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#EULAR2022 Telemedicine: PROs
💻Triage, reduce wait time, direct other specialty referral
💻High agreement w F2F evaluation (79-97%)
💻Saves resources, react quickly to minor flare
💻Better adherence
@RheumNow
Eric Dein ericdeinmd ( View Tweet)
BTKi are they effective in #rheumatology? Seem to work in preclinical models of inflammation but so far clinical results seem disappointing #POS0397 @RheumNow @eular_org #EULAR2022 https://t.co/2NjcMnU1d6
Janet Pope Janetbirdope ( View Tweet)
#EULAR2022
R Landewe: Anti-Telemedicine
🩺Rheumatology about long-term relationship & communication
🩺"Telemedicine impoverishes visit" by only exchanging information
@Rheumnow
Eric Dein ericdeinmd ( View Tweet)
#POS0752 #EULAR2022 Is there difference btw childhood- vs adult-onset #lupus?A cohort study of claims database >10,000 pts showed:
Children had higher activity & more likely to receive immunosuppressant
Some activities persisted
Useful to bear in transition clinic @RheumNow https://t.co/KVHZUgAOlV
Md Yuzaiful Md Yusof Yuz6Yusof ( View Tweet)
Inflammation (ESR >20 and cardiovascular risk scores) in AxSpA pts associated with incident hypertension.
csDMARD may be associated with HTN
NSAID and biologics not associated with incident HTN
@RheumNow #EULAR2022 ABST#POS0154 https://t.co/5pYjXrpCec
Robert B Chao, MD doctorRBC ( View Tweet)
#PEARLS by EULAR President Prof Iagnocco:
1. Enthesitis can be present in 25% of #SLE patients
2. Erosions can be common and independent of ACPA/RF status
3. Active myositis is indistinguishable from IIM
4. Don't forget pain osteonecrosis/osteomyelitis #EULAR2022 @rheumnow https://t.co/8uWCw9rEve
TheDaoIndex KDAO2011 ( View Tweet)
#OP0249 #EULAR2022 Dr Machado presented pooled data >5000 pts. Poor #COVID outcomes in Pso, PsA and AxSpa were associated with the usual suspects: Age, male, high disease activity and comorbidities. No specific bDMARDs was associated. Good news for our patients @RheumNow https://t.co/itzmwqKCrH
Md Yuzaiful Md Yusof Yuz6Yusof ( View Tweet)
Staggering facts by Prof Vital on #SLE and SkM Sx’s:
- 50% of first Sx’s is SkM
- SkM Sx are in top 3 concerns for pts
- 34% pts w/SkM Sx stopped working median 4 yrs
- SkM damage clusters with CVD damage
#EULAR2022 @rheumnow https://t.co/NXEW3XYCQZ
TheDaoIndex KDAO2011 ( View Tweet)
📲The great debate on Telemedicine 💻
R. Landewe warns us against "check box medicine" and its consequences on AxSpA overdiagnosis.
@RheumNow #EULAR2022 https://t.co/Xwg0aAdHwE
Aurelie Najm AurelieRheumo ( View Tweet)
“#SLEDAI should be scored when there is joint swelling (not just tenderness)—note that only 48% of pts with tenderness will have u/s evidence of inflammation” – Prof E Vital #EULAR2022 @rheumnow https://t.co/hhsZ9wMAWs
TheDaoIndex KDAO2011 ( View Tweet)
Ok to taper?
In PsA and AxSpA pts on TNFi, a T2T w/ tapering strategy was non-inferior to a T2T w/o tapering.
69% of tapered group remained in LDA, 73% no-taper group in LDA after 12 months.
Taper group did use more NSAIDs, cDMARDs, steroids
@RheumNow #EULAR2022 ABST#OP0261
Robert B Chao, MD doctorRBC ( View Tweet)
JAK will quiet Still’s disease? 7 w Still’s 4 refractory disease had benefit w #JAKi POS0014. Needs more data but looks promising most w partial response . 5 on #Tofacitinib and 2 w #Baricitinib. @eular_org #EULAR2022 POS0014 @RheumNow https://t.co/j9IRgT9XJf
Janet Pope Janetbirdope ( View Tweet)
Insightful session with H Schulze-Koops: JAKi-Are all promises fulfilled?
"JAKi have not shown us sufficient data to prove that they can induce remission or inhibit disease progression"
@RheumNow #EULAR2022 https://t.co/SKKAS1ViIU
Aurelie Najm AurelieRheumo ( View Tweet)
Dr. Werth shared her evidence based algorithm for managing cutaneous lupus published here: https://t.co/RytrxLdLHK #EULAR2022 @rheumnow https://t.co/wq28btM24U
TheDaoIndex KDAO2011 ( View Tweet)
#EULAR2022 @ChristianDejaco: Do we need see our patient at all?
Provocative statement asking if some disease states can be evaluated, diagnosed, educated and monitored digitally.
"It's already out there!" "Should we leave it to the market" or should rheum take a lead?
@RheumNow https://t.co/iMrlKZgtbg
Eric Dein ericdeinmd ( View Tweet)
Casado et al. Efficacy of US guided needle fragmentation or lavage for calcific tendonitis refractory subacromial injection. Mean VAS decreased from 7.6±1.5 to 4.5±3.8 at month 4, 82.9% radiologic improvement. No control group! @RheumNow #EULAR2022 OP0289 https://t.co/KarkB7XL8u
Links:
Richard Conway RichardPAConway ( View Tweet)
Pregnancy data in SpA from 122 pts
40% flared during pregnancy, more frequent 2nd trimester, pts w/ axial dz
7 pts required start of TNFi during 2nd or 3rd trimester
40% post-partum
@RheumNow #EULAR2022 ABST#POST0151 https://t.co/cdFRhRuCVH
Robert B Chao, MD doctorRBC ( View Tweet)
#EULAR2022 POS0276
Xray & US for CPPD:
US: sensitivity in all sites
Xray: highly specific, low sensitivity
Combo: Best for patients with Negative Xray or Inconclusive US (only one positive site)
@Rheumnow @MymaAlbaydaMD @USSONAR_Rh
Eric Dein ericdeinmd ( View Tweet)
PMR/GCA patients: should you be worried about how well your COVID vaccine worked?
Actually, post-two vaccines, pretty good Ab (&cellular) response, esp if not on MTX/PNL>10
Glad to see our PMR/GCA pts protected
@VasculitisUMCG @SleenYannick @ElisabethBrouw3 #EULAR2022 @RheumNow https://t.co/9vy0W4ojOF
David Liew drdavidliew ( View Tweet)
Boers et al. GLORIA trial of long term 5mg pred in RA. Titled as "favourable balance of benefit and harm". I cannot agree. 24% increase adverse events, NNH 9, for DAS28 0.37 better at 1 year, and really no difference after that. @RheumNow #EULAR2022 OP0263 https://t.co/eO4f1CjH5q https://t.co/VyyZm1QvYy
Links:
Richard Conway RichardPAConway ( View Tweet)