ACR Meeting Abstracts

ACR Meeting Abstracts

  • Meetings
    • ACR Convergence 2024
    • ACR Convergence 2023
    • 2023 ACR/ARP PRSYM
    • ACR Convergence 2022
    • ACR Convergence 2021
    • ACR Convergence 2020
    • 2020 ACR/ARP PRSYM
    • 2019 ACR/ARP Annual Meeting
    • 2018-2009 Meetings
    • Download Abstracts
  • Keyword Index
  • Advanced Search
  • Your Favorites
    • Favorites
    • Login
    • View and print all favorites
    • Clear all your favorites
  • ACR Meetings

Abstracts tagged "registry"

  • Abstract Number: 0378 • ACR Convergence 2024

    Disparate Disease Activity Outcomes Associated with Demographic Variables in Patients with Juvenile Idiopathic Arthritis in the Pediatric Rheumatology Care and Outcomes Improvement Network Registry

    Julia Harris1, Catherine Bingham2, Sheetal Vora3, Cagri Yildirim-Toruner4, Kerry Ferraro5, Erik Friedrichsen6, Michelle Batthish7, Jon Burnham8, Danielle Fair9, Suhas Ganguli10, Mileka Gilbert11, Beth Gottlieb12, Tzielan Lee13, Daniel Lovell14, Melissa Mannion15, Edward Oberle16, Nancy Pan17, Linda Ray18, Michael Shishov19, Mary Toth20 and Esi Morgan21, 1Children's Mercy Kansas City, Overland Park, KS, 2Penn State Children’s Hospital, Hershey, 3Atrium Health Levine Children's Hospital, Charlotte, NC, 4Baylor College of Medicine/ Texas Children's Hospital, Houston, TX, 5JIA parent and CHOP volunteer, Lower Gwynedd, PA, 6Seattle Children's Hospital, Seattle, 7McMaster Children's Hospital, Hamilton, ON, Canada, 8Children's Hospital of Philadelphia, Philadelphia, PA, 9Medical College of Wisconsin/Children's Wisconsin, Wauwatosa, WI, 10Hackensack University Medical Center, Hackensack, 11Medical University of South Carolina, Charleston, SC, 12Cohen Children's Medical Center, Lake Success, NY, 13Stanford University School of Medicine, Palo Alto, CA, 14Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 15University of Alabama at Birmingham, Birmingham, AL, 16Nationwide Children's Hospital, Columbus, OH, 17Hospital for Special Surgery, Weill Cornell Medicine, New York, NY, 18University of Mississippi Medical Center, Jackson, MS, 19Phoenix Children's Hospital, Phoenix, AZ, 20Nemours Foundation, Orlando, FL, 21Seattle Children's Hospital, Seattle, WA

    Background/Purpose: The Pediatric Rheumatology Care and Outcomes Improvement Network (PR-COIN) is a North American learning health network focused on improving outcomes in patients with juvenile…
  • Abstract Number: 1226 • ACR Convergence 2024

    The Problem of Pain in Systemic Lupus Erythematosus: A Comprehensive Analysis of Pain Distribution Using the CHOIR Body Map and PROMIS Measures

    Tiffany Jiang1, Sean Mackey2, Beth Darnall2, Julia Simard3 and Titilola Falasinnu4, 1Yale School of Medicine, New Haven, CT, 2Stanford School of Medicine, Stanford, 3Stanford School of Medicine, Stanford, CA, 4Stanford School of Medicine, Palo Alto, CA

    Background/Purpose: Systemic lupus erythematosus (SLE), characterized by an autoimmune attack of healthy tissues, presents a complex collection of symptoms affecting multiple organ systems. Among these,…
  • Abstract Number: 2275 • ACR Convergence 2024

    Cardiovascular and Cancer Safety of JAKi Compared to TNFi in Patients with Rheumatoid Arthritis: Results from a National Registry of Advanced Therapies

