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RheumNow Podcast – Stop These COVID Mistakes (12.11.20)

Jack Cush, MD

Dr. Jack Cush reviews the news and journal reports from this past week on RheumNow.com.

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Racial disparities in Bilateral Knee Arthroplasty in Osteoarthritis

Bella Mehta, MBBS, MS

Although arthritis-related activity, disabling work limitations, and severe pain (which are indications for TKA) disproportionately impact African American patients compared to White patients, there are marked racial disparities documented in utilization and complications in unilateral total knee arthroplasty.  

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What’s new in knee osteoarthritis that matters?

Janet Pope, MD, MPH, FRCPC

Are intra-articular steroid injections effective in symptomatic knee OA? Do they accelerate cartilage loss? Does weight less actually help? Do we have DMARDs for knee OA? Insights from 2020 ACR Convergence.

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Warfarin and End-Stage Osteoarthritis

David Liew, FRACP

Dr. David Liew discusses abstract #0934 - "Warfarin Use and Risk of Knee and Hip Replacements" - presented at the 2020 ACR annual meeting.

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Roundup RHeum ACR

Rheumatology Round-Up with Drs. Kavanaugh & Cush

Jack Cush, MD

The Annual Review of Best ACR 2020 abstracts featuring Drs. Cush and Kavanaugh filmed on the last day of Virtual ACR 2020 Nov. 9, 2020. Watch now!


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#BestACR20Tweets RT @bella_mehta : Check out our work #racialdisparities in bilateral knee replacement -10 yr USA national study - ⬇️utilization in AA but NOT ⬆️complications. #ACR20 @RheumNow ABS#1633 https://t.co/zje7ntxpzA https://t.co/Cix9G10duj

Links:

Dr. John Cush RheumNow ( View Tweet)
Check out the latest from Dr. Bella Mehta ( @bella_mehta) #ACR20 Racial disparities in Bilateral Knee Arthroplasty in Osteoarthritis https://t.co/yataL7H8X4 https://t.co/xT1vCBDLyZ

Links:

Dr. John Cush RheumNow ( View Tweet)
What’s New in Knee Osteoarthritis that Matters? by Dr. Janet Pope ( @Janetbirdope) https://t.co/Ue3o8xAytV https://t.co/YaNftmH9ZN

Links:

Dr. John Cush RheumNow ( View Tweet)
Warfarin and End-Stage Osteoarthritis: Dr. David Liew ( @drdavidliew) #ACR20 https://t.co/hHZTL48DTI https://t.co/X4BDGBOGFq

Links:

Dr. John Cush RheumNow ( View Tweet)
#BestACR20Tweets RT @MeralElRamahiMD : When do you think we are going to get a DMARD for OA? 50% or more over age 60 will have osteoarthritis, yet we are yet to discover a promising disease modifying therapy. #ACR20 @ElaineHusniMD

Dr. John Cush RheumNow ( View Tweet)

#BestACR20Tweets RT @Janetbirdope : IA steroids for knee OA are superior to lidocaine! Clever RCT of 27 knee OA w either 40mg methylpred acetate + lidocaine vs lidocaine w social cues to exercise. Knee injury & OA outcome score superior for IA steroids in prelim data

Dr. John Cush RheumNow ( View Tweet)

Recognition and Early Treatment of MAS--Dr Olga Petryna ( @DrPetryna ) discusses two abstracts, abstract #1496 and #1149, presented at the #ACR20 annual meeting. https://t.co/Y3eymjYsgP https://t.co/qxHlmOyDLy

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Dr. John Cush RheumNow ( View Tweet)
Listen to the Rheum Now podcast on Day 4 of the #ACR20 meeting. Topics: Belimumab in Lupus Nephritis, Enthesitis in PsA, Equity & Inclusion in Rheumatology Education, Osteoarthritis Studies, Outcomes of COVID in Rheumatic Disease Patients https://t.co/1PShHqXa0j https://t.co/9ALWsjWqpB

Links:

Dr. John Cush RheumNow ( View Tweet)
When do you think we are going to get a DMARD for OA? 50% or more over age 60 will have osteoarthritis, yet we are yet to discover a promising disease modifying therapy. #ACR20 @RheumNow @ElaineHusniMD

Meral K. El Ramahi, MD MeralElRamahiMD ( View Tweet)

When you give IA steroids for knee OA how long do you tell pts it will work for @RheumNow #ACR20 @CRASCRRheum abstr#1650

Janet Pope Janetbirdope ( View Tweet)

Using a panel of urinary prtns, data from this study show transferrin, AGP1, ceruloplasmin, MCP1 & sVCAM1 are sig. ⬆in active LN pts. More studies req'd for confirmation. Utility in monitoring renal response to tx? @RheumNow #ACR20 abs1796 https://t.co/3Zicpz3uDd
sheila RHEUMarampa ( View Tweet)
I recommend you don’t try this at home. Bariatric surgery may delay need for TKA in knee OA. Supports that et loss may help. Comparison study NOT RCT of 25 bariatric pts with knee OA compared to 28 with TKA abstr#1656 #ACR20 @RheumNow @CRASCRRheum

Janet Pope Janetbirdope ( View Tweet)

Intra-articulations steroids for the knee OA- finding benefits again! IA steroids were good then villified in press with accelerated cartilage loss. Pendulum swings back in abstr#1649 where quadriceps & gait improve post injection @RheumNow #ACR20 @CRASCRRheum #ACRbest https://t.co/0bRsiEKsW4
Janet Pope Janetbirdope ( View Tweet)
Since MTX doesn’t work in cardiac prevention in non inflammatory pop’n (CIRT trial) should we use MTX in knee OA with inflammation? RCT n=344 w primary knee OA w swelling & pain. Rx MTX v glucosamine POSITIVE results #ACR20 abstr#1648 @RheumNow @CRASCRRheum #ACRbest https://t.co/7VptCPxKU8
Janet Pope Janetbirdope ( View Tweet)
#osteoarthritis Rx with #tanezumab - analgesic or DMOAD? RCT in knee OA of 3021 pts & only 1312 completed Rx. Tanezumab > improvement in pain v NSAIDs but NO diff in MCII and pt acceptable symptoms (PASS) over time #ACR20 #ACRbest abstr#1641 @RheumNow @CRASCRRheum https://t.co/x75ncz16uP
Janet Pope Janetbirdope ( View Tweet)
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