ACR Meeting Abstracts

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Abstracts tagged "glucocorticoids"

  • Abstract Number: 1144 • ACR Convergence 2021

    Underestimation of the Fracture Risk by the FRAX Formula in Chronic Glucocorticoid Users: A 10-year Longitudinal Validation Study

    Chi Chiu Mok1, Ling Yin Ho2, Sau Mei TSE2 and Kar Li Chan3, 1Tuen Mun Hospital, Hong Kong, China, 2Tuen Mun Hospital, Hong Kong, Hong Kong, 3Tuen Mun Hospital, Hong Kong

    Background/Purpose: To compare the actual fracture incidence over 10 years in a longitudinal cohort of patients using glucocorticoids (GCs) with the risk prediction from FRAX…
  • Abstract Number: 1149 • ACR Convergence 2021

    Efficacy of Alendronate for Prevention of New Fractures and Vertebral Deformities in Patients with Rheumatologic Disorders on Chronic Glucocorticoid Therapy: A Systematic Review and Meta-analysis

    Saffa Iftikhar1, Waleed Khokher2, Ashu Acharya1, Joan Gekonde3, Nithin Kesireddy2, Rawish Fatima1 and Nezam Altorok2, 1University of Toledo Medical Center, Toledo, OH, 2University of Toledo, Toledo, OH, 3University of Toledo, Sylvania Township, OH

    Background/Purpose: Glucocorticoids are commonly used in patients with rheumatologic conditions including but not limited to Rheumatoid Arthritis, Polymyalgia Rheumatica, Systemic Lupus Erythematous and so on.…
  • Abstract Number: 1264 • ACR Convergence 2021

    Racial Differences in Chronic Glucocorticoid Use in Patients with SLE: A Cross Sectional Study

    James Sullivan1 and Emily Littlejohn2, 1Cleveland Clinic Lerner College of Medicine, Cleveland Heights, OH, 2Cleveland Clinic, Cleveland, OH

    Background/Purpose: Black patients with systemic lupus erythematosus (SLE) face higher rates of morbidity and mortality compared to White patients. Long-term glucocorticoid use has been associated…
  • Abstract Number: 1283 • ACR Convergence 2021

    Reduction in Glucocorticoid Use in Patients with Systemic Lupus Erythematosus Treated with Belimumab: A Large Pooled Analysis of 5 Placebo-Controlled Studies

    Karen Costenbader1, Yoshiyuki Abe2, Laurent Arnaud3, George Bertsias4, Norma Lynn Fox5, Mathew Gibb6, Anne Hammer5, Alexa Meara7, Holly Quasny8, David Roth5 and Tania Gonzalez-Rivera5, 1Brigham and Women's Hospital, Belmont, MA, 2Juntendo University School of Medicine, Tokyo, Japan, 3Department of Rheumatology, French National Reference Center for Autoimmune Diseases (CRMR RESO), Strasbourg, France, 4Rheumatology, Clinical Immunology and Allergy, University of Crete School of Medicine, Heraklion, Greece, 5GlaxoSmithKline, Collegeville, PA, 6Veramed Ltd., Twickenham, United Kingdom, 7Ohio State University Wexner Medical Center, Columbus, OH, 8GlaxoSmithKline, Research Triangle Park, NC

    Background/Purpose: Glucocorticoids (GC) play an important role in rapid systemic lupus erythematosus (SLE) symptom relief. However, chronic GC use increases organ damage risk; and treatment…
  • Abstract Number: 1398 • ACR Convergence 2021

    Adrenal Insufficiency After Glucocorticoid Treatment of Giant Cell Arteritis

    Alojzija Hocevar1, Rok Jese1, Jelka Kramaric2, Matija Tomšič3 and Ziga Rotar3, 1UKC Ljubjana, Ljubjana, Slovenia, 2UKC Ljubjana, Ljubjana, 3Department of Rheumatology, University Medical Centre Ljubljana, Ljubljana, Slovenia

