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  • Abstract Number: 1792 • 2017 ACR/ARHP Annual Meeting

    Distinct and Overlapping Activities of IL-17A and TNF on the Expression of Proinflammatory Cytokines and MMPs in Psoriatic Arthritis: Rationale for Anti-IL-17A/Anti-Tnfalpha Combination Therapy?

    Xiaofei Xu1, Nadine Davelaar2, Anne-Marie Otten-Mus3, Patrick Asmawidjaja2, J.M.W. Hazes4, Dominique Baeten5, Marijn Vis6, Radjesh Bisoendial1 and Erik Lubberts2, 1Rheumatology, Erasmus MC, Rotterdam, Netherlands, 2Rheumatology and Immunology, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 3Immunology, Erasmus MC, University Medical Center, Rotterdam, Netherlands, 4Department of Rheumatology, Erasmus University Medical Centre, Rotterdam, Netherlands, 5Clinical Immunology and Rheumatology/Experimental immunology, Academic Medical Center/University of Amsterdam, Amsterdam, Netherlands, 6Rheumatology, Erasmus Medical Centre, Rotterdam, Netherlands

    Background/Purpose: TNF and IL-17A are proinflammatory cytokines critically involved in the pathogenesis of psoriatic arthritis (PsA). Currently, targeting TNF is the first choice of a…
  • Abstract Number: 1793 • 2017 ACR/ARHP Annual Meeting

    Interleukin-17 Is Not a Determinant for the Pro- or Anti-Inflammatory Character of Interleukin-22 in Experimental Arthritis

    Debbie M. Roeleveld1, Loreto Parga Vidal2, Monique M. Helsen2, Birgitte Walgreen3, Bianka Marklein4, Karl Skriner5, Martin Hegen6, Peter L. van Lent2, Fons A.J. van de Loo2, Wim B. van den Berg2, Peter M. van der Kraan2 and Marije I. Koenders2, 1Experimental Rheumatology, Radboud University Medical Center, Nijmegen, Netherlands, 2Experimental Rheumatology, Radboud university medical center, Nijmegen, Netherlands, 3Experimental, Radboud university medical center, Nijmegen, Netherlands, 4Humboldt University and Free University, Berlin, Germany, 5Department of Rheumatology and Clinical Immunology, Charité - University Medicine Berlin, Free University and Humboldt University Berlin, Berlin, Germany, 6Inflammation and Immunology Research Unit, Pfizer, Cambridge, MA

    Background/Purpose: High interleukin-22 (IL-22) levels are detected in serum and synovial fluid of rheumatoid arthritis (RA) patients and have been shown to positively correlate with…
  • Abstract Number: 1794 • 2017 ACR/ARHP Annual Meeting

    Overexpression of Interleuk-22 Induces Expression of the Negative Immune-Regulator SOCS3 and Potently Reduces Collagen-Induced Arthritis in Mice

    Debbie M. Roeleveld1, Monique M. Helsen2, Birgitte Walgreen3, Elly Vitters2, Fons A.J. van de Loo2, Peter L. van Lent2, Wim B. van den Berg2, Peter M. van der Kraan2 and Marije I. Koenders2, 1Experimental Rheumatology, Radboud University Medical Center, Nijmegen, Netherlands, 2Experimental Rheumatology, Radboud university medical center, Nijmegen, Netherlands, 3Experimental, Radboud university medical center, Nijmegen, Netherlands

    Background/Purpose: High interleukin-22 (IL-22) levels are detected in serum and synovial fluid of rheumatoid arthritis (RA) patients and have been shown to positively correlate with…
  • Abstract Number: 1795 • 2017 ACR/ARHP Annual Meeting

    IL-7 in Primary Sjogren Syndrome (pSS) Is Secreted By Salivary Gland Epithelial Cells after IFN Stimulation and Is Associated with B-Cell Activation

