ACR Meeting Abstracts

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  • Abstract Number: 1030 • 2015 ACR/ARHP Annual Meeting

    Unwanted Variations in Rheumatology Clinic Rooming: A Time Study Tool and Analysis

    Brad Stroik1, Christie M. Bartels2, Diane Lauver3, Patrick McBride4, Jon Arnason2, Sarah Loring3 and Edmond Ramly5,6, 1University of Wisconsin School of Medicine and Public Health, Madison, WI, 2Medicine, Rheumatology, University of Wisconsin School of Medicine and Public Health, Madison, WI, 3University of Wisconsin-Madison School of Nursing, Madison, WI, 4Cardiology/Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI, 5Department of Medicine, University of Wisconsin-Madison, Madison, WI, 6Industrial and Systems Engineering, University of Wisconsin-Madison College of Engineering, Madison, WI

    Background/Purpose: Facing fixed time for specialty visits, the time staff spends on rooming patients is a premium, but remains poorly understood. We conducted a time…
  • Abstract Number: 1031 • 2015 ACR/ARHP Annual Meeting

    Quantifying the Delays to Rheumatologist Consultation and Treatment Among Patients with Systemic Inflammatory Rheumatic Diseases

    Jessica Widdifield1, Sasha Bernatsky2, J Carter Thorne3, Claire Bombardier4, R. Liisa Jaakkimainen5, Vandana Ahluwalia6, J. Michael Paterson7, Noah Ivers4, Debra Butt8 and Karen Tu8, 1McGill University, Montreal, QC, Canada, 2Rheum/Clin. Epid., McGill MUHC/RVH, Montreal, QC, Canada, 3Southlake Regional Health Centre, Newmarket, ON, Canada, 4University of Toronto, Toronto, ON, Canada, 5Preventive Med and Biostatisti, University of Toronto, Toronto, ON, Canada, 6Past President, Ontario Rheumatology Association, Brampton, ON, Canada, 7ICES, Toronto, ON, Canada, 8Institute for Clinical Evaluative Sciences, Toronto, ON, Canada

    Background/Purpose: Optimal care for systemic inflammatory rheumatic diseases often hinges upon early referral from primary care physicians (PCP) to rheumatologists. Our aim was to quantify…
  • Abstract Number: 1032 • 2015 ACR/ARHP Annual Meeting

    Adherence Patterns to American Academy of Ophthalmology Guidelines for Hydroxychloroquine Baseline Screening: Quality Assurance Assessment Utilizing Highmark Claims Data

    Christina Payne1, Patricia Gladowski2, James Byers Jr.2, Amy Tang3 and Mary Chester M. Wasko4, 1Allegheny General Hospital Department of Medicine, Allegheny Health Network, Pittsburgh, PA, 2Enterprise Knowledge Discovery, Highmark Health, Pittsburgh, PA, 3Asthma, Allergy and Autoimmunity Institute, Allegheny Health Network, Pittsburgh, PA, 4Lupus Center, Pittsburgh, PA

    Background/Purpose: Hydroxychloroquine (HCQ) is an antimalarial agent used commonly to treat selected autoimmune rheumatic diseases because of its therapeutic benefits, low cost, and favorable safety…
  • Abstract Number: 1033 • 2015 ACR/ARHP Annual Meeting

    Novel Ligand-Independent Peptide Inhibitors of Triggering Receptor Expressed on Myeloid Cells 1 (TREM-1) and T Cell Receptor (TCR): Efficacy in a Collagen-Induced Arthritis Model Suggests New Targeted Treatment for Rheumatoid Arthritis

    Zu T. Shen and Alexander B. Sigalov, SignaBlok, Inc., Shrewsbury, MA

    Background/Purpose: Macrophages and T cells are central to the pathophysiology of autoimmune diseases. Synovial macrophages, synovial fibroblasts and infiltrating T lymphocytes are the most abundant…
  • Abstract Number: 1034 • 2015 ACR/ARHP Annual Meeting

    Immunomodulation By a Second-Generation Peptidyl Arginine Deiminase Inhibitor Abrogates Collagen-Induced Arthritis in a Therapeutic Protocol