    Background/Purpose: Adrenal insufficiency is frequently neglected and underappreciated complication of systemic glucocorticoid therapy. We aimed to evaluate the prevalence of glucocorticoid induced adrenal insufficiency in…
  • Abstract Number: 1408 • ACR Convergence 2021

    Treatment of Giant Cell Arteritis in the ARTESER Multicenter Study of 1675 Patients

    Jesús T. Sánchez-Costa1, Iñigo Hernández-Rodríguez2, Elisa Fernández-Fernández3, María T. Silva-Diaz4, Jesús A. Valero-Jaimes5, Ismael González-Fernández6, Julio Sánchez7, Judit Lluch8, Eva Galindez-Agirregoikoa9, Javier Mendizábal-Mateos10, Pia M. Lois Bermejo11, Javier Loricera12, Alejandro Muñoz13, Cristina Valero-Martínez14, Patricia Moya15, Carmen Larena-Grijalba16, Vanessa A. Navarro-Angeles17, Joan Calvet-Fontova18, Ivette Casafont19, Francisco Ortiz-Sanjuán20, Selene Labrada-Arrabal21, Jaime Calvo-Alén22, Carlota L. Iñiguez-Ubiaga23, Vanesa Hernández24, Cristina Campos-Fernández25, María Alcalde-Villar26, Antonio Juan-Mas27, Eugenio De Miguel28, Javier Narvaez29, Miguel Ángel gonzalez-Gay30, Noemí Garrido-Puñal31, Paula V. Estrada-Alarcon17 and Ricardo Blanco32, 1Spanish Society of Rheumatology, Madrid, Spain, 2Complejo Hospitalario Universitario de Vigo, Vigo, Spain, 3Rheumatology department, La Paz University Hospital, Madrid, Spain, 4Complejo Hospitalario Universitario de La Coruña, Coruña, Spain, 5Hospital Universitario Donostia, Donostia-San Sebasti, Spain, 6Hospital Universitario de León, León, Spain, 7Hospital Universitario 12 de Octubre, Madrid, Spain, 8Hospital Universitari Bellvitge, Hospitalet de Llobregat, Spain, 9Hospital Universitario de Basurto, Bilbao, Spain, 10H. Navarra, Navarra, Spain, 11Rheumatology Department, Hospital Clínico San Carlos, Madrid, Spain, 12Hospital Universitario Marqués de Valdecilla, Santander, Spain, 13Hospital Universitario Virgen del Rocío, Sevial, Spain, 14Hospital Universitario de La Princesa, Madrid, Spain, 15Hospital Sant Pau, Barcelona, Spain, 16Rheumatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain, 17Hospital de Sant Joan Despí Moisès Broggi. Sant Joan Despí, Barcelona, Spain, 18Hospital Universitari Parc Tauli, Sabadell, Spain, 19Hospital Universitari Germans Trias i Pujol, Barcelona, Badalona, Spain, 20H. La Fe, Valencia, Spain, 21Hospital del Mar, Barcelona, Spain, 22Rheumatology Department, Hospital Universitario Araba, Vitoria-Gasteiz, Spain, 23Hospital Universitario Lucus Augusti, Lugo, Spain, 24Rheumatology Department, Hospital Universitario de Canarias, La Laguna, Spain, 25Consorci Hospital General Universitari de Valencia, Valencia, Spain, 26Hospital Universitario Severo Ochoa, Leganés, Spain, 27Hospital Universitario Son Llàtzer, Palma de Mallorca, Spain, 28Hospital Universitario La Paz, Madrid, Spain, 29Division of Rheumatology, Hospital Universitario de Bellvitge, Barcelona, Spain, 30Research group on Genetic Epidemiology and Atherosclerosis in Systemic Diseases and in Metabolic Bone Diseases of the Musculoskeletal System, IDIVAL, Division of Rheumatology, Hospital Universitario Marqués de Valdecilla; School of Medicine, Universidad de Cantabria, Santander, Spain. Cardiovascular Pathophysiology and Genomics Research Unit, School of Physiology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa, 31Hospital Universitario Virgen del Rocío, Sevilla, Spain, 32Hospital Universitario Marqués de Valdecilla, IDIVAL, Santander, Spain

