Recent News
Patients undergoing total hip arthroplasty using a combination of paracetamol, ibuprofen, and dexamethasone, had optimal responses with the lowest morphine consumption, and fewer adverse events.Read Article
Rheum Leaders on Capitol Hill Advocating for Medicare Payment Reform
On May 7th, the American College of Rheumatology (ACR) hosted its annual Capitol Hill fly-in with rheumatology leaders nationwide to champion the need for crucial reforms to the MPFS.
https://t.co/b4d1nVBape https://t.co/Sy1vSHwCHC
Dr. John Cush @RheumNow ( View Tweet)
Does Good Sleep Prevent Osteoporosis?
https://t.co/fs8MHF7GS0 https://t.co/lzHSktf80p
Dr. John Cush @RheumNow ( View Tweet)
Cutoffs for sJADAS10
An international cohort of children with systemic Juvenile idiopathic arthritis (Still's disease) validated the sJADAS10, a disease activity measure distinguish patients with ID, MiDA, MoDA, HDA.
https://t.co/vEVjPVwxcd https://t.co/57EU7WTzoz
Dr. John Cush @RheumNow ( View Tweet)
Grear review of Philip S Hench and the discovery of cortisone - by Drs Matteson and Hunder in Ann Rheum Dis https://t.co/EoYtDYsk4K https://t.co/KAemytpSmJ
Dr. John Cush @RheumNow ( View Tweet)
Cohort study 243 671total joint arthroplasty pts finds found no association of preoperative or postoperative colonoscopy with Periop Jt Infx risk w/ 1-yr F/U. PJI risk was incr by comorbidity (diabetes, kidney disease, and pulmonary disease). https://t.co/0J8F9YN2l2 https://t.co/USoplPPHh3
Dr. John Cush @RheumNow ( View Tweet)
JAMA Case: Scurvy in a 3 yr old w/ Gingival Hemorrhage and Musculoskeletal Pain. limp and increased bilateral limb weakness with inability to bear weight. Diet: mostly chicken nuggets and milk https://t.co/e3kpEXNl3K https://t.co/D4u56I0PSq
Dr. John Cush @RheumNow ( View Tweet)
Brazilian study: Prevalence of disabling musculoskeletal pain in children & adolescents = 27% have activity limiting musculoskeletal pain in children/adolescents (LBP 52%, legs 42%, neck 21%). Parents underestimate the presence of pain in their children. https://t.co/noFgaKLG8P https://t.co/w4j0ELeZDe
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Dr. John Cush @RheumNow ( View Tweet)
Rheum Leaders on Capitol Hill Advocating for Medicare Payment Reform
ACR
On May 7th, the American College of Rheumatology (ACR) hosted its annual Capitol Hill fly-in with rheumatology leaders nationwide to champion the need for crucial reforms to the Medicare Physician Fee Schedule (MPFS). The goal is to enhance the payment system’s predictability and stability, ensuring continued access to care for patients by adequately supporting healthcare providers.
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Does Good Sleep Prevent Osteoporosis
EurekAlert!
As part of the University of Colorado Department of Medicine’s annual Research Day, held on April 23, faculty member Christine Swanson, MD, MCR, described her National Institutes of Health-funded clinical research on whether adequate sleep can help prevent osteoporosis.
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Multiplicative Adverse Effects of Social Determinants of Health in Lupus Nephritis: A Meta-analysis and Systematic Review
https://t.co/Wht67skbG2 https://t.co/D55phMfHGh
Dr. John Cush @RheumNow ( View Tweet)
Imaging-Only Diagnosis of Giant Cell Arteritis Is Feasible
Positive findings with color Doppler ultrasound were enough to diagnose GCA accurately without need for confirmation with TAB, a prospective study indicated.
https://t.co/2b3y2OCENA https://t.co/4OOFo1hRCv
Dr. John Cush @RheumNow ( View Tweet)
Pharmacologic Efficacy in Still's Disease
A systematic review of the effectiveness and safety of pharmacological treatments for adult-onset Still’s disease (AOSD) supports the use of either IL-1 or IL-6 inhibitors.
