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Bridging the gap in the delayed diagnosis of axSpA
Delay in the diagnosis of axial spondyloarthritis (axSpA) has been a huge challenge and is associated with poor outcomes.
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ACR21 Best Abstracts - Day 1
The RheumNow faculty have been glued to their monitors all day, watching video, and running down abstract presentations to find the best – several of these stood out as #ACRBests. Here is a listing of “Best” they saw on Day 1.
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Opening Day Report
The opening of ACR2 Convergence was a hit for all who signed up and viewed in. The day included the presidential address by outgoing president Dr. David Karp (UT Southwestern) and a keynote talk and interview with Dr. Seema Yasmin (Stanford).
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Towards better assessment and management of multimorbidity
Appropriate assessment and management of comorbidities and multimorbidity in patients with RA is vital for overall health and well-being of the patient, as well as to encourage treatment adherence, and address social, psychological and quality of life factors.
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My video take from yesterday for @RheumNow:
'Tired of Doing Nothing About Fatigue' #ACR21
https://t.co/EXjOibL5s9 https://t.co/cR6r8GdDor
Links:
David Liew drdavidliew ( View Tweet)
7S125 Interesting talk on Anatomy for the Clinician: Putting Your Best Foot Forward
#ACR21 @RheumNow https://t.co/zLbDW9yfEb
Akhil Sood MD AkhilSoodMD ( View Tweet)
Always one of my favourite sessions at #ACR21- #Rheumatology #SecretsAndPearls
Dr Kolfenbach reminds us of the importance of discussing #lifestyle, #smoking and #diet with our patients in clinic.
@RheumNow #InflammatoryArthritis #RheumatoidArthritis #PsA https://t.co/2gadRBLCTb
Mrinalini Dey DrMiniDey ( View Tweet)
Younger patients and African Americans have a high no show rate. Need to focus on high-risk individuals and improve access to new patient appointments. @rheumnow #ACR21 abst#0610 https://t.co/3XZmXWfili
Bella Mehta bella_mehta ( View Tweet)
Do you have trouble with no shows? Study out of Allegheny Health showed younger and black patients were among characteristics of pts at risk for new pt exam no shows. How can we do better for these pts? Thoughts? Abs 0610 #ACR21 #RheumNow @RheumNow https://t.co/MUcQarwvm6 https://t.co/Mue6By5mOV
Dr. Rachel Tate uptoTate ( View Tweet)
"The strongest single predictor of both telemedicine and electronic patient portal use was English language preference." Improving access needs to include barrier awareness of SES and communication issues. Abs 0615 #ACR21 #RheumNow #ACRbest @RheumNow https://t.co/ug4xdWbnST https://t.co/t9DsAVm8aQ
Dr. Rachel Tate uptoTate ( View Tweet)
Booking regular clinic visits for controlled RA pts - can we be more efficient?
12m RCT
Self-monitoring app, supported self-initiated care
only one scheduled follow-up visit
controlled RA pts
DAS28/pt satisfaction same
visits/y: 1.7 vs 3.0
@reade_020 #ACR21 ABST0830 @RheumNow https://t.co/600XTKo9GM
David Liew drdavidliew ( View Tweet)
It was a pleasure to speak to Dr Bryant England about #multimorbidity in #rheumatoidarthritis with a focus on abstract #1924, to be presented at the #Epidemiology & #PublicHealth abstract session on Tuesday #ACR21: https://t.co/qHws6B3fFf
Watch @RheumNow: https://t.co/OKM7WxIEpR
Links:
Mrinalini Dey DrMiniDey ( View Tweet)
#ACR21 #Aging #CommunityHub @UnaMakris @SattuiSEMD @KWyshamMD
Very engaging discussion on the 5 Ms of aging + how they interconnect:
👉🏻multimorbidity (⬆️ risk)
👉🏻meds (poly pharmacy)
👉🏻mentation (cognitive impairment)
👉🏻mobility and disability
👉🏻what matters most <to patient> https://t.co/mZpk3qQFgz
Elena MyasoedovaMD MyasoedovaElena ( View Tweet)
"The time for young people is now! You are not the future, you are the present; you can make a difference. You may be scared, but take the opportunities and be purposeful." -Dr. A Alakija on the role of young rheumatologists in global health disparities
#ACR21 @ACRheum @yodifiji
TheDaoIndex KDAO2011 ( View Tweet)
Dr B Bermas noted AAP guidelines say avoid MTX while breastfeeding, but the literature show very little MTX crosses breast milk. Dr Sammaritano stated that is true, but we don’t know how much MTX accumulates,though. #acr21 @rheumnow @UTSWRheum https://t.co/9I7HszorEO
TheDaoIndex KDAO2011 ( View Tweet)
HCP #burnout coping strategies listed during 6S228 Let’s talk about mental health #ACR21 - writing, yoga, exercise, gardening, drawing& other creativity. I practice gratitude 🙏🏻 @RheumNow Burnout is real and magnified by #COVID19 pressures https://t.co/PUklM2Ci6e
Janet Pope Janetbirdope ( View Tweet)
#ACR21 2nd abstract #0381 from #DESIR cohort by @ElenaNikiUK:
•High disease activity & decreased function assoc w/ greater #WorkDisability
•Not enough to just treat the disease! Need holistic approaches to improve function, QoL & work outcomes.
@RheumNow
https://t.co/jIs3Oj7nbJ
Mrinalini Dey DrMiniDey ( View Tweet)
#ClinicalPearl. Pts have no preference btwn phone or video telemedicine. You can get calls more easily in PJs, technology of internet may be difficult for elderly, hearing impaired & rural with poor internet bandwidth so I would’ve guessed phone was preferred @RheumNow #abst0112 https://t.co/1F4HH9nXB8
Janet Pope Janetbirdope ( View Tweet)
💻 Telemedicine: would you rather have a telephone or a video clinics? Non inferiority RCT shows 80% satisfaction rates and phone-only non-inferior to video visits. I would have expected patients to prefer video visits 🧐 #ACR21 #Abst0112
@RheumNow https://t.co/klgMJ6EthH https://t.co/17ffTAZCfv
Aurelie Najm AurelieRheumo ( View Tweet)
@DoctorYasmin: "Where do people go when their doctors don't believe them?". Communicate the unknown and listen. @DrDavidKarp: "It all begins with empathy." Listen to the patient, and you can avoid them from seeking misinformation to fill in gaps #ACR21 @rheumnow https://t.co/nBBDxl2L1D
Eric Dein ericdeinmd ( View Tweet)
