ACR Meeting Abstracts

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Abstracts tagged "Clinical practice guidelines"

  • Abstract Number: 1075 • ACR Convergence 2024

    Optimizing Herpes Zoster Vaccination in Rheumatoid Arthritis Patients Ages 18-49 Years: A Quality Improvement Approach

    Akhil Sood1, Pegah Jahangiri1, Christy Bill2 and Janice Lin1, 1Stanford University, Palo Alto, CA, 2Stanford Health Care, Palo Alto, CA

    Background/Purpose: Patients with rheumatoid arthritis are at increased risk for Herpes Zoster (HZ) infection, which is associated with increased hospitalizations and healthcare resource utilization. Despite…
  • Abstract Number: 1076 • ACR Convergence 2024

    Assessing the Reliability of ChatGPT on Recombinant Zoster Vaccination for Patients with Rheumatic and Musculoskeletal Diseases

    Akhil Sood, Pegah Jahangiri, Amanda Moyer and Janice Lin, Stanford University, Palo Alto, CA

    Background/Purpose: As artificial intelligence (AI) platforms continue to evolve, large language models (LLMs) such as ChatGPT by OpenAI are increasingly being utilized by patients and…
  • Abstract Number: 1173 • ACR Convergence 2024

    Safety of Non-Exercise Rehabilitation Interventions for Adults with Rheumatoid Arthritis

    Megna Mishra1, Joshua Torrey2, Bria Dunn2 and Louise Thoma3, 1UNC Health, Cary, 2University of North Carolina-Chapel Hill, Chapel Hill, 3University of North Carolina, Chapel Hill, NC

    Background/Purpose: Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory condition. Improved outcomes occur with early diagnosis, evaluation, and management. Management includes pharmacological, exercise, rehabilitation, diet,…
  • Abstract Number: 1086 • ACR Convergence 2023

    Increase Shingrix Vaccination Rate in Patients on JAK Inhibitors: A Quality Improvement Project at the Rheumatology Practice of an Urban Institution

    Jin Feng1 and Kristaq Koci2, 1Icahn School of Medicine at Mount Sinai Morningside and West, New York, NY, 2Icahn School of Medicine at Mount Sinai Morningside and West, Bronx, NY

    Background/Purpose: The 2022 ACR guidelines for vaccination strongly recommend recombinant VZV vaccination for all patients > 18 years old who are taking immunosuppressive medication. Studies…
  • Abstract Number: 1092 • ACR Convergence 2023

    Improving Screening of Lupus Nephritis in Patients with Systemic Lupus Erythematous

    Lilian Otalora Rojas1, Gurjit S Kaeley2 and Myint Thway3, 1University of Florida, Ponte Vedra Beach, FL, 2University of Florida College of Medicine – Jacksonville, Ponte Vedra Beach, FL, 3UF Jacksonville, Ponte Vedra, FL

    Background/Purpose: Nephritis remains one of the most devastating complications of Systemic lupus erythematosus (SLE). Lupus nephritis (LN) significantly reduces overall survival to approximately 88% at…
  • Abstract Number: 1350 • ACR Convergence 2023

    Identification of ACR Guidelines for SLE Pregnancy Care in the Electronic Health Record

    Noah Forrest1, Joshua Waytz2, April Barnado3, Megan Clowse4, Theresa Walunas1 and Rosalind Ramsey-Goldman5, 1Northwestern University Feinberg School of Medicine, Chicago, IL, 2Northwestern Medicine, Chicago, IL, 3Vanderbilt University Medical Center, Nashville, TN, 4Duke University, Chapel Hill, NC, 5Northwestern University, Chicago, IL

    Background/Purpose: SLE is an autoimmune disease with an increased risk for poor outcomes in pregnancy. In 2020, ACR specified several recommendations to assist clinicians in…
  • Abstract Number: 1701 • ACR Convergence 2023

    Treatment Regimens and Mortality in Systemic Sclerosis-associated Pulmonary Arterial Hypertension in Light of the 2022 ESC/ERS Guidelines

