ACR Meeting Abstracts

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  • Abstract Number: 2380 • 2019 ACR/ARP Annual Meeting

    Improving Depression by Joint Surgery in Established Rheumatoid Arthritis; Results from Multicenter Prospective Cohort Study for Evaluation of Joint Surgery on Patient’s Reported Outcome

    Toshihisa Kojima1, Masayo Kojima 2, Hajime Ishikawa 3, Sakae Tanaka 4, Nobuhiko Haga 5, Keiichiro Nishida 6, Masao Yukioka 7, Jun Hashimoto 8, Hisaaki Miyahara 9, Yasuo Niki 10, Tomoatsu Kimura 11, Hiromi Oda 12, Shuji Asai 1, Koji Funahashi 13 and Naoki Ishiguro 1, 1Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan, 2Nagoya City University Graduate School of Medicne, Nagoya, Japan, 3Niigata Rheumatic Center, Niigata, Japan, 4University of Tokyo, Tokyo, Japan, 5The University of Tokyo Hospital, Tokyo, Japan, 6Okayama University, Graduate School of Medicine, Okayama, Japan, 7Yukioka Hospital, Osaka, Japan, 8National Hospital Organization Osaka Minami Medical Center, Kawachinagano, Japan, 9National Hospital Organization, Kyushu Medical Center, Fukuoka, Japan, 10Keio University, School of Medicine, Tokyo, Japan, 11University of Toyama, Faculty of Medicine, Toyama, Japan, 12Department of Orthopedic Surgery, Faculty of Medicine, Saitama Medical University, Saitama, Japan, 13Kariya-Toyota General Hosptal, Kariya, Japan

    Background/Purpose: Total management including reconstructive joint surgery and rehabilitation should be needed for further improvements of physical function for long-standing RA patients. In these days,…
  • Abstract Number: 2381 • 2019 ACR/ARP Annual Meeting

    Baseline Characteristics Associated with Sustained SDAI Remission Following Treatment with Abatacept in Combination with MTX Compared with Abatacept Placebo in Combination with MTX in ACPA Positive Patients with Early RA

    Paul Emery1, Yoshiya Tanaka 2, Vivian Bykerk 3, Clifton Bingham 4, Thomas Huizinga 5, Gustavo Citera 6, Kuan-Hsiang Gary Huang 7, Sean Connolly 7, Yedid Elbez 8, Karissa Lozenski 9 and Roy Fleischmann 10, 1Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, United Kingdom, 2University of Occupational and Environmental Health Japan, Kitakyushu, Japan, 3Hospital for Special Surgery, New York City, NY, 4Johns Hopkins University, Baltimore, MD, 5Leiden University Medical Center, Leiden, Netherlands, 6Instituto de Rehabilitación Psicofísica, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina, 7Bristol-Myers Squibb, Princeton, NJ, 8Excelya, Boulogne-Billancourt, France, 9Bristol-Myers Squibb, Princeton, 10Metroplex Clinical Research Center and University of Texas Southwestern Medical Center, Dallas, TX

    Background/Purpose: The Phase IIIb Assessing Very Early Rheumatoid arthritis Treatment (AVERT)-2 trial (NCT02504268) is evaluating SC abatacept (ABA) + MTX versus ABA placebo (PBO) +…
  • Abstract Number: 2382 • 2019 ACR/ARP Annual Meeting

    Relationships Between DAS28 Response and Clinical, Functional and Radiographic Outcomes in Year 2 of the COMET Study of Etanercept in Patients with Rheumatoid Arthritis

    Paul Emery1, Ferdinand Breedveld 2, Ronald Pedersen 3, Eduardo Jose Campos 4, Annette Szumski 5 and Tomohiro Hirose 4, 1Leeds Institute of Rheumatic and Musculoskeletal Medicine, Leeds, United Kingdom, 2Leids Universitair Medisch Centrum, Leiden, Netherlands, 3Pfizer, Collegeville, 4Pfizer Japan Inc, Toyko, Japan, 5Syneos Health, Princeton, NJ

    Background/Purpose: For patients with rheumatoid arthritis (RA) who are treated with etanercept (ETN) plus methotrexate (MTX), dosing down of ETN or withdrawal of MTX are…
  • Abstract Number: 2383 • 2019 ACR/ARP Annual Meeting

    Treatment for Rheumatoid Arthritis After Methotrexate-associated Lymphoproliferative Disorder Developed

