, Richmond, BC, Canada, 4University of British Columbia, School of Population and Public Health, Vancouver, BC, Canada, 5Centre for Health Evaluation and Outcomes Sciences, Vancouver, BC, Canada, 6Arthritis Research Canada, Vancouver, BC, Canada, 7Pharmaceutical Sciences, University of British Columbia, Vancouver, BC, Canada, 8Collaborations in Outcomes Research and Evaluation, Vancouver, BC, Canada

    Background/Purpose: Patients often have to pay for prescription medications out-of-pocket and cost-related nonadherence is a recognized problem. The treatment of rheumatoid arthritis is associated with…
  • Abstract Number: 1929 • 2018 ACR/ARHP Annual Meeting

    The Neutrophil-Lymphocyte Ratio in Newly Diagnosed Rheumatoid Arthritis and Its Ability to Predict Treatment Failure

    Daniel Boulos1, Robert Metcalf2, Susanna Proudman3 and Ian Wicks4, 1Rheumatology, Royal Melbourne Hospital, Melbourne, Melbourne, Australia, 2Rheumatology, Royal Adelaide Hospital, Adelaide, Adelaide, Australia, 3Royal Adelaide Hospital, Rheumatology Unit and University of Adelaide, Discipline of Medicine, Adelaide, Australia, 4Wicks Lab, Walter and Eliza Hall Institute, Melbourne, Australia

    Background/Purpose: To assess whether the neutrophil-lymphocyte ratio (NLR) can predict those who require disease modifying therapy escalation and hence progression in rheumatoid arthritis (RA). Methods:…
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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.).

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