ACR Meeting Abstracts

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  • Abstract Number: 3135 • 2016 ACR/ARHP Annual Meeting

    Influence of Baseline Magnetic Resonance Imaging Features on Outcomes of Operative and Non-Operative Treatment of Meniscal Tear in Patients ≥ 45

    Lindsey MacFarlane1, Heidi Y. Yang2, Jamie E. Collins3,4, Ali Guermazi5, Morgan Jones6, Amelia Winter2, Elena Losina4,7 and Jeffrey N. Katz4,8, 1Rheumatology, Brigham & Women's Hospital, Boston, MA, 2Orthopaedic and Arthritis Center for Outcomes Research, Brigham & Women's Hospital, Boston, MA, 3Orthopaedic and Arthritis Center for Outcomes Research, Department of Orthopedic Surgery, Brigham & Women's Hospital, Boston, MA, 4Harvard Medical School, Boston, MA, 5Boston University School of Medicine, Boston, MA, 6Orthopedic Surgery, Cleveland Clinic, Cleveland, OH, 7Orthopaedics, Brigham & Women's Hospital, Boston, MA, 8Rheumatology, Immunology, and Allergy, Brigham & Women's Hospital, Boston, MA

    Background/Purpose: In the treatment of meniscal damage in the setting of mild to moderate osteoarthritis (OA), several randomized trials found that both arthroscopic partial meniscectomy…
  • Abstract Number: 3136 • 2016 ACR/ARHP Annual Meeting

    Impact of Novel Smartphone Application on Pain and Mobility in Osteoarthritis Patients Treated with Hylan G-F 20

    Nebojsa Skrepnik1, Andrew Spitzer2, Roy Altman3, John A. Hoekstra4, John Stewart5 and Richard Toselli6, 1Tucson Orthopaedic Institute, Tucson, AZ, 2Cedars-Sinai Orthopedic Center, Los Angeles, CA, 3UCLA Medical Center, Los Angeles, CA, 4National Clinical Research–Richmond, Richmond, VA, 5Sanofi, Laval, QC, Canada, 6Sanofi, Cambridge, MA

    Background/Purpose: Methods: In this study, both groups were treated with hylan G-F 20 and showed significantly increased mobility and reduced pain, however, patients using the…
  • Abstract Number: 3137 • 2016 ACR/ARHP Annual Meeting

    Assessing System-Level Performance Measures for Early Rheumatoid Arthritis in a Large Multicenter Cross-Country Prospective 8-Year Observational Cohort Study

    Claire E H Barber1, Cheryl Barnabe2, Glen Hazlewood2, Orit Schieir3, Lyne Nadeau4, J Carter Thorne5, Vandana Ahluwalia6, Susan J. Bartlett7, Gilles Boire8, Boulos Haraoui9, Carol Hitchon10, Edward Keystone11, Diane Tin12, Janet E. Pope13, Lisa Denning14, Vivian P. Bykerk15 and Canadian early Arthritis Cohort (CATCH) Investigators, 1University of Calgary, Calgary, AB, Canada, 2Division of Rheumatology, University of Calgary, Calgary, AB, Canada, 3Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada, 4McGill University, Qubec, QC, Canada, 5Southlake Regional Health Centre, Newmarket, ON, Canada, 6Ontario Rheumatology Association, Brampton, ON, Canada, 7Division of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 8Rheumatology Division, CHUS - Sherbrooke University, Sherbrooke, QC, Canada, 9Institute de Rheumatologie, Montreal, QC, Canada, 10University of Manitoba, Winnipeg, MB, Canada, 11Mt. Sinai Hospital, University of Toronto, Toronto, ON, Canada, 12The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 13University of Western Ontario, St Joseph's Health Care, London, ON, Canada, 14William Osler Health System, Brampton, ON, Canada, 15Divison of Rheumatology, Hospital for Special Surgery, New York, NY

    Background/Purpose: The Arthritis Alliance developed a set of 6 performance measures to evaluate timely access to care and treatment for inflammatory arthritis. A national study…
  • Abstract Number: 3138 • 2016 ACR/ARHP Annual Meeting

    Sustained Improvement in Follow-up of Hypertension in Rheumatology Patients: Results of an Intervention Sustainability Assessment