    Yuji Yoshioka1, Shouhei Nagaoka 2 and Hiroyuki Hagiyama 3, 1Saiseikai Yokohamashi Nanbu Hospital, Yokohama, Japan, 2Yokohama Minami Kyousai Hospital, Yokohama, Kanagawa, Japan, 3Yokohama City Minato Red Cross Hospital, Yokohama

    Background/Purpose: Methotrexate-associated lymphoproliferative disorder (MTX-LPD) is important complication in the rheumatoid arthritis (RA) treatment. There were few reports about clinical features of MTX-LPD and RA…
  • Abstract Number: 2384 • 2019 ACR/ARP Annual Meeting

    Yoga Improves Fatigue and Mental Health in Rheumatoid Arthritis: Preliminary Results of a Randomized Controlled Trial

    Silva Pukšić1, Joško Mitrović 2, Melanie-Ivana Čulo 2, Marcela Živković 3, Biserka Orehovec 4, Dubravka Bobek 5, Marko Lucijanić 6 and Jadranka Morović-Vergles 7, 1Department of Clinical Immunology, Rheumatology and Allergology, University Hospital Dubrava, Zagreb, Croatia, Zagreb, Croatia, 2Department of Clinical Immunology, Rheumatology and Allergology, University Hospital Dubrava, Zagreb, Croatia, 3Department of Laboratory Diagnostics, University Hospital Dubrava, Zagreb, Croatia, Zagreb, Croatia, 4Department of Laboratory Diagnostics, University Hospital Dubrava, Zagreb, Croatia, 5Department of Physical Medicine and Rehabilitation with Rheumatology, University Hospital Dubrava, Zagreb, Croatia, Zagreb, Croatia, 6Department of Hematology, University Hospital Dubrava, Zagreb, Croatia, Zagreb, Croatia, 7Department of Clinical Immunology, Rheumatology and Allergology, University Hospital Dubrava, School of Medicine,Zagreb, Croatia, Zagreb, Croatia

    Background/Purpose: Rheumatoid arthritis (RA) patients perceive reduced health-related quality of life (HRQOL) through functional disability, pain, increased fatigue and impaired psychological functioning. Previous trials demonstrated…
  • Abstract Number: 2385 • 2019 ACR/ARP Annual Meeting

    Efficacy and Safety of Chinese Herbal Medicine Biqi Capsule Combined with Methotrexate in Patients with Rheumatoid Arthritis: A Pilot Study

    Runyue Huang1, Qingchun Huang 2, Jiaqi Wu 3, Xiao Cai 4, Xiumin Chen 4, Yue Zhao 4, Yongliang Chu 2, Jianyong Zhang 5, Jianhong Peng 6, Zhisheng Huang 7, Xianghong Chen 2, Zehao Liu 8 and Aihua Ou 2, 1The Second Affiliated Hospital of Guangzhou University of Chinese Medicine (Guangdong Provincial Hospital of Chinese Medicine), Guangzhou, China; Guangdong Provincial Key Laboratory of Clinical Research on Traditional Chinese Medicine Syndrome, Guangzhou, China;, Guangzou, Guangdong, China (People's Republic), 2The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China (People's Republic), 3Section Rheumatology Research, Guangdong Provincial Hospital of Chinese Medicine, Guangzou, China (People's Republic), 4The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzou, China (People's Republic), 5Shenzhen Hospital of Traditional Chinese Medicine, Shenzhen, China (People's Republic), 6Dongguan Hospital of Traditional Chinese Medicine, Dongguan, China (People's Republic), 7Guangzhou Hospital of Integrated Traditional Chinese and Western Medicine, Huandu, China (People's Republic), 8Second Clinical Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China (People's Republic)

    Background/Purpose:  In recent years, the combination therapies of conventional synthetic disease-modifying antirheumatic drugs (cDMARDs) with Chinses medicine has prevailed for the treatment of rheumatoid arthritis…
  • Abstract Number: 2386 • 2019 ACR/ARP Annual Meeting

    Consensus Statement and Recommendations on Methotrexate Use in Combined Therapy with Biological or Targeted Synthetic Disease Modifying Drugs in Patients with Rheumatoid Arthritis