    Anne-Marie Quirke1, Joanna Kawalkowska2, Fatemeh Ghari3, Venkataraman Subramaniam4, Paul Thompson5, Richard O. Williams1, Nick La Thangue3 and Patrick J. Venables1, 1Kennedy Institute of Rheumatology, University of Oxford, Oxford, United Kingdom, 2Kennedy Institute for Rheumatology, University of Oxford, Oxford, United Kingdom, 3Department of Oncology, University of Oxford, Oxford, United Kingdom, 4Biochemistry and Molecular Pharmacology, University of Massachusetts, Worcester, MA, 5University of Massachusetts, Worcester, MA

    Background/Purpose: Citrullination is a post translational modification of arginine catalysed by peptidyl arginine deiminases (PADs) and may be important in generating pathogenic autoantibodies to citrullinated…
  • Abstract Number: 1035 • 2015 ACR/ARHP Annual Meeting

    Synovium-Derived microRNAs Inhibit Bone Formation in Rheumatoid Arthritis

    Ellen M. Gravallese1, Yukiko Maeda2, Nicholas H Farina3, Paul Fanning4 and Jane Lian3, 1Lazare Research Bldg Ste 223, University of Massachusetts Medical School, Worcester, MA, 2Medicine, University of Massachusetts Medical School, Worcester, MA, 3Department of Biochemistry, University of Vermont, Burlington, VT, 4Department of Orthopedics, University of Massachusetts Medical School, Worcester, MA

    Background/Purpose: Articular bone erosion in rheumatoid arthritis (RA) is a consequence of synovial inflammation that leads to disability for patients. Cells within the synovium secrete…
  • Abstract Number: 1036 • 2015 ACR/ARHP Annual Meeting

    Important Role of microRNA-146a in Inflammatory Arthritis By Controlling Local Bone Destruction

    Victoria Saferding1, Antonia Puchner2, Eliana Goncalves-Alves3, Melanie Hofmann3, Emine Sahin4, Silvia Hayer5, Philippe Georgel6, Marije M. Koenders7, Gernot Schabbauer4, Josef S. Smolen3, Guenter Steiner8, Kurt Redlich3 and Stephan Blüml3, 1Rheumatology, Medical University of Vienna, Vienna, Austria, 2Department of Rheumatology, Medical University of Vienna, Vienna, Austria, 3Division of Rheumatology, Medical University of Vienna, Vienna, Austria, 4Vascular Biology and Thrombosis research, Medical University Vienna, Vienna, Austria, 5Waehringer Guertel 18-20 A-A09, Medical University of Vienna, Vienna, Austria, 6Centre de Recherche en Immunologie et Hématologie, Université de Strasbourg, Strasbourg, France, 7Medical Center, Radboud University Nijmegen, Nijmegen, Netherlands, 8Internal Medicine III, Division of Rheumatology, Medical University of Vienna, Vienna, Austria

    Background/Purpose: MicroRNA (MiR-) 146a is a key regulator of the innate immune response and has also been shown to suppress cancer development in myeloid cells.…
  • Abstract Number: 1037 • 2015 ACR/ARHP Annual Meeting

    Impaired Regulatory T Cell Survival in the Pathogenesis of Autoreactive Arthritis Mediated By CD11c-Deletion of Flip

    Qi Quan Huang1, Renee E. Doyle1, Robert Birkett2, Deyu Fang3, Syamal K. Datta1 and Richard M. Pope1, 1Medicine/Rheumatology, Northwestern University Feinberg School of Medicine, Chicago, IL, 2Division of Rheumatology, Department od Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, 3Department of Pathology, Northwestern University Feinberg School of Medicine, Chicago, IL

    Background/Purpose:  We have generated a mouse line with Flip conditionally deleted in CD11c-cre expressing cells (CD11c-Flip-KO, named HUPO), which spontaneously develops erosive arthritis resembling rheumatoid…
  • Abstract Number: 1038 • 2015 ACR/ARHP Annual Meeting

    Tumor Necrosis Factor Alpha and Peptidylarginine Deiminase 4 in Lung and Joint Inflammation

    Mandar Bawadekar1, Annette Gendron-Fitzpatrick2, Thomas F. Warner3, Lennart K.A. Lundblad4, Paul Thompson5 and Miriam A. Shelef1,6, 1Medicine, University of Wisconsin, Madison, WI, 2Comparative Pathology Laboratory of the Research Animal Resources Center and Pathobiological Sciences, University of Wisconsin, Madison, WI, 3Department of Pathology and Laboratory Medicine, University of Wisconsin, Madison, WI, 4Medicine, The University of Vermont, Burlington, VT, 5University of Massachusetts, Worcester, MA, 6Medicine, William S. Middleton Memorial Veterans Hospital, Madison, WI

