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  • Abstract Number: 2952 • 2018 ACR/ARHP Annual Meeting

    Major NSAID Toxicity: Derivation and Internal Validation of a Simple Clinical Risk Score

    Daniel Solomon1, Ming Shao2, Katherine E Wolski3, Steven E Nissen4, M. Elaine Husni5 and Nina Paynter6, 1Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 2Cleveland Clinic Foundation, Cleveland, OH, 3Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, 4Cardiovascular Medicine, Chair, Cleveland Clinic, Cleveland, OH, 5Orthopedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, OH, 6Medicine, Harvard University, Boston, MA

    Background/Purpose: NSAIDs and Coxibs represent one of the most commonly prescribed drugs by rheumatologists and are used regularly by >10 million Americans. While most patients…
  • Abstract Number: 2953 • 2018 ACR/ARHP Annual Meeting

    Disappearance of Autoantibodies in RA: Does It Occur with Current Treatment Strategies? a Long-Term Follow-up Study in Patients That Achieved DMARD-Free Sustained Remission

    Debbie M. Boeters1, Leonie E. Burgers1, René E.M. Toes1 and Annette H.M. van der Helm-van Mil1,2, 1Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Department of Rheumatology, Erasmus Medical Center, Rotterdam, Netherlands

    Background/Purpose: Disease modifying antirheumatic drug (DMARD)-free sustained remission, the sustained absence of arthritis after cessation of all DMARD-therapy, is increasingly achievable with current treatment strategies.…
  • Abstract Number: 2954 • 2018 ACR/ARHP Annual Meeting

    Factors Related to Initiation of TNF Inhibitor Versus Triple Therapy in Rheumatoid Arthritis Patients

    Yinzhu Jin1, Eun Ha Kang2, Angela Tong1, Rishi J. Desai3 and Seoyoung C. Kim4,5, 1Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 2Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, Seongnam, Korea, Republic of (South), 3Division of Pharmacoepidemiology and Pharmacoeconimics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 4Division of Pharmacoepidemiology and Pharmocoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 5Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA

    Background/Purpose: While efficacy of triple therapy [methotrexate (MTX), sulfasalazine (HCQ), and sulfasalazine (SSZ)] and TNF inhibitor (TNFi) plus MTX was similar in a previous clinical…
  • Abstract Number: 2955 • 2018 ACR/ARHP Annual Meeting

    Risk of Neurological Adverse Events during Tumour Necrosis Factor Inhibitor Treatment for Arthritis: A Population-Based Cohort Study from Danbio and the Danish National Patient Registry

    Lene Dreyer1, Tine Iskov Kopp2, Rikke Kart Jacobsen3, Melinda Magyari2, Else Helene Ibfelt3, Henning Locht4, Finn Thorup Sellebjerg2, Dorte Vendelbo Jensen5 and René Cordtz6, 1Departments of Rheumatology and Clinical Medicine, Aalborg University Hospital and Aalborg University, 9000 Aalborg, Denmark, 2Danish Multiple Sclerosis Center, Department of Neurology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark, 3Center for Clinical Research and Prevention, Bispebjerg and Frederiksberg Hospital, Frederiksberg, Denmark, 4Department of Rheumatology, Frederiksberg Hospital, Copenhagen, Denmark, Copenhagen, Denmark, 5The DANBIO registry and the Danish Departments of Rheumatology, Copenhagen, Denmark, 6Center for Rheumatology and Spine Diseases, Gentofte-Rigshospitalet, Hellerup, Denmark

    Background/Purpose: Tumor necrosis factor alpha inhibitors (TNFi) have successfully been used for the treatment of immune-mediated inflammatory disorders including rheumatoid arthritis (RA), psoriatic arthritis (PsA)…
  • Abstract Number: 2956 • 2018 ACR/ARHP Annual Meeting

    Changing Trends and Prescribing Patterns in Opioid-Treated Primary Care Patients with Non-Cancer Pain over a 10-Year Period

    Meghna Jani, Belay Birlie Yimer, Therese Sheppard, Mark Lunt and William G Dixon, Arthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, United Kingdom

    Background/Purpose:  The opioid epidemic in the U.S. has led to similar concerns about prescribed opioids in the U.K. In new users, the rate of escalation…
  • Abstract Number: 2957 • 2018 ACR/ARHP Annual Meeting

