ACR Meeting Abstracts

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  • Abstract Number: 1046 • 2017 ACR/ARHP Annual Meeting

    Biological and Targeted Synthetic Dmards’ Prior Authorization Time Is Significantly Reduced with Pharmacy Presence in the Rheumatology Clinic

    Wendy Ramey1, Kristine M. Lohr2, Matt Zeltner1, Haley Herrell Postonl1, Andrew Johannemann1, Aric D. Schadler1 and Aleksander Lenert3, 1University of Kentucky, Lexington, KY, 2Rheumatology, University of Kentucky, Lexington, KY, 3Internal Medicine, Div. of Rheumatology, University of Kentucky, Lexington, KY

    Background/Purpose: Treatment with biological DMARDs (bDMARD) and targeted synthetic DMARDs (tsDMARD) has led to improved outcomes for chronic rheumatic diseases. Current treat-to-target (T2T) strategy relies…
  • Abstract Number: 1047 • 2017 ACR/ARHP Annual Meeting

    Cost-Effectiveness of Drug-Level Guided Adalimumab Dosing

    Zara Izadi1, Gabriela Schmajuk2, Milena Gianfrancesco3, Laura Trupin4, Kashif Jafri5, Jinoos Yazdany4 and Dhruv Kazi6, 1Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, 2San Francisco VA Medical Center, University of California San Francisco, San Francisco, CA, 3Medicine/Rheumatology, University of California, San Francisco, San Francisco, CA, 4Medicine/Rheumatology, University of California San Francisco, San Francisco, CA, 5University of California, San Francisco, San Francisco, CA, 6Department of Medicine, University of California, San Francisco, Zuckerberg San Francisco General Hospital, San Francisco, CA

    Background/Purpose: Adalimumab (ADA) induces and maintains clinical remission in patients with rheumatoid arthritis (RA) and Crohn’s disease (CD) but is an expensive drug. Drug-level and…
  • Abstract Number: 1048 • 2017 ACR/ARHP Annual Meeting

    Efficacy of Educating Visiting Pharmacists Regarding Drug Administration for Patients with Rheumatoid Arthritis Who Poorly Adhere to Treatment Regimens

    Masatoshi Hayashi1, Hiroyuki Matsubara2, Kei Funamura1, Masataka Maeda1 and Toshihisa Kanamono1, 1Rheumatology, Nagano Red Cross Hospital, Nagano, Japan, 2Orthopaedics, Hekinan municipal hospital, Hekinann, Japan

    Background/Purpose: Patients with rheumatoid arthritis (RA) need to take lifelong oral or injectable medication to alleviate their symptoms and prevent disease progression. However, some patients…
  • Abstract Number: 1049 • 2017 ACR/ARHP Annual Meeting

    Heart Rate Variability Testing with Autonomic Nervous System Optimization: Could It Change the Course of Spending for Rheumatoid Arthritis Patients in the U.S.? an Exploratory Minimal Model Analysis

    Marita Zimmermann1, Elisabeth Vodicka2, Andrew J Holman3,4,5 and Louis P Garrison2, 1Constants in Global Health, University of Washington, Seattle, WA, 2Consultants in Global Health, University of Washington, Seattle, WA, 3Rheumatology, Pacific Rheumatology Associates Inc PS, Seattle, WA, 4Inmedix, Normandy Park, WA, 5Pacific Rheumatology Reseach, Seattle, WA

    Background/Purpose: Autonomic nervous system (ANS) testing with heart rate variability (HRV) has been shown to predict 52-week anti-TNF therapeutic outcomes in rheumatoid arthritis (RA).1 HRV…
  • Abstract Number: 1050 • 2017 ACR/ARHP Annual Meeting