    Jesus Tornero1, Mercedes Alperi-López 2, Ivan Castellvi 3, Juan José de Agustín de Oro 4, Alejandro Escudero 5, Rosario Garcia-Vicuña 6, Miguel Angel González-Gay 7, Cristina Hidalgo 8, Esteban Rubio 9, Raimon Sanmarti 10, Núria Casamira 11 and Jaime Calvo-Alen 12, 1Hospital de Guadalajara, Guadalajara, Spain, 2Hospital Universitario Central de Asturias, Oviedo, Spain, 3Hospital de la Santa Creu i Sant Pau, Barcelona, Spain, 4Hospital Universitari Vall d’Hebron, Barcelona, Spain, 5IMIBIC/Reina Sofia Hospital/University of Cordoba, Córdoba, Spain, 6Hospital Universitario de La Princesa, Madrid, Spain, 7Universidad de Cantabria and IDIVAL, Hospital Universitario Marqués de Valdecilla, Santander, Spain, 8Hospital Clínico Universitario de Salamanca, Salamanca, Castilla y Leon, Spain, 9Rheumatology Department, University Hospital Virgen del Rocío, Sevilla, Spain, 10Department of Rheumatology, Hospital Clínic, Barcelona, Barcelona, Spain, 11Medical Department, Gebro Pharma S.A., Barcelona, Spain, 12Hospital Universitario Araba, Vitoria-Gasteiz, Spain

    Background/Purpose: Our aim was to develop recommendations for the management of methotrexate (MTX) when considering the combination with biological (b) or targeted synthetic (ts) disease…
  • Abstract Number: 2387 • 2019 ACR/ARP Annual Meeting

    Management of Patients with Incident Rheumatoid Arthritis in Rheumatology Clinical Practice

    isabel Hernandez Rodriguez1, Zulema Rosales Rosado 1, pia Lois 1, Cristina Lajas 1, Judit Font Urgelles 2, Juan Angel Jover Jover 1 and lydia Abasolo Alcazar 1, 1HOSPITAL CLINICO SAN CARLOS, MADRID, Spain, 2HOSPITAL CLINICO SAN CARLOS, MADRID, Madrid, Spain

    Background/Purpose: Treatment of Rheumatoid Arthritis (RA) has changed drastically in the last two decades in strategies and objectives, as well as in therapeutic options, especially…
  • Abstract Number: 2388 • 2019 ACR/ARP Annual Meeting

    Patient Characteristics Associated with Long Term Glucocorticoid Use in a Commercially Insured Incident RA Cohort

    Beth Wallace1, Yuqing Gao 2, Paul Lin 3, Neil Kamdar 4, Jeffrey Curtis 5, Kenneth Saag 5, Daniel Clauw 6 and Akbar Waljee 7, 1Center for Clinical Management Research, VA Ann Arbor Healthcare System; Division of Rheumatology, Department of Internal Medicine, Michigan Medicine, Ann Arbor, MI, 2Center for Clinical Management Research, VA Ann Arbor Healthcare System, Ann Arbor, MI, 3Institute for Healthcare Policy and Innovation, University of Michigan Medical School, Ann Arbor, MI, 4Departments of Obstetrics & Gynecology, Emergency Medicine, Surgery, and Physical Medicine and Rehabilitation, Michigan Medicine, Ann Arbor, MI, 5University of Alabama at Birmingham, Birmingham, AL, 6Division of Rheumatology, Department of Internal Medicine and Division of Anesthesia, Michigan Medicine, Ann Arbor, MI, 7Center for Clinical Management Research, VA Ann Arbor Healthcare System; Division of Gastroenterology, Department of Internal Medicine, Michigan Medicine, Ann Arbor, MI

    Background/Purpose: Prior descriptive work revealed high rates of long term (≥3 months) glucocorticoid (GC) utilization in a commercially insured incident RA cohort [1]. We aim…
  • Abstract Number: 2389 • 2019 ACR/ARP Annual Meeting

    Treat to Target by Specific Cytokine Interdiction: Multiple Biomarker Disease Activity Test Deconstructed

    L Douglas Graham 1 and Lee Graham1, 1Du Page Medical Group, Westmont, IL

    Background/Purpose: Rheumatologists have been encouraged to achieve low disease activity state when treating rheumatoid arthritis (RA).  If it cannot be achieved with initial therapy, experts…
  • Abstract Number: 2390 • 2019 ACR/ARP Annual Meeting

    Prediction of Disease Relapses by Multi-biomarker Disease Activity Score and Autoantibody Status in RA Patients Tapering DMARD Treatment in Stable Remission