    Edmond Ramly1,2, Daniel Panyard3, Diane Lauver4, Emmanuel Sampene5, Zhanhai Li5, Heather Johnson6, Patrick McBride6, Kristin Steffen Lewicki7 and Christie M. Bartels8, 1Industrial and Systems Engineering, University of Wisconsin-Madison College of Engineering, Madison, WI, 2Department of Medicine, University of Wisconsin-Madison, Madison, WI, 3Population Health, University of Wisconsin School of Medicine and Public Health, Madison, WI, 4University of Wisconsin-Madison School of Nursing, Madison, WI, 5Biostatistics, University of Wisconsin School of Medicine and Public Health, Madison, WI, 6Cardiology/Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, 7Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, 8Rheumatology/Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI

    Background/Purpose: Hypertension (HTN) is the most prevalent comorbid cardiovascular disease (CVD) risk factor among adults with rheumatic conditions.  However, we previously found that high blood…
  • Abstract Number: 3139 • 2016 ACR/ARHP Annual Meeting

    Breaking the Cycle: Analyzing Preventable Hospital Admissions Due to Gout

    Pieusha Malhotra1, Nikky Keer2 and Robert Yood3, 1Internal Medicine, Department of Medicine, Division of Rheumatic Diseases and Musculoskeletal Medicine, Saint Vincent Hospital, Worcester, MA, 2Internal medicine, Department of Medicine, Division of Rheumatic Diseases and Musculoskeletal Medicine, Saint Vincent Hospital, Worcester, MA, 3Department of rheumatology and musculoskeletal medicine, Department of Medicine, Division of Rheumatic Diseases and Musculoskeletal Medicine, Saint Vincent Hospital, Worcester, MA

    Background/Purpose: Despite available effective treatment options and published guidelines for gout management, many patients suffer from recurrent gout attacks. Increases in gout prevalence and continued…
  • Abstract Number: 3140 • 2016 ACR/ARHP Annual Meeting

    Assessment of American College of Rheumatology Gout Quality Measures at a University Practice Plan

    Soo Choi1, John FitzGerald1, Robin Clarke2 and Andrew Hackbarth3, 1Rheumatology, UCLA, Los Angeles, CA, 2Faculty Practice Group, UCLA, Los Angeles, CA, 3UCLA, Los Angeles, CA

    Background/Purpose: Gout is the most common chronic inflammatory arthritis. Gout prevalence has been rising over the past several decades, and gout is associated with significant…
  • Abstract Number: 3141 • 2016 ACR/ARHP Annual Meeting

    Development of a Glucocorticoid Toxicity Index Using Multi-Criteria Decision Analysis

    Eli Miloslavsky1, Raymond P. Naden2, Johannes WJ Bijlsma3, Paul Brogan4, Sherwood Brown5, Paul Brunetta6, Frank Buttgereit7, Hyon K. Choi8, Jean-Francois Dicaire9, Jeffrey Gelfand10, Liam Heaney11, Liz Lightstone12, Leo Lu13, Dedee Murrell14, Michelle Petri15, James T. Rosenbaum16, Kenneth Saag17, Murray Urowitz18, Kevin L Winthrop19 and John H. Stone20, 1Division of Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 2New Zealand Ministry of Health, New Zealand Ministry of Health, Auckland, New Zealand, 3ARC, Amsterdam, Netherlands, 4Department of Paediatric Rheumatology, UCL Institute of Child Health and Great Ormond Street Hospital NHS Foundation Trust, London, United Kingdom, 5Psychiatry, UT Southwestern Medical Center, Dallas, TX, 6Genentech, Inc., South San Francisco, CA, 7Rheumatology and Clinical Immunology, Charité - University Medicine Berlin, Berlin, Germany, 8Rheumatology, Allergy, and Immunology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 9Pinnacle Inc., Quebec, QC, Canada, 10Neurology, University of California San Francisco, San Francisco, CA, 11Department of Respiratory Medicine, Queen's University Belfast, Belfast, Ireland, 12Department of Medicine, Imperial College London, London, England, 13Allergy, Immunology, and Rheumatology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, 14Department of Dermatology, University of New South Wales, Sydney, Australia, 15Rheumatology Division, Johns Hopkins University School of Medicine, Baltimore, MD, 16Oregon Health & Science University, Portland, OR, 17Division of Clinical Immunology and Rheumatology, University of Alabama Birmingham School of Medicine, Birmingham, AL, 18Medicine, Toronto Western Hospital and University of Toronto, Toronto, ON, Canada, 19Oregon Health and Sciences University, Portland, OR, 20Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: Glucocorticoids (GC) are associated with substantial treatment morbidity.  New immunomodulatory agents offer the possibility of limiting GC exposure.  To assess the comparative benefits of…
  • Abstract Number: 3142 • 2016 ACR/ARHP Annual Meeting