    Alexandre Virone1, Juliette Pascaud2, Elodie Rivière1, Jacques-Eric Gottenberg3, Véronique Le Guern4, Xavier Mariette1 and Gaetane Nocturne5, 1Université Paris Sud, Paris, France, 2U1184 IMVA, Université Paris Sud, Le Kremlin-Bicêtre Cedex, France, 3CNRS, Immunopathologie et Chimie Thérapeutique/Laboratory of Excellence Medalis, Institut de Biologie Moléculaire et Cellulaire, Strasbourg, France, 4Internal Medicine Department, Cochin Hospital, “René-Descartes Paris V” University, Paris, France, 5INSERM U1184, IMVA, Paris Sud University,LabEx LERMIT, Le Kremlin Bicêtre, France

    Background/Purpose : pSS is characterized by a strong IFN signature, ectopic germinal centers formation and a chronic blood lymphopenia. IL-7 plays a central part in…
  • Abstract Number: 1796 • 2017 ACR/ARHP Annual Meeting

    Benefits and Sustainability of a Learning Collaborative for Implementation of Treat to Target in Rheumatoid Arthritis:  Results of Phase II of a Cluster Randomized Controlled Trial

    Daniel H. Solomon1, Liana Fraenkel2, Zhi Yu3, Bing Lu4, Asaf Bitton5, Agnes Zak6, Cassandra Corrigan7, Jen Agosti8, Leslie R Harrold9, Josef S. Smolen10, Jeffrey N. Katz11 and Elena Losina12, 1Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 2Rheumatology, Rheumatology, Yale University School of Medicine, New Haven, CT, New Haven, CT, 3Rheumatology Immunology & Allergy, Brigham and Women's Hospital, Boston, MA, 4Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 5Medicine, Brigham and Women's Hospital, Boston, MA, 6Brigham and Women's Hospital, Boston, MA, 7Rheumatology, Brigham and Women's Hospital, Boston, MA, 8JRA Consulting, Andover, MA, 9University of Massachusetts Medical School, Worcester, MA, 10Medical University Vienna, Division of Rheumatology, Department of Internal Medicine III, Vienna, Austria, 11Rheumatology, Immunology, and Allergy, Brigham & Women's Hospital, Boston, MA, 12Orthopaedic and Arthritis Center for Outcomes Research, Department of Orthopedic Surgery, Brigham & Women's Hospital, Boston, MA

    Background/Purpose:   Treat to target (TTT) is a recommended strategy in the management of rheumatoid arthritis (RA), but its uptake in routine rheumatologic care in…
  • Abstract Number: 1797 • 2017 ACR/ARHP Annual Meeting

    Insights from Treating to Target in Rheumatoid Arthritis at an Academic Medical Center

    Malithi Jayasundara1, Ryan Jessee2, Jason Weiner3, Tayseer Haroun4, Stephanie Giattino5, Atul Kapila4, Jenelle Hall4, Lisa Carnago4 and Lisa Criscione-Schreiber6, 1Rheumatology, Duke University, Durham, NC, 2Department of Medicine, Division of Rheumatology and Immunology, Duke University, Durham, NC, 3Department of Medicine, Division of Rheumatology and Immunology, Duke University Medical Center, Durham, NC, 4Duke University, Durham, NC, 5Rheumatology, Duke University Medical Center, Durham, NC, 6Internal Medicine, Duke University Medical Center, Durham, NC

    Background/Purpose: Current RA guidelines recommend treating to a target of remission or low disease activity (RM/LDA) state.  In a prior quality improvement (QI) project, our…
  • Abstract Number: 1798 • 2017 ACR/ARHP Annual Meeting

    Effective Implementation and Evaluation of Quality Improvement Initiatives in a Safety Net Hospital Rheumatology Clinic

    Alfredo Aguirre1, Laura Trupin2, Mary Margaretten3, Sarah Goglin4 and Jinoos Yazdany2, 1Internal Medicine, University of California, San Francisco, SAN FRANCISCO, CA, 2Medicine/Rheumatology, University of California San Francisco, San Francisco, CA, 3Medicine, University of California San Francisco, San Francisco, CA, 4Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA

    Background/Purpose: Vulnerable populations with autoimmune rheumatic diseases are at higher risk for disparities in care. To address these health inequalities we developed and evaluated 2…
  • Abstract Number: 1799 • 2017 ACR/ARHP Annual Meeting

    Time to First Appointment Among Young Adults Transitioning from Pediatric to Adult Rheumatologic Care in a Safety Net Population

    Nicole Bitencourt1, Una E. Makris1,2, Tracey Wright3,4 and E. Blair Solow1, 1UT Southwestern Medical Center, Dallas, TX, 2Department of Medicine, VA North Texas Health Care System, Dallas, TX, 3Pediatrics/Rheumatology, UT Southwestern Medical Center, Dallas, TX, 4Texas Scottish Rite Hospital for Children, Dallas, TX

    Background/Purpose: For young adults with a chronic rheumatic illness transitioning from pediatric to adult care, the transfer to new system can be daunting; these challenges…
  • Abstract Number: 1800 • 2017 ACR/ARHP Annual Meeting

    Do Patient Reported Outcome Measurement Information System (PROMIS) Computer Adaptive Tests Correlate with Disease Activity in Juvenile Idiopathic Arthritis?

    Rebecca Trachtman1, Elizabeth T. Murray2, Jackie Szymonifka3, Alexa Adams4, Nancy Pan4, Sarah Taber4, Thomas J. A. Lehman4, Karen Onel4 and Lisa A. Mandl5, 1Pediatric Rheumatology, Hospital for Special Surgery Weill Cornell Medical College, NY, NY, 2Hospital for Special Surgery, New York, NY, 3Rheumatology, Hospital for Special Surgery, New York, NY, 4Pediatric Rheumatology, Hospital for Special Surgery Weill Cornell Medical College, New York, NY, 5Rheumatology, Hospital for Special Surgery Weill Cornell Medical College, New York, NY

    Background/Purpose: The importance of patient-reported outcomes is increasingly recognized both in clinical care and in research. PROMIS is an NIH-supported collection of patient-reported outcome measures,…
  • Abstract Number: 1801 • 2017 ACR/ARHP Annual Meeting

    Quantifying Clinical and Economic Outcomes Associated with Chronic Corticosteroid Exposure in a US Population

    J. Bradford Rice1, Alan White1, Andrea Lopez1, Aneesha Wagh1, Yimin Qin2, Ghaith Mitri2, Laura Bartels-Peculis2, Gosia Ciepielewska2 and Winnie Nelson3, 1Analysis Group, Inc., Boston, MA, 2Mallinckrodt Pharmaceuticals, Hampton, NJ, 3Health Economics and Outcomes Research, Mallinckrodt Pharmaceuticals, Hampton, NJ

    Background/Purpose:  Corticosteroids (CS) are commonly used for rheumatologic conditions, and known to cause systemic adverse events (AEs), particularly when used at high doses for prolonged…
  • Abstract Number: 1802 • 2017 ACR/ARHP Annual Meeting

    Detection of Flare over the Past 3 Months in Rheumatoid Arthritis: Cross-Cultural Equivalence of the Self-Report Flare-RA Questionnaire

    Francis Guillemin1, Marie-Line Erpelding2, Annette de Thurah3,4,5,6, Elena Myasoedova7, Emilce E Schneeberger8, Cynthia S. Crowson9, Thomas Maribo10, Gustavo Citera11, Eric L. Matteson12 and Bruno Fautrel13, 1University of Lorraine, Nancy, France, Nancy, France, 2CIC 1433 Clinical Epidemiology, Inserm, Nancy, France, 3Department of Rheumatology, Aarhus University Hospital, Århus C, Denmark, 4Department of Rheumatology, Aarhus University Hospital, Aarhus, DK, Aarhus, Denmark, 5Department of Clinical Medicine, Aarhus University, Aarhus, Denmark, 6Department of Clinical Medicine, Aarhus University, Aarhus, DK, Aarhus N, Denmark, 7Rheumatology, Mayo Clinic, Rochester, MN, 8Section of Rheumatology, Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina, Buenos Aires, Argentina, 9Health Sciences Research, Mayo Clinic College of Medicine and Science, Rochester, MN, 10DEFACTUM, Central Region Denmark, Aarhus, Denmark, 11Section of Rheumatology, Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina, Buenos Aires, Argentina, 12Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN, 13UPMC University Paris 06, Pitié-Salpétrière Hospital, Paris, France