    Lucia Otero-Varela1, Carlos Sanchez-Piedra2, Elena Rabadán Rubio3, Juan Camilo Sarmiento-Monroy4, Chamaida Plasencia-Rodríguez5, Diana Sueiro6, Olga Martinez7, Noemí Busquets Pérez8, Mercedes Freire González9, Fernando Sánchez-Alonso10, José María Álvaro-Gracia11 and Isabel Castrejon12, and BIOBADASER group, 1Spanish Society of Rheumatology, Madrid, Spain, 2Agencia de Evaluación de Tecnologías Sanitarias, Instituto de Salud Carlos III, Madrid, Spain, 3Hospital Universitario Principe de Asturias, Alcalá de Henares, Madrid, Spain, 4Hospital Clínic Barcelona, Barcelona, Spain, 5Hospital Universitario La Paz, MADRID, Spain, 6Complexo Hospitalario Universitario de Ourense, Ourense, Spain, 7Hospital Universitario de Salamanca, Zamora, Spain, 8HOSP. GENERAL DE GRANOLLERS, GRANOLLERS, Spain, 9Complexo Hospitalario Universitario de A Coruña, La coruna, Galicia, Spain, 10Sociedad Española de Reumatología, Madrid, Spain, 11Hospital Gregorio Marañón, Madrid, Spain, 12Hospital General Universitario Gregorio Marañon, Madrid, Spain

    Background/Purpose: Preliminary results from the ORAL Surveillance clinical trial showed an increase in the risk of major adverse cardiovascular events (MACE) and malignancies in patients…
  • Abstract Number: 0447 • ACR Convergence 2024

    Pregnancy Outcomes in Women Exposed to Guselkumab: Review of Cases Reported to the Manufacturer’s Global Safety Database

    Connie Lin1, Anja Geldhof2, Mauricio Ballina3, Hetal Patel4 and Hewei Li5, 1Janssen R&D US, Horsham, PA, 2Director Postmarketing Commitments, Leiden, Netherlands, 3Actelion Research & Development, Basel, Switzerland, Gewerbestrasse, Basel-Landschaft, Switzerland, 4Pharmaceutical Companies of Johnson & Johnson, Naperville, IL, 5Janssen Pharmaceutical, Hopewell Township, NJ

    Background/Purpose: Data pertaining to the use of biologics in immunologic diseases are limited on their use during pregnancy. Guselkumab (GUS) is a human IgG1λ mAb…
  • Abstract Number: 1271 • ACR Convergence 2024

    Linkage of the Childhood Arthritis and Rheumatology Research Alliance Registry with the Pediatric Health Information System: Creation of a Comprehensive Childhood-Onset Lupus Dataset

    Jordan Roberts1, Anna Faino2, Min-Lee Chang3, Jonathan Cogen4, Matt Hall5 and Esi Morgan1, and for the CARRA Registry Investigators, 1Seattle Children's Hospital, Seattle, WA, 2Seattle Children's Research Institute, Core for Biostatistics, Epidemiology and Analytics in Research, Seattle, 3Computational Health Informatics Program, Boston Children’s Hospital, Boston, MA, 4Seattle Children’s Hospital, Seattle, WA, 5Children’s Hospital Association, Lenexa, KS

    Background/Purpose: Currently, no comprehensive national multipayer dataset with inpatient and outpatient data exists for childhood rheumatologic diseases, limiting the ability to study outcomes longitudinally and…
  • Abstract Number: 2277 • ACR Convergence 2024

    Switching to a Targeted Drug with a Different Mode of Action After Discontinuation of the First TNF Inhibitor Is Associated with Better Drug Survival Compared to a Second TNF Inhibitor in Rheumatoid Arthritis: A Propensity Score-matched Analysis from the Czech ATTRA Registry

    Herman Mann1, Jana Baranová2, Pavel Horak3, Karel Pavelka4, Ladislav Šenolt5, Jiří Vencovský5, Kateřina Kusalová2 and Jakub Závada4, and ATTRA registry, 1Revmatologický ústav, Praha, Czech Republic, 2Institute of Biostatistics and Analyses, Ltd., Brno, Czech Republic, 33rd Department of Internal Medicine - Nephrology, Rheumatology and Endocrinology, University Hospital Olomouc & Palacky University Olomouc, Faculty of Medicine and Dentistry, Olomouc, Olomoucky kraj, Czech Republic, 4Institute of Rheumatology and Charles University, Praha, Czech Republic, 5Institute of Rheumatology and Department of Rheumatology, First Faculty of Medicine, Charles University, Prague, Czech Republic

