ACR Meeting Abstracts

ACR Meeting Abstracts

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  • Abstract Number: 355 • 2019 ACR/ARP Annual Meeting

    Comparative Risk of Cardiovascular Events in US Veterans with Gout Treated with Febuxostat versus Allopurinol

    Hanna Zembrzuska1, Yubo Gao 1, Saket Girotra 1, Brian Lund 2, Kenneth Saag 3, Jeffrey Curtis 3, Mary Vaughan-Sarrazin 2 and Namrata Singh 4, 1University of Iowa Hospitals and Clinics, Iowa City, IA, 2Iowa City VA Health Care System, Iowa City, IA, 3University of Alabama at Birmingham, Birmingham, AL, 4University of Iowa, Iowa City

    Background/Purpose: Gout is the most common inflammatory arthritis and is particularly common among veterans. Recent studies, a randomized controlled trial (CARES, White et al. NEJM…
  • Abstract Number: 356 • 2019 ACR/ARP Annual Meeting

    Gout Flares Become Infrequent During a Treat-to-target Strategy over One Year: Data from the NOR-Gout Study

    Till Uhlig1, Lars Fridtjof Karoliussen 2, Espen A Haavardsholm 2, Tore Kvien 1 and Hilde Hammer 2, 1Diakonhjemmet Hospital, Dept. of Rheumatology / University of Oslo, Faculty of Medicine, Oslo, Norway, 2Diakonhjemmet hospital, Oslo, Norway

    Background/Purpose: Urate lowering therapy (ULT) is expected to prevent new gout flares. Treat-to-target ULT is however often not performed, and more evidence on how often…
  • Abstract Number: 357 • 2019 ACR/ARP Annual Meeting

    Longitudinal Variation in Repeat Serum Urate Levels: Relationship with Hyperuricemia Classification

    Andrew Shaffer1, Elizabeth Rahn 2, Kenneth Saag 2, Amy Mudano 3 and Angelo Gaffo 2, 1University of Alabama at Birmingham, Vestavia, AL, 2University of Alabama at Birmingham, Birmingham, AL, 3University of Alabama at Birmingham, Birmingham

    Background/Purpose: Previous studies have noted significant variation in serum urate (sUA) levels, and it is unknown how this influences the accuracy of hyperuricemia classification based…
  • Abstract Number: 358 • 2019 ACR/ARP Annual Meeting

    Emergency Department Encounters in a Large US Payer Database: Tophaceous versus Non-tophaceous Gout Patients

    Meron Mezgebe1, Megan Francis-Sedlak 1, Brian LaMoreaux 1 and Robert Holt 1, 1Horizon Therapeutics plc, Lake Forest, IL

    Background/Purpose: From 2006 to 2012, gout was the primary indication for ~0.2% of all emergency department visits for adults, as reported in the Nationwide Emergency…
  • Abstract Number: 359 • 2019 ACR/ARP Annual Meeting

    Impact of Hospital Admissions on Adherence to Allopurinol Therapy After Discharge

    Nicholas Lebedoff1, Andrea Barker 2, Curry L. Koening 3, Trevor Jones 4, Richard Rose 4, Peter Yarbrough 4 and Michael Battistone 5, 1University of Utah, Salt Lake City, 2Salt Lake City Veterans Affairs Medical Center & University of Utah, North Salt Lake, UT, 3University of Utah Hospital, Salt Lake City, UT, 4Salt Lake City Veterans Affairs Medical Center & University of Utah, Salt Lake City, 5Salt Lake City Veterans Affairs Medical Center & University of Utah, Salt Lake City, UT

    Background/Purpose: Gout is a common disease with effective medical therapies, yet many cases are complicated by providers’ hesitancy to prescribe an adequate dose of urate-lowering…
  • Abstract Number: 360 • 2019 ACR/ARP Annual Meeting

    Colchicine Prophylaxis of Gout Flares When Commencing Allopurinol Is Very Cost Effective: A Health Economic Analysis

    Philip Robinson1, Nicola Dalbeth 2 and Peter Donovan 3, 1University of Queensland, Brisbane, Queensland, Australia, 2University of Auckland, Auckland, New Zealand, 3University of Queensland, HERSTON, Australia

    Background/Purpose: Prophylaxis of acute gout flares when commencing urate lowering therapy is recommended by international guidelines. Whether this is a cost-effective intervention is currently unknown.…
  • Abstract Number: 361 • 2019 ACR/ARP Annual Meeting

    Frequency of Allopurinol Dose Reduction in Hospitalized Patients with Gout Flares

    Irvin Huang1, Alison Bays 2 and Jean Liew 3, 1University of Washington - Boise Internal Medicine Residency, Boise, ID, 2University of Washington Division of Rheumatology, Seattle, WA, 3University of Washington, Seattle, WA

    Background/Purpose: It is a common misconception that allopurinol should either be held or reduced during gout flares and renal insufficiency. However, current guidelines recommend the…
  • Abstract Number: 362 • 2019 ACR/ARP Annual Meeting

    Methods to Efficiently Recruit Minority Patients with Gout for Clinic-Based Registries

    Giovanni Adami1, Giovanna Rosas 2, Joshua Melnick 3, Jeffrey Foster 2, Elizabeth Rahn 2, Amy Mudano 4, Jeffrey Curtis 2, Tony Merriman 5, S Louis Bridges 4 and Kenneth Saag 2, 1University of Verona, Verona, Italy, 2University of Alabama at Birmingham, Birmingham, AL, 3University of Alabama at Birmingham, Birmimgham, AL, 4University of Alabama at Birmingham, Birmingham, 5University of Otago, Birmingham, AL

    Background/Purpose: Gout is frequently misdiagnosed and/or miscoded, making approaches to identifying eligible patients for observational and interventional studies more challenging. Ethnic and racial minorities are…
  • Abstract Number: 363 • 2019 ACR/ARP Annual Meeting