    Improving Counseling, Documentation and Adherence to Highly Effective Birth Control in Women on Teratogenic Medications at a Rural Medical Center: A Quality Improvement Initiative

    Sonal Bhalla1,2,3, John Mecchella1,4 and Alicia Zbehlik1,4,5, 1Rheumatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 2Rheumatology/ Leardership Peventive Medicine Residency, Dartmouth-Hitchcock Medical Center, Lebanon, NH, 3Instructor in Medicine, Geisel School of Medicine at Dartmouth, Hanover, NH, 4Geisel School of Medicine at Dartmouth, Hanover, NH, 5Leadership Preventive Medicine/Rheumatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH

    Background/Purpose:  Autoimmune and inflammatory diseases occur more often in women than in men, and often these women are of childbearing age. Many of the medications…
  • Abstract Number: 3143 • 2016 ACR/ARHP Annual Meeting

    The Caspase 8/RIPK3 Signaling Axis in Dendritic Cells Controls Joint Homeostasis Under Steady-State and Arthritic Conditions

    Salina Dominguez1, Harris R. Perlman2 and Carla Cuda1, 1Northwestern University, Chicago, IL, 2Department of Medicine, Division of Rheumatology, Northwestern University Feinberg School of Medicine, Northwestern University, Chicago, IL

    Background/Purpose: Rheumatoid arthritis (RA) manifests in persistent synovial inflammation, cellular infiltration and pro-inflammatory cytokine production, and results in progressive joint destruction. Dendritic cells (DCs) have…
  • Abstract Number: 3144 • 2016 ACR/ARHP Annual Meeting

    Role of the Gut Microbiome in Modulating Arthritis Progression in Mice

    Xiao fei Liu1, Qing hua Zou1, Bing Zhong1 and Yong fei Fang2, 1Southwest Hospital, Third Military Medical University, chongqing, China, 2Department of Rheumatology, Southwest Hospital, Third Military Medical University, chongqing, China

    Abstract Background/Purpose: Genetics alone cannot explain most cases of rheumatoid arthritis (RA). Thus, investigating environmental factors such as the gut microbiota may provide new insights…
  • Abstract Number: 3146 • 2016 ACR/ARHP Annual Meeting

    Selective Deletion of a Pathogenic Subset Synovial Fibroblasts Attenuates Synovial Inflammation

    Adam Paul Croft, Joana Campos, Andrew Filer, Francesca Barone and Chris Buckley, Institute of Inflammation and Ageing (IIA), University of Birmingham, Birmingham, United Kingdom

    Background/Purpose:  Despite their role as key effector cells driving synovial inflammation and joint damage, fibroblast like synoviocytes (FLS) have yet to be targeted therapeutically. Fibroblast…
  • Abstract Number: 3147 • 2016 ACR/ARHP Annual Meeting

    Remote Inflammation Triggers Autoimmune Arthritis through Th17 Distribution

    Nina Chevalier1, Jian Tan2, Linda Mason2, Remy Robert2, Craig McKenzie2, Seth Masters3 and Charles Mackay2, 1University Freiburg Medical Center, Freiburg, Germany, 2Monash University, Melbourne, Australia, 3WEHI, Melbourne, Australia

    Background/Purpose: Autoimmune diseases, such as autoimmune inflammatory arthritis, result through breakdown of immune tolerance and development of self-reactive T cells, or autoantibody-producing B cells. Tolerance…
  • Abstract Number: 3148 • 2016 ACR/ARHP Annual Meeting

    Peptidylarginine Deiminase 2 Is Required for Tumor Necrosis Factor Alpha Induced Citrullination and Arthritis, but Not Neutrophil Extracellular Trap Formation

