ACR Meeting Abstracts

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  • Abstract Number: 2600 • 2012 ACR/ARHP Annual Meeting

    Assessment of Quality of Care for Incident Lupus Nephritis in the U.S. Medicaid Population

    Jinoos Yazdany1, Candace H. Feldman2, Jun Liu3, Michael M. Ward4, Michael A. Fischer5 and Karen H. Costenbader6, 1Medicine, University of California, San Francisco, San Francisco, CA, 2Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 3Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Harvard Medical School, Boston, Boston, MA, 4Bldg 10 CRC Rm 4-1339, NIAMS/NIH, Bethesda, MD, 5Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, Boston, MA, 6Rheumatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA

    Background/Purpose: The contribution of uneven health care quality to racial/ethnic and socioeconomic disparities in lupus nephritis outcomes is unknown.  We aimed to assess performance on…
  • Abstract Number: 2601 • 2012 ACR/ARHP Annual Meeting

    Improving Delivery of Care for JIA Across a Multi-Center Network Using a Shared Data Registry and Quality Improvement Science: The Pediatric Rheumatology Care and Outcomes Improvement Network

    Catherine A. Bingham1, Lynn M. Darbie2, Keith Marsolo3, Jennifer E. Weiss4, Stacy P. Ardoin5, Ronald Laxer6, D. J. Lovell7, Murray H. Passo8, Sheetal Vora9, Beth S. Gottlieb10, Timothy Beukelman11, Nancy Griffin2, Jason A. Stock12, Michael L. Miller13, Karen Onel14, Tova Ronis15, Peter Margolis16 and Esi M. Morgan DeWitt17, 1Pediatric Rheumatology, Penn State Hershey Children's Hospital, Hershey, PA, 2James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 3Division of Biomedical Informatics, Cincinnati Children's Hospital, Cincinnati, OH, 4Pediatric Rheumatology, Hackensack University Medical Center, Hackensack, NJ, 5Pediatric & Adult Rheumatology, Ohio State University College of Medicine, Columbus, OH, 6Rheumatology, The Hospital for Sick Children, Toronto, ON, Canada, 7Cincinnati Children's Hospital, Cincinnati, OH, 8Pediatric Rheumatology, Medical University of South Carolina, Charleston, SC, 9Pediatric Rheumatology, Medical College of Wisconsin, Milwaukee, WI, 10Pediatric Rheumatology, Cohen Children's Medical Center of New York, New Hyde Park, NY, 11Pediatric Rheumatology, University of Alabama at Birmingham, Birmingham, AL, 12Biostatistics & Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 13Rheumatology, Childrens Memorial Hospital, Chicago, IL, 14Pediatric Rheumatology, University of Chicago, Chicago, IL, 15Pediatric Rheumatology, Stanford University Hospital, Palo Alto, CA, 16Clinical Effectiveness, Cincinnati Children's Hospital, Cincinnati, OH, 17Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose: The Pediatric Rheumatology Care and Outcomes Improvement Network (PR-COIN) is a quality improvement (QI) multi-center “learning network” that performs QI and research while tracking…
  • Abstract Number: 2602 • 2012 ACR/ARHP Annual Meeting

    The Rheumatology Informatics System for Effectiveness (RISE): Enabling Data Access Across Disparate Sites for Quality Improvement and Research

    Peter J. Embi1, Itara Barnes2, Rachel Myslinski3, David Ervin4, William Stevens4, Tara Borlawsky1 and Philip R.O. Payne1, 1Biomedical Informatics & Internal Medicine, The Ohio State University, Columbus, OH, 2Quality, Registries, and Health Informatics, American College of Rheumatology, Atlanta, GA, 3Practice, Advocacy, & Quality, American College of Rheumatology, Atlanta, GA, 4The Ohio State University, Columbus, OH

    Background/Purpose: Rheumatology quality improvement efforts and clinical research are often challenged by the need to access and integrate data across diverse patient populations and disparate information…
  • Abstract Number: 2603 • 2012 ACR/ARHP Annual Meeting

    Moving Into the Electronic Age:  Validation of Rheumatology Self-Assessment Questionnaires On Tablet Computers

    Jessica M. Sage1, Arshia Ali2, Jennifer Farrell3, Jennifer L. Huggins4, Kara Covert3, Diane Eskra5, Rina Mina3, Shweta Srivastava3, Janalee Taylor6, Tracy V. Ting4, Esi M. Morgan DeWitt3 and Hermine Brunner4, 1Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 2Internal Medicine, University of Cincinnati, Cincinnati, OH, 3Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 4Pediatric Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 5James M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 6William S. Rowe Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH

