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Does TNFi use in pts with RA and early breast cancer affect survival? TNFi did not affect overall survival or breast cancer specific survival compared to cDMARDs Steroids did increase mortality @RheumNow #ACR23 Abs#1675

Robert B Chao, MD ( View Tweet )

2 years 7 months ago
No significant difference in overall survival in early stage breast cancer (BC) patients treated with TNFi (alone -/+ cDMARDs, in 1st year of BC) and cDMARDs in RA. Those on glucocorticoids had worse survival. Suarez-Almazor M, Abst#1675 #ACR23 @RheumNow https://t.co/lnZx3OpuN5

Dr. Antoni Chan ( View Tweet )

2 years 7 months ago
Petri @jhrheumatology data on SGLT2i in SLE A#1490 #ACR23 @RheumNow Prior to Rx, average annual change in eGFR was -3.1 After starting SGLT2i, average change decr to -0.9 Did not reach signif (p=0.27) Average annual incr in UPCR was 0.4 -> 0.37 on SGLT2i, also not signif https://t.co/TviFyAwXbA
Eric Dein ( View Tweet )
2 years 7 months ago
Insights into pathogenesis venous & arterial thrombosis in RA + JAKi Significant dysregulation of clotting pathways in myeloid & increased clot formation in context of microbial challenge (TLR4) Observed across all JAKI, but selective JAK3i @RheumNow #ACR23 ABST1676 https://t.co/nboy0znfAW
Aurelie Najm ( View Tweet )
2 years 7 months ago
Suarez-Almazor et al. TNFi in early breast cancer do not impact overall survival, HR=0.75 (0.41-1.37), HR=0.86 (0.55-1.34). Better cancer specific survival HR=0.29 ( 0.09-0.98)! Abstr#1675 #ACR23 #ACRbest @RheumNow https://t.co/qS5W7WehiN

Richard Conway ( View Tweet )

2 years 7 months ago
Two-week interruption of MTX for IMIDs enhanced boost of antibody responses after COVID-19 vaccination, sustained at 12, 26 weeks. Consistent across ages, MTX doses, route, IMIDs, primary vaccination platform,COVID-19, Abhishek A Abst#1677 #ACR23 @RheumNow https://t.co/T0KdsGh6vg

Dr. Antoni Chan ( View Tweet )

2 years 7 months ago
VROOM 🏎️ study 2 wks interruption of MTX just after COVID vaccine: -Increase S1-RBD Ab response for 26 wks -Improves Neutralizing Ab titres (Wuhan Hu-1) -Leads to more flares wks 4 & 12 Greater effect when MTX dose>15mg @RheumNow #ACR23 ABST1677 https://t.co/SJmaRHtbRH
Aurelie Najm ( View Tweet )
2 years 7 months ago
Abishek et al. 2 week break from MTX enhances response to COVID-19 vaccination, mirroring what we saw for flu. Trade off is short term worsening of disease activity. Abstr#1677 #ACR23 @RheumNow https://t.co/gguRWER81x https://t.co/1hncvDTahH
Richard Conway ( View Tweet )
2 years 7 months ago
There was a lower hazard ratio for incident cancer with exposure to TNFi compared to non-TNFi (RTX and ABA) and JAKi. Limits: potential for residual confounding by indication and small number of outcomes per drug class, Xavier S, Abst#1678 #ACR23 @RheumNow https://t.co/vJpFwl6Ivj

Dr. Antoni Chan ( View Tweet )

2 years 7 months ago
A#1403 #ACR23 @RheumNow 17% of 1st degree relatives of AS pts have MRI-defined sacroiliitis Study of 100 subjects w FHx AS - 13/100: new dx of AxSpA, 7 w radiographic changes - 4/100: Sacroiliitis without back pain - 1 periph SpA - 12 met clinical ASAS classification but not dx https://t.co/V7LCbaDXBe
Eric Dein ( View Tweet )
2 years 7 months ago
OA and Syncope #ACR23 OA patient on NSAIDs presents with a peptic ulcer and GI Bleed. https://t.co/vhRnv6dPim https://t.co/H4gsCivyxN
Dr. John Cush @RheumNow ( View Tweet )
2 years 7 months ago
GCs Major Driver of Depression in SLE Ab#1446 #ACR23 @RheumNow 1463 pts with SLE, prospective longitudinal study GC use: 49-57% of pts Prevalence of depression at any time: 89.8%, most of time 35%!! Risk factors: - Fibromyalgia OR 2.9 - GC OR 1.85

Eric Dein ( View Tweet )

2 years 7 months ago
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