    Background/Purpose: Glucocorticoids (GC) are the mainstay therapy in Giant Cell Arteritis (GCA), initially at high doses (40-60 mg/day) followed by gradual glucocorticoid tapering. This treatment,…
  • Abstract Number: 1416 • ACR Convergence 2021

    Dysregulated Glucose Metabolism and Dyslipidemia in GCA and PMR Patients at Diagnosis

    Idil Esen1, Philip Therkildsen2, Berit Dalsgaard Nielsen2, Anna van 't Ende1, Annemieke Boots1, Peter Heeringa1, Ellen-Margrethe Hauge2, Elisabeth Brouwer1 and Yannick van Sleen3, 1University Medical Center Groningen, Groningen, Netherlands, 2Aarhus University Hospital, Aarhus, Denmark, 3University of Groningen, Groningen, Netherlands

    Background/Purpose: Giant cell arteritis (GCA) is the large and medium vasculitis that affects elderly people GCA frequently overlaps with polymyalgia rheumatica (PMR). PMR is a…
  • Abstract Number: 1428 • ACR Convergence 2021

    Association Between Ongoing Glucocorticoid Use and Major Adverse Cardiovascular Events Among Veterans with Rheumatoid Arthritis

    Beth Wallace1, Yuqing Gao2, Punyasha Roul3, Shirley Cohen-Mekelberg2, Bryant England3, Ted Mikuls3, Daniel Clauw4, Wyndy Wiitala2, Rodney Hayward5, Jeremy Sussman6 and Akbar Waljee5, 1Michigan Medicine, VA Ann Arbor Healthcare System, Ann Arbor, MI, 2VA Ann Arbor Healthcare System, Center for Clinical Management Research, Ann Arbor, MI, 3University of Nebraska Medical Center, Omaha, NE, 4University of Michigan, Ann Arbor, MI, 5University of Michigan, VA Ann Arbor Healthcare System, Center for Clinical Management Research, Ann Arbor, MI, 6University of Michigan; VA Ann Arbor Healthcare System; Center for Clinical Management Research, Ann Arbor, MI

    Background/Purpose: A third of RA patients use long-term glucocorticoids (GCs) despite a known dose-dependent association with major adverse cardiovascular (CV) events (MACE). Prior work suggests…
  • Abstract Number: 0120 • ACR Convergence 2021

    Fibromyalgianess and Glucocorticoid Persistence Among Patients with Rheumatoid Arthritis

    Beth Wallace1, Meriah Moore2, Andrew Heisler3, Lutfiyya Muhammad4, Jing Song5, Daniel Clauw2, Clifton Bingham6, Marcy Bolster7, Wendy Marder2, Tuhina Neogi8, Alyssa Wohlfahrt9, Dorothy Dunlop10 and Yvonne Lee10, 1Michigan Medicine, VA Ann Arbor Healthcare System, Ann Arbor, MI, 2University of Michigan, Ann Arbor, MI, 3Bronson Rheumatology Specialists, Kalamazoo, MI, 4Northwestern University Feinberg School of Medicine, Chicago, IL, 5Northwestern University, Worthington, IL, 6Johns Hopkins University, Baltimore, MD, 7Massachusetts General Hospital, Boston, MA, 8Boston University School of Medicine, Boston, MA, 9Tufts University School of Medicine, Boston, MA, 10Northwestern University, Chicago, IL

    Background/Purpose: Over one-third of patients with rheumatoid arthritis (RA) exhibit evidence of fibromyalgianess, a cluster of somatic symptoms associated with increased sensitivity to painful stimuli.…
  • Abstract Number: 1642 • ACR Convergence 2021

    Baseline Body-mass-index and Risk for Obesity in Children with Rheumatic Disease on Moderate to High-dose Prednisone Therapy