    Background/Purpose: The medical field is increasingly relying on electronic health records (EHR). Many children’s hospitals are converting from paper-pencil questionnaires to electronic versions. The purpose…
  • Abstract Number: 2604 • 2012 ACR/ARHP Annual Meeting

    Ask a Doc – Rheumatologic Care Delivered Just in Time

    Eric D. Newman1, Chelsea Cedeno2, Thomas M. Harrington3, Thomas P. Olenginski3, Alfred E. Denio3, Androniki Bili4, Brian DelVecchio5, Carolyn Houk6 and Paul F. Simonelli7, 1Department of Rheumatology, Geisinger Health System, Danville, PA, 2Division of Medicine, Geisinger Medical Center, Geisinger Health System, Danville, PA, 3Dept of Rheumatology, Geisinger Health System, Danville, PA, 4Rheumatology, Geisinger Medical Center, Danville, PA, 5Rheumatology, Geisinger Health System, Wilkes-Barre, PA, 6Family Practice - Frackville, Geisinger Health System, Frackville, PA, 7Thoracic Medicine, Geisinger Medical Center, Danville, PA

    Background/Purpose: Specialty care is traditionally delivered as face to face consults.  These encounters range from consult not needed to consult needed quickly.  Our care systems…
  • Abstract Number: 2605 • 2012 ACR/ARHP Annual Meeting

    Exploration of Possible Preliminary Descriptions of Remission Based On RAPID3, without Laboratory Tests or Formal Joints Counts but with Careful Joint Examinations, in the Etude Et Suivi Des Polyarthrites Indifférenciées Récentes (ESPOIR) Cohort of Early Rheumatoid Arthritis Patients

    Isabel Castrejón1, Maxime Dougados2, Bernard Combe3, Bruno Fautrel4 and Theodore Pincus1, 1Rheumatology, Rush University Medical Center, Chicago, IL, 2Rheumatology B Department, Paris-Descartes University, APHP, Cochin Hospital, Paris, France, 3Rheumatology, Hopital Lapeyronie, Montpellier, France, 4Rheumatology / GRC08-EEMOIS, APHP-Pitie Salpetriere Hospital / UPMC, Paris, France

    Background/Purpose: Criteria for remission in rheumatoid arthritis (RA) have been developed according to DAS28 (disease activity score), CDAI (clinical disease activity index), and two recent…
  • Abstract Number: 2566 • 2012 ACR/ARHP Annual Meeting

    Aβ-Related Angiitis: Comparison with Patients with Amyloid Cerebral Angiopathy without Inflammation

    Carlo Salvarani1, Caterina Giannini2, Robert D. Brown Jr.2, Teresa J. H. Christianson2 and Gene G. Hunder3, 1Rheumatology, Arcispedale S Maria Nuova-IRCCS, Reggio Emilia, Italy, 2Mayo Clinic, Rochester, MN, 3Rheumatology, Mayo Clinic, Rochester, MN

    Background/Purpose:  Coexistence of sporadic cerebral amyloid angiopathy (CAA) and primary central nervous system vasculitis (PCNSV) has been reported, particularly in patients with granulomatous vasculitis. This…
  • Abstract Number: 2567 • 2012 ACR/ARHP Annual Meeting

    Predictive Value of Selected Markers of Inflammation and Platelet Activation for Complete Remission in ANCA – Associated Vasculitis

    Gunnar Tomasson1, Paul A. Monach2, Kahraman Tanriverdi3, Ulrich Specks4, John H. Stone5, Linna Ding6, Fernando Fervenza4, Gary S. Hoffman7, Cees G.M. Kallenberg8, Carol A. Langford9, Deborah J. Phippard10, Philip Seo11, Robert F. Spiera12, E. William St. Clair13, Nadia Tchao10, Jane E. Freedman3 and Peter A. Merkel14, 1Department of Public Health Sciences, University of Iceland, Reykjavik, Iceland, 2Rheumatology, Boston University, Boston, MA, 3Department of Cardiology, University of Massachusetts, Wochester, MA, 4Mayo Clinic, Rochester, MN, 5Rheumatology, Massachusetts General Hospital, Boston, MA, 6NIAID, Bethesda, MD, 7Rheumatic & Immunologic Dis, Cleveland Clinic, Cleveland, OH, 8Rheumatology and Clinical Immunology, University Medical Center Groningen, Groningen, Netherlands, 9Center for Vasculitis Care and Research, Cleveland Clinic, Cleveland, OH, 10Immune Tolerance Network, Bethesda, MD, 11Rheumatology Division, Johns Hopkins Vasculitis Center, Johns Hopkins University, Baltimore, MD, 12Rheumatology, Hospital for Special Surgery, New York, NY, 13Medicine, Duke University Medical Center, Durham, NC, 14University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Most subjects with ANCA –associated vasculitis (AAV) respond to treatment for remission induction, but predictors for complete disease remission are lacking. We have previously…
  • Abstract Number: 2568 • 2012 ACR/ARHP Annual Meeting