    Hilde Jenssen Bjørkekjær1, Cosimo Bruni2, Cathrine Brunborg3, Patricia Carreira4, Paolo Airò5, Carmen Pilar Simeon-Aznar6, Marie-Elise Truchetet7, Alessandro Giollo8, Alexandra Balbir-Gurman9, Mickael Martin10, Christopher Denton11, Armando Gabrielli12, Havard Fretheim13, Imon Barua13, Helle Bitter14, Oyvind Midtvedt13, Torhild Garen15, Kaspar Broch16, Arne Andreassen17, Yoshiya Tanaka18, Gabriela Riemekasten19, Ulf Müller-Ladner20, marco Matucci Cerinic21, Iván Castellvi22, Elise Siegert23, Eric Hachulla24, Oliver Distler2 and Anna-Maria Hoffmann-Vold13, 1Department of Rheumatology, Hospital of Southern Norway, Kristiansand & University of Oslo, Institute of Clinical Medicine, Oslo, Norway, 2Department of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland, 3Oslo Centre for Biostatistics and Epidemiology, Research Support Services, Oslo University Hospital - Rikshospitalet, Oslo, Norway, 4Hospital Universitario 12 de Octubre, Madrid, Spain, 5Spedali Civili di Brescia, Scleroderma UNIT, UOC Reumatologia ed Immunologia Clinica, Piazzale Spedali Civili 1, 25123, Brescia, Italy, 6Department of Internal Medicine, Systemic Autoimmune Diseases Unit, Hospital Universitario Vall d'Hebronh, Barcelona, Spain, 7Bordeaux University Hospital, Bordeaux, France, 8University of Verona, Rheumatology Section, Department of Medicine, Verona, Italy, Verona, Italy, 9Rheumatology Institute, Rambam Health Care Campus and Rappaport Faculty of |Medicine, Technion, Haifa, Israel, 10Department of Internal Medicine, INSERM U1313, Poitiers University, Poitiers University Hospital, Poitiers, France, 11University College London, London, United Kingdom, 12Ospedali Riuniti Marche, Ancona, Italy, 13Oslo University Hospital, Oslo, Norway, 14Sorlandet sykehus, Kristiansand, Norway, 15Dept of Rheumatology, University Hospital Oslo, Oslo, Norway, 16Oslo University Hospital, Rikshospitalet, Department of Cardiology, Oslo, Norway, KG Jebsen center, Institute for Experimental Medical Research, University of Oslo, Oslo, Norway, 17Oslo University Hospital, Rikshospitalet, Department of Cardiology, Oslo, Norway, 18University of Occupational and Environmental Health, Kitakyushu, Japan, 19University Clinic Schleswit-Holstein (UKSH), Lübeck, Germany, 20Justus Liebig University Gießen, Campus Kerckhoff, Bad Nauheim, Germany, 21Unit of Immunology, Rheumatology, Allergy and Rare diseases, IRCCS San Raffaele Hospital, Milan, Milan, Italy, 22Hospital de Santa Creu i Sant Pau, Barcelona, Spain, 23Department of Rheumatology, Charité University Hospital, Charité Platz 1, D-10117, Berlin, Germany, 24University of Lille, Lille, France

    Background/Purpose: The 2022 ESC/ERS Guidelines recommend upfront combination therapy for low- and intermediate-risk, and triple therapy for high-risk patients with systemic sclerosis (SSc)-associated pulmonary arterial…
  • Abstract Number: 1802 • ACR Convergence 2023

    Rheumatologic Disorder Diagnostic Testing Patterns:Real World Evidence from a National Laboratory Database

    David Alfego1, Quinn Hlatky2, Stanley Naides3, Karis Lee4, Jennifer Ennis5 and Kristen Clark6, 1LabCorp, San Diego, CA, 2LabCorp, Philadelphia, PA, 3Labcorp, Dana Point, CA, 4LabCorp, Orlando, FL, 5LabCorp, Chicago, IL, 6LabCorp, Raleigh, NC

