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Abstracts tagged "glucocorticoids"

  • Abstract Number: 0995 • ACR Convergence 2022

    Association of Glucocorticoid Use with Healthcare Utilization Among Persons with Systemic Lupus Erythematosus

    Patricia Katz1, Sofia Pedro2, Jiyoon Choi3 and Kaleb Michaud4, 1UCSF, San Rafael, CA, 2Forward, The National Databank for Rheumatic Diseases, Wichita, KS, 3Bristol Myers Squibb, Lawrenceville, NJ, 4University of Nebraska Medical Center, Omaha, NE

    Background/Purpose: Glucocorticoids (GCs) have long been a mainstay of treatment for systemic lupus erythematosus (SLE). While GCs do provide benefit, there are potential side effects…
  • Abstract Number: 1996 • ACR Convergence 2022

    Individual Patient Data Meta-analysis on Continued Use of Glucocorticoids After Their Use as Bridging Therapy in Patients with Rheumatoid Arthritis

    Lotte van Ouwerkerk1, Patrick Verschueren2, Pascal de Jong3, Paul Emery4, Josef Smolen5, Robert Landewé6, Willem Lems7, Maarten Boers8, Tom Huizinga1, CF Allaart1 and Sytske Anne Bergstra9, 1Leiden University Medical Center, Leiden, Netherlands, 2University Hospital Leuven, Leuven, Belgium, 3ErasmusMC, Hendrik Ido Ambacht, Netherlands, 4Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, United Kingdom, 5Medical University of Vienna, Vienna, Austria, 6Amsterdam University Medical Center, Meerssen, Netherlands, 7Amsterdam University Medical Centers, Amsterdam, Netherlands, 8Amsterdam UMC, Vrije Universiteit, Amsterdam, Netherlands, 9LUMC, Leiden, Netherlands

    Background/Purpose: Short-term (< 3 months) treatment with glucocorticoids (GC) ("bridging") is recommended in the EULAR 2019 rheumatoid arthritis (RA) recommendations when starting a csDMARD in…
  • Abstract Number: 0178 • ACR Convergence 2022

    Muscle Fibres Play a Critical Role in Therapeutic Response of Myositis to Glucocorticoids Through Polarisation of the Inflammatory Infiltrate by a Paracrine Mechanism

    Margherita Giannini1, Daniela Rovito2, Léa Debrut3, Céline Keime4, Beatrice Lannes5, Anne-Laure Charles3, Delphine Duteil2, Bernard Geny6, Daniel Metzger2, Gilles Laverny2 and Alain Meyer1, 1Service de Physiologie et explorations fonctionnelles, CHU, Strasbourg ; Centre de Référence des Maladies Autoimmunes Rares, CHU, Strasbourg ; UR3072, Centre de Recherche en Biomédecine, University of Strasbourg, Strasbourg, France, 2University of Strasbourg, CNRS UMR7104, INSERM U1258, IGBMC, F-67400, Illkirch, France, 3UR3072 Centre de Recherche en Biomédecine, University of Strasbourg, Strasbourg, France, 4University of Strasbourg, CNRS UMR 7104, INSERM UMR-S 1258, IGBMC, F-67400, Illkirch, France, 5Département de pathologie, Centre de référence des maladies neuromusculaires, CHU Strasbourg, University of Strasbourg, Strasbourg, France, 6Service de Physiologie et explorations fonctionnelles, CHU, Strasbourg ; UR3072 Centre de Recherche en Biomédecine, University of Strasbourg, Strasbourg, France

    Background/Purpose: Glucocorticoids (GC) are the first line treatment for myositis patients. They improve muscle strength, yet muscle recovery is generally partial and long lasting treatment…
  • Abstract Number: 0997 • ACR Convergence 2022

    Withdrawal of Maintenance Glucocorticoid versus Other Immunosuppressants Among Patients with Systemic Lupus Erythematosus in Long Term Clinical Remission: Interim Analysis of a Non-inferiority Randomised Controlled Trial