    Roberta Berard1, Michael Rieder2, Erkan Demirkaya2, Michael Miller3 and Renee Pang2, 1London Health Sciences Centre, London, ON, Canada, 2University of Western Ontario, London, ON, Canada, 3University of Western Ontario, Children's Research Institute, London, ON, Canada

    Background/Purpose: Prednisone is a glucocorticoid (GC) medication commonly used in moderate ( >7.5 mg per day) to high doses (≥ 1 mg/kg/day) for children with…
  • Abstract Number: 0445 • ACR Convergence 2021

    Safety and Efficacy of Denosumab vs Risedronate in Patients with Glucocorticoid-Induced Osteoporosis and Rheumatoid Arthritis

    Jonathan Adachi1, Arkadi Chines2, Shuang Huang2, Kenneth Saag3, Willem Lems4 and Piet Geusens5, 1McMaster University/St. Joseph's Healthcare, Hamilton, ON, Canada, 2Amgen Inc., Thousand Oaks, CA, 3University of Alabama at Birmingham, Birmingham, AL, 4VUmc, Amsterdam, Netherlands, 5Maastricht University, Genk, Belgium

    Background/Purpose: Denosumab (DMAb) is approved for the treatment of glucocorticoid (GC)–induced osteoporosis (GiOP). In a phase 3, international, active-controlled, double-blind, double-dummy study, treatment with DMAb…
  • Abstract Number: 1678 • ACR Convergence 2021

    Favorable Balance of Benefit and Harm of Long-Term, Low Dose Prednisolone Added to Standard Treatment in Rheumatoid Arthritis Patients Aged 65+: The Pragmatic, Multicenter, Placebo-Controlled GLORIA Trial

    Maarten Boers1, Linda Hartman1, Daniela Opris-Belinski2, Reinhard Bos3, Marc Kok4, Jose Pereira da Silva5, Ed Griep6, Ruth Klaasen7, Cornelia F. Allaart8, Paul Baudoin9, Hennie Raterman10, Zoltan Szekanecz11, Frank Buttgereit12, Pavol Masaryk13, L. Thomas Klausch1, Sabrina Paolino14, Annemarie Schilder3, Willem Lems15 and Maurizio Cutolo14, 1Amsterdam UMC, Vrije Universiteit, Amsterdam, Netherlands, 2Carol Davila University, Bucharest, Romania, 3Medical Center Leeuwarden, Leeuwarden, Netherlands, 4Maasstad Hospital, Rotterdam, Netherlands, 5University of Coimbra | UC · Clínica Universitária de Reumatologia. Faculty of Medicine, Columbia, Portugal, 6Antonius Hospital, Sneek, Netherlands, 7Meander Medical Center, Amersfoort, Netherlands, 8Leiden University Medical Center, Leiden, Netherlands, 9Reumazorg Flevoland, Emmeloord, Netherlands, 10Northwest Clinics, Alkmaar, Netherlands, 11Division of Rheumatology, University of Debrecen, Faculty of Medicine, Debrecen, Hungary, 12Charité – Universitätsmedizin Berlin, Berlin, Germany, 13National Institute for the Rheumatic Diseases, Bratislava, Slovakia, 14Laboratory of Experimental Rheumatology and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, IRCCS Polyclinic San Martino Hospital, Genoa, Italy, 15VUmc, Amsterdam, Netherlands

    Background/Purpose: Low-dose glucocorticoid (GC) therapy is widely used in rheumatoid arthritis (RA) but the balance of benefit and harm is still unclear. We studied the…
  • Abstract Number: 0507 • ACR Convergence 2021

    Tocilizumab in Patients with New Onset Polymyalgia Rheumatica (PMR-SPARE) – a Phase 2/3 Randomized Controlled Trial

    Michael Bonelli1, Helga Radner1, Josef Smolen1, Martina Durechova1, Jutta Stieger2, Rusmir Husic3, Andreas Kerschbaumer1, Christian Dejaco4 and Daniel Aletaha5, 1Medical University of Vienna, Vienna, Austria, 22nd Department of Medicine, Hietzing Hospital, Vienna, Austria, 3Medical University of Graz, Graz, Austria, 4Rheumatology, Hospital of Brunico (SABES-ASDAA), Brunico, Italy, Brunico, Italy, 5Medical University Vienna, Vienna, Austria

