Dr. Jack Cush reviews why we all love our rheumatology fellows and our best advice for them stemming from these articles.
Dr. John Cush RheumNow
6 years 2 months ago
RA is associated with a 24‐35% lower risk of type 2 diabetes. Claims data comparison of 449,327 RA, general non‐RA, hypertension, OA, or PsA patients finds a lower risk of T2DM in RA (7/1000PY) and highest w/ HTN (12.3/1000PY) https://t.co/uZn5qaImO9
An analysis of the tofacitinib (Xeljanz) drug development program in patients with rheumatoid arthritis (RA), psoriatic arthritis (PsA) and ulcerative colitis suggests a low level risk for venous (VTE) and arterial thromboembolism (ATE).
Dr. John Cush RheumNow
6 years 2 months ago
Study of 662 temporal artery Bx shows that when diagnosing #GCA, the TAB length should be at least 5 mm and should analyze at least 3 further sections at deeper levels for maximal yield. https://t.co/6zM9hBUsXy
Dr. John Cush RheumNow
6 years 2 months ago
A UK general practice dataset compared mortality outcomes in 18,943 #PMR patients vs 87,801 controls. With mean F/U of 8 yrs, they found PMR was not associated with increased mortality (adjusted MRR 1.00 [95% CI 0.97, 1.03]) vs matched controls. https://t.co/moZwiuhOxC
The Annals of Internal Medicine reports that biannual rituximab infusions over 18 months was effective at maintaining remission in patients with antineutrophil cytoplasmic antibody–associated vasculitis (AAV).
Dr. John Cush RheumNow
6 years 2 months ago
Analysis of PPI use from the Nurses Health Study shows regular PPI use was associated with increased risk of RA in women, higher with a longer duration of PPI use. With 1.7 million PY F/U, Regular PPI users had a 44% higher RA risk (adjHR 1.44; 1.10–1.89) https://t.co/pmBf88zGKH
Dr. John Cush RheumNow
6 years 2 months ago
Full read clinical practice guideline on obesity management from the Canadian Medical Assn Journal. https://t.co/YdbjtnBcST
A case-controlled study shows that methotrexate (MTX) use in rheumatoid arthritis (RA) is not associated with interstitial lung disease (ILD) according to a report in the European Respiratory Journal.
Researchers examined the associatioin by comparing 410 RA patients with chronic fibrotic ILD (RA-ILD) and 673 patients with RA without ILD.
The interleukin (IL)-1β inhibitor canakinumab (Ilaris) showed promise for preventing the need for hip or knee replacement among patients with osteoarthritis in an exploratory analysis of data from a randomized clinical trial, investigators reported.
Among patients enrolled in CANTOS, the pooled incidence rate for total hip replacement/total knee replacement was 0.31 events per 100 person-years for those receiving the monoclonal antibody every 3
Dr. John Cush RheumNow
6 years 2 months ago
EU has approved Secukinumab (Cosentyx) for use in pediatric plaque psoriasis - moderate-to-severe psoriasis affects more than 350,000 children worldwide. Approval is based on 2 phase 2 wo international in children 6 to <18 years. https://t.co/Y05ElRr6xn
In this lockdown, virtual medicine, post-COVID world, wouldn't it be ideal to have an reliable digital readout on patient activity as a measure of health? A multicenter study from the University of Nebraska Medical Center and the University of Alabama at Birminghams have completed a novel trial showing that the use of wearable activity trackers in gout patients was both feasible and effective in assessing gout activity and flares.
Ridker and colleagues have shown that statins (3-hydroxy-3-methylglutaryl coenzyme-A (HMG Co-A) reductase inhibitors) are effective at treating hyperlipidaemia and lowering C-reactive protein levels; Aranaow and colleagues have shown that lovastatin, when given to rheumatoid arthritis (RA) patients with elevated CRP levels failed to significantly lower disease activity.
Dr. John Cush RheumNow
6 years 2 months ago
Virtual Video Joint Exam Pearl #5: The worst/most ineffective Virtual visits done with the Patient (or MD) driving in their CAR for the virtual visit!! Amazingly I have had a half dozen of these & requested the patient pull over so I could deliver a rheum Citation.
Dr. John Cush RheumNow
6 years 2 months ago
Virtual Video Joint Exam Pearl #5: Its easier to see gouty Tophi and rheumatoid nodules than nail changes of PsA or subtle rashes. For Rashes and oral lesions its BEST to have the patient take multiple pix with the cell phone and send them in by EMR or Email.