    Background/Purpose: The relationship between lung and joint inflammation in rheumatoid arthritis is poorly understood. About 10% of people with rheumatoid arthritis develop interstitial lung disease…
  • Abstract Number: 1039 • 2015 ACR/ARHP Annual Meeting

    The Safety and Effect on Disease Activity of Tocilizumab in Combination with MTX Versus Tocilizumab Monotherapy in Patients with Mild to Moderate RA: An Attempt to Optimise the Treatment Response

    Burkhard Leeb1,2, Raimund Lunzer3, Peter Fasching4, Manfred Herold5, O. Zamani6, Winfried Graninger7 and OPTIMISE trial Investigators, 12nd Dept. of Medicine, State Hospital Stockerau, Center for Rheumatology Lower Austria, Stockerau, Austria, 2Department of Clinical Rheumatology, Karl Landsteiner Society, Stockerau, Austria, 3Department of Internal Medicine, Hospital Barmherzige Brüder Graz-Eggenberg, Graz, Austria, 4Department of Internal Medicine V, Wilhelminen Hospital Vienna, Vienna, Austria, 5Internal Medicine VI, Medical University of Innsbruck, Austria, Innsbruck, Austria, 6Rheumazentrum Favoriten, Wien, Austria, 7Rheumatology and Immunology, Medical University of Graz, Graz, Austria

    Background/Purpose: An Austrian multi-center study of the effect on disease activity and the safety of Tocilizumab (TCZ) in combination with Methotrexate (MTX) versus TCZ Monotherapy…
  • Abstract Number: 1040 • 2015 ACR/ARHP Annual Meeting

    Factors Associated with Long Term Rituximab Use in Rheumatoid Arthritis – Results from the British Society of Rheumatology Biologics Register

    Alexander G.S. Oldroyd1, Deborah P.M. Symmons1, Lianne Kearsley-Fleet1, Kath Watson1, Mark Lunt2, Jamie Sergeant1, Kimme L. Hyrich1 and on behalf of the BSRBR-RA, 1Arthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, United Kingdom, 2Manchester Academic Health Sciences Centre, Arthritis Research UK Centre for Epidemiology, The University of Manchester, Manchester, United Kingdom

    Background/Purpose: Analysis of long term continuation of biologics in rheumatoid arthritis (RA) is considered a valid surrogate for treatment effectiveness and safety. Only a small…
  • Abstract Number: 1041 • 2015 ACR/ARHP Annual Meeting

    Methotrexate Monotherapy and Methotrexate Combination Therapy with Traditional and Biologic Dmards for Rheumatoid Arthritis: A Cochrane Systematic Review and Network Meta-Analysis

    Glen S. Hazlewood1,2, Cheryl Barnabe3, George A. Tomlinson4, Deborah Marshall5, Daniel Devoe5 and Claire Bombardier6, 1Institute of Health, Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada, 2Medicine, University of Calgary, Calgary, AB, Canada, 3Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 4Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada, 5University of Calgary, Calgary, AB, Canada, 618 Strathearn Blvd, University of Toronto, Toronto, ON, Canada

    Background/Purpose: To compare methotrexate based disease-modifying anti-rheumatic drug (DMARD) treatments for rheumatoid arthritis in patients naïve to or after an inadequate response (IR) to methotrexate.  …
  • Abstract Number: 1042 • 2015 ACR/ARHP Annual Meeting

    Pragmatic Multicenter Open-Label Randomized  Controlled Trial of Stopping TNF-Inhibitors in Rheumatoid Arthritis Patients in Remission or Stable Low Disease Activity in the Netherlands

