ACR Meeting Abstracts

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  • Abstract Number: 2587 • 2014 ACR/ARHP Annual Meeting

    Predictors of Treatment Response to Tumor Necrosis Factor-Alpha Blockers in Spondyloarthritis: Systematic Review and Meta-Analysis

    Pauline Manicki1, Jacques Morel2, Bernard Combe3 and Cédric Lukas4, 1immuno-rhumatologie, Hôpital Lapeyronie, Montpellier, France, 2Department of Rheumatology, Hôpital Lapeyronie, Montpellier, France, 3Immuno-Rhumatologie, Hôpital Lapeyronie, Montpellier, France, 4Immuno-Rhumatologie, Hopital Lapeyronie, Montpellier, France

    Predictors of Treatment Response to Tumor Necrosis Factor-Alpha Blockers in Spondyloarthritis: Systematic Review and Meta-Analysis. Background/Purpose: TNF blockers have demonstrated substantial clinical efficacy in spondyloarthritis…
  • Abstract Number: 2586 • 2014 ACR/ARHP Annual Meeting

    Which Characteristics of Inflammatory Back Pain (CBP) Forecast the Presence of Sacroiliitis on Magnetic Resonance Imaging (MRI)? Results from the Esperanza Cohort

    Victoria Navarro-Compán1, Raquel Almodóvar González2, Azucena Hernández3, Emma Beltrán4, Eugenio De Miguel5, Robert B. M. Landewé6, Désirée van der Heijde7 and Pedro Zarco8, 1Rheumatology, University Hospital La Paz and Leiden University Medical Center, Madrid, Spain, 2Rheumatology Unit, Hospital Universitario Fundación Alcorcón, Madrid, Spain, 3Rheumatology, Hospital Virgen de la Salud, Toledo, Spain, 4University General Hospital of Valencia, Valencia, Spain, 5Rheumatology, University Hospital La Paz - IdiPaz, Madrid, Spain, 6Department of Rheumatology, Amsterdam Rheumatology Center, Amsterdam, Netherlands, 7Leiden University Medical Center, Leiden, Netherlands, 8Rheumatology Department, Fundación Hospital Alcorcon, Alcorcon, Madrid, Spain

    Background/Purpose: CBP is often the starting point for a suspicion of axSpA. In the ASAS-criteria for axial SpA either MRI of the SI-joints or HLA-B27-testing…
  • Abstract Number: 2585 • 2014 ACR/ARHP Annual Meeting

    Association of Smoking with Acute Phase Reactants and Molecules Involved in Bone Formation in Patients with Ankylosing Spondylitis

    Grigorios Sakellariou1, Spyros Gerou2, Dimitrios Oikonomou3 and Fares Sayegh4, 1Rheumatology, 424 General Military Hospital, Thessaloniki, Greece, 2Laboratories "Analysis", Thessaloniki, Greece, 3Biopathology, 424 General Military Hospital, Thessaloniki, Greece, 43rd Orthopaedic, "Papageorgiou" General Hospital, Thessaloniki, Greece

    Background/Purpose: In patients with ankylosing spondylitis (AS), smoking is associated with increased disease activity and more radiographic damage. However, the mechanisms underlying the effects of…
  • Abstract Number: 2559 • 2014 ACR/ARHP Annual Meeting

    Vitamin D insufficiency  and Deficiency in Two European Cohorts of Patients with Inflammatory Rheumatic Disorders

    Alessandra Vacca1, Giovanni Porru1, Grazia Dessole1, Alessandro Mathieu1, Catherine Cormier2, Yvonne Fulla2, Andre Kahan2 and Yannick Allanore3, 1Unit and Chair of Rheumatology, University Hospital of Cagliari, Cagliari, Italy, 2Rheumatology A Department, Cochin Hospital, APHP, Paris Descartes University, Paris, France, 3Paris Descartes University, Rheumatology A Department and INSERM U1016, Cochin Hospital, Paris, France

    Background/Purpose Vitamin D plays an important role in the modulation of immune system and epidemiologic data indicate low vitamin D levels in autoimmune diseases such…
  • Abstract Number: 2558 • 2014 ACR/ARHP Annual Meeting