    Efficacy and Outcomes of Telephone-Based Management Program in Patients with Gout

    Abdalhamid Al Harash1, Tarun Sharma 1, Brenda Dunmire 2, Mary Chester Wasko 3 and William Ayoub 1, 1Allegheny Health Network, Pittsburgh, PA, 2AHN, Pittsburgh, PA, 3Allegheny Health Network-West Penn Hospital, Pittsburgh, PA

    Background/Purpose: Gout is the most common inflammatory arthritis in the US, and causes significant morbidity. Despite published guidelines and available effective treatment, management remains suboptimal,…
  • Abstract Number: 364 • 2019 ACR/ARP Annual Meeting

    Calcium Pyrophosphate Crystal Arthritis During Hospitalizations: A Prospective, Crystal-Proven Case Series

    Laura Ranieri1, Francisca Sivera 2 and Mariano Andrés 3, 1Hospital General Universitario de Alicante-ISABIAL, Alicante, Spain, 2Hospital General Universitario de Elda, Elda, Spain, 3Hospital General Universitario de Alicante-ISABIAL, Universidad Miguel Hernández, Alicante, Spain

    Background/Purpose: Despite more than fifty years after its initial description, key questions for calcium pyrophosphate (CPP) crystal disease, such as clinical spectrum, diagnosis or management…
  • Abstract Number: 365 • 2019 ACR/ARP Annual Meeting

    Classifying Pseudogout Using Machine Learning Approaches with Electronic Health Record Data

    Sara K. Tedeschi1, Tianrun Cai 2, Zeling He 3, Yuri Ahuja 4, Chuan Hong 5, Katherine Yates 4, Kumar Dahal 2, Chang Xu 3, Houchen Lyu 2, Kazuki Yoshida 6, Daniel Solomon 7, Tianxi Cai 5 and Katherine Liao 2, 1Brigham and Women's Hospital, Div. of Rheumatology, Immunology and Allergy, Boston, MA, 2Brigham and Women's Hospital, Boston, 3Brigham and Women's Hospital, Boston, MA, 4Harvard Medical School, Boston, 5Harvard T.H. Chan School of Public Health, Boston, 6Brigham and Women's Hospital, Div. of Rheumatology, Immunology and Allergy, Boston, 7Brigham and Women´s Hospital, Div. of Rheumatology, Immunology and Allergy, Boston, MA

    Background/Purpose: Identifying pseudogout in large administrative datasets has been difficult due to lack of specific billing codes for this acute subtype of calcium pyrophosphate (CPP)…
  • Abstract Number: 366 • 2019 ACR/ARP Annual Meeting

    Serum Uric Acid Level and Subclinical Coronary Atherosclerosis in Asymptomatic Individuals: An Observational Cohort Study

    Doo-Ho Lim1, Gyung-Min Park 2, Seung Won Choi 3, Su Jin Choi 4, So Hye Nam 5, Seokchan Hong 4, Yong-Gil Kim 4, Chang-Keun Lee 4 and Bin Yoo 4, 1Division of Rheumatology, Department of Internal Medicine, Ulsan University Hospital, Ulsan, Republic of Korea, 2Ulsan University hospital, Ulsan, Republic of Korea, 3Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea, Ulsan, Republic of Korea, 4Division of Rheumatology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea, 5Asan Medical Center, Seoul, Republic of Korea

    Background/Purpose: High serum uric acid (SUA) level is the main prerequisite for gout, and it might be associated with obesity, hypertension, glucose intolerance, insulin resistance,…
  • Abstract Number: 367 • 2019 ACR/ARP Annual Meeting

    Understanding the Mystery of Sarcoidosis: An Academic Rheumatology Center Experience

    Madiha Tariq1, Mamatha Katikaneni 2, Kanchan Malhotra 3, Jerry McLarty 1, Sarwat Umer 4 and Samina Hayat 5, 1LSUHSC - Shreveport, Shreveport, 2LSUHSC- Shreveport, Shreveport, LA, 3LSUHSC - Shreveport, Shereveport, 4LSUHSC- Shreveport, Shreveport, 5LSUHSC- Shreveport, Shreveport

    Background/Purpose: Sarcoidosis is an inflammatory disorder of unknown etiology characterized by tissue infiltration with non-caseating granulomas which can affect any organ. The most common organ…
  • Abstract Number: 368 • 2019 ACR/ARP Annual Meeting

    Practice Patterns in Bone Health and Vitamin D Management in Sarcoidosis: A Survey of Physicians Who Manage Sarcoidosis

    Huzaefah Syed1, Thieroff George 2, Thomas Iden 1, Aamer Syed 1, Alicia Gerke 3 and Trang Le 1, 1VCU Medical Center, Richmond, VA, 2VCU Medical Center, Richmond, VA, 3University of Iowa, Iowa City, IA

    Background/Purpose: Sarcoidosis is a multisystem disease caused by granulomatous inflammation of unclear etiology. Hypercalcemia, seen in 2-30% of patients with sarcoidosis, is caused by calcitriol…
  • Abstract Number: 369 • 2019 ACR/ARP Annual Meeting

    Methotrexate and Interstitial Lung Disease in Patients with Inflammatory Articular Disease: A Systematic Review

    Esteban Rubio1, Alejandro Muñoz 1 and Núria Casamira 2, 1Rheumatology Department, University Hospital Virgen del Rocío, Sevilla, Spain, 2Medical Department, Gebro Pharma S.A., Barcelona, Spain

    Background/Purpose: Methotrexate (MTX) is a commonly used drug for inflammatory joint diseases.  Occasionally, its use has been associated with diffuse interstitial lung disease (DILD) development1. A…
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