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  • Abstract Number: 2377 • 2017 ACR/ARHP Annual Meeting

    Impact of Body Mass Index and Weight Loss on Incident Disability in Patients with Rheumatoid Arthritis

    Joshua Baker1, Ted R. Mikuls2, Bryant R. England3, Michael D. George4, Grant Cannon5, Harlan Sayles6, Brian Sauer5, Liron Caplan7 and Kaleb Michaud6, 1Medicine/Rheumatology, University of Pennsylvania, Philadelphia, PA, 2Internal Medicine, Division of Rheumatology, University of Nebraska Medical Center, Omaha, NE, 3Division of Rheumatology & Immunology, Department of Internal Medicine, Nebraska-Western IA VA Health Care System & University of Nebraska Medical Center, Omaha, NE, 4Division of Rheumatology, University of Pennsylvania, Philadelphia, PA, 5Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 6University of Nebraska Medical Center, Omaha, NE, 7Division of Rheumatology, University of Colorado School of Medicine, Aurora, CO

    Background/Purpose: Obese patients with rheumatoid arthritis (RA) have greater disability in cross-sectional studies. There are no long-term studies that assess trajectories of disability among individuals…
  • Abstract Number: 2378 • 2017 ACR/ARHP Annual Meeting

    Body Mass Index and Persistence of Conventional Dmards and TNF Inhibitors in Rheumatoid Arthritis

    Caroline McCulley1, Ted R. Mikuls2, Jennifer Barton3, Grant Cannon4, Brian C. Sauer, PhD5, Liron Caplan6, Bryant R. England7, Chia-Chen Teng8 and Joshua Baker9, 1Rheumatology, Oregon Health & Science University, Portland, OR, 2Internal Medicine, Division of Rheumatology, University of Nebraska Medical Center, Omaha, NE, 3VA Portland Health Care System, Portland, OR, 4Salt Lake City VA Medical Center and University of Utah, Salt Lake City, UT, 5Salt Lake City VA and University of Utah, Salt Lake City, UT, 6Division of Rheumatology, University of Colorado School of Medicine, Aurora, CO, 7Division of Rheumatology & Immunology, Department of Internal Medicine, Nebraska-Western IA VA Health Care System & University of Nebraska Medical Center, Omaha, NE, 8Rheumatology, University of Utah, Salt Lake City, UT, 9Rheumatology, University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Low body mass index (BMI) is associated with more destructive disease in rheumatoid arthritis (RA). Paradoxically, obese patients have been shown in studies to…
  • Abstract Number: 2379 • 2017 ACR/ARHP Annual Meeting

    Effect of DKK-1 and Osteoprotegerin on Bone Mass in Tightly Controlled Rheumatoid Arthritis

    Javier Narváez1, Irene Martin-Esteve2, Andrea Zacarias3, Pedro Alia4, Estibaliz Loza5, Loreto Carmona5, Joan Miquel Nolla2 and Carmen Gomez Vaquero6, 1Rheumatology Department, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Spain, 2Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain, 3Hospital Universitari de Bellvitge, Barcelona, Spain, 4Clinical Laboratory Service, Hospital Universitari de Bellvitge - IDIBELL, Barcelona, Spain, 5Instituto de Salud Musculoesquelética (InMusc), Madrid, Spain, 6Department of Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain

    Background/Purpose:  To analyze the association between osteoprotegerin (OPG) and Dickkopf-related protein 1 (DKK-1) and the annual percent change (Δ%) in bone mineral density (BMD) in patients…
  • Abstract Number: 2380 • 2017 ACR/ARHP Annual Meeting

    The Use of Fibroscan in Detecting Early Liver Fibrosis in RA Patients on Long Term MTX with Normal Liver Enzymes