    Aishwarya Gopal1, Chengappa Kavadichanda2, Devender Bairwa3, Molly Mary Thabah4 and Vir Singh Negi5, 1Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Pondicherry, Puducherry, India, 2JIPMER, Pondicherry, Puducherry, India, 3Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, Puducherry, India, 4JIPMER, Puducherry, Puducherry, India, 5AIIMS Bilaspur, Puducherry, Puducherry, India

    Background/Purpose: Attempts to stop glucocorticoids among Systemic Lupus Erythematosus(SLE) patients in long term remission have been successful. Continuing other immunosuppressive (IS) agents indefinitely is currently…
  • Abstract Number: 2000 • ACR Convergence 2022

    Tapering of Long-term, Low Dose Glucocorticoids in Senior Rheumatoid Arthritis Patients: Follow up of the Pragmatic, Multicentre, Placebo-controlled GLORIA Trial

    Abdullah Almayali1, Maarten Boers2, Linda Hartman3, Daniela OPRIS-BELINSKI4, Reinhard Bos5, Marc Kok6, Jose Pereira da Silva7, Eduard N Griep8, Ruth Klaasen9, CF Allaart10, Paul Baudoin11, Hennie Raterman12, Zoltan Szekanecz13, Frank Buttgereit14, Pavol MASARYK15, Willem Lems16, Maurizio Cutolo17 and Marieke ter Wee3, 1Amsterdam University Medical Centers, Vrije Universiteit, Purmerend, Noord-Holland, Netherlands, 2Amsterdam UMC, Vrije Universiteit, Amsterdam, Netherlands, 3Amsterdam University Medical Centers, Vrije Universiteit, Amsterdam, Netherlands, 4Carol Davila University, Bucharest, Romania, 5Medical Centre Leeuwarden, Department of Rheumatology, Leeuwarden, Netherlands, 6Department of Rheumatology and Clinical immunology, Maasstad Hospital, Rotterdam, Netherlands, 7University of Coimbra, Rheumatology, Columbia, Portugal, 8Department of Rheumatology, Antonius Hospital, Leeuwarden, Netherlands, 9Department of Rheumatology, Meander Medical Center, Amersfoort, Netherlands, 10Leiden University Medical Center, Leiden, Netherlands, 11Reumazorg Flevoland, Almere, Netherlands, 12Department of Rheumatology, Northwest Clinics, Alkmaar, Netherlands, 13Division of Rheumatology, Faculty of Medicine, Debrecen, Hungary, 14Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin / DRFZ Berlin, Berlin, Germany, 15National Institute for the Rheumatic Diseases, Piešťany, Slovakia, 16Amsterdam University Medical Centers, Amsterdam, Netherlands, 17Laboratory of Experimental Rheumatology and Academic Division of Clinical Rheumatology, Department of Internal Medicine, University of Genova, IRCCS San Martino Polyclinic Hospital, Genova, Italy

    Background/Purpose: Guidelines suggest glucocorticoids (GC) should be used as bridge therapy in rheumatoid arthritis (RA), but many patients are on chronic treatment, and the effects…
  • Abstract Number: 0458 • ACR Convergence 2022

    Predictive Models for Thromboembolic Events in Giant Cell Arteritis: A US Veterans Health Administration Population-Based Study

    Despina Michailidou1, Tianyu Zhang2, Andreas Diamantopoulos3, Pavlos Stamatis4 and Bernard Ng5, 1Division of Rheumatology, University of Washington, Seattle, WA, 2Department of Biostatistics, University of Washington, Seattle, WA, 3Akershus University Hospital, Lørenskog, Norway, 4Department of Clinical Sciences Lund, Rheumatology, Lund University, Sweden, Larissa, Larisa, Greece, 5Rheumatology Section, VA Puget Sound Healthcare System, Seattle, WA

    Background/Purpose: Giant cell arteritis (GCA) is an independent risk factor for thromboembolic events. The purpose of our study was to identify prognostic factors for thromboembolic…
  • Abstract Number: 1041 • ACR Convergence 2022