    Etanercept Increases Bone Mineral Density in Ankylosing Spondylitis, but Does Not Prevent Vertebral Fractures

    M.a.C. van der Weijden1,2, J.C. van Denderen2, W.F. Lems1, M.T. Nurmohamed1,2, B.a.C Dijkmans1,2 and I.E. van der Horst-Bruinsma1, 1Rheumatology, VU University Medical Center, Amsterdam, Netherlands, 2Rheumatology, Jan van Breemen Research Institute | Reade, Amsterdam, Netherlands

    Background/Purpose Ankylosing spondylitis (AS) is characterized by chronic inflammation often leading to ankylosis of the spine, but also by a decrease of bone mineral density…
  • Abstract Number: 2557 • 2014 ACR/ARHP Annual Meeting

    Are We over-Treating with Nsaids Our Early Axial Spa Patients? Results from the DESIR Cohort

    Anna Moltó1,2, Benjamin Granger3, Daniel Wendling4, Maxime Dougados5 and Laure Gossec6, 1GRC-UPMC 08 (EEMOIS); UPMC Univ Paris 06.AP-HP, Pitié Salpêtrière Hospital, Department of Rheumatology, Paris, France., Paris, France, 2Paris Descartes University, Rheumatology Department, Cochin Hospital, AP-HP. INSERM (U1153): Clinical Epidemiology and Biostatistics, PRES Sorbonne Paris-Cité, Paris, France., Paris, France, 3Biostatistics - GRC08-EEMOIS, Université Pierre et Marie Curie - Paris 6 ; AP-HP, Paris, France, 4Service de Rhumatologie, CHU J Minjoz, Besancon, France, 5INSERM (U1153): Clinical Epidemiology and Biostatistics, PRES Sorbonne Paris-Cité, Paris, France., Paris, France, 6Rheumatology, UPMC GRC08, Paris 06 University, Pitié Salpétrière Hospital, Paris, France

    Background/Purpose: Non-steroidal anti-inflammatory drugs (NSAIDs) are the keystone in the treatment of axial Spondyloarthritis (axSpA), and even in early forms, patients symptoms may lead to…
  • Abstract Number: 2556 • 2014 ACR/ARHP Annual Meeting

    Is the Degree of NSAID Treatment in Early Axial Spondyloarthritis a Reflection of the physician’s Diagnosic Confidence? Results from the DESIR Cohort

    Anna Moltó1,2, Benjamin Granger3, Daniel Wendling4, Maxime Dougados5 and Laure Gossec6, 1GRC-UPMC 08 (EEMOIS); UPMC Univ Paris 06.AP-HP, Pitié Salpêtrière Hospital, Department of Rheumatology, Paris, France., Paris, France, 2Paris Descartes University, Rheumatology Department, Cochin Hospital, AP-HP. INSERM (U1153): Clinical Epidemiology and Biostatistics, PRES Sorbonne Paris-Cité, Paris, France., Paris, France, 3Biostatistics - GRC08-EEMOIS, Université Pierre et Marie Curie - Paris 6 ; AP-HP, Paris, France, 4Service de Rhumatologie, CHU J Minjoz, Besancon, France, 5INSERM (U1153): Clinical Epidemiology and Biostatistics, PRES Sorbonne Paris-Cité, Paris, France., Paris, France, 6Rheumatology, UPMC GRC08, Paris 06 University, Pitié Salpétrière Hospital, Paris, France

    Background/Purpose: Non-steroidal anti-inflammatory drugs (NSAIDs) are the keystone in the treatment of axial Spondyloarthritis (axSpA).  Diagnosis is often not easy in early forms due to…
  • Abstract Number: 2555 • 2014 ACR/ARHP Annual Meeting

    The Effect of Co-Medication with Conventional Synthetic (cs)Dmards on Achieving Low Disease Activity While Persisting on Adalimumab Therapy in Patients with Ankylosing Spondylitis/ Axial Spondylarthritis (AS)– Analysis from the Czech Biologics Registry Attra