Cutoffs for Systemic Juvenile Arthritis Disease Activity Score
An international cohort of children with systemic Juvenile idiopathic arthritis (Still's disease) validated the systemic Juvenile Arthritis Disease Activity Score 10 (sJADAS10), a disease activity measure distinguish patients with inactive disease, minimal disease activity, moderate disease activity, and high disease activity.
Read Article
Featured BSR Abstracts
Dr. Jack Cush muses on the news, journal reports, FDA announcements and the 2024 BSR abstracts just released.
https://t.co/Km8alIyCIP https://t.co/8yYUldF0pw
Dr. John Cush @RheumNow ( View Tweet)
Lower Limb Muscle Mass Influences Osteoarthritis Risk
The Rotterdam study shows that weight-bearing recreational physical activity caused more incident knee osteoarthritis (KOA), but mainly when there was low muscle mass.
https://t.co/N6JnJJgXgY https://t.co/hL7fK0DPWJ
Dr. John Cush @RheumNow ( View Tweet)
Study of 187 Oligoarticular JIA pts - Remission was achieved w/ DMARDs in 65.8%; predictors of nonresponse (DMARD resistance) - Elevated CRP (> 1.1 mg/dL' OR 1.3) & and high JADAS-71 at Dx (> 15.8; OR 1.7) https://t.co/tuO7UsEfrL https://t.co/KGcdBtneQt
Dr. John Cush @RheumNow ( View Tweet)
French insurance claims study of 12071 #PsA pts on biologics (2015-2021) found total of 367 serious infections (3%; IR 1.7/100PY). SIR risk significantly lower for new users of etanercept (wHR 0.72) & ustekinumab (wHR 0.57) (vs ADA new users https://t.co/CutqoxA05e https://t.co/OUCUbrKnFF
Dr. John Cush @RheumNow ( View Tweet)
Long term F/U of T2T in BeST (early RA 153) & IMPROVED (UA 282) pts 12 & 20 yrs after, the majority of RA & UA pts were in DAS remission (91% LDAS, 68% remission), & w/ limited functional disability (mean HAQ 0.6-0.8). Xray progression was mild https://t.co/vcL8Mnv0Ty https://t.co/lPVbNipFng
Dr. John Cush @RheumNow ( View Tweet)
#BSR Analysis of 1,362 pts starting 1st JAKi before EMA warnings on JAKi (1/23) showed 28% prev failed ≥3 bDMARDs & 80% met ≥1 EMA JAKi risk criteria -that included 1) age ≥65 2) incr CV risk; 3) current/past smoker; 4) prior cancer https://t.co/U3IaswZUyy https://t.co/m43RDAbpwP
Dr. John Cush @RheumNow ( View Tweet)
Machine learning analysis of retrosp EHR data (3/20-9/22) on 2+ million showed COVID (5.3%) outcomes in #IMID pts not linked to DMARD or IMID Dx; but rather to age, unvaccinated, & comorbidities (Afib, CAD, CHF, CKD, COPD, CA, liver Dz) https://t.co/aMmJD5P9cc https://t.co/Yy9FuCvol4
Dr. John Cush @RheumNow ( View Tweet)
From the blog
One of the first words I was taught by my parents was “chào”. In Vietnamese, you say chào and bow when you greet someone or when you leave as a sign of respect.
In my first blog about self-discovery, I detailed the burnout and why I left clinical practice. In this second blog of the trilogy, I wanted to share encounters with patients as I told them goodbye. While I received great advice when I started practice, no one ever talks about how hard it is to leave.
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Podcasts
Roadblocks to reaching remission in lupus Sponsored by GSK US Medical Affairs
Featured BSR Abstracts (5.3.2024)
SLE Faculty Panel Q&A
Tuesday Night Rheumatology- Mastering SLE
Therapeutic Updates
Approaches for slowing organ damage progression in lupus
Sponsored by GSK US Medical Affairs
Watch our videos featuring global rheumatology experts to learn about recent advances towards slowing organ damage progression in lupus. Discover how you can implement disease modification and remission treatment goals, alongside corticosteroid tapering and the earlier introduction of biologics, to help improve patient outcomes.
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