    Background/Purpose: The Flare-RA questionnaire was developed and validated in French (1) for assessing the occurrence of a flare of rheumatoid arthritis (RA) during a 3-month…
  • Abstract Number: 1803 • 2017 ACR/ARHP Annual Meeting

    A Cluster Analysis Approach to Patient-Physician Discordance in Rheumatoid Arthritis Activity Evaluations Optimally Differentiates and Predicts Clinical, Functional and Quality of Life Outcomes

    George Karpouzas1 and Sarah Ormseth2, 1Division of Rheumatology, Harbor-UCLA Medical Center, Torrance, CA, 2Rheumatology, Harbor-UCLA Medical Center, Torrance, CA

    Background/Purpose: Patients and physicians commonly differ in their evaluations of rheumatoid arthritis (RA) activity. However, clinically meaningful thresholds for such discordance or validation of their…
  • Abstract Number: 1804 • 2017 ACR/ARHP Annual Meeting

    Patient-Reported Outcomes and Damage Predict Mortality in Lupus

    Desiree R Azizoddin1, Meenakshi Jolly2, Patricia P. Katz3 and Edward H. Yelin4, 1Department of Psychology, Loma Linda University, Loma Linda, CA, 2Rush, Chicago, IL, 3Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA, 4Medicine/Rheumatology, University of California San Francisco, San Francisco, CA

    Background/Purpose: Physician-assessed disease activity and damage predict mortality in systemic lupus erythematosus (SLE). Patient-reported outcomes (PROs) are known predictors of mortality in other chronic diseases,…
  • Abstract Number: 1805 • 2017 ACR/ARHP Annual Meeting

    Construct Validity of RAPID3 for Measurement of Disease Activity in Psoriatic Arthritis

    Jessica A. Walsh1, Christine Willinger2, M. Elaine Husni3, Soumya M. Reddy4, Jose U. Scher5 and Alexis Ogdie6, 1Division of Rheumatology, University of Utah, Salt Lake City, UT, 2University of Pennsylvania, Philadelphia, PA, 3Cleveland Clinic, Cleveland, OH, 4Department of Medicine, Division of Rheumatology *contributed equally, New York University School of Medicine, New York, NY, 5New York University School of Medicine, New York, NY, 6Medicine/Rheumatology and Epidemiology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: The Routine Assessment of Patient Index Data (RAPID3) was developed and validated for rheumatoid arthritis (RA).  Little data exist on the use of RAPID3…
  • Abstract Number: 1806 • 2017 ACR/ARHP Annual Meeting

    Performance of the Brief Index of Lupus Damage (BILD) in a Multi-Ethnic Population-Based Systemic Lupus Erythematosus (SLE) Cohort

    Patricia P. Katz1, Maria Dall'Era2, Laura Trupin3, Stephanie Rush4, Charles G. Helmick5, Lindsey A. Criswell4 and Jinoos Yazdany3, 1Medicine, University of California, San Francisco, San Francisco, CA, 2Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA, 3Medicine/Rheumatology, University of California San Francisco, San Francisco, CA, 4University of California, San Francisco, San Francisco, CA, 5Centers for Disease Control and Prevention, Atlanta, GA

    Background/Purpose: The BILD1,2 was developed and validated as a measure of SLE organ damage for use in epidemiologic studies in which administration of the SLICC…
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