    Tofacitinib in Refractory Uveitis – an Observational Study

    Nikhil Gupta1 and Deepankur Mahajan2, 1Centre for Arthritis and Rheumatological diseases in Delhi, New Delhi, India, 2Mahajan Eye Centre, New Delhi, India

    Background/Purpose: To evaluate the effect of generic tofacitinib in refractory uveitis patients.Methods: It was a prospective observational study of 23 patients of refractory anterior uveitis.…
  • Abstract Number: 2010 • ACR Convergence 2022

    Lowering Expectations: Glucocorticoid Tapering Among Veterans with Rheumatoid Arthritis Achieving Low Disease Activity on Stable Biologic Therapy

    Beth Wallace1, Bryant England2, Joshua Baker3, Gary Kunkel4, Tawnie Braaten5, Jorge Rojas6, Alison Petro2, Punyasha Roul7, Ted Mikuls8, Brian Sauer9 and Grant Cannon10, 1Michigan Medicine, VA Ann Arbor Healthcare System, Ann Arbor, MI, 2University of Nebraska Medical Center, Omaha, NE, 3University of Pennsylvania, Philadelphia, PA, 4University of Utah, Salt Lake City, UT, 5University of Utah Hospitals and Clinics and VA Salt Lake City Health Care System, Salt Lake City, UT, 6George E. Wahlen Department of Veterans Affairs Salt Lake City Health Care System, Salt Lake City, UT, 7UNMC, Omaha, NE, 8Division of Rheumatology, University of Nebraska Medical Center, Omaha, NE, 9Salt Lake City VA/University of Utah, Salt Lake City, UT, 10Retired, Salt Lake City, UT

    Background/Purpose: Up to 80% of RA patients use glucocorticoids (GC) at some time in their illness. Current ACR guidelines note that difficulty tapering GC promotes…
  • Abstract Number: 0459 • ACR Convergence 2022

    The Use of Intravenous Methylprednisolone in Patients with Giant Cell Arteritis: A Population-Based Study

    Hampus Henningson1, Björn Hammar2, Carl Turesson3 and Aladdin Mohammad1, 1Rheumatology, Department of Clinical Sciences, Lund University, Lund, Sweden, 2Ophthalmology, Department of Clinical Sciences, Lund University, Lund, Sweden, 3Rheumatology, Department of Clinical Sciences, Malmö, Lund University, Malmö, Sweden

    Background/Purpose: Giant cell arteritis (GCA) is the most common vasculitis in the age-group 50 years and older. Cranial involvement is common and can lead to…
  • Abstract Number: 1073 • ACR Convergence 2022

    Analysis of Clinical Outcomes in ANCA-associated Vasculitis Treated with Rituximab: Eighty Years a Single Center Experience in Japan

    Soko Kawashima1, Mitsumasa Kishimoto2, Yoshinori Komagata3 and Shinya kaname4, 1Kyorin University, Mitaka Tokyo, Japan, 2Kyorin University School of Medicine, Yokohama, Japan, 3Kyorin University School of Medicine, Tokyo, Japan, 4Kyorin University, Tokyo, Japan

    Background/Purpose: Contrary to many Western countries, MPO-ANCA-associated vasculitis (MPO-AAV) is dominant in Japan. The therapeutic response to rituximab (RTX) may differ. Therefore, we conducted a…
  • Abstract Number: 2016 • ACR Convergence 2022

    Safety and Efficacy Associated with Long-Term Low Dose Glucocorticoids in Rheumatoid Arthritis: A Systematic Review and Meta-Analysis of Randomized Placebo-Controlled Trials