    Prevalence and Predictors of Knee Replacement Overuse and Underuse in the US

    Hassan Ghomrawi1, Alvin Mushlin2, Raymond Kang3, Samprit Banerjee2, Jasvinder A. Singh4, Leena Sharma5, Tuhina Neogi6, Michael C. Nevitt7 and Daniel Riddle8, 1Surgery and Pediatrics/Center for Healthcare Studies, Feinberg School of Medicine of Northwestern University, Chicago, IL, 2Healthcare Policy and Research, Weill Cornell Medical College, New York, NY, 3Center for Healthcare Studies, Feinberg School of Medicine of Northwestern University, Chicago, IL, 4Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 5Division of Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 6Clinical Epidemiology Research and Training Unit, Boston University School of Medicine, Boston, MA, 7Epidemiology and Biostatistics, University of California, San Francisco, San Francisco, CA, 8Virginia Commonwealth University, Richmond, VA

    Background/Purpose: The elective nature of knee replacement (KR) creates difficult decisions and the potential for both overuse and underuse. We examined the temporal relationship between…
  • Abstract Number: 1051 • 2017 ACR/ARHP Annual Meeting

    Telemedicine for Rheumatoid Arthritis in the Alaska Native Population

    Elizabeth Ferucci1, Tammy Choromanski1, Gretchen Day2 and Sarah Freeman3, 1Division of Community Health Services, Alaska Native Tribal Health Consortium, Anchorage, AK, 2Clinical and Research Services, Alaska Native Tribal Health Consortium, Anchorage, AK, 3Alaska Native Tribal Health Consortium, Anchorage, AK

    Background/Purpose: Access to a rheumatologist and frequent monitoring of disease activity in rheumatoid arthritis (RA) are associated with higher quality of care and improved outcomes.…
  • Abstract Number: 1052 • 2017 ACR/ARHP Annual Meeting

    Systematic Review of Modelling Approaches and Quality for the Cost Effectiveness of sequential Targeted Therapy in Patients with Rheumatoid Arthritis That Show an Inadequate Response to at Least One Tumor Necrosis Factor Alpha Inhibitor

    Aliza Matusevich1, Maria Suarez-Almazor1, Scott B. Cantor2 and Maria A. Lopez-Olivo1, 1Section of Rheumatology and Clinical Immunology, Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA, Houston, TX, 2Department of Health Services Research, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX, USA, Houston, TX

    Background/Purpose: Results from cost-effectiveness analysis (CEAs) comparing treatment options for patients with rheumatoid arthritis (RA) who have an inadequate response to an initial tumor necrosis…
  • Abstract Number: 1053 • 2017 ACR/ARHP Annual Meeting

    Impact of Step Therapy Protocols on North Carolina Rheumatologists’ Job Satisfaction and the Quality of Care Received By Their Patients with Rheumatoid Arthritis

    Victoria Hamby1, Amanda Nelson2, Antonia Bennett1, Leigh F. Callahan3 and Stacie Dusetzina4, 1Gillings School of Global Public Health, Department of Health Policy and Management, University of North Carolina at Chapel Hill, Chapel Hill, NC, 2Division of Rheumatology, Allergy, and Immunology and Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 3Thurston Arthritis Research Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 4Eshelman School of Pharmacy and Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC

    Background/Purpose: Early diagnosis and treatment of rheumatoid arthritis (RA) is crucial in minimizing disease damage. Step-therapy, a form of prior authorization used by payers to…
  • Abstract Number: 1054 • 2017 ACR/ARHP Annual Meeting

    Healthcare Utilization Profiles in Rheumatoid Arthritis – a Cluster Analysis

    Nina Mars1,2, Anne M Kerola2,3, Markku J Kauppi4,5, Matti Pirinen1, Outi Elonheimo6 and Tuulikki Sokka-Isler7, 1Institute for Molecular Medicine Finland (FIMM), University of Helsinki, Helsinki, Finland, 2University of Helsinki, Helsinki, Finland, 3Department of Internal Medicine, Päijät-Häme Central Hospital, Lahti, Finland, 4School of Medicine, University of Tampere, Tampere, Finland, 5Department of Rheumatology, Päijät-Häme Central Hospital, Lahti, Finland, 6FCG Finnish Consulting Group Ltd., Helsinki, Finland, 7Rheumatology, Jyvaskyla Central Hospital, Jyvaskyla, Finland