    Background/Purpose: Rheumatologic disorders can take years to diagnose. Diagnosis often requires a combination of specific symptoms, examination findings and laboratory testing, rather than a single…
  • Abstract Number: 1904 • ACR Convergence 2023

    Treat-to-Target in RA Clinical Practice: Global Evidence of Practice Gaps and Educational Needs

    Douglas White1, Maya Buch2, Suzanne Murray3, Diane Caballero4, Orsolya Nagy5 and Tsutomu Takeuchi6, 1Waikato Clinical School, University of Auckland, Hamilton, New Zealand, 2University of Manchester and NIHR Manchester Biomedical Research Centre, Manchester, United Kingdom, 3AXDEV Group Inc, Brossard, QC, Canada, 4AbbVie, Inc., Chicago, IL, 5AbbVie, Inc., Budapest, Hungary, 6Keio University School of Medicine and Saitama Medical University, Tokyo, Japan

    Background/Purpose: Treat-to-target (T2T) is a widely established and accepted approach in RA management, but its real-world implementation is suboptimal1. Further primary research is required to…
  • Abstract Number: 1909 • ACR Convergence 2023

    Identifying and Addressing Suboptimal Urate Lowering Therapy in Gout Patients with Chronic Kidney Disease

    Lena Eder1 and David Leverenz2, 1Duke University, Chapel Hill, NC, 2Duke University School of Medicine, Durham, NC

    Background/Purpose: Patients with gout and chronic kidney disease (CKD) are often not appropriately managed with goal-directed urate-lowering therapy (ULT). To address deficits in management of…
  • Abstract Number: 2395 • ACR Convergence 2023

    Recommendations for Early Referral of Patients with Suspected Polymyalgia Rheumatica: An Initiative from the International Giant Cell Arteritis and Polymyalgia Rheumatica Study Group

    Kresten Keller1, Chetan Mukhtyar2, Andreas Wiggers Nielsen3, Andrea Hemmig4, Sarah Mackie5, Sebastian Sattui6, Ellen Margrethe Hauge3, Anisha Dua7, Toby Helliwell8, Lorna Neil9, Daniel Blockmans10, Valerie Devauchelle11, eric Hayes3, Annett Jansen Venneboer12, Sara Monti13, Cristina Ponte14, Eugenio De Miguel15, Mark Matza16, Kenneth Warrington17, Kevin Byram18, Kinanah Yaseen19, Christine Peoples20, Mike Putman21, Lindsay Lally22, Michael Finikiotis20, Simone Appenzeller23, Ugo Carmori23, CARLOS ENRIQUE TORO GUTIERREZ24, Elisabeth Backhouse25, Maria Camila Guerrero26, Victor Pimentel-Quiroz27, Helen Keen25, Claire Owen28, Thomas Daikeler29, Annette De Thurah3, Wolfgang Schmidt30, Elisabeth Brouwer12 and Christian Dejaco31, 1Department of Rheumatology, Aarhus University Hospital; Department of Clinical Medicine, Aarhus University, Aarhus, Denmark, 2Vasculitis service, Rheumatology department, Norfolk and Norwich University Hospital, Norwich, United Kingdom, 3Aarhus University Hospital, Aarhus, Denmark, 4University of Basel, Basel, Switzerland, 5Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK; Leeds Biomedical Research Centre, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom, 6University of Pittsburgh, Pittsburgh, PA, 7Northwestern University, Chicago, IL, 8Keele University, Keele, United Kingdom, 9Polymyalgia Rheumatica and Giant Cell Arteritis Scotland, Perth, United Kingdom, 10Department of General Internal Medicine, University Hospitals Leuven, Department of Microbiology, Immunology, and Transplantation, KU Leuven, Leuven, Belgium, 11UBO, Brest, France, 12University Medical Center Groningen, Groningen, Netherlands, 13Division of Rheumatology, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy; Department of Internal Medicine and Therapeutics, Università di Pavia, Pavia, Italy, 14Department of Rheumatology, Centro Hospitalar Universitário Lisboa Norte, Centro Académico de Medicina de Lisboa, Lisbon, Portugal; Rheumatology Research Unit, Instituto de Medicina Molecular, Faculdade de Medicina, Universidade de Lisboa, Centro Académico de Medicina de Lisboa, Lisbon, Portugal, 15Hospital Universitario La Paz, Madrid, Spain, 16Massachusetts General Hospital, Newton, MA, 17Mayo Clinic, Rochester, MN, 18Vanderbilt University Medical Center, Nashville, TN, 19Cleveland Clinic, Cleveland, OH, 20University of Pittsburgh Medical Center, Pittsburgh, PA, 21Division of Rheumatology, Medical College of Wisconsin, Milwaukee, WI, 22Hospital for Special Surgery, New York, NY, 23UNICAMP, Campinas, Brazil, 24Centro de Estudios de Reumatología y Dermatología SAS, Cali, Colombia, 25University of Western Australia, Daglish, Australia, 26General practice, Cali, Colombia, 27Universidad Cientifica del Sur/Hospital Guillermo Almenara Irigoyen, EsSalud, Lima, Peru, 28Austin Health, Malvern East, Australia, 29Clinic for Rheumatology, University Hospital Basel, Basel, Switzerland, 30Rheumatology, Immanuel Krankenhaus Berlin, Medical Centre for Rheumatology Berlin-Buch, Berlin, Germany, 31Azienda Sanitaria Alto Adige, Brunico, Italy