    Malack Alachkar1, T Mathialahan2, Sandra Walsh2 and Vun Lim3, 1Rheumatology, The Pennine Acute Hospitals NHS Trust, Manchester, United Kingdom, 2Gastroenterology, Wrexham Maelor Hospital, Betsi Cadwaladr University Health Board, Wrexham, United Kingdom, 3Rheumatology, Wrexham Maelor Hospital, Betsi Cadwaladr University Health Board, Wrexham, United Kingdom

    Background/Purpose: FibroScan (FS) is a non-invasive investigation that allows assessment of possible liver fibrosis by measuring liver stiffness. There are studies which confirm that MTX-related…
  • Abstract Number: 2381 • 2017 ACR/ARHP Annual Meeting

    Hematologic Abnormalities during the Use of Low Dose Methotrexate for Rheumatoid Arthritis: A Systematic Review and Meta-Analysis

    Kathleen Vanni1, Zhi Zhang1, Cassandra Corrigan2 and Daniel H. Solomon3, 1Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 2Rheumatology, Brigham and Women's Hospital, Boston, MA, 3Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Background/Purpose: Methotrexate (MTX) is known to increase the risk of cytopenias, but the prevalence of hematologic abnormalities among patients taking low dose MTX is poorly…
  • Abstract Number: 2382 • 2017 ACR/ARHP Annual Meeting

    Reliability of the Biochemical Bone Markers CTX and P1NP during a TNF-Inhibitor Treatment Cycle in Patients with Rheumatoid Arthritis

    Kim Holmsted1, Niklas Rye Jørgensen2 and Ole Rintek Madsen1, 1Center for Rheumatology and Spine Diseases & The DANBIO Registry, Copenhagen University Hospital Rigshospitalet Gentofte Glostrup, Copenhagen, Denmark, 2Dept. of Clinical Biochemistry, Rigshospitalet, Glostrup, Denmark

    Background/Purpose: Patients with rheumatoid arthritis (RA) have an increased risk of developing osteoporosis. Dual Energy X-ray Absorptiometry (DXA) with assessment of BMD is used for…
  • Abstract Number: 2383 • 2017 ACR/ARHP Annual Meeting

    Frailty and Risk of Fractures in Patients with Rheumatoid Arthritis: Data from the Ontario Best Practices Research Initiative (OBRI)

    Guowei Li1, Xiuying Li2, Angela Cesta3, Arthur Lau4, Claire Bombardier3 and J Adachi5, 1Health Research Methods, Evidence, and Impact, McMaster University, Hamilton, ON, Canada, 2University of Toronto, TORONTO, ON, Canada, 3Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada, 450 Charlton Avenue East, St Joseph's Healthcare Hamilton, Hamilton, ON, Canada, 5St Joseph's Healthcare Hamilton, Hamilton, ON, Canada

    Background/Purpose: Measuring the degree of frailty can help screen, quantify and predict future risk of adverse health outcomes at a clinical research level and at…
  • Abstract Number: 2384 • 2017 ACR/ARHP Annual Meeting

    Incidence and Predictors of Dyspnea on Exertion in a Prospective Cohort of Patients with Rheumatoid Arthritis

    Jeffrey A. Sparks1, Tracy Doyle2, Beatrice Pan3, Christine Iannaccone4, Michelle Frits3, Paul Dellaripa5, Ivan Rosas5, Bing Lu6, Michael Weinblatt6, Nancy A. Shadick7 and Elizabeth Karlson5, 1Rheumatology, Immunology, and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 2Division of Pulmonary Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 3Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 4Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 5Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 6Rheumatology, Immunology and Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, 7Rheumatology Immunology & Allergy, Brigham and Women's Hospital and Harvard Medical School, Boston, MA

    Background/Purpose : Dyspnea on exertion symptoms often prompt clinical evaluation related to respiratory, cardiovascular, and functional status. However, the incidence and predictors of clinically significant…
  • Abstract Number: 2385 • 2017 ACR/ARHP Annual Meeting

    High Incidence of Hepatitis Related to HBV Reactivation in Rheumatoid Arthritis Patients with Resolved Hepatitis B Infection during Rituximab Treatment