    Socioeconomic Differences in Opioid Use By People with Inflammatory Arthritis

    Ashley Fletcher1,2, Marissa Lassere3, Rachel Black4,5, Claire Barrett6, Graeme Carroll7, Susan Lester8,9, Bethan Richards3, Lyn March10, Rachelle Buchbinder11,12 and Catherine Hill5,13,14, 1Monash Department of Clinical Epidemiology, Cabrini Institute, Melbourne, Australia, 2Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia, 3University of New South Wales, Sydney, Australia, 4Rheumatology, Royal Adelaide Hospital, Adelaide, Australia, 5Medicine, The University of Adelaide, Adelaide, Australia, 6Redcliffe Hospital, University of Queensland, Redcliffe, Australia, 7Adult Rheumatology and Osteoarthritis, University of Notre Dame, Mount Lawley WA, Australia, 8Rheumatology Unit, The Queen Elizabeth Hospital, Adelaide, Australia, 9Discipline of Medicine, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, Australia, 10Department of Rheumatology, Northern Clinical School, Institute of Bone and Joint Research, Kolling Institute, University of Sydney & Department of Rheumatology, Royal North Shore Hospital, St Leonards, Sydney, Australia, 11Cabrini Institute, Victoria, Australia, 12Monash University, Melbourne, Australia, 13The Queen Elizabeth Hospital, Adelaide, Australia, 14Rheumatology Unit, Royal Adelaide Hospital, Adelaide, Australia

    Background/Purpose: Internationally, prescription opioid use is often higher among patients of lower socioeconomic status (SES). In addition, despite improved treatments for inflammatory arthritis, opioid use…
  • Abstract Number: 2958 • 2018 ACR/ARHP Annual Meeting

    Multi-Site Study Evaluating Performance on Lupus Nephritis Quality Measures

    Ishita Aggarwal1, Laura Trupin2, Jing Li3, Lisa Gaynon4, Nancy Liu5, Chris Schlechter6, Louise Murphy7, Maria Dall'Era6 and Jinoos Yazdany6, 1University of California San Francisco, San Francisco, CA, 2Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA, 3Medicine, UC San Francisco, San Francisco, CA, 4Internal Medicine, California Pacific Medical Center, San Francisco, CA, 5Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, 6University of California, San Francisco, San Francisco, CA, 7Arthritis Program, Centers for Disease Control and Prevention, Atlanta, GA

    Background/Purpose: Lupus nephritis (LN), seen in up to 60% of individuals with SLE, progresses to end stage renal failure in 10-30% of patients within 15…
  • Abstract Number: 2959 • 2018 ACR/ARHP Annual Meeting

    Development of a Set of Potentially Preventable Adverse Conditions Specific to Lupus: A Delphi Consensus Study

    Candace H. Feldman1, Cameron Speyer1, Rachel Ashby2, Bonnie L. Bermas3, Shamik Bhattacharyya4, Eliza Chakravarty5, Brendan Everett6, Elizabeth Ferucci7, Aimee O. Hersh8, Francisco Marty9, Joseph F. Merola10, Rosalind Ramsey-Goldman11, Brad Rovin12, Mary Beth Son13, Laura Tarter14, Sushrut Waikar15, Jinoos Yazdany16, Joel Weissman17 and Karen Costenbader1, 1Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 2Obstetrics and Gynecology, Brigham and Women's Hospital, Boston, MA, 3Rheumatology, UT Southwestern, Dallas, TX, 4Neurology, Brigham and Women's Hospital, Boston, MA, 5Arthritis and Clinical Immunology, Oklahoma Medical Research Foundation, Oklahoma City, OK, 6Cardiology, Brigham and Women's Hospital, Boston, MA, 7Alaska Native Medical Center, Anchorage, AK, 8Pediatrics/Rheumatology, University of Utah, Salt Lake City, UT, 9Infectious Disease, Brigham and Women's Hospital, Boston, MA, 10Medicine, Rheumatology and Dermatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 11FSM, Northwestern University, Chicago, IL, 12Ohio State University Wexner Medical Center, Columbus, OH, 13Boston Children's Hospital, Harvard Medical School, Brookline, MA, 14Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA, 15Renal, Brigham and Women's Hospital, Boston, MA, 16University of California, San Francisco, San Francisco, CA, 17Brigham and Women's Hospital, Boston, MA