    Background/Purpose: TNF inhibitors (TNFi) are currently the most commonly used first-line targeted therapy for patients with rheumatoid arthritis (RA). After discontinuation of the first TNFi,…
  • Abstract Number: 0496 • ACR Convergence 2024

    Dissecting Early RA Patient Trajectories Through Time-independent Disease State Identification Identifies Distinct Patterns Dissected by Inflammation in Blood or Joints

    Nils Steinz1, Tjardo Maarseveen2, Andrew Cope3, John Isaacs4, Aaron Winkler5, Thomas Huizinga6, Yann Abraham7 and Rachel Knevel1, 1Department of Rheumatology, Leiden University Medical Center, Leiden, Netherlands, 2Department of Rheumatology, Leiden University Medical Center, Wormerveer, Netherlands, 3King's College London, London, United Kingdom, 4Translational and Clinical Research Institute, NIHR Newcastle Biomedical Research Centre, Newcastle University and The Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, United Kingdom, 5Pfizer Inc., Cambridge, MA, 6Department of Rheumatology, Leiden University, Leiden, Netherlands, 7Janssen Research and Development, Beerse, Belgium

    Background/Purpose: Patients with RA display different trajectories in the improvement of disease activity. Discerning the RA trajectories, how they differ between patients and which factors…
  • Abstract Number: 1377 • ACR Convergence 2024

    Evaluation of the Survival and Safety of Biologic and Targeted Synthetic DMARD in Patients with Difficult-to-Treat RA Using Real-World Data from a Nationwide Registry of Rheumatic Diseases

    Adrián Quevedo-Rodríguez1, Lucia Otero-Varela2, Fernando Sánchez-Alonso3, Yanira Pérez-Vera1, Javier Manero-Ruiz4, Cristina Campos-Fernández5, Sara Manrique-Arija6, Paloma Vela-Casasempere7, Antonio Mera-Varela8, César Díaz9, Atusa Movasat10, Blanca Garcia-Magallon11, Inmaculada Ros-Vilamajó12, Carolina Perez-Garcia13 and Isabel Castrejon14, and BIOBADASER working group., 1Hospital de Gran Canaria Doctor Negrin, Las Palmas de Gran Canaria, Spain, 2Spanish Society of Rheumatology, Madrid, Spain, 3Sociedad Española de Reumatología, Madrid, Spain, 4Hospital Universitario Miguel Servet, Zaragoza, Spain, 5Consorci Hospital General Universitari de València, Comunitat Valenciana, Spain, Valencia, Spain, 6Biomedical Research Institute of Malaga (IBIMA)-Bionand Platform, Department of Rheumatology, Regional University Hospital of Malaga, Malaga, Spain, 7Hospital General Universitario Alicante, Alicante, Spain, 8Department of Rheumatology. Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, Spain, 9Hospital de la Santa Creu i Sant Pau, Barcelona, Spain, 10Hospital Universitario Príncipe de Asturias, Madrid, Spain, 11Hospital Universitario Puerta de Hierro Majadahonda., Madrid, Spain, 12Hospital Universitari Son Llàtzer, Palma de Mallorca, Islas Baleares, Spain, 13Hospital del Mar, Barcelona, Spain, 14Hospital General Universitario Gregorio Marañón and Complutense University of Madrid, Madrid, Spain

    Background/Purpose: Biologic and targeted synthetic disease-modifying drugs (b/tsDMARDs) have changed the way rheumatoid arthritis (RA) is managed in recent years. Still, some patients remain symptomatic…
  • Abstract Number: 2283 • ACR Convergence 2024

    Characterization of Second-Line Therapy After First Janus Kinase Inhibitor Use: Results from the CorEvitas RA Registry

    Joshua Baker1, Kristi Mizelle2, Wassim Saikali3, Page Moore4, Hyung-Joo Kang4, David Gruben5, Ahmed Shelbaya6, Lori Stockert7 and Jacqueline O'Brien4, 1Department of Medicine, Perelman School of Medicine University of Pennsylvania, Philadelphia, PA, 2TPMG Rheumatology, Newport News, VA, 3Rheumatology and Pulmonary Clinic, Beckley, WV, 4CorEvitas, LLC, Waltham, MA, 5Pfizer Inc, Groton, CT, 6Pfizer Inc, New York, NY, 7Pfizer Inc, Collegeville, PA

