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Burnout #10 (2.3.2023)

Dr. Jack Cush reviews the past week of news on RheumNow.com.

ACR Urges CMS to Reconsider Copay Assistant Programs in CMS Proposed Rule The Health and Human Services Notice of Bene

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Dr. John Cush
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ACR Urges CMS to Reconsider Copay Assistant Programs in CMS Proposed Rule The Health and Human Services Notice of Benefit and Payment Parameters proposed rule for 2024 does not revise policies related to copay assistance and patient deductibles. https://t.co/vfXFwpGJHf https://t.co/PCa53ctowL

For years, in my patient questionnaires, I'd ask “how high is your stress level?" Everyone said “high”, regardless

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Dr. John Cush
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For years, in my patient questionnaires, I'd ask “how high is your stress level?" Everyone said “high”, regardless of demographics. I removed “stress” from the survey, as it wasn’t a symptom; it appears the burden we carry. Read on... https://t.co/sLG3dktgRS https://t.co/oPJeQsnodR

Feb 3rd, today is #NationalWomenPhysiciansDay. The date honors Dr. Elizabeth Blackwell, 1st woman to receive an MD Unite

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Dr. John Cush
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Feb 3rd, today is #NationalWomenPhysiciansDay. The date honors Dr. Elizabeth Blackwell, 1st woman to receive an MD United States (1849). RheumNow will devote the whole month of April 2023 to our Campaign on Women in Rheumatology - stay tuned! https://t.co/l1M56L8h9N https://t.co/eQpetW02CE
Novel Proteomic Biomarker Set in Osteoarthritis

NIH funded researchers from Duke University have developed a set of serum proteomic biomarkers that successfully predict clinically relevant knee osteoarthritis (KOA) progression (both structural change and joint pain) over a 2 year period.

Join us on 3/18 and 3/19 in Dallas, Texas, or virtually for RheumNow Live! Among our 24 speakers, Dr. Sergio and Monic

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Dr. John Cush
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Join us on 3/18 and 3/19 in Dallas, Texas, or virtually for RheumNow Live! Among our 24 speakers, Dr. Sergio and Monica Schwartzman will cover All in the Family Rheumatology. Dr. Philip Conaghan will cover Insights into the Future of OA and more. https://t.co/plpNqGu1HI https://t.co/mgMox5SpGN

PNAS has a novel approach to #RA Tx; bioengineered probiotic(Lactobacillus reuteri) orally delivers a peptide Kv1.3 chan

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Dr. John Cush
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PNAS has a novel approach to #RA Tx; bioengineered probiotic(Lactobacillus reuteri) orally delivers a peptide Kv1.3 channel blocker to RxRA. Kv1.3 is expressed on CCR7− effector memory T cells. Blocking Kv1.3 improves RA & PSO in rat models. https://t.co/DyyXi2GUH2 https://t.co/8nDyFv9DWx

Deptof Veterans Affairs has awarded $1.2 million to Matlock Jeffries, MD of the Oklahoma Medical Research Foundation to

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Dr. John Cush
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Deptof Veterans Affairs has awarded $1.2 million to Matlock Jeffries, MD of the Oklahoma Medical Research Foundation to study the connection between obesity, gut microbiome and cartilage changes leading to osteoarthritis of the knee. CONGRATS @matlockj https://t.co/M3807QD5K2 https://t.co/ypJNunbWWS
Physician Burnout Remains, Less So in Rheumatology

The 2023 Medscape Survey on Physician burnout ranks rheumatology at #10; which is down from #2 when the survey was last done in 2021.

The survey included over 9100 physcians from 29 specialties. Surprisingly, 53% of MDs claimed to be burnt-out; this was only 42% in 2018. Rheumatologists claimed this 50% of the time. The top 3 specialties in this survey were Emergency medicine (65% of physicians reported burnout), Internal medicine (60%) and Pediatrics (59%) [ previously this was Critical care (51%), Rheumatology (50%) and infectious disease (49%)].

Swiss RA registry assessed outcomes after 1st JAKi. 400 RA pts starting/failing JAKi were switched to 2nd JAKi or TNFi

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Dr. John Cush
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Swiss RA registry assessed outcomes after 1st JAKi. 400 RA pts starting/failing JAKi were switched to 2nd JAKi or TNFi or other MOA biologic. ~40% had prior bDMARDs. Retention was higher w/ 2nd JAK (918d)i vs other options. TNFi (335d) or OMA (918d). https://t.co/3A3KwVcTCN https://t.co/UFLPGfmzNv
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