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OP/Bone

RheumNow Podcast – Do More DMARDs Mean More Switching? (9.17.2021)

Sep 16, 2021

Smartphones and diet; COVID-19 and the numbers - reassuring or not, and what about masks?; and do more drugs mean more switching, less persistence, and patient adherence goes up...or down? All this and more news and journal reports in this week's episode.

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Scottish study of 78 000 veterans shows no association between military service and future OA knee/hip. 78K Vets compared to 253K non-Vets shows Vets with a lower risk of THR (HR 0.87), but not TKR (HR 1.02). https://t.co/JU7Q80qji1

Dr. John Cush @RheumNow( View Tweet )

Aug 17, 2021
Watch Now: The Sentinel Joint: Dr. Kathryn Dao ( @KDAO2011 ) reviews abstract POS0385 presented at the virtual EULAR 2021 meeting. https://t.co/H3DcSHQWHr https://t.co/f7LDNz6oyL
Dr. John Cush @RheumNow( View Tweet )
Aug 16, 2021
Lumbar Spine Decompression Alone is Superior to Decompression with Fusion https://t.co/EjLoVZaJf5 https://t.co/OJHJl3EWsv
Dr. John Cush @RheumNow( View Tweet )
Aug 09, 2021
Delays in Joint Replacement as JIA Patients Reach Adulthood https://t.co/EQNZPD8d7o The JIA category, year of implant, and presence of complications significantly affected implant survivorship. https://t.co/yiD74AElPC
Dr. John Cush @RheumNow( View Tweet )
Aug 09, 2021

RheumNow Podcast – Saphnelo (Anifrolumab) Approved for Lupus (8.6.2021)

Aug 06, 2021

It was a banner week at the FDA; a new drug approval you should know about; a lot of information about pregnancy and safety; and an interesting case plus a question from one of our readers submitted via Back Talk. This and more in this week's podcast. Let's dive in.

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Lumbar Spine Decompression Alone is Superior to Decompression with Fusion

Aug 05, 2021

The NEJM has published a multicenter study wherein patients with surgical lumbar spinal stenosis and degenerative spondylolisthesis were found to fair equally well (noninferior if treated with decompression surgery alone compared to decompression with instrumented fusion.

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Fracture Risk with Low Dose Steroid A large RA cohort analysis shows that low-dose glucocorticoid therapy in rheumatoid arthritis (RA) patients may carry an increased risk of vertebral osteoporotic (OP) fractures. https://t.co/HcYpx8IDcB https://t.co/iVPjJHLNBX
Dr. John Cush @RheumNow( View Tweet )
Jul 26, 2021
Fracture Risk with Low Dose Steroid https://t.co/HcYpx8IDcB A large RA cohort analysis shows that low-dose glucocorticoid therapy in rheumatoid arthritis (RA) patients may carry an increased risk of vertebral osteoporotic (OP) fractures. https://t.co/1bc5nyZUzG
Dr. John Cush @RheumNow( View Tweet )
Jul 24, 2021

Fracture Risk with Low Dose Steroid

Jul 22, 2021

A large RA cohort analysis shows that low-dose glucocorticoid therapy in rheumatoid arthritis (RA) patients may carry an increased risk of vertebral osteoporotic (OP) fractures. 



There were 15,123 RA patients (mean age 68.8 years) enrolled in Clinical Practice Research Datalink

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Carpal Tunnel Syndrome has an annual incidence of 0.4%. Population based study shows more likely in women, 50-59 years, w/ obesity, gout, rheumatoid arthritis or a prior hx of wrist injury. https://t.co/X7U5yh0R3l

Dr. John Cush @RheumNow( View Tweet )

Jul 19, 2021

Osteonecrosis in Lupus

Jul 15, 2021

A single center analysis of systemic lupus erythematosus (SLE) patients found symptomatic osteonecrosis (ON) in nearly 10%.