    Background/Purpose: Janus kinase inhibitors (JAKi) are a widely acceptable drug class in the treatment of RA. However, real-world data on the patterns of JAKi use and…
  • Abstract Number: 0501 • ACR Convergence 2024

    How Fast Do JAK-inhibitors, TNF-inhibitors, Abatacept and IL-6 Inhibitors Act in Rheumatoid Arthritis? An International Collaboration of Registers of Rheumatoid Arthritis Patients (the “JAK-pot” Study)

    Delphine Sophie Courvoisier1, Yacine Mrad1, Denis Mongin1, Romain Aymon2, Roberto Caporali3, Denis Choquette4, Catalin Codreanu5, Louis Coupal4, Doreen Huschek6, Kimme Hyrich7, Florenzo Iannone8, Tore K. Kvien9, Monika Mustak10, Dan Nordstrom11, Nina Trokovic12, Lucia Otero-Varela13, Karel Pavelka14, Manuel Enrique Pombo Suarez15, Sella A. Provan16, Ana Maria Rodrigues17, Ziga Rotar18, Prodromos Sidiropoulos19, Anja Strangfeld20, Jakub Závada14, Sizheng Zhao21, Axel Finckh1 and Kim Lauper1, 1Division of Rheumatology, Geneva University Hospitals, Geneva, Switzerland, 2Division of Rheumatology, Geneva University Hospitals, Collonges-sous-Salève, France, 3Department of Clinical Sciences and Community Health, University of Milan, and Department of Rheumatology and Medical Sciences, ASST Gaetano Pini-CTO, Milan, Italy, 4Rhumadata™, Montreal, QC, Canada, 5University of Medicine and Pharmacy, Bucharest, Romania, 6German Rheumatism Research Center (DRFZ) Berlin, Berlin, Germany, 7Centre for Musculoskeletal Research, The University of Manchester, Manchester, United Kingdom, 8Rheumatology Unit- University of Bari "Aldo Moro", IT, Bari, Italy, 9Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway and University of Oslo (UiO), Institute of Clinical Medicine, Oslo, Norway, Oslo, Norway, 10Department of Internal Medicine II, Kaiser Franz Josef Hospital, Vienna, Austria, 11Helsinki University Hospital, Helsinki, Finland, 12Department of Medicine and Rheumatology ROB-FIN, Helsinki University Hospital, Helsinki, Finland, 13Spanish Society of Rheumatology, Madrid, Spain, 14Institute of Rheumatology and Charles University, Praha, Czech Republic, 15Rheumatology Department, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain, 16Center for treatment of Rheumatic and Musculoskeletal Diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway, Oslo, Norway, 17Nova Medical School and Hospital dos Lusíadas, Lisbon, Portugal, 18University Medical Centre Ljubljana and University of Ljubljana, Ljubljana, Slovenia, 19University of Crete, Laboratory of Rheumatology, Autoimmunity and Inflammation. University Hospital, Rheumatology, Clinical Immunology. Institute of Molecular Biology and Biotechnology, Foundation for Research and Technology, Heraklion, Greece, HERAKLIO, Greece, 20German Rheumatism Research Center (DRFZ) Berlin and Charité University Medicine, Berlin, Germany, 21Centre for Musculoskeletal Research, The University of Manchester, Liverpool, United Kingdom

    Background/Purpose: JAK-inhibitors (JAKi) have demonstrated a rapid onset of action; however, it is unclear how they compare to other targeted therapies in rheumatoid arthritis (RA).…
  • Abstract Number: 1404 • ACR Convergence 2024

    Modeling Diversity in Systemic Lupus Erythematosus (SLE) Clinical Trials Using Real-world Data (RWD) Sources

    Andrew Bevan1 and Nora Carroll2, 1Integrated Project Solutions, PPD, part of Thermo Fisher Scientific, Cambridge, United Kingdom, 2Cardiovascular and General Medicine, Thermo Fisher Scientific, Athlone, Ireland