    Background/Purpose: Existing EULAR/ACR guidelines on polymyalgia rheumatica (PMR) are focused on the management by rheumatologists. However, there is no consensus regarding early referral and evaluation…
  • Abstract Number: 0761 • ACR Convergence 2023

    EULAR / PreS Recommendations for the Diagnosis and Management of Systemic Juvenile Idiopathic Arthritis (sJIA) and Adult Onset Still’s Disease (AOSD)

    Bruno Fautrel1, STEPHANE MITROVIC2, Arianna De Matteis3, Sara Bindoli4, Jordi Anton5, Alexandre Belot6, Claudia Bracaglia3, Tamas Constantin7, Lorenzo Dagna8, Alessandro de Bartolo9, Eugen Feist10, Dirk Foell11, Marco Gattorno12, Sophie Georgin-Lavialle13, Roberto Giacomelli14, Alexei Grom15, Yvan Jamilloux16, Katerina Laskari17, Calin Lazar18, Francesca Minoia19, Peter Nigrovic20, Filipa Oliveira Ramos21, Seza Ozen22, Pierre Quartier Dit Maire23, Piero Ruscitti24, Erdal Sag25, Sinisa Savic26, Marie-Elise Truchetet27, Sebastiaan Vastert28, Tanita Wilhelmer29, Carine Wouters30, Loreto Carmona31 and Fabrizio De Benedetti32, 1Sorbonne Université APHP, Paris, France, 2Pitie Salpetriere Hospital, Sorbonne University, APHP, Paris, France, 3IRCCS Ospedale Pediatrico Bambino Gesu', Rome, Italy, 4Rheumatology Unit, department of Medicine,University of Padova, Padova, Italy, 5Hospital Sant Joan de Déu, Pediatric Rheumatology Department, Universitat de Barcelona, Barcelona, Spain, 6Hospices Civils de Lyon, Collonges au mont d'or, France, 7Semmelweis University, Budapest, Hungary, 8Ospedale San Raffaele, Milano, Italy, 9PReS Patient Research Partner, Milan, Italy, 10Helios Department of Rheumatology and Clinical Immunology, Vogelsang-Gommern, Germany, 11University Hospital Münster, Münster, Germany, 12UOC Reumatologia e Malattie Autoinfiammatorie, Genoa, Italy, 13AP-HP, Tenon hospital, Paris, France, 14Policlinico Universitario Campus Bio-Medico, Roma, Italy, 15Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 16Hospices Civils de Lyon, Lyon, France, 17Athens University Medical School, Athens, Greece, 18University of Medicine and Pharmacy, Cluj-Napoca, Romania, 19Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy, 20Boston Children's Hospital, Boston, MA, 21Centro Hospitalar Universitário Lisboa Norte, Lisbon, Portugal, 22Hacettepe University Medical Faculty, Ankara, Turkey, 23Necker Hospital, Paris Cedex 15, France, 24University of L'Aquila, L'Aquila, Italy, 25Department of Pediatric Rheumatology, Hacettepe University, Ankara, Turkey, 26Leeds University, Leeds, United Kingdom, 27Bordeaux University Hospital, Bordeaux, France, 28University Medical Center Utrecht, Utrecht, Netherlands, 29EULAR Patient Research Partner, Bludenz, Austria, 30Leuven University, Leuven, Belgium, 31Instituto de Salud Musculoesquelética (InMusc), Madrid, Spain, 32Bambino Gesu Children's Hospital, Division of Rheumatology, Rome, Italy