    The Risk of Pulmonary Embolism and Deep Vein Thrombosis in Giant Cell Arteritis: A Population-Based Cohort Study

    J. Antonio Avina-Zubieta1, Diane Lacaille2, Eric C. Sayre3, Jacek A. Kopec3 and Hyon Choi4, 1Rheumatology, Arthritis Research Centre of Canada, University of British Columbia, Richmond, BC, Canada, 2Rheumatology, Arthritis Research Centre of Canada/University of British Columbia, Richmond, BC, Canada, 3Arthritis Research Centre of Canada, Richmond, BC, Canada, 4Section of Rheumatology and the Clinical Epidemiology Unit, Boston University School of Medicine, Arthritis Research Centre of Canada/University of British Columbia, Boston, MA

    Background/Purpose: A recent hospital-based study has suggested an 8 fold increased risk of pulmonary embolism (PE) in individuals with polymyalgia rheumatica in the year following…
  • Abstract Number: 2569 • 2012 ACR/ARHP Annual Meeting

    Hydroxychloroquine Reduces Thrombosis in Systemic Lupus Erythematosus, Particularly in Antiphospholipid Positive Patients

    Genevieve Law1, Laurence S. Magder2, Hong Fang3 and Michelle Petri3, 1Division of Rheumatology, University of British Columbia, Vancouver, BC, Canada, 2Department of Epidemiology and Public Health, University of Maryland, Baltimore, MD, 3Johns Hopkins University School of Medicine, Baltimore, MD

    Background/Purpose: Past studies, mostly cross-sectional, have found a reduction in thrombosis in systemic lupus erythematosus (SLE) patients taking hydroxychloroquine (HCQ). We examined the relationship between…
  • Abstract Number: 2570 • 2012 ACR/ARHP Annual Meeting

    Lymphoma Risk in Systemic Lupus: Effects of Disease Activity Versus Treatment

    Sasha Bernatsky1, Ann E. Clarke2, Karen H. Costenbader3, Murray B. Urowitz4, Dafna D. Gladman5, Paul R. Fortin6, Michelle Petri7, Susan Manzi8, D.A. Isenberg9, Anisur Rahman10, Daniel Wallace11, Caroline Gordon12, Christine Peschken13, Mary Anne Dooley14, E.M. Ginzler15, Cynthia Aranow16, Steven M. Edworthy17, Ola Nived18, Søren Jacobsen19, Guillermo Ruiz-Irastorza20, Edward H. Yelin21, Susan G. Barr22, Irene Blanco23, Candace H. Feldman24 and R. Ramsey-Goldman25, 1Clinical Epidemiology, Systemic Lupus International Collaborating Clinics, Montreal, QC, Canada, 2Division of Clinical Epidemiology, Research Institute of the McGill University Health Centre, Montreal, QC, Canada, 3Rheumatology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 4Division of Rheumatology, Toronto Western Hospital and University of Toronto,, Toronto, ON, Canada, 5Division of Rheumatology, Toronto Western Hospital and University of Toronto, Toronto, ON, Canada, 6University of Laval, Quebec, QC, 7Johns Hopkins University School of Medicine, Baltimore, MD, 8Division of Rheumatology, University of Pittsburgh School of Medicine, Pittsburgh, PA, 9Centre for Rheumatology Research, University College London, London, United Kingdom, 10Centre for Rheumatology Research,Rayne Institute, 4th Floor, University College London, London, United Kingdom, 11Cedars-Sinai/UCLA, Los Angeles, CA, 12School of Immunity and Infection, College of Medical and Dental Sciences, University of Birmingham, Birmingham, United Kingdom, 13Medicine & Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada, 14University of North Carolina at Chapel Hill, Chapel Hill, NC, 15Rheumatology, SUNY-Downstate Medical Center, Brooklyn, NY, 16Feinstein Institute for Medical Research, Manhasset, NY, 17The University of Calgary, Calgary, AB, Canada, 18Department of Clinical Science, Lund University, Rheumatology, Lund, Sweden, 19Department of Rheumatology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark, 20Autoimmune Diseases Research Unit, Department of Internal Medicine, BioCruces Health Research Institute, Hospital Universitario Cruces, University of the Basque Country, Barakaldo, Spain, 21Medicine, UC San Francisco, San Francisco, CA, 22University of Calgary, University of Calgary, Calgary, AB, Canada, 23Rheumatology, Albert Einstein College of Medicine, Bronx, NY, 24Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, 25Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL

    Background/Purpose: In systemic lupus (SLE), concern exists about immunosuppressive drugs and lymphoma risk,  Yet, the relative influence of disease activity vs treatment, is unknown. Our objective…
  • Abstract Number: 2571 • 2012 ACR/ARHP Annual Meeting

    Lack of Control of Hypertension in Systemic Lupus Erythematosus

    Hong Fang1, Raheel Ahmad2, Laurence S. Magder3 and Michelle Petri1, 1Johns Hopkins University School of Medicine, Baltimore, MD, 2Div of Rheumatology, Johns Hopkins University School of Medicine, Baltimore, MD, 3Department of Epidemiology and Public Health, University of Maryland, Baltimore, MD

    Background/Purpose: Hypertension is an independent risk factor for both actual cardiovascular events and also subclinical atherosclerosis (coronary calcium, carotid IMT) in SLE. We examined the…
  • Abstract Number: 2572 • 2012 ACR/ARHP Annual Meeting

    Molecular Signatures in SLE: Flare Vs. Infection

    Meggan Mackay1, Michaela Oswald2, Jorge Sanchez-Guerrero3, Juan J. Lichuaco4, Cynthia Aranow5, Sean Kotkin6, Peter K. Gregersen7 and Betty Diamond8, 1Autoimmune & Musculoskeletal Disease, Feinstein Institute for Medical Research, Manhasset, NY, 2Laboratory of Genomics and Human Genetics, The Feinstein Institute for Medical Research, Manhasset, NY, 3UHN Toronto Western Hospital, Toronto, ON, Canada, 4Medicine, St. Luke's Medical Center, Quezon City, Philippines, 5Feinstein Institute for Medical Research, Manhasset, NY, 6Autoimmune & Musculoskeletal Disease, The Feinstein Institute for Medical Research, Manhasset, NY, 7Genomics and Human Genetics, The Feinstein Institute for Medical Research, Manhasset, NY, 8Autoimmune & Musculoskeletal, Feinstein Institute Med Rsch, Manhasset, NY

    Background/Purpose: Inability to distinguish between infection and the inflammatory response related to SLE disease activity using clinical judgment often compromises timely and effective treatment.  Gene…
  • Abstract Number: 2573 • 2012 ACR/ARHP Annual Meeting

    Arthoplasty Rates Increased Among US Patients with Systemic Lupus Erythematosus: 1991-2005

    Christina Mertelsmann-Voss1, Ting Jung Pan2, Huong Do2, Mark P. Figgie3 and Lisa A. Mandl4, 1Pediatric Rheumatology, Hospital for Special Surgery, Cornell University, New York, NY, 2Epidemiology and Biostatistics, Hospital for Special Surgery, New York, NY, 3Orthopedics, Hospital for Special Surgery, New York, NY, 4Rheumatology, Hospital for Special Surgery, New York, NY

    Background/Purpose: There is little data regarding patterns of arthroplasty use in patients with Systemic Lupus Erythematosus (SLE). This study evaluates trends in total joint replacement…
  • Abstract Number: 2574 • 2012 ACR/ARHP Annual Meeting

    Smoking, Autoantibodies and Vascular Events in Systemic Lupus Erythematosus

    Johanna Gustafsson1, Iva Gunnarsson1, Susanne Pettersson1, Agneta Zickert1, Anna Vikerfors2, Erik Hellbacher2, Sonia Möller1, Kerstin Elvin3, Henrik Källberg4, Julia F. Simard5 and Elisabet Svenungsson1, 1Department of Medicine, Rheumatology Unit, Karolinska Institutet, Stockholm, Sweden, 2Department of Medicine, Karolinska Institutet, Stockholm, Sweden, 3Department of Clinical Immunology and Transfusion Medicine,, Karolinska Institutet, Stockholm, Sweden, 4Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden, 5Clinical Epidemiology Unit, Dept of Medicine, Karolinska Institutet, Stockholm, Sweden

    Background/Purpose: Smoking is a risk factor for several autoimmune diseases including rheumatoid arthritis (RA) and systemic lupus erythematosus (SLE). Smoking is also a major risk…
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