    Background/Purpose: Utilization patterns in rheumatoid arthritis (RA) are complex. For targeted interventions, patients with special healthcare needs should be recognized. Our aim was to explore…
  • Abstract Number: 1055 • 2017 ACR/ARHP Annual Meeting

    A Combination of Self-Reported Symptoms and ACPA Testing Can Identify Individuals with Previously Undiagnosed Inflammatory Arthritis in a Health-Fair Setting

    Elizabeth A. Bemis1, Nicholas Ellinwood2, Kaylynn Aiona3, Christopher C. Striebich4 and Kevin D. Deane5, 1Epidemiology, Colorado School of Public Health, Aurora, CO, 2Pharmacology and Toxicology Graduate Group, University of California Davis, Davis, CA, 3Denver Health and Hospitals and Colorado School of Public Health, Denver, CO, 4Division of Rhuematology, University of Colorado School of Medicine, Aurora, CO, 5Division of Rheumatology, University of Colorado School of Medicine, Aurora, CO

    Background/Purpose: Early identification and treatment of inflammatory arthritis (IA) and in particular rheumatoid arthritis (RA) can lead to improved outcomes. However, there are often delays…
  • Abstract Number: 1056 • 2017 ACR/ARHP Annual Meeting

    Evolution of Health Care Consumption in the Knee and Hip Osteoarthritis Long Term Assessment Cohort, a French Population Based Cohort of Symptomatic Knee and/or Hip OA Patients

    Anne-Christine Rat1,2,3, Jean-Hugues Salmon4, Willy Ngueyon Sime5, Maud Wieczorek6, Alain Saraux7, Claudine Gard8, Francis Guillemin9 and Bruno Fautrel10, 1Inserm, CIC-1433 Epidémiologie Clinique, Vandoeuvre-lès-Nancy, France, 2Rheumatology Department, CHRU Nancy, Vandoeuvre-lès-Nancy, France, 3Université de Lorraine, EA4360, APEMAC, Nancy, France, 4Rheumatology, Rheumatology Department CHU Teaching Hospital Reims, Reims, France, 5CIC 1433 Epidémiologie clinique, Inserm, Nancy, France, 6Université de Lorraine EA 4360 APEMAC, Nancy, France, 7Rheumatology Department, Rheumatology Department, CHU de la Cavale Blanche, Brest, France, Brest Cedex, France, 8Pitié Salpetrière hospital, Paris, France, 9CHRU Nancy, Clinical Epidemiology and Evaluation, Université de Lorraine, Paris Descartes University, APEMAC, EA 4360, Nancy, France, 10UPMC University Paris 06, Pitié-Salpétrière Hospital, Paris, France

    -      Background/Purpose:  in hip and knee OA, one of the leading causes of global disability, recent population-based data of health care practices and utilization are scarce.…
  • Abstract Number: 1057 • 2017 ACR/ARHP Annual Meeting

    Budgetary Impact Analysis of Real-World Dosing Patterns in Matched Cohorts of Rheumatoid Arthritis Patients Treated with Infliximab or Golimumab Intravenous Anti-TNF Medications

    Lorie A. Ellis1, Elisabetta Malangone-Monaco2, Helen Varker2, Diana Stetsovsky3, Maureen Kubacki4, Raphael J. DeHoratius5 and Shelly Kafka4, 1Janssen HECOR Immunology, Horsham, PA, 2Truven Health Analytics, Bethesda, MD, 3Truven Health Analytics, Philadelphia, PA, 4Janssen Scientific Affairs, LLC, Horsham, PA, 5Janssen Scientific Affairs, LLC/Sidney Kimmel School of Medicine, Thomas Jefferson University, Horsham/Philadelphia, PA