    Karel Pavelka1, Jakub Zavada2, Marketa Fojtikova3, Sarka Forejtova4 and Karel Hejduk5, 1Institute of Rheumatology, Prague, Czech Republic, 2Charles University, Prague, Czech Republic, 3Institute of Rheumatology and Department of Rheumatology, 1st Faculty of Medicine, Charles University in Prague, Prague, Czech Republic, 4Rheumatology, Institute of Rheumatology, Prague, Czech Republic, 5Institute of Biostatistics and Analyses, Masaryk University, Brno, Czech Republic

    Background/Purpose : The role of combined treatment with csDMARDs and anti-TNF therapy in AS is not well established. Methods: Main goal of this study was…
  • Abstract Number: 2554 • 2014 ACR/ARHP Annual Meeting

    Do TNF Alpha Inhibitors Have an NSAID Sparing Effect in Real Life in Early Axial Spa? Results from the DESIR Cohort

    Anna Moltó1,2, Benjamin Granger3, Daniel Wendling4, Maxime A. Breban5, Maxime Dougados6 and Laure Gossec7, 1GRC-UPMC 08 (EEMOIS); UPMC Univ Paris 06.AP-HP, Pitié Salpêtrière Hospital, Department of Rheumatology, Paris, France., Paris, France, 2Paris Descartes University, Rheumatology Department, Cochin Hospital, AP-HP. INSERM (U1153): Clinical Epidemiology and Biostatistics, PRES Sorbonne Paris-Cité, Paris, France., Paris, France, 3Biostatistics - GRC08-EEMOIS, Université Pierre et Marie Curie - Paris 6 ; AP-HP, Paris, France, 4Service de Rhumatologie, CHU J Minjoz, Besancon, France, 5Rheumatology, Ambroise Paré Hospital, and Versailles Saint Quentin en Yvelines University, Boulogne-Billancourt, France, 6INSERM (U1153): Clinical Epidemiology and Biostatistics, PRES Sorbonne Paris-Cité, Paris, France., Paris, France, 7Rheumatology, UPMC GRC08, Paris 06 University, Pitié Salpétrière Hospital, Paris, France

    Background/Purpose:  Non-steroidal anti-inflammatory drugs (NSAIDs) are the keystone in the treatment of axial Spondyloarthritis (axSpA), but have potential side effects (cardiovascular and gastrointestinal). Effectiveness of…
  • Abstract Number: 2573 • 2014 ACR/ARHP Annual Meeting

    Preferences of Patients with Spondyloarthritis for the Items of the ASAS Health Index : A Best Worst Scaling

    Uta Kiltz1, Mickaël Hiligsmann2, D van der Heijde3, Juergen Braun1, Alarcos Cieza4, Walter P. Maksymowych5, William Taylor6 and Annelies Boonen7, 1Rheumazentrum Ruhrgebiet, Herne, Germany, 2Department of Public Health, Epidemiology and Health Economics, University of Liege, Liege, Belgium, 3Leiden University Medical Center, Leiden, Netherlands, 4Department of Psychology, University Southampton, Southampton, United Kingdom, 5University of Alberta, Edmonton, AB, Canada, 6Department of Medicine, University of Otago Wellington, Wellington, New Zealand, 7Maastricht University Medical Center, Maastricht, Netherlands

    Background/Purpose The ASAS Health Index (ASAS HI) is a disease-specific questionnaire aiming at measurement of health in patients with spondyloarthritis (SpA) which has been developed…
  • Abstract Number: 2572 • 2014 ACR/ARHP Annual Meeting

    Recognition of  Spondyloarthritis By General Practitioners in Daily Practice and the Effect of Education on This; A Study with Standardized Patients

    Marloes van Onna1, Simone Gorter2, Bas Maiburg3, Gerrie Waagenaar3 and Astrid van Tubergen4, 1Department of Internal Medicine, division of Rheumatology, Maastricht University Medical Center, division of Rheumatology, Maastricht, Netherlands, 2Department of Internal Medicine, division of Rheumatology, Maastricht University Medical Center, Maastricht, Netherlands, 3Department of General Practice, Maastricht Univerisity, department of General Practice, Maastricht, Netherlands, 4Maastricht University Medical Center, Maastricht, Netherlands