    Background/Purpose: The U.S. Agency for Healthcare Research and Quality developed a set of general ambulatory care-sensitive conditions that may result acute care use (hospitalizations and…
  • Abstract Number: 2960 • 2018 ACR/ARHP Annual Meeting

    Evaluation of Performance Measures Reveals Delays and Sub-Optimal Access to Rheumatology Care and Treatment

    Claire Barber1, Diane Lacaille2, Peter Faris3, Dianne P. Mosher4, Steven J. Katz5, Joanne Homik6, Jatin Patel7, Sharon Zhang7, Cheryl Barnabe8, Glen Hazlewood9, Vandana Ahluwalia10, Natalie J. Shiff11, Vivian P. Bykerk12, Marinka Twilt13, Susanne Benseler14, Jennifer Burt15 and Deborah A. Marshall16, 1Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 2Arthritis Research Canada/University of British Columbia, Medicine/Rheumatology, Richmond, BC, Canada, 3Alberta Health Services, Alberta, AB, Canada, 4Med, University of Calgary, Calgary, AB, Canada, 5Rheumatology, University of Alberta, Edmonton, AB, Canada, 6University of Alberta, Edmonton, AB, Canada, 7Alberta Health Services, Calgary, AB, Canada, 8Medicine, University of Calgary, Calgary, AB, Canada, 9Departments of Medicine and Community Health Sciences, University of Calgary, Calgary, AB, Canada, 10William Osler Health Center, Brampton, ON, Canada, 11University of Florida, Gainesville, FL, 12Deptartment of Rheumatology, Hospital for Special Surgery, New York, NY, 13University of Calgary, Calgary, AB, Canada, 14Pediatric Rheumatology, University of Calgary, Alberta Children's Hospital, Calgary, AB, Canada, 15St. Clare's Mercy Hospital, Eastern Health, St. John's, NF, Canada, 16Community Health Sciences, University of Calgary, Calgary, AB, Canada

    Background/Purpose: Early diagnosis, treatment and ongoing care are critical to optimize RA outcomes. The purpose of the study was to evaluate key elements of RA…
  • Abstract Number: 2961 • 2018 ACR/ARHP Annual Meeting

    Differences in Healthcare Transition Views, Practices, and Barriers Among North American Pediatric Rheumatology Providers from 2010 to 2018

    Kiana Johnson1, Cuoghi Edens2, Peter Chira3, Aimee O. Hersh4, Y. Ingrid Goh5, Joyce Hui-Yuen6, Rebecca E. Sadun7, Nora G. Singer8, Lynn R. Spiegel9, Jennifer N. Stinson10, Patience H. White11 and Erica Lawson12, 1Department of Pediatrics, East Tennessee State University, Johnson City, TN, 2Division of Pediatric Infectious Diseases and Rheumatology and Division of Rheumatology, Rainbow Babies and Children's Hospital and University Hospitals Cleveland Medical Center, Cleveland, OH, 3Pediatric Rheumatology, Rady Children's Specialists of San Diego, San Diego, CA, 4Pediatrics/Rheumatology, University of Utah, Salt Lake City, UT, 5Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, Canada, 6Pediatric Rheumatology, Cohen Children's Medical Center, New Hyde Park, NY, 7Adult and Pediatric Rheumatology, Duke University Medical Center, Durham, NC, 8Departments of Medicine and Pediatrics, Division of Rheumatology, MetroHealth Medical Center, Cleveland, OH, Cleveland, OH, 9Rheumatology/Pediatrics, The Hospital for Sick Children, Toronto, ON, Canada, 10Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada, 11Department of Medicine, Division of Rheumatology, George Washington University School of Medicine and Health Sciences, Washington, DC, 12Pediatrics/Rheumatology, University of California, San Francisco, San Francisco, CA

    Background/Purpose: Healthcare transition is the “purposeful, planned movement of adolescents and young adults with chronic physical and medical conditions from child-centered to adult-oriented health care…
  • Abstract Number: 2962 • 2018 ACR/ARHP Annual Meeting

    Diagnostic Accuracy of Gout in Electronic Health Records and the Role of Rheumatology Electronic Consults

    Juliana Chang1 and Maida Wong2, 1Internal Medicine, University of California, Irvine, School of Medicine, Orange, CA, 2Rheumatology, Tibor Rubin VA Medical Center, Orange, CA