    Background/Purpose: The FDA places emphasis on studying clinically relevant trial populations but does not address how these might be defined. SLE disproportionately affects women and…
  • Abstract Number: 2350 • ACR Convergence 2024

    Do Smoking and Obesity Impact Secukinumab Treatment Outcomes? Real-world Data from 1,202 European Patients with Psoriatic Arthritis

    Zohra Faizy Ahmadzay1, Stylianos Georgiadis2, Mikkel Ostergaard3, Bente Glintborg4, Signe Møller-Bisgaard5, Marion Pons6, Jette Heberg7, Sara Nysom Christiansen8, Simon Horskjær Rasmussen6, Anne Gitte Loft9, Isabel Castrejon10, Lucia Otero-Varela11, Jakub Závada12, Karel Pavelka12, Jarno Rutanen13, Laura Kuusalo14, Michael Nissen15, Ziga Rotar16, Katja Perdan-Pikmajer16, Miguel Bernardes17, Bjorn Gudbjornsson18, Gerdur Gröndal18, Irene E. van der Horst-Bruinsma19, Karin Laas20, Brigitte Michelsen21, Catalin Codreanu22, Daniela DiGuiseppe23, Burkhard Moeller24, Gökçe Kenar25, Merete Hetland26 and Lykke Oernbjerg2, 1Rigshospitalet Glostrup and Copenhagen University, Glostrup, Denmark, 2Rigshospitalet Glostrup, Glostrup, Hovedstaden, Denmark, 3Department of Clinical Medicine, University of Copenhagen and Center for Rheumatology, Copenhagen Center for Arthritis Research, Glostrup, Denmark, 4DANBIO, Rigshospitalet Glostrup and University of Copenhagen, Virum, Denmark, 5Rigshospitalet, Glostrup and Slagelse Hospital, Glostrup, Denmark, 6Rigshospitalet Glostrup, Glostrup, Denmark, 7Rigshospitalet Glostrup, København V, Denmark, 8Copenhagen Center for Arthritis Research, Center for Rheumatology and Spine Diseases, Rigshospitalet, Glostrup, Denmark., Glostrup, Denmark, 9Aarhus University Hospital and Aarhus University, Horsens, Denmark, 10Hospital General Universitario Gregorio Marañón and Complutense University of Madrid, Madrid, Spain, 11Spanish Society of Rheumatology, Madrid, Spain, 12Institute of Rheumatology and Charles University, Praha, Czech Republic, 13Tampere University Hospital, Tampere, Finland, 14University of Turku and Turku University Hospital, Turku, Finland, 15Geneva University Hospital, Geneva, Switzerland, 16University Medical Centre Ljubljana and University of Ljubljana, Ljubljana, Slovenia, 17São João Hospital Center and FMUP, Lisboa, Portugal, 18Landspitali University Hospital and University of Iceland, Reykjavik, Iceland, 19Department of Rheumatology, Radboud University Medical Centre, Nijmegen, Netherlands, 20East-Tallinn Central Hospital, Tallinn, Estonia, 21Rigshospitalet, Glostrup and Diakonhjemmet Hospital and Sørlandet Hospital, Kristiansand, Norway, 22University of Medicine and Pharmacy, Bucharest, Romania, 23Karolinska Institutet, Stockholm, 24Inselspital - University Hospital Bern, Bern, Switzerland, 25Dokuz Eylul University School of Medicine, Izmir, Turkey, 26Rigshospitalet Glostrup and University of Copenhagen, Glostrup, Denmark

    Background/Purpose: Smoking and obesity are common in patients with psoriatic arthritis (PsA) and can lead to higher disease activity and poorer response to treatment with…
  • Abstract Number: 0517 • ACR Convergence 2024

    Characterizing Infusion-Related Reactions in Patients with Rheumatoid Arthritis Treated with Biologic DMARDs: Observations from the KOBIO Registry

    Ji-Won Kim1, Ju-Yang Jung2, Chang-Hee Suh3 and Hyoun-Ah Kim1, 1Ajou university school of medicine, Suwon, South Korea, 2Ajou University of medical school, Suwon, South Korea, 3Ajou University Hospital, Suwon, South Korea

