ACR Meeting Abstracts

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  • Abstract Number: 2455 • 2012 ACR/ARHP Annual Meeting

    Establishment of Standardized International Units for IgG Anti-β2glycoprotein Antibody Measurement

    Rohan Willis1, Claudia Grossi2, Gabriella Lakos3, Pier Luigi Meroni4, Maria Borghi2, Luis R. Lopez5, Corina Dima6, Marius C. Teodorescu7, Nicholas Ozarka7, Matthias Kast8, Nina Olschowka8, Alfredo Villarreal9, Maria Crisostomo10, Mike Watkins9, Wendy Vandam11, Tony Prestigiacomo11, Josep Puig12, Kerrie Jaskal13, Roger Walker10, Sarah Paul9, T. Buckner14, Fernando S. Cavalcanti12 and Silvia S. Pierangeli15, 1Rheumatolgoy/Dept Int Med, University of Texas Medical Branch, Galveston, TX, 2Lab of immunology, IRCCS Istituto Auxologico Italiano, Milano, Italy, 3Research, INOVA Diagnostics, San Diego, CA, 4Chair and Division of Rheumatology, Gaetano Pini Institute, University of Milan, Milan, Italy, 5Corgenix Inc, Broomfield, CO, 6Microbiology, Theratest Laboratories Inc, Lombard, IL, 7Microbiology, TheraTest Laboratories Inc, Lombard, IL, 8Phadia Thermofisher, Freiburg, MN, Germany, 9BioPlex Division, Bio-Rad Laboratories, Benicia, CA, 10Bio-rad Laboriatories, In, Bio-Rad Laboratories, Hercules, CA, 11Bio-Rad Laboratories, Hercules, CA, 12Biokit, Barcelona, Spain, 13Instrumentation Laboratories, Bedford, MA, 14Corgenix, Broomfield, CO, 15Rheumatology/Dept Int Med, University of Texas Medical Branch, Galveston, TX

    Background/Purpose:   Despite numerous efforts aimed at the standardization of assays for detection of anti-β2Glycoprotein I (aβ2GPI)antibodies, there are still concerns, including the type and…
  • Abstract Number: 2456 • 2012 ACR/ARHP Annual Meeting

    Pro-Inflammatory and Pro-Thrombotic Markers in Persistently Antiphospholipid Antibody-Positive Patients with/without Systemic Lupus Erythematosus

    Gurjot Basra1, Doruk Erkan2, Rohan Willis1, JoAnn Vega3, Ana Laura Carrera Marin4, Patricia Ruiz Limon1, Vijaya L. Murthy1, Shraddha Jatwani1, Neha Dang1, Emilio B. Gonzalez1 and Silvia S. Pierangeli4, 1Rheumatolgoy/Dept Int Med, University of Texas Medical Branch, Galveston, TX, 2Rheumatology, Hospital for Special Surgery, New York, NY, 3Research, Hospital for Special Surgery, New York, NY, 4Rheumatology/Dept Int Med, University of Texas Medical Branch, Galveston, TX

    Background/Purpose: Pro-inflammatory/thrombotic biomarkers (BMR), which are associated with aPL-mediated pathogenic effects in vitro/vivo, are also increased in aPL-positive patients. Here we examined whether those BMR…
  • Abstract Number: 2457 • 2012 ACR/ARHP Annual Meeting

    An Open-Label Prospective Pilot Mechanistic Study of Fluvastatin in Persistently Antiphospholipid Antibody-Positive Patients

    Doruk Erkan1, Rohan Willis2, JoAnn Vega3, Vijaya L. Murthy2, Ana Laura Carrera Marin4, Gurjot Basra2, Patricia Ruiz Limon2, Emilio B. Gonzalez2 and Silvia S. Pierangeli2, 1Rheumatology, Hospital for Special Surgery, New York, NY, 2Rheumatolgoy/Dept Int Med, University of Texas Medical Branch, Galveston, TX, 3Research, Hospital for Special Surgery, New York, NY, 4Rheumatology/Dept Int Med, University of Texas Medical Branch, Galveston, TX