    Mandar Bawadekar1, Daeun Shim1, Ryan Rebernick1, Chloe Peyton1, Chad J. Johnson2, Thomas F. Warner3, Dres Damgaard4, Claus Henrik Nielsen5, Anthony P. Nicholas6, Ger JM Pruijn7, Jeniel E. Nett8 and Miriam A. Shelef1,9, 1Department of Medicine, Division of Rheumatology, University of Wisconsin-Madison, Madison, WI, 2Department of Medicine, University of Wisconsin-Madison, Madison, WI, 3Department of Pathology and Laboratory Medicine, University of Wisconsin-Madison, Madison, WI, 4Institute for Inflammation Research, Center for Rheumatology and Spine Diseases, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark, 5Danish Rheumatologic Biobank and DANBIO registry, Rigshospitalet, Glostrup, Gentofte and Herlev University Hospital, Copenhagen, Denmark, 6Neurology, University of Alabama at Birmingham and Birmingham VA Medical Center, Birmingham, AL, 7Biomolecular Chemistry, Institute for Molecules and Materials and Radboud Institute for Molecular Life Sciences, Radboud University, Nijmegen, Netherlands, 8Medicine and Medical Microbiology and Immunology, University of Wisconsin-Madison, Madison, WI, 9William S. Middleton Memorial Veterans Hospital, Madison, WI

    Background/Purpose: The presence of anti-citrullinated protein antibodies in rheumatoid arthritis points to a potential role for citrullination in disease pathogenesis. Peptidylarginine deiminases (PADs) catalyze the…
  • Abstract Number: 3149 • 2016 ACR/ARHP Annual Meeting

    “Early Use of Subcutaneous MTX Monotherapy Vs. MTX Oral or Combination Therapy Significantly Delays Time to Initiating Biologics in Early RA

    Stephanie Gottheil1, J Carter Thorne2, Orit Schieir3, Gilles Boire4, Boulos Haraoui5, Carol Hitchon6, Diane Tin7, Cheryl Barnabe8, Glen Hazlewood8, Edward Keystone9, Vivian P. Bykerk10, Janet E. Pope11, Susan J. Bartlett12 and Canadian Early Arthritis Cohort, 1University of Western Ontario, LONDON, ON, Canada, 2Southlake Regional Health Centre, Newmarket, ON, Canada, 3McGill University, Montreal, ON, Canada, 4Rheumatology Division, CHUS - Sherbrooke University, Sherbrooke, QC, Canada, 5Institute de Rheumatologie, Montreal, QC, Canada, 6University of Manitoba, Winnipeg, MB, Canada, 7The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 8Division of Rheumatology, University of Calgary, Calgary, AB, Canada, 9Mt. Sinai Hospital, University of Toronto, Toronto, ON, Canada, 10Divison of Rheumatology, Hospital for Special Surgery, New York, NY, 11University of Western Ontario, St Joseph's Health Care, London, ON, Canada, 12Department of Medicine, Division of ClinEpi, Rheumatology, Respirology, McGill University, Montreal, QC, Canada

    Background/Purpose: Optimal treatment for moderate-severe early rheumatoid arthritis involves using a methotrexate-based, treat-to-target strategy aiming for remission. Achieving remission without using biologics may be preferable…
  • Abstract Number: 3150 • 2016 ACR/ARHP Annual Meeting

    The Initial Dose of Methotrexate per Weight Is Determinant of Disease Activity and Early DAS28 Remission in DMARD-Naive Early Rheumatoid Arthritis Patients Receiving Usual Care

    Tuomas Rannio1, Juha Asikainen2, Pekka Hannonen2, Timo Yli-Kerttula3, Päivi Ekman4, Laura Kuusalo5, Laura Pirilä6, Markku Mali7, Marja Puurtinen-Vilkki7, Satu Kortelainen7, Johanna Paltta6, Kirsi Taimen7, Markku J. Kauppi8, Kari Laiho9, Satu Nyrhinen9, Heidi Mäkinen10, Pia Isomäki10, Terhi Uotila10, Kalle Aaltonen11, Hannu Kautiainen12 and Tuulikki Sokka-Isler1, 1Rheumatology, Jyvaskyla Central Hospital, Jyvaskyla, Finland, 2Jyvaskyla Central Hospital, Jyväskylä, Finland, 3Sairaalantie 3, Satakunta Central Hospital, Rauma, Finland, 4Satakunta Central Hospital, Rauma, Finland, 5Rheumatology, Turku University Central Hospital, Turku, Finland, 6Turku University Hospital, Turku, Finland, 7Turku University Central Hospital, Turku, Finland, 8Department of Rheumatology, Päijät-Häme Central Hospital, Lahti, Finland, 9Päijät-Häme Central Hospital, Lahti, Finland, 10Tampere University Hospital, Tampere, Finland, 11Helsinki University, Helsinki, Finland, 12Unit of Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland

      Background/Purpose: Methotrexate (MTX) is considered as the anchor disease modifying antirheumatic drug (DMARD) in treatment of rheumatoid arthritis (RA). However, there is no advice…
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