    Background/Purpose: The use of biologic disease-modifying antirheumatic drugs (bDMARDs) has revolutionized the management of rheumatoid arthritis (RA), despite their efficacy being occasionally limited by infusion-related…
  • Abstract Number: 1454 • ACR Convergence 2024

    Treatment Patterns, Clinical Characteristics, and Patient-Reported Outcomes Among Patients with Axial Spondyloarthritis Treated in Real-World Rheumatology Practices in the US

    Andrew Concoff1, Riley Taiji2, Linda Grennell-Merrick3, Jonathan Rodrigues3, Courtney McDermot4, Usha Madhukar Niak3, Raluca Ionescuittu5, Ariane Faucher2, Francis Vekeman2 and Tim Nguyen3, 1United Rheumatology, a Specialty Networks Company, Cleveland, OH, 2StatLog Econometrics, Montreal, QC, Canada, 3Novartis, East Hanover, NJ, 4Novartis, Dublin, Ireland, 5StatLog Economitrics, Montreal, QC, Canada

    Background/Purpose: Axial spondyloarthritis (axSpA) is a chronic immune-mediated rheumatic disease with high comorbidity burden. Biologic disease-modifying anti-rheumatic drugs (bDMARDs) and patient-reported outcomes (PROs) are increasingly…
  • Abstract Number: 2365 • ACR Convergence 2024

    Benefits of Achieving Early versus Late Clinical Response After Treatment with Biologic and Targeted Synthetic DMARDs Among Patients with PsA in the CorEvitas PsA/Spondyloarthritis Registry

    Philip Mease1, Xiaolan Ye2, Christopher Saffore3, Thomas Iyile4, Priscila Magalhaes Reis Nakasato5, Taylor Blachley6, Paul R. Lakin6, Nicole Middaugh6 and Alexis Ogdie7, 1Swedish Medical Center/Providence St. Joseph Health; University of Washington School of Medicine, Seattle, WA, 2AbbVie Inc., Mettawa, IL, 3AbbVie Inc., waukegan, IL, 4AbbVie Inc., hyattsville, MD, 5AbbVie Inc., Randolph, NJ, 6CorEvitas, LLC, Waltham, MA, 7Department of Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA

    Background/Purpose: Treatment for psoriatic arthritis (PsA) often involves biologic and targeted synthetic DMARDs (b/tsDMARDs). Existing research suggests that starting treatment with b/tsDMARDs early may lead…
  • « Previous Page
  • 1
  • 2
  • 3
  • 4
  • …
  • 18
  • Next Page »
Advanced Search

Your Favorites

You can save and print a list of your favorite abstracts during your browser session by clicking the “Favorite” button at the bottom of any abstract. View your favorites »

All abstracts accepted to ACR Convergence are under media embargo once the ACR has notified presenters of their abstract’s acceptance. They may be presented at other meetings or published as manuscripts after this time but should not be discussed in non-scholarly venues or outlets. The following embargo policies are strictly enforced by the ACR.

Accepted abstracts are made available to the public online in advance of the meeting and are published in a special online supplement of our scientific journal, Arthritis & Rheumatology. Information contained in those abstracts may not be released until the abstracts appear online. In an exception to the media embargo, academic institutions, private organizations, and companies with products whose value may be influenced by information contained in an abstract may issue a press release to coincide with the availability of an ACR abstract on the ACR website. However, the ACR continues to require that information that goes beyond that contained in the abstract (e.g., discussion of the abstract done as part of editorial news coverage) is under media embargo until 10:00 AM ET on November 14, 2024. Journalists with access to embargoed information cannot release articles or editorial news coverage before this time. Editorial news coverage is considered original articles/videos developed by employed journalists to report facts, commentary, and subject matter expert quotes in a narrative form using a variety of sources (e.g., research, announcements, press releases, events, etc.).

Violation of this policy may result in the abstract being withdrawn from the meeting and other measures deemed appropriate. Authors are responsible for notifying colleagues, institutions, communications firms, and all other stakeholders related to the development or promotion of the abstract about this policy. If you have questions about the ACR abstract embargo policy, please contact ACR abstracts staff at [email protected].

Wiley

  • Online Journal
  • Privacy Policy
  • Permissions Policies
  • Cookie Preferences

© Copyright 2025 American College of Rheumatology