    Marjan Ghiti Moghadam1, Harald E. Vonkeman2, Peter M. ten Klooster3, Janneke Tekstra4, Dirkjan van Schaardenburg5, Mirian Starmans-kool6,7, Elisabeth Brouwer8, Reinhard Bos9, Willem F. Lems10, Edgar Colin11, Cornelia F. Allaart12, Inger L. Meek13, Robert B.M. Landewé14, Hein J. Bernelot Moens15, Piet van Riel13, Mart A.F.J. van de Laar16, Tim Jansen17 and on behalf of the Dutch National POET Collaboration., 1rheumatology, Medisch Spectrum Twente - Arthritis Center Twente, Enschede, Netherlands, 2Ariensplein 1, Medisch Spectrum Twente - Arthritis Center Twente, Enschede, Netherlands, 3Pcgr, University of Twente, Enschede, Netherlands, 4Dept. Rheumatology & Clinical Immunology, University Medical Center Utrecht, Utrecht, Netherlands, 5Jan van Breemen Research Institute, Amsterdam, Netherlands, 6Rheumatology, Orbis Medical Center, Geleen-Sittard, Netherlands, 7Rheumatology, Atrium Medical center, Heerlen, Netherlands, 8Rheumatology, University Medical center Groningen, Groningen, Netherlands, 9Rheumatology, Medical Center Leeuwarden, Leeuwarden, Netherlands, 10Rheumatology, Amsterdam Rheumatology and immunology Center, VU University medical center, Amsterdam, Netherlands, 11Rheumatology, Erasmus MC, Rotterdam, Netherlands, 12Department of Rheumatology, Leiden Universitary Medical Center, Leiden, Netherlands, 13Rheumatology, Radboud University Nijmegen Medical Centre, Nijmegen, Netherlands, 14Department of Rheumatology, Amsterdam Rheumatology Center, Amsterdam, Netherlands, 15rheumatology, Ziekenhuisgroep Twente, Almelo, Netherlands, 16Rheumatology, Medisch Spectrum Twente - Arthritis Center Twente, Enschede, Netherlands, 17VieCuri Medical Center, Venlo, Netherlands

    Background/Purpose: TNF-inhibitors (TNFi) are effective treatments of rheumatoid arthritis (RA). It is not clear if patients in remission or stable low disease activity need to…
  • Abstract Number: 1043 • 2015 ACR/ARHP Annual Meeting

    Enhancing Comparative Effectiveness Research By Combining Observational and Randomized Trial Data to Personalize the Choice Between Methotrexate and Triple Therapy for Methotrexate-Naïve Patients with Early Rheumatoid Arthritis

    Glen S. Hazlewood1,2, Cheryl Barnabe3, Gilles Boire4, Carol Hitchon5, Edward C. Keystone6, Boulos Haraoui7, J Carter Thorne8, Diane Tin9, Janet E. Pope10, Daming Lin11, VP Bykerk12 and CATCH investigators, 1Institute of Health, Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada, 2Medicine, University of Calgary, Calgary, AB, Canada, 3Cumming School of Medicine, University of Calgary, Calgary, AB, Canada, 4Department of Medicine/Division of Rheumatology, Université de Sherbrooke, Sherbrooke, QC, Canada, 5University of Manitoba, Winnipeg, MB, Canada, 6Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 7Institut de Rhumatologie, Montreal, QC, Canada, 8Southlake Regional Health Centre, Newmarket, ON, Canada, 9The Arthritis Program, Southlake Regional Health Centre, Newmarket, ON, Canada, 10University of Western Ontario, London, ON, Canada, 11Rheumatology, Mount Sinai Hospital, University of Toronto, Toronto, ON, Canada, 12Hospital for Special Surgery, Weill Cornell Medical College, New York, NY

    Background/Purpose: Randomized controlled trials (RCTs) are considered the gold standard for comparing efficacy of treatments, but the results may be less generalizable to clinical practice…
  • Abstract Number: 1044 • 2015 ACR/ARHP Annual Meeting

    Many Patients with Early Rheumatoid Arthritis Want Triple Therapy: An Analysis Combining Comparative Effectiveness Research and Patients Preferences to Inform Treatment Recommendations

    Glen S. Hazlewood1,2, Claire Bombardier3, George A. Tomlinson4 and Deborah Marshall5, 1Institute of Health, Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada, 2Medicine, University of Calgary, Calgary, AB, Canada, 3Toronto General Hospital Research Institute, University Health Network, Toronto, ON, Canada, 4Medicine, University Health Network, Toronto, ON, Canada, 5University of Calgary, Calgary, AB, Canada

    Background/Purpose: Growing evidence supports the efficacy of triple therapy (methotrexate + sulphasalazine + hydroxychloroquine) for controlling disease activity in patients with early rheumatoid arthritis (ERA),…
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