    Background/Purpose: Antiphospholipid antibodies (aPL) induce a pro-inflammatory and pro-thrombotic state by upregulating various cytokines, chemokines, and tissue factor (TF). Fluvastatin reduces TF expression and decrease…
  • Abstract Number: 2458 • 2012 ACR/ARHP Annual Meeting

    The Estimated Prevalence of Antiphospholipid Antibodies in General Population Patients with Pregnancy Loss, Stroke, Myocardial Infarction, and Deep Vein Thrombosis

    Laura Andreoli1, Alessandra Banzato2, Cecilia B. Chighizola3, Guillermo J. Pons-Estel4, Guilherme Ramires de Jesus5, Michael D. Lockshin6, Doruk Erkan7 and On Behalf of APS Action8, 1Rheumatology and Clinical Immunology, University of Brescia, Brescia, Italy, 2Department of Cardiac Thoracic and Vascular Sciences, Department of Cardiac Thoracic and Vascular Sciences, University of Padua, Padua, Italy, 3Rheumatology, Istituto Auxologico Italiano, University of Milan, Milan, Italy, 4Servicio de Enfermedades Autoinmunes, Department of Autoimmune Diseases, Institut Clìnic de Medicina i Dermatologia, Hospital Clìnic, Barcelona, Spain, 5Department of Obstetrics, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil, 6Rheumatology, Hospital for Special Surgery, Weill Cornell Medical College, New York, NY, 7Rheumatology, Hospital for Special Surgery, New York, NY, 8APS ACTION, New York, NY

    Background/Purpose: AntiPhospholipid Syndrome Alliance For Clinical Trials and InternatiOnal Networking (APS ACTION) is an international research network that has been created specifically to design and…
  • Abstract Number: 2459 • 2012 ACR/ARHP Annual Meeting

    Efficacy of Aspirin for the Prevention of the First Thrombo-Embolic Events in Patients with Antiphospholipid Antibodies: A Metanalysis of Literature Data

    Laurent Arnaud1, Alexis Mathian2, Amelia Ruffatti3, Maria Tecktonidou4, Ricard Cervera5, Ricardo Forastiero6, Vittorio Pengo7, Marc Lambert8, Stephane Zuily9, Denis Wahl9 and Zahir Amoura1, 1Internal Medicine, Hôpital Pitié-Salpêtrière, AP-HP, UPMC Univ Paris 06 & French National Reference Center For Systemic Lupus and Antiphospholipid Syndrome, Paris, France, 2Department of Internal Medicine 2. Referal center for SLE/APS, Hôpital Pitié-Salpêtrière, AP-HP, UPMC Univ Paris 06 & French National Reference Center For Systemic Lupus and Antiphospholipid Syndrome, Paris, France, 3Rheumatology Unit, Department of Clinical and Experimental Medicine, University of Padua, Padua, Italy, 4First Department of Internal Medicine, School of Medicine, National University of Athens, Athens, Greece, 5Autoimmune Diseases, Hospital Clínic of Barcelona, Barcelona, Spain, 6Favaloro University, Argentina, 7Clinical Cardiology, Department of Cardiac Thoracic and Vascular Sciences, University of Padova, Padova, Italy, 8Medecine Interne Lilloise, Internal Medicine University Lille Hospital, Lille, Lille, France, 9Regional Competence Center For Rare Vascular And Systemic Autoimmune Diseases, Nancy University Hospital, Université de Lorraine & INSERM U961, Vandoeuvre-Les-Nancy, France

    Background/Purpose: Whether aspirin is needed in patients with antiphospholipid antibodies (aPL+) for prevention of a first thrombotic event is controversial. The aim of this metaanalysis…
  • Abstract Number: 2460 • 2012 ACR/ARHP Annual Meeting

    Dual Antiplatelet Therapy As Prophylaxis of Recurrent Arterial Thrombosis in Patients with antiphospholipid Syndrome

    Yuichiro Fujieda1, Olga Amengual2, Toshiyuki Watanabe1, Michihito Kono2, Yusaku Kanetsuka2, Takashi Kurita2, Toshio Odani1, Kotaro Otomo1, Toshiyuki Bohgaki2, Tetsuya Horita2, Shinsuke Yasuda2 and Tatsuya Atsumi2, 1Medicine II, Hokkaido University, Sapporo, Japan, 2Division of Rheumatology, Endocrinology and Nephrology, Hokkaido University Graduate School of Medicine, Sapporo, Japan