    Background/Purpose: Gout is the most prevalent inflammatory arthritis globally. Despite treatment advances, it still has a significant effect on quality of life and healthcare costs.…
  • Abstract Number: 2963 • 2018 ACR/ARHP Annual Meeting

    Improving Clinically Inactive Disease in Patients with Juvenile Idiopathic Arthritis- a Quaternary Center Experience

    Cagri Yildirim-Toruner1, Ohoud AlAhmed2, Fatima Barbar-Smiley3, Karla Jones3, Melanie Kohlheim4, Stephanie Lemle5, Darby MacDonald2, Evan Mulvihill6, Edward Oberle2, Aliese Sarkissian2, Vidya Sivaraman7, Bethanne Thomas2, Kelly Wise8 and Stacy P. Ardoin1, 1Division of Rheumatology, Nationwide Children’s Hospital, Columbus, OH, 2Pediatric Rheumatology, Nationwide Children's Hospital, Columbus, OH, 3Rheumatology, Nationwide Children's Hospital, Columbus, OH, 4Pediatric Rheumatology Care and Outcomes Improvement Network, Cincinnati, OH, 5Nationwide Children's Hospital, Columbus, OH, 6Pediatrics and Rheumatology, Nationwide Children's Hospital, Columbus, OH, 7Division of Rheumatology, Nationwide Children's Hospital, Columbus, OH, 8Specialty Pharmacy/Rheumatology, Nationwide Children's Hospital, Columbus, OH

    Background/Purpose: Juvenile idiopathic arthritis (JIA), the most common pediatric rheumatologic diagnosis, influences many aspects of a child’s life. Although there is no known cure, disease…
  • Abstract Number: 2964 • 2018 ACR/ARHP Annual Meeting

    Detection of Uric Acid Crystals in the Vasculature of Patients with Gout Using Dual-Energy Computed Tomography

    Sharon Barazani1, WeiWei Chi2, Renata Pyzik3, Adam Jacobi4, Tom O'Donnell5, Zahi Fayad3, Venkatesh Mani3 and Yousaf Ali2, 1Medical School, Icahn School of Medicine at Mount Sinai, New York, NY, 2Medicine/Rheumatology, Icahn School of Medicine at Mount Sinai, New York, NY, 3Translational and Molecular Imaging Institute (TMII), Icahn School of Medicine at Mount Sinai, New York, NY, 4Radiology, Icahn School of Medicine at Mount Sinai, New York, NY, 5Siemens Healthcare, New York, NY

    Background/Purpose: Many recent studies have shown an association between gout and increased cardiovascular risk, however the mechanism by which this occurs is unclear. Dual-Energy Computed…
  • Abstract Number: 2965 • 2018 ACR/ARHP Annual Meeting

    Targeting Glucose Metabolism in the Murine Air Pouch Model of Acute Gouty Inflammation

    Anyan Cheng1, Roxana Coras1,2, Robert Terkeltaub3,4, Ru Liu-Bryan1,3 and Monica Guma1,2, 1Medicine, University of California San Diego, La Jolla, CA, 2Medicine, Autonomous University of Barcelona, Bellatera, Spain, 3VA San Diego Healthcare System, San Diego, CA, 4Medicine, Division of Rheumatology, Allergy and Immunology. UCSD., La Jolla, CA

    Background/Purpose: Emerging evidence indicates that macrophage activation is critically supported by glucose metabolic shifts. Although macrophages are key contributors to inflammation, little is known about…
  • Abstract Number: 2966 • 2018 ACR/ARHP Annual Meeting

    Ultrasound Shows Rapid Reduction of Uric Load during Treat-to-Target Approach in Gout Patients: Results from a Longitudinal Study

    Hilde B Hammer1, Lars Fritjof Karoliussen2, Lene Terslev3, Espen A. Haavardsholm1, Tore Kvien4 and Till Uhlig5, 1Dept. of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 2Dept of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 3Rheumatology, Rigshospitalet Glostrup, Copenhagen, Denmark, 4RAID working group for EULAR, Zurich, Switzerland, 5Rheumatology, Diakonhjemmet Hospital, Oslo, Norway

    Background/Purpose:  Uric monosodium urate (MSU) depositions are detected by ultrasound (US), and US is included in the ACR/EULAR classification criteria for gout. OMERACT definitions for…
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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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