    Ming-Han Chen1, Yen-Po Tsao2, Yi-Hsiang Huang3, Chung-Tei Chou4 and Chang Youh Tsai2, 1Division of Allergy- Immunology- Rheumatology, Department of Medicine, Division of Allergy- Immunology- Rheumatology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, 2Division of Allergy- Immunology- Rheumatology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, 3Division of Gastroenterology and Hepatology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, 4Faculty of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan

    AbstractBackground/Purpose: Rituximab-based chemotherapy can induce hepatitis B virus (HBV) reactivation (HBVr) in patients with hematological malignancies who have been exposed to HBV infection. However, informative…
  • Abstract Number: 2386 • 2017 ACR/ARHP Annual Meeting

    The Risk Factors of Newly Developing/Worsening Pulmonary Abnormalities in Rheumatoid Arthritis

    Ayae Tanaka1, Kazuhiro Kurasawa1, Yuta Takamura1, Tomoyuki Miyao1, Ryutaro Yamazaki2, Satoko Arai1, Takayoshi Owada1, Reika Maezawa1 and Masafumi Arima1, 1Rheumatology, Dokkyo Medical University, Mibu, Tochigi, Japan, 2Rheumatology, Dokkyo Medical University, Mibu, tochigi, Japan

    Background/Purpose: Rheumatoid arthritis (RA) is a systemic inflammatory disease that affects various organs including the lung. The pulmonary involvement is critical for prognosis of the…
  • Abstract Number: 2387 • 2017 ACR/ARHP Annual Meeting

    Prevalence of Hepatitis C Virus Infection in Egyptian Patients with Rheumatoid Arthritis

    Dahlia Abdel Mohsen1, Sherin H. Hamza1, Nashwa Aly Morshedy1, F. DeWolfe Miller2 and Mahmoud S. Elzalabany3,4, 1Internal Medicine and Rheumatology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt, 2Department of Tropical Medicine, Medical Microbiology and Pharmacology, John A. Burns School of Medicine, University of Hawaii, Honolulu, HI, 3Internal Medicine Department, Ahmed Maher Teaching Hospital, Cairo, Egypt, 4Tahya Misr HCV Treatment Center, Luxor, Egypt

    Background/Purpose: HCV is a major public health problem affecting approximately 2-3% of the world’s population with about 130-150 million people chronically infected worldwide. Egypt has…
  • Abstract Number: 2388 • 2017 ACR/ARHP Annual Meeting

    Women and Men with Rheumatoid Arthritis Present with Different Risks for Glucocorticoid-Related Comorbidities

    Dörte Huscher1, Katinka Albrecht1, Frank Buttgereit2, Thorsten Eidner3, Stefan Kleinert4, Wolfgang Ochs5 and Angela Zink6, 1Epidemiology Unit, German Rheumatism Research Centre (DRFZ), Berlin, Germany, 2Department of Rheumatology and Clinical Immunology, Charité Univeris, Berlin, Germany, 3Rheumatology/ Osteology, Friedrich-Schiller-University Jena, University Clinic, Jena, Germany, 4Rheumatologie, Praxisgemeinschaft Rheumatologie-Nephrologie, Rheumatologische Schwerpunktpraxis, Erlangen, Germany, 5Internistisch-rheumatologische Praxisgemeinschaft Bayreuth, Bayreuth, Germany, 6Epidemiology Unit / Rheumatology and Clinical Immunology, German Rheumatism Research Centre (DRFZ) / Charité University Hospital, Berlin, Germany

    Background/Purpose: Osteoporosis, diabetes, hypertension and cardiovascular diseases are the most threatening glucocorticoid (GC)-related comorbidities in rheumatoid arthritis (RA), both from the patients and rheumatologists perspective1.…
  • Abstract Number: 2389 • 2017 ACR/ARHP Annual Meeting

    Joint Surgery in Rheumatoid Arthritis 1980-2013: A Population-Based Study to Identify Risk Factors and Time Trends in Incidence

