Wednesday, 16 Jan 2019

You are here

RheumNow Week in Review – Father Knows Best (Paternal Drugs OK) (8.31.18)

Dr. Jack Cush reviews the news and journal articles from the past week on  Cool info on paternal exposures to DMARDs/Biologics, Contraceptive let downs, good outcomes in PsA, depression-insomnia-pain triad in OA and how to store your biologic in a hurricane.

  1. Study of 2,976 osteoarthritis patients shows primary drivers to healthcare utilization are moderate to severe pain (47%), insomnia (55%) and depression (45%)
  2. The BSRBR has published outcomes on their PsA cohort. Incidence of overall malignancy similar to general population, although non-melanoma skin cancer increased. All-cause mortality increased (SMR 1.56), driven by coronary heart disease.
  3. Low use of Contraception Among 2455 Rheumatic women; 32% used contraception, 8% used highly effective methods (IUD, implants, sterilization). Fetotoxic med use (> 70% of pts) was not assoc w/ Rx contraceptivs but was assoc w/ high effective contraception.
  4. FDA info on insulin use during disaster/hurricaine applies well to biologic use - "...that insulin be stored...~36°F to 46°F" until use... but "may be left unrefrigerated at 59°F to 86°F for up to 28 days and continue to work" Avoid extremes in temp!
  5. Treatment Preferences in Still’s Disease  
  6. Adherence to Gout Therapies Painfully Low  
  7. The Safety of Paternal Exposure to DMARDs and Biologics   
  8. Not All Hyperuricemia Leads to Gout   


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

Add new comment

More Like This

Assessing the Performance of Aging Physicians

A JAMA Viewpoint article examines the performance of aging surgeons and notes that the effects of aging affects physicians variably and that physician competency should be based on functional age (and abilities) rather than chronologic age. This argues against a mandatory retirement age for surgeons.

RheumNow Podcast – Gout Spot Light (1.11.19)

Dr. Jack Cush discusses the highlights from the past week on

RheumNow Podcast – A Grand New Year (1.4.19)

Dr. Jack Cush reviews the news and journals for the beginning of 2019. All from Best wishes for a charmed 2019! My advice: 1. Just show up. 2. If you can, then you must do. 3. Live each day as if it twas your 1st day/last day/make or break day. 4. Teach.

Best of 2018: U.S. News 2018-19 Rheumatology Rankings

The Annual U.S. News and World Report Rankings of Hospitals has listed the top contenders in the field of rheumatology. The U.S. News Review rates hospitals nationwide in 16 specialties – including rheumatology. Of the 4,500 hospitals covered by U.S. News that were analyzed, 158 were classified nationally in at least one specialty area.

RheumNow Podcast – Rheumatologist Salaries (12.21.18)

Dr. Jack Cush reviews the news from RheumNow for the week ending 12/21/18.