Researchers analyzed data from 912 SLE patients admitted to the hospital (1981 to 2012).  Of these 912 SLE patients, 97 had symptomatic ON with an overall

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ICYMI: RheumNow Podcast – Tofacitinib Safety Concerns

Jul 09, 2021

Dr. Jack Cush reviews and discusses the news and journal reports from the past week on RheumNow.com.

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ICYMI: EULAR Guidelines on Intraarticular Therapy

Jul 07, 2021

EULAR has published evidence-based recommendations on the use of intra-articular therapies (IAT) based on the literature review and recommendations of a multidisciplinary international task force. These IAT recommendations apply to adult patients with peripheral arthropathies.



The

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RHEUMATOLOGIST SURVEY - on Osteoporosis, Osteomalacia and a Family Hx of recurrent Fractures - Answer a 4 question survey here >> https://t.co/TuY1fXAAk5

Dr. John Cush @RheumNow( View Tweet )

Jun 25, 2021

Knee Replacement in Obese OA is Cost Effective

Jun 24, 2021

Debates over ideal candidates for total knee replacement (TKR) in osteoarthritis patients often excludes those who are obese, but a recent article in the Annals of Internal Medicine suggests that TKR is both effective and cost-effective in obese patients (BMI >40 kg/m2)

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How many of your postmenopausal RA ♀️ patients are on osteoporotic treatment? #EULAR2021 POS0164 ⭐️28% had prior fragility FX ⭐️50.5% at very high or high risk of fx according to FRAX 10 yr major fx risk Over 1/2 of patients at risk & indicated for treatment! @RheumNow

Eric Dein @ejdein1( View Tweet )

Jun 04, 2021

EULAR Guidelines on Intraarticular Therapy

May 26, 2021

EULAR has published evidence-based recommendations on the use of intra-articular therapies (IAT) based on the literature review and recommendations of a multidisciplinary international task force. These IAT recommendations apply to adult patients with peripheral arthropathies.



The

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Total Ankle Arthroplasty vs. Arthodeisis?

May 19, 2021

 The Journal of Bone & Joint Surgery reports the findings of a 4-year trial comparing outcomes of total ankle arthroplasty (TAA) versus ankle arthrodesis (AA) in patients with severe ankle arthritis; finding that while both groups improved, TAA was associated with less pain and better

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Severity Associated with Erosive Hand Osteoarthritis

May 18, 2021

Erosive hand osteoarthritis (EHOA) was studied as part of the Osteoarthritis Initiative, and shown to increase with advanced age and female sex, with developmental findings to suggest that EHOA as a disorder of skeletal frailty.



The Osteoarthritis Initiative is a longitudinal study of

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Little Effect with Multimodal Treatment of CMC1 Osteoarthritis

Apr 26, 2021

A randomized clinical trial of patients with CMC1 osteoarthritis shows modest benefits when a combination of conservative treatments (education, splinting, hand exercises, 1% diclofenac sodium gel) was used compared to education alone. While there were small to medium benefits with regard to

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Clinical pearl: Bisphosphonates can cause posterior iritis (consider this in patients with negative labs and long term use of bisphosphonates.) Dr. Wang #RNL2021 @RheumNow

Dr. Rachel Tate @uptoTate( View Tweet )

Apr 24, 2021

RheumNow Podcast – Coconspirators: RA and Lung Disease

Apr 23, 2021

Dr. Jack Cush reviews and discusses more than a dozen news and journal articles from the past week on RheumNow.com.

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RheumNow Podcast – Combination Biologics

Apr 16, 2021

Dr. Jack Cush serves up this week's news and articles from RheumNow.com.

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USPSTF - No Need to Screen for Vitamin D Deficiency

Apr 14, 2021

JAMA has published the new recommendation from the US Preventive Services Task Force (USPSTF) stating that screening for vitamin D deficiency is unnecessary and unwarranted in asymptomatic adults.

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