    Michael Richter1, Cynthia S. Crowson2, Eric L. Matteson3 and Ashima Makol3, 1Internal Medicine, Mayo Clinic, Rochester, MN, 2Department of Medicine, Division of Rheumatology,Mayo Clinic, Rochester, MN, 3Rheumatology, Mayo Clinic College of Medicine and Science, Rochester, MN

    Background/Purpose: Over the past two decades, the use of disease modifying anti-rheumatic drugs and treat-to-target strategies have dramatically improved the outcomes of patients with rheumatoid…
  • Abstract Number: 2390 • 2017 ACR/ARHP Annual Meeting

    Trends and Predictors of Guideline Adherence for Glucocorticoid-Induced Osteoporosis Prevention in an Early Rheumatoid Arthritis Cohort

    Stephanie Gottheil1, Orit Schieir2, Carter Thorne3, Carol A Hitchon4, Diane Tin5, Edward C. Keystone6, Gilles Boire7, Boulos Haraoui8, Susan J. Bartlett9, Vivian P. Bykerk10 and Janet E. Pope11, 1University of Western Ontario, LONDON, ON, Canada, 2McGill University, Montreal, ON, Canada, 3University of Toronto, Newmarket, ON, Canada, 4University of Manitoba, Winnipeg, MB, Canada, 5The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 6Mt. Sinai Hospital, University of Toronto, Toronto, ON, Canada, 7Rheumatology Division, Centre Hospitalier Universitaire de Sherbrooke and Universite de Sherbrooke, Sherbrooke, QC, Canada, 8Institute de Rheumatologie, Montreal, QC, Canada, 9Department of Medicine, Division of ClinEpi, Rheumatology, Respirology, McGill University, Montreal, QC, Canada, 102-005, Mt Sinai Hospital, Toronto, ON, Canada, 11Department of Medicine, Division of Rheumatology, University of Western Ontario, St Joseph's Health Care, London, ON, Canada

    Background/Purpose: RA patients are at a high risk of osteoporosis and fracture, in part due to frequent glucocorticoid use. Despite recommendations from ACR guidelines on…
  • Abstract Number: 2391 • 2017 ACR/ARHP Annual Meeting

    Incidence of Infections in Early Arthritis

    Meriem Kerbachi1, Louis Bessette2, Cristiano S. Moura3, Sasha Bernatsky4, Orit Schieir5, Susan J. Bartlett6, Carol A Hitchon7, Janet E. Pope8, Gilles Boire9, Boulos Haraoui10, Edward C. Keystone11, Diane Tin12, Carter Thorne13 and Vivian P. Bykerk14, 1McGill University, Montreal, QC, Canada, 2Centre d'ostéoporose et de rhumatologie de Québec (CORQ), Québec, QC, Canada, 31Division of Clinical Epidemiology, McGill University Health Centre, Montreal, QC, Canada, 4Divisions of Rheumatology and Clinical Epidemiology, Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 5McGill University, Montreal, ON, Canada, 6Department of Medicine, Division of ClinEpi, Rheumatology, Respirology, McGill University, Montreal, QC, Canada, 7University of Manitoba, Winnipeg, MB, Canada, 8Department of Medicine, Division of Rheumatology, University of Western Ontario, St Joseph's Health Care, London, ON, Canada, 9Rheumatology Division, Centre Hospitalier Universitaire de Sherbrooke and Universite de Sherbrooke, Sherbrooke, QC, Canada, 10Institut de Rhumatologie de Montréal, Montreal, QC, Canada, 11Mt. Sinai Hospital, University of Toronto, Toronto, ON, Canada, 12The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 13University of Toronto, Newmarket, ON, Canada, 142-005, Mt Sinai Hospital, Toronto, ON, Canada

    Background/Purpose: Few studies have focused on analyzing infection risk in recent-onset rheumatoid arthritis (RA).The main objective of this study was to estimate the incidence of…
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