    Background/Purpose: Systemic juvenile idiopathic arthritis (sJIA) and adult-onset Still's disease (AOSD) are supposed to be age counterparts of the same disease, but no consensus has…
  • Abstract Number: 1006 • ACR Convergence 2023

    Use of Implementation Strategies to Promote Adherence of Knee Osteoarthritis Guidelines and Improve Patient Outcomes: A Systematic Review

    Michelle Ramirez1, Rebecca Fillipo1, Connor Drake1, Lesley Skalla2, Kelli Allen3, Amanda Nelson4 and Maggie Horn1, 1Duke University School of Medicine, Durham, NC, 2Duke University Medical Center Library & Archives, Durham, NC, 3University of North Carolina, Durham, NC, 4University of North Carolina at Chapel Hill, Chapel Hill, NC

    Background/Purpose: Despite the development of care models and practice guidelines the translation of knee osteoarthritis guidelines to practice remains suboptimal. Theoretically informed implementation strategies may…
  • Abstract Number: 062 • 2023 Pediatric Rheumatology Symposium

    Assessment of Barriers and Facilitators in Implementation of the Childhood Arthritis and Rheumatology Research Alliance Consensus Treatment Plans

    Cagri Yildirim-Toruner1, Daniel Glaser2, Timothy Beukelman3, Stacy Ardoin4, Ahmar Hashmi5, Rajdeep Pooni6, Maria Fernandez5, Vincent Del Gaizo7, Leslie Hanrahan7, Mary Ellen Riordan8, Stacey Tarvin9 and CARRA Registry Investigators7, 1Baylor College of Medicine, Texas Children's Hospital, Houston, TX, 2Yale University School of Medicine, New Haven, CT, 3University of Alabama at Birmingham, Birmingham, AL, 4Nationwide Children's Hospital, Columbus, OH, 5The University of Texas Health Sciences Center at Houston, Institute for Implementation Science, Houston, TX, 6Stanford University, Palo Alto, CA, 7CARRA, Washington, DC, 8Hackensack Meridian Health/ Joseph M. Sanzari Children's Hospital, Hackensack, NJ, 9Riley Hospital for Children at Indiana University Health, Indianapolis, IN

    Background/Purpose: Since 2010, the Childhood Arthritis and Rheumatology Research Alliance (CARRA) has developed 12 consensus treatment plans (CTP) with the aim of reducing treatment variability…
  • Abstract Number: L17 • ACR Convergence 2022

    Evaluating the Safety and Factors Associated with Treatment Cessation in Takayasu Arteritis

    Robert Maughan1, Andrew Porter1, Chanaka Dahanayake2, Claudia Ianonne1, Ritu Alapat1, Charis Pericleous1, Taryn Youngstein3 and Justin Mason1, 1Imperial College London, London, United Kingdom, 2Barts Health NHS Trust, London, United Kingdom, 3Imperial NHS Trust, London, United Kingdom

    Background/Purpose: Immunosuppression in Takayasu Arteritis (TA) reduces the risk of arterial damage and disease progression. However, long-term use of glucocorticoids (GC) and other immunosuppressants carries…
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