    Background/Purpose: Arterial thrombosis (AT) is a major clinicalmanifestation of the antiphospholipid syndrome (APS). A number of studies have evaluated the rate of recurrent thromboembolism, including…
  • Abstract Number: 2461 • 2012 ACR/ARHP Annual Meeting

    Cost-Effectiveness of Systemic Therapies for Acute Gouty Arthritis

    Kimberly Reiter1, Jeremy Goldhaber-Fiebert2 and Eswar Krishnan3, 1Division of Rheumatology, Stanford University School of Medicine, Palo Alto, CA, 2Center for Health Policy/Center for Primary Care and Outcomes Research, Stanford, Stanford, CA, 3Medicine, Standford University, Palo Alto, CA

    Background/Purpose: Rising prevalence has led to increased demand for newer and potentially costly treatments for acute gouty arthritis, but few studies comparing effectiveness and costs…
  • Abstract Number: 2462 • 2012 ACR/ARHP Annual Meeting

    Projecting the Direct Cost Burden of Osteoarthritis in Canada Using a Population-Based Microsimulation Model From [2010-2031]

    Behnam Sharif1, Jacek A. Kopec2, Mushfiqur Rahman3, Nick Bansback4, Eric C. Sayre2, Philippe Finès5, Hubert Wong6 and Aslam H. Anis4, 1School of Population and Public Health, University of British Columbia, Arthritis Research Centre of Canada, Vancouver, BC, Canada, 2Arthritis Research Centre of Canada, Vancouver, BC, Canada, 3Rheumatology, Arthritis Research Centre of Canada, Vancouver, BC, Canada, 4St. Paul's Hospital, Centre for Health Evaluation and Outcome Sciences, Vancouver, BC, Canada, 5Statistics Canada, 150 Tunney's Pasture Driveway, Ottawa, ON, Canada, Ottawa, ON, Canada, 6School of Population and Public Health, University of British Columbia, St Paul's Hospital, University of British Columbia, Vancouver, V6Z 1Y6, Canada, Vancouver, BC, Canada

    Background/Purpose: POHEM-OA (Population Health Model-Osteoarthritis) is a population-based microsimulation model that uses Canadian Community Health Survey-2001 to generate the initial population and models every individual's…
  • Abstract Number: 2463 • 2012 ACR/ARHP Annual Meeting

    Cost-Effectiveness of Tocilizumab Monotherapy Vs. Adalimumab Monotherapy in the Treatment of Severe Active Rheumatoid Arthritis

    Josh J. Carlson1, Sarika Ogale2, Fred Dejonckheere3 and Sean Sullivan4, 1Pharmacy, University of Washington, Seattle, WA, 2Genentech, South San Francisco, CA, 3F. Hoffmann-La Roche Ltd, Basel, Switzerland, 4Health Sciences Building, University of Washington, Seattle, WA

    Background/Purpose: The ADACTA trial found that biologic naïve patients with severe active RA who are methotrexate (MTX) intolerant or in whom continued MTX treatment is…
  • Abstract Number: 2464 • 2012 ACR/ARHP Annual Meeting

    Cost-Sharing and Utilization of Biologic and Non-Biologic Dmards Among U.S. Medicare Beneficiaries with Rheumatoid Arthritis

    Chris Tonner, Gabriela Schmajuk and Jinoos Yazdany, Medicine, University of California, San Francisco, San Francisco, CA

    Background/Purpose:  While Medicare's Part D prescription drug benefit expanded access to drugs for many patients, it also includes a controversial provision called the "coverage gap"…
  • Abstract Number: 2465 • 2012 ACR/ARHP Annual Meeting

    Seroresponse Rates After Influenza Vaccination in Rheumatoid Arthritis Patients Treated with Biological Agents During the 2011–2012 Flu Season

    Masatoshi Hayashi1, Toshihisa Kojima2, Naoki Ishiguro3, Tomonori Kobayakawa4 and Toshihisa Kanamono1, 1Departments of Orthopedic surgery and Rheumatology, Nagano Red Cross Hospital, Nagano, Japan, 2Orthopedic Surgery and Rheumatology, Nagoya Univeristy, School of Medicine, Nagoya, Japan, 3Department of Orthopedic Surgery, Nagoya University, Graduate School & Faculty of Medicine, Nagoya, Aichi, Japan, 4Orthopedic Surgery, Nagoya university, Nagoya, Japan