    Andriko Palmowski1, Sabrina Mai Nielsen2, Zhivana Boyadzhieva3, Abelina Schneider3, Anne Pankow3, Linda Hartman4, Jose Pereira da Silva5, John Kirwan6, Siegfried Wassenberg7, Christian Dejaco8, Robin Christensen9, Maarten Boers10 and Frank Buttgereit11, 1Department of Rheumatology and Clinical Immunology, Charité – Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Berlin, Germany, 2The Parker Institute, Section for Biostatistics and Evidence-Based Research, Bispebjerg-Frederiksberg Hospital, Frederiksberg, Denmark, 3Charité-Universitätsmedizin Berlin, Berlin, Germany, 4Amsterdam University Medical Centers, Vrije Universiteit, Amsterdam, Netherlands, 5University of Coimbra, Rheumatology, Columbia, Portugal, 6University of Bristol, Bristol, United Kingdom, 7Rheumazentrum Ratingen, Ratingen, Germany, 8Department of Rheumatology, Hospital of Brunico (SABES-ASDAA), Brunico, Italy, and Department of Rheumatology and Immunology, Medical University of Graz, Graz, Austria, 9Musculoskeletal Statistics Unit, The Parker Institute, Copenhagen, Denmark, 10Amsterdam UMC, Vrije Universiteit, Amsterdam, Netherlands, 11Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin / DRFZ Berlin, Berlin, Germany

    Background/Purpose: There is ongoing controversy about the safety and efficacy of long-term low dose glucocorticoids (GCs) in rheumatoid arthritis (RA). Our aim was to study…
  • Abstract Number: 0460 • ACR Convergence 2022

    Baseline Glucocorticoid Toxicity in the Treatment of Giant Cell Arteritis: A Post Hoc Analysis of the GiACTA Trial

    Naomi Patel1, Xiaoqing Fu2, yuqing zhang3 and John Stone4, 1Massachusetts General Hospital, Sale Creek, TN, 2Massachusetts General Hospital, Boston, MA, 3Massachusetts General Hospital, Quincy, MA, 4Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: Giant cell arteritis (GCA) requires treatment with high-dose, long-term glucocorticoids (GCs). The development of future GC toxicities may be predicted by baseline toxicities. Thus,…
  • Abstract Number: 1076 • ACR Convergence 2022

    ANCA-Associated Vasculitis Treated with Avacopan versus a Standard Prednisone Taper: Glucocorticoid Toxicity Index Scores by Domain

    Naomi Patel1, David Jayne2, Peter Merkel3, Pirow Bekker4, yuqing zhang5, Huibin Yue4 and John Stone6, 1Massachusetts General Hospital, Sale Creek, TN, 2University of Cambridge, Cambridge, United Kingdom, 3University of Pennsylvania, Philadelphia, PA, 4ChemoCentryx, San Juan Capistrano, CA, 5Massachusetts General Hospital, Quincy, MA, 6Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: The ADVOCATE trial (Jayne DRW et al, N Engl J Med, 2021) was a randomized, double-blind, controlled trial of avacopan vs prednisone in addition…
  • Abstract Number: 2072 • ACR Convergence 2022

    Estimating Corticosteroid-Related Morbidity in Lupus Nephritis: The Glucocorticoid Toxicity Index

    Ilana Usiskin and Vasileios Kyttaris, Beth Israel Deaconess Medical Center, Boston, MA

    Background/Purpose: Patients with lupus nephritis (LN) are often treated with high doses of glucocorticoids and experience glucocorticoid-related toxicity. Quantifying this toxicity may be a useful…
  • Abstract Number: 0461 • ACR Convergence 2022

    The Effects of Daily Prednisone and Tocilizumab on Hemoglobin A1c During the Treatment of Giant Cell Arteritis

    Naomi Patel1, Veronica Tozzo2, John Higgins2 and John Stone3, 1Massachusetts General Hospital, Sale Creek, TN, 2Massachusetts General Hospital, Boston, MA, 3Massachusetts General Hospital Rheumatology Unit, Harvard Medical School, Boston, MA

    Background/Purpose: Hemoglobin A1c (HbA1c) is used clinically to estimate patients' average blood glucose over the preceding few months and is affected by glycemic as well…
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