    Melanie Hagen1, Koray Tascilar 2, Michaela Reiser 3, Judith Haschka 4, Arnd Kleyer 5, Larissa Valor 6, Bernhard Manger 7, Georg Schett 8 and Jürgen Rech 9, 1Department of Internal Medicine 3 - Rheumatology and Immunology, Friedrich-Alexander-University Erlangen Nürnberg (FAU), University Hospital Erlangen, Erlangen, Germany, Erlangen, Germany, 2Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg, University Hospital Erlangen, Erlangen, Germany, Erlangen, Bayern, Germany, 3Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU) and Universitätsklinikum Erlangen, Erlangen, Bayern, Germany, 4Karl Landsteiner Institute for Gastroenterology and Rheumatology, St. Vincent Hospital Vienna, II Medical Department, Vienna, Austria, 5Department of Internal Medicine 3 – Rheumatology and Immunology, Friedrich-Alexander-University Erlangen-Nürnberg, University Hospital Erlangen, Erlangen, Germany, Erlangen, Germany, 6Friedrich-Alexander-University Erlangen-Nürnberg. Department of Internal Medicine 3 - Rheumatology and Immunology. Erlangen., Erlangen, Germany, 7Friedrich-Alexander-University Erlangen-Nürnberg. Department of Internal Medicine 3 - Rheumatology and Immunology. Erlangen. Germany., Erlangen, Germany, 8Department of Internal Medicine 3, Friedrich Alexander University Erlangen-Nuremberg, Erlangen, Germany, 9Department of Internal Medicine 3, Friedrich-Alexander-University Erlangen-Nuremberg (FAU) and Universitätsklinikum Erlangen, Erlangen, Germany

    Background/Purpose: Achieving remission is the ultimate treatment goal in patients with rheumatoid arthritis (RA). With the development and wider use of highly effective disease modifying…
  • Abstract Number: 2391 • 2019 ACR/ARP Annual Meeting

    Effect of Biologics on the Hemoglobin A1c in a Population of Rheumatoid Arthritis Patients

    Ana Goico 1, Anoka Martis1, Chistopher Kabir 1, David Mael 1 and Shoeb Mohammed 1, 1Advocate Illinois Masonic Medical Center, Chicago, IL

    Background/Purpose: Tumor necrosis factor (TNF), a pathogenic inflammatory mediator in Rheumatoid Arthritis (RA), has been shown to play an essential role in the pathophysiology of insulin resistance.…
  • Abstract Number: 2392 • 2019 ACR/ARP Annual Meeting

    The Effectiveness of anti-IL-6 Therapy to Elderly-onset Rheumatoid Arthritis

    Takayasu Ando1, Takeshi Suzuki 2, Yutaka Gotou 1 and Kimito Kawahata 3, 1Division of Rheumatology and Allergology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan, 2Division of Rheumatology and Allergology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan, 3Rheumatology and Allergology, St. Marianna University School of Medicine, Tokyo, Japan

    Background/Purpose:  In daily practice, our rheumatologist has experienced different clinical feature of elderly-onset rheumatoid arthritis (EORA) compared with younger-onset RA (YORA). In EORA patients, serological…
  • Abstract Number: 2393 • 2019 ACR/ARP Annual Meeting

    Risk of Thromboembolism with Janus Kinase Inhibitors: A Systematic Review and Meta-Analysis of Randomized Placebo Controlled Trials

    Jawad Bilal1, Irbaz Bin Riaz 2, Maryam Sadiq 3, Muhammad Salick 4, Yahya Nomaan 5, Nusrum Iqbal 6, Sandipan Bhattacharjee 7, Lary Prokop 8 and C. Kent Kwoh 7, 1University of Arizona College of Medicine, Tucson, AZ, 2Mayo Hospital Rochester, Rochester, MN, 3Nishtar Medical College, University of Health Sciences, Lahore, Albany, NY, 4Albany Medical Center, Albany, NY, 5Phoenix Children's Hospital, Phoenix, AZ, 6St Joseph's Hospital, Tucson AZ, Tucson, AZ, 7University of Arizona, Tucson, AZ, 8Mayo Clinic, Rochestor, MN

    Background/Purpose: Importance The efficacy of Janus kinase (JAK) inhibitors is well established across a range of diseases. However, there is a major concern regarding the potential risk of an increased…
  • Abstract Number: 2394 • 2019 ACR/ARP Annual Meeting

    Use and Influence of Biologic/Janus Kinase Monotherapy Among Recently Switched Rheumatoid Arthritis Patients: Results from an Annual National Patient Chart Audit

    Lynn Price1, Phil Pouliot 1 and Lauren Schmitt 1, 1Spherix Global Insights, Exton, PA

    Background/Purpose: US rheumatologists have long agreed that methotrexate (MTX) is the backbone of rheumatoid arthritis (RA) treatment, and while comfort with biologic/JAK monotherapy is growing,…
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