Friday, 14 Feb 2020

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RheumNow Podcast - RWCS Quick Hits (2.14.20)

Dr. Jack Cush reviews the highlights from the 2020 RWCS meeting in Maui, Hawaii.

  1. How long will they last? Vast majority of TKR or THR (>70%) will last 25 yrs. Failure is usually for infection or fracture. Dr Wm Bugbee #RWCS2020 @RWCSmtg https://t.co/XyGmeiiQTu
  2. Trends in periop Rx of hip and knee replacement. Little or no narcotics, pain cocktail, tramexamic acid to reduce blood loss & outpt THR ant approach in low risk pts Dr zen Bugbee #RWCS2020 @RheumNow https://t.co/Ky1rD6uHns
  3. “A CDAI of over 40 is fibromyalgia!” In regard to RA patients on therapy. Dr. Cush @RheumNow @RWCSmtg #RWCS20
  4. Shingles vaccine appears to reduce stroke risk by about 16% in older adults. In addition, the shingles vaccine may offer the strongest protection against stroke for people younger than 80 https://t.co/fqHKlHnLED
  5. Poorly regulated industry of Stem cell injx for OA fail to show consistent evidence of efficacy. Dr E Ruderman #RWCS2020 @RWCSmtg https://t.co/poME3BNme3
  6. PRP injections for knee OA may work, but at a very high can 8 price $714. Dr E Ruderman #RWCS2020 @RWCSmtg https://t.co/wmh2iaQ4kt
  7. Leeches work in osteoarthritis, but you won't like the icky side effects. Dr E Ruderman #RWCS2020 @RWCSmtg https://t.co/0bbkyfVHE9
  8. Some improvement with lateral wedge insoles on function but not pain in one OA. Dr E Ruderman #RWCS2020 @RWCSmtg https://t.co/oL9I4f4Kap
  9. "EPI is wimpy and Sceritis is the real deal!". Dr AWells #RWCS @RWCSmtg https://t.co/4pHFjffixE Scleritis is a Vasculitis that requires systemic therapy https://t.co/QHknRcrLQy
  10. Teprotumumab effective in thyroid associated ophthalmopsthy it inhibits IGF 1 Dr AWells #RWCS @RWCSmtg https://t.co/eTHbAz0Eqp
  11. 66 pt RA study shows that adding an Exercise program results in significant physicial and cognitive improvement while lowering CRP (p = 0.025), fatigue (p = 0.047) and truncal fat (p = 0.004) https://t.co/hckGcM3pyL
  12. JBMR UK network study of 146,956 adults > 50 yrs compared Fracture Risk with tramadol (no cancer/Fx/Opioid disorder) compared to codeine (or naproxen, IBU, celecoxib, etoricoxib). Tramadol was assoc w/ a 28-70% higher Risk of hip Fx https://t.co/TPd9mTknqN
  13. Open label study of Abatacept in 79 patients with primary Sjogrens syndrome showed no difference between those treated wtih ABA vs Placebo. https://t.co/tUfAn40k9S
  14. DMARD Inertia by Registry Rheumatologists

 

Disclosures: 
The author has received compensation as an advisor or consultant on this subject

Rheumatologists' Comments

Treat to target in RA. Patient not doing as well as expected- check the methotrexate level!

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