    Background/Purpose: PMR is the second most common inflammatory rheumatic disease of people aged 50 years or older. Glucocorticoid therapy is highly effective, but many patients…
  • Abstract Number: 1693 • ACR Convergence 2021

    Lower Adverse Event and Infection Rates During Tocilizumab Therapy Without Concomitant GC: An Analysis of the ICHIBAN Study

    Christof Specker1, Martin Aringer2, Gerd Burmester3, Marvin A. Peters4, Michael W. Hofmann5, Herbert Kellner6, Frank Moosig7, Hans-Peter Tony8 and Gerhard Fliedner9, 1Evangelisches Krankenhaus, Kliniken Essen-Mitte, Essen, Germany, 2Rheumatology, Medicine III, University Medical Center & Faculty of Medicine, TU Dresden, Dresden, Germany, 3Charité University Medicine Berlin, Berlin, Germany, 4Roche Pharma AG, Grenzach-Wyhlen, Germany, 5Chugai Pharma Germany GmbH, Frankfurt am Main, Germany, 6Hospital Neuwittelsbach, Center for Rheumatology and Gastroenterology, Munich, Germany, Munich, Germany, 7Rheumatology Center Schleswig-Holstein Middle, Neumünster, Germany, 8Universitätsklinikum Würzburg, Wuerzburg, Germany, 9Rheumatology Practice, Osnabrueck, Germany

    Background/Purpose: To limit the risk of serious infections, guidelines recommend short term (< 3 months) or low-dose (≤10 mg/day) adjunct glucocorticoids (GCs) to control rheumatoid…
  • Abstract Number: 0584 • ACR Convergence 2021

    High Number of Comorbidities and Concomitant Medications at Baseline in the Glucocorticoid Low-dose Outcome in Rheumatoid Arthritis (GLORIA) Study: An Older Population with Rheumatoid Arthritis

    Maarten Boers1, Linda Hartman1, Daniela Opris-Belinski2, Reinhard Bos3, Marc Kok4, Jose Pereira da Silva5, Eduard N Griep6, Ruth Klaasen7, Cornelia F. Allaart8, Paul Baudoin9, Hennie Raterman10, Zoltan Szekanecz11, Frank Buttgereit12, Pavol Masaryk13, L. Thomas Klausch1, Sabrina Paolino14, Annemarie Schilder15, Willem Lems16 and Maurizio Cutolo14, 1Amsterdam UMC, Vrije Universiteit, Amsterdam, Netherlands, 2Carol Davila University, Bucharest, Romania, 3Department of Rheumatology, Medical Centre Leeuwarden, Leeuwarden, Netherlands, 4Maasstad Hospital, Rotterdam, Netherlands, 5University of Coimbra | UC · Clínica Universitária de Reumatologia. Faculty of Medicine, Columbia, Portugal, 6Antonius Hospital, Leeuwarden, Netherlands, 7Meander Medical Center, Amersfoort, Netherlands, 8Leiden University Medical Center, Leiden, Netherlands, 9Reumazorg ZWN, Almere, Netherlands, 10Northwest Clinics, Alkmaar, Netherlands, 11Division of Rheumatology, University of Debrecen, Faculty of Medicine, Debrecen, Hungary, 12Charité – Universitätsmedizin Berlin, Berlin, Germany, 13National Institute for the Rheumatic Diseases, Bratislava, Slovakia, 14Laboratory of Experimental Rheumatology and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, IRCCS Polyclinic San Martino Hospital, Genoa, Italy, 15Medical Centre Leeuwarden, Leeuwarden, Netherlands, 16VUmc, Amsterdam, Netherlands

    Background/Purpose: Older people are often underrepresented in trials because the generally high number of comorbid conditions (1). The objective of this abstract is to document…
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