    Background/Purpose: At present, annual vaccination against influenza is recommended for rheumatoid arthritis (RA) patients. However, whether humoral responses to influenza vaccine are impaired in RA…
  • Abstract Number: 2426 • 2012 ACR/ARHP Annual Meeting

    Prevalence and Characteristics of Sleep Problems in Rheumatoid Arthritis: A Systematic Review of the Literature

    Cassandra Coleman1 and Yvonne C. Lee2, 1Rheumatology, Brigham and Women's Hospital, Boston, MA, 2Department of Medicine, Division of Rheumatology, Immunology and Allergy, Brigham and Women's Hospital, Boston, MA

    Background/Purpose: Rheumatoid arthritis (RA) patients commonly complain of sleep problems.  Difficulties with sleep may be associated with increased fatigue, greater pain and worse quality of…
  • Abstract Number: 2427 • 2012 ACR/ARHP Annual Meeting

    Health-Related Quality of Life in Adolescents with Rheumatic Disease

    Sandra J. Watcher1, Maggie Sepkowitz1, Suhas M. Radhakrishna2, Anusha Ramanathan3, Liz Morasso4, Jennifer Chang5 and Jeffrey I. Gold6, 1Rheumatology, Children's Hospital of LA, Los Angeles, CA, 2Pediatric Rheumatology, Kaiser Permananete Medical Group, Oakland, CA, 3Rheumatology, Children's Hospital Los Angeles, Los Angeles, CA, 4Division of Adolescent Medicine/Rheumatology, Childrens Hospital Los Angeles, Los Angeles, CA, 5Anesthesiology Critical Care Medicine, Childrens Hospital Los Angeles, Los Angeles, CA, 6Anesthesiology & Pediatrics - Anesthesiology Critical Care Medicine, Keck School of Medicine, University of Southern California - Children's Hospital Los Angeles, Los Angeles, CA

    Background/Purpose: Adolescents with chronic health disease face a variety of physical and psychological challenges. Adolescents with rheumatologic conditions vary with regard to their physical, emotional,…
  • Abstract Number: 2428 • 2012 ACR/ARHP Annual Meeting

    Causal Beliefs of Disease Among Patients with Systemic Vasculitis

    Peter C. Grayson1, Naomi Amudala2, Carol McAlear3, Renée Leduc4, Denise Shereff5, Rachel Richesson6, Liana Fraenkel7 and Peter A. Merkel8, 1Section of Rheumatology & the Clinical Epidemiology Unit, Boston University School of Medicine, Vasculitis Center, Boston, MA, 2Rheumatology & Vasculitis, Boston University Medical Center, Boston, MA, 3Vasculitis Clinical Research Consortium, University of Pennsylvania, Philadelphia, PA, 4Pediatrics Epidemiology Center, University of South Florida, Tampa, FL, 5Division of Bioinformatics and Biostatistics, University of South Florida, Tampa, FL, 6Epidemiology & Biostatistics, University of South Florida, Tampa, FL, 7Medicine, Section of Rheumatology, Yale University School of Medicine, Veterans Affairs Connecticut Healthcare System, New Haven, CT, 8University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Patients vary in their beliefs related to the cause of serious illness. The impact of these beliefs among patients with systemic vasculitis is not…
  • Abstract Number: 2429 • 2012 ACR/ARHP Annual Meeting

    Balancing Work and Health: Do Younger Workers Experience More Work-Health Conflict Than Middle- and Older-Aged Workers with Rheumatic Diseases?

    Arif Jetha1, Xingshan Cao2 and Monique A. Gignac3, 1Health Care and Outcomes Research, Toronto Western Research Institute; Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada, 2Divison of Health Care & Outcomes Research, Arthritis Community Research and Evaluation Unit , Toronto Western Research Institute, Toronto, ON, Canada, 3Institute for Work and Health, Toronto, ON, Canada

    Background/Purpose:   Research on work-life balance with healthy adults finds that difficulties balancing roles is related to negative employment outcomes. Yet, little is known about…
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