    Background/Purpose: Timely recognition and referral of patients with spondyloarthritis (SpA) is challenging due to the insidious disease onset and frequently unawareness of the clinical picture…
  • Abstract Number: 2571 • 2014 ACR/ARHP Annual Meeting

    Disease Activity and Risk of Cardiovascular Disease in Patients with Ankylosing Spondylitis with High and Low Body Mass Index

    Inger Jorid Berg1, Anne Grete Semb2, Désirée van der Heijde3,4, Tore K. Kvien4, Hanne Dagfinrud4, Jonny Hisdal5,6 and Sella A. Provan2, 1Dep of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 2Department of Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 3Leiden University Medical Center, Leiden, Netherlands, 4Rheumatology, Diakonhjemmet Hospital, Oslo, Norway, 5Section of Vascular Investigations, Oslo University Hospital Aker, Oslo, Norway, 6Faculty of Medicine, University of Oslo, Oslo, Norway

    Background/Purpose Patients with ankylosing spondylitis (AS) have increased risk of cardiovascular disease (CVD), but the mediators of this increased risk are not known. Obesity is…
  • Abstract Number: 2570 • 2014 ACR/ARHP Annual Meeting

    Validation of Modified Disease Activity and Functional Status Questionnaires in Spondyloarthritis

    Itziar Quinzanos1, Phat Luong1, Sushmitha Bobba2, J. Steuart Richards3, Vikas Majithia4, Lisa A. Davis5 and Liron Caplan6, 1Rheumatology, Denver VA Medical Center, Denver, CO, 2Rheumatology/Research, Department of Veterans Affairs, Denver, CO, 3Rheumatology, Washington DC VA and Georgetown University, Washington, DC, 4Div of Rheumatology, University of Mississippi Medical Center, Jackson, MS, 5Denver VAMC and Univ of Colorado School of Medicine, Aurora, CO, 6Div of Rheumatology, Denver VA and Univ of Colorado School of Medicine, Aurora, CO

    Background/Purpose Patients with new onset ankylosing spondylitis (AS) and those naïve to the Ankylosing Spondylitis Disease Activity Score (ASDAS) have voiced confusion over the use…
  • Abstract Number: 2569 • 2014 ACR/ARHP Annual Meeting

    Profiles of Switches in Patient with Ankylosing Spondylitis: Comparing Adalimumab, Etanercept, Infliximab, Golimumab and Certolizumab

    Jean-Pierre Raynauld1, Louis Bessette2, Denis Choquette1, Isabelle Fortin3, Boulos Haraoui1, Jean-Pierre Pelletier4, Marie-Anaïs Rémillard5, Diane Sauvageau1, Edith Villeneuve1 and Louis Coupal1, 1Rheumatology, Institut de rhumatologie de Montréal (IRM), Montréal, QC, Canada, 2Rheumatology, Centre d’ostéoporose et de rhumatologie de Québec (CORQ), Québec, QC, Canada, 3Centre de rhumatologie de l'est du Québec (CREQ), Rimouski, QC, Canada, 4Osteoarthritis Research Unit, University of Montreal Hospital Research Centre (CRCHUM), Montreal, QC, Canada, 5Rhumatology, Institut de rhumatologie de Montréal (IRM), Montréal, QC, Canada

    Background/Purpose: As much a 40% of patients with ankylosing spondylitis will fail (BASDAI≥ 4) different non-steroidal anti-inflammatory agents and will eventually be treated with an…
  • Abstract Number: 2568 • 2014 ACR/ARHP Annual Meeting

    Routine Assessment of Patient Index Data (RAPID3) Provides Similar Information Compared to Ankylosing Spondylitis Specific Indices: Analyses of the DESIR French Cohort

    Isabel Castrejón1, Theodore Pincus1, Daniel Wendling2 and Maxime Dougados3, 1Rheumatology, Rush University Medical Center, Chicago, IL, 2Service de Rhumatologie, CHU J Minjoz, Besancon, France, 3Université Paris René Descartes and Hôpital Cochin, Paris, France

    Background/Purpose The Bath Ankylosing Spondy­litis (AS) Disease Activity Index (BASDAI) –an index of only patient-self-report measures - has been the most widely used measure in…
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