    Background/Purpose: Infliximab (IFX) is more frequently selected than golimumab for intravenous use (GLM-IV) in patients with Rheumatoid Arthritis (RA) but differences in dosing and administration…
  • Abstract Number: 1058 • 2017 ACR/ARHP Annual Meeting

    Variation in DMARD Therapy Following Methotrexate Failure for Newly-Identified Rheumatoid Arthritis in a National Veterans Health Administration Cohort

    John McDougall Jr.1,2, Cynthia Brandt3,4, Melissa Skanderson3, Joseph Goulet3 and Liana Fraenkel5, 1National Clinican Scholars Program, Yale School of Medicine, New Haven, CT, 2Dep't. of Rheumatology, Yale School of Medicine, New Haven, CT, 3Veterans Affairs Connecticut Healthcare System, West Haven, CT, 4Emergency Medicine, Yale School of Medicine, New Haven, CT, 5Rheumatology, Rheumatology, Yale University School of Medicine, New Haven, CT, New Haven, CT

    Background/Purpose: Absent contraindications to conventional DMARD (cDMARD) use, the Veterans Administration (VA) requires a 3-month trial of 2 cDMARDs prior to the use of biologic…
  • Abstract Number: 1059 • 2017 ACR/ARHP Annual Meeting

    Cost-Effectiveness of Tai Chi Versus Physical Therapy for Knee Osteoarthritis

    John B. Wong1, Mei Chung2, Lori Lyn Price3 and Chenchen Wang4,5, 1Tufts Medical Center, Boston, MA, 2Department of Public Health and Community Medicine, Tufts University School of Medicine, Boston, MA, 3Biostatistics Research Center, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, 4Rheumatology, Center of Integrative Medicine and Division of Rheumatology, Tufts Medical Center, Boston, MA, Boston, MA, 5Division of Rheumatology, Tufts Medical Center, Boston, MA

    Background/Purpose: A single-blind randomized comparative effectiveness trial showed that Tai Chi yielded beneficial effects similar to those of a standard course of physical therapy in…
  • Abstract Number: 1060 • 2017 ACR/ARHP Annual Meeting

    Assessing Interferon Regulatory Factor 5 (IRF5) Function in Human Primary Immune Cells with Cell-Penetrating Peptides

    Jaspreet Banga1, Dinesh Srinivasan2, Chia Chi Sun3, Francesca Milletti4, Kuo-Sen Huang5, Shannon Hamilton6, Ann F. Hoffman5, Yajuan G. Qin2, Sandip Panicker2, Gang Lu2, Dan Li7, Hong Qian5, David R. Bolin5, Lena Liang5, Charles Wartchow5, Nader Fotouhi5, Julie A. DeMartino3, Seng-Lai Tan2, Gang Chen3 and Betsy J. Barnes7, 1The Feinstein Institute for Medical Research, Manhasset, NY, 2Inflammation Discovery, Hoffmann-La Roche, Inc., Nutley, NJ, 3TIP Immunology, EMD Serono Research and Development Institute, Inc., Billerica, MA, 4Roche Innovation Center New York, New York, NY, 5Hoffmann-La Roche, Inc., Nutley, NJ, 6Hoffmann-La Roche, Inc., Nutley, NJ, Afghanistan, 7Center for Autoimmune and Musculoskeletal Diseases, The Feinstein Institute for Medical Research, Manhasset, NY

    Background/Purpose: Interferon regulatory factor 5 (IRF5) is a key mediator of pathogen-induced immune responses that acts downstream of Toll-like receptors (TLRs), NOD-like receptors (NLRs) and…
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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.).

Violation of this policy may result in the abstract being withdrawn from the meeting and other measures deemed appropriate. Authors are responsible for notifying colleagues, institutions, communications firms, and all other stakeholders related to the development or promotion of the abstract about this policy. If you have questions about the ACR abstract embargo policy, please contact ACR abstracts staff at [email protected].

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