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Comparing nearly 230,000 Taiwanese with and without gout shows gout pts have more psoriasis (1.6% vs 1.1%; adjusted OR 1.30; 1.20-1.42) and psoriatic arthritis (0.3% v 0.1%; aOR 2.50; 1.95-3.22). https://t.co/c1ZVy5E6vk

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Vote on the NEJM Question of the week - Which one of the following vaccination regimens is recommended for a 62-year-old woman with systemic lupus erythematosus who is being treated with prednisone 5 mg daily? Go here to vote https://t.co/27an4cVdqv

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Biologic and Glucocorticoid Use after Methotrexate Initiation in Patients with Rheumatoid Arthritis https://t.co/kuX8X6l99V https://t.co/p4kr42piYy
The Journal of Rheumatology @jrheum ( View Tweet )
7 years 3 months ago
Another Step beyond the DEAs Take Back program that ocurrs twice a year (April and October), including Saturday April 27th - see my earlier tweet on this today https://t.co/WPt6VIboMW

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Results from Nationwide Inpatient Sample Database (2003–11) finds 31,439 obstetric hosp. in RA women who had a higher maternal age (30.5 yrs) & significantly more HTN, premature membr. rupture, antepartum hemorrhage, preterm delivery, IUGR & C sections https://t.co/pz5uQH5rrx

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Swedish population study compared 8109 RA pts and 11562 full siblings to the general population, finding the risk of acute coronary syndrome to be increased in RA (HR 1.46; 1.28 -1.67) and RA Sibs (HR 1.22; 1.09 - 1.38) w/ risks confined to seropositives https://t.co/oYUP3jgY60

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
This Saturday is National Prescription Drug Take-Back Day where you can dispose of old, unused, unwanted (Potentially harmful) prescription medicines. These are run by your local police or DPS. Use this link to find out where in your town https://t.co/eae3l6OtqC

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Danish study of 92 355 adults compared Fx rates between new users of denosumab (DEN) or alendronate - finds no advantage for DEN for hip Fx (aHR 1.08; 0.92-1.28) or any Fx (aHR 0.92; 0.83-1.02). Data doesnt support preference for DEN in high risk pts. https://t.co/dpyRF9VxH6

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
3002 UK study shows that statin (atorvastatin) use in RA is safe and effective - resulting in significant reduction in Cardiac/MACE events (HR 0.60), LDL (HR 0.77) and CRP and confers a risk reduction similar to that seen in other populations https://t.co/Zl2KaK12P5

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Metanalysis shows NSAIDS increase rates of delayed union or nonunion (OR 2.07; 1.19 to 3.61) in adults with fracture, osteotomy, fusion surgery; but not in pediatrics (OR 0.58) or with low dose/short duration NSAID exposure (OR 1.68). https://t.co/0tM8OFLhzt

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
UK NHS study shows RA patients have a 1 in 5 lifetime risk of knee and hip replacement. 13 961 RA pts fins a 22% (TKR) and 17% (THR) risk following a RA Dx (for an avg 64 yr F, nonsmoker, BMI27). Risk is even higher in younger patients. https://t.co/asOVrRUZLx

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Do you use PJP prophylaxis w/ Bactrim in RA pts? 2640 RA pts found only 19 cases of pneumocystis pneumonia. Risk factors were high dose MTX (OR 4.5), >65 yrs (OR 3.7), ≥2 ISPs (3.7), prednisolone ≥5 (OR 12.4) - a combo of these has a 2.3-5.8% riskof PJP. https://t.co/5Pf2FskE30

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
Should you check hydroxychloroquine levels in your #SLE patients? I do not but probably should in patients who are not in remission as nonadherence to HCQ may be as high as 50%. This is routinely available. https://t.co/UkxjMh3lQz

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
What is your best therapy when treating calcinosis cutis? (or write in your Rx)

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
CORRONA study of 880 RA pts w/ hx of Solid cancer shows many on biologics following Dx. 42% were on biologics/tsDMARDs in the 12 mo before cancer. Post CA 31% were on same Rx, 5% switched biologics &10% started a biologic, the majority starting TNFi (54%). https://t.co/PjjQvFVnsI

Dr. John Cush @RheumNow ( View Tweet )

7 years 3 months ago
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