DMARDs Under Study for Secondary Prevention of Cardiovascular Events

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Several important lines of population and large cohort research have shown that rheumatoid arthritis (RA) patients have a substantially higher risk for myocardial infarction and major cardiovascular events.

Modest Benefits with Intraarticular Corticosteroids in Knee Osteoarthritis

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The current online edition of JAMA examines the evidence from 27 clinical trials and 1767 patients to assess the impact of intra-articular corticosteroids in patients with knee osteoarthritis (OA).

PPI Safety Issues

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There are more than 11 million proton pump inhibitor (PPI) prescriptions written each year in the United States. While these agents have dramatically changed the management and outcome of upper gastrointestinal (GI) erosive and inflammatory disorders, their use has not been without safety concerns.

Cautious Optimism for Biosimilars in Rheumatology

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A Low Risk of Inflammatory Bowel Disease with IL-17 Inhibition

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Colitis onset or worsening inflammatory bowel disease has been reported with either of the new IL-17 inhibitors, ixekizumab (IXE) and secukinumab (SEC). Large database studies show these to be rare.

CHMP Recommend Baricitinib for Approval in Europe

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Eli Lilly and Company announced last friday that the European Medicines Agency's (EMA) Committee for Medicinal Products for Human Use (CHMP) has issued a positive opinion, recommending the approval of baricitinib for the treatment of adults with moderate to severely active rheumatoid arthritis (R

BEST-D Trial: Higher Doses of Vitamin D may be Required for Optimal Osteoporosis Prevention

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Osteoporosis is a major public health problems and is associated with a high burden of fractures and subsequent increased mortality.

Risk of GI Perforations on Biologics

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Gastrointestinal perforation is a rare but serious complication that RA patients may be at particular risk for.

RheumNow Week in Review – 16 December 2016

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Dr. Jack Cush reviews highlights from this week on RheumNow.com

EULAR 2016 Recommendations on Early Arthritis

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Combe and leading European rheumatologist have published an update to the 2007 European League Against Rheumatism (EULAR) recommendations for management of early arthritis.

Lupus May Be at Increased Risk for Dementia

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Neuropsychiatric manifestations of systemic lupus erythematosus (SLE) may occur in up to half of patients in their lifetime.

However, dementia is often not reported or studied in cohorts with neurologic disease in lupus. 

Random Drug Levels and Anti-Drug Antibodies Predict Rheumatoid Outcomes

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Researchers from Manchester, UK have reported the results of their BRAGGSS study showing that certolizumab (CZP) random drug levels and anti-drug antibody (ADAbs) levels can predict optimal outcomes in CZP treated rheumatoid arthritis patients. 

CDC Report on Smoking and Smokeless Tobacco

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Combustible and smokeless tobacco use causes adverse health outcomes, including cardiovascular disease and multiple types of cancer. Cigarette consumption in the United States has declined overall since the 1960s, but consumption of other tobacco products has not.

Rituximab May Reduce Mortality Risk in Rheumatoid Lung Disease

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While it is known that rheumatoid arthritis (RA) patients with interstitial lung involvement is associated with severe seropositive disease and is associated with an increased mortality.

Herpes Zoster and GCA – What’s the Deal?

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In November I reported on an abstract presented at ACR by Muratore, et al. who looked for evidence of VZV infection in temporal artery biopsies of GCA patients and found none.

Nonsignificant CV Risk with Actemra vs Enbrel

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WASHINGTON -- Rheumatoid arthritis is a recognized risk factor for heart attacks and stroke, but a study comparing two leading biologics found only a non-significant increase in relative risk for patients treated with toclizimab (Actemra) vs etanercept (Enbrel), researchers reported here.

Physicians Still Over-Prescribe Antibiotics, Narcotics and Opioids

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A study by the American College of Physicians (ACP) found that physicians continue to prescribe treatments that offer little benefit to patients, despite the advice of clinical guidelines.

Key Lessons from the TNF Inhibitor Head-to-Head EXXELERATE Study

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The EXXELERATE study is featured prominently in Lancet this week. In some ways, this represents a landmark negative trial that rheumatologists should review and be aware of.

Is ABT-494 the Next JAK Inhibitor?

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Tofacitinib may well be joined by a new once daily JAK inhibitor, baricitinib in the next few months.

The RheumNow Week in Review – 2 December 2016

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Dr. Cush highlights reports from this week on RheumNow.com.