Economics

RheumNow Podcast - Top 13 Rheumatology Centers (7-31-20)

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Dr. Jack Cush reviews the news and TOP 13 list of Best Rheumatology Hospitals.

Methotrexate Improves Pegloticase Efficacy and Tolerability

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The efficacy of intravenous pegloticase (PEG) therapy in gout can be limited by its toxicity, but when coadministered with weekly methotrexate, higher response rates and less toxicity was observed.

In published gout clinical trials, the PEG responder rate was 42%. Strategies to limit 

The Burden of Gout

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Danve and Neogi have an editorial in the current Arthritis & Rheumatology about the burden of gout that affects 41 million adults worldwide, according to the Global Burden of Disease Study 2017 (GBD 2017) also published in the same issue.

This makes gout twice as prevalent as rheumatoid

ACR Advice on Reopening Strategies

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The American College of Rheumatology (ACR) has issued a guidance document for rheumatologists and rheumatology health professionals to consider as practices, business and patient care begins to reopen in this next phase of the COVID-19 pandemic. This document discusses local conditions,

ACR Position Statement on Telemedicine

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The American College of Rheumatology (ACR) has released an official position statement supporting the role of telemedicine as a tool with the potential to increase access and improve care for patients with rheumatic diseases. It also highlights the significant barriers and opportunities

Is IL-23 Better than IL-17 Inhibition in Psoriasis?

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Data presented at the recent American Academy of Dermatology meeting suggests that interleukin (IL)-23 inhibition with risankizumab was more effective than the IL-17 inhibition (secukinumab) based on a 52 week randomized head-to-head trial in moderate to severe psoriasis patients.

The

TNR Grand Rounds - Update on Biosimilars

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This week's Tuesday Nite Rheumatology featured Dr Jonathan Kay (U Mass) who gave an update on Biosimilars and took questions the subject. The program was moderated by Dr. Jack Cush.

Hydroxychloroquine Improves Survival in Lupus

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Hydroxychloroquine (HCQ) has dominated the news in recent weeks, because of poor outcomes reported when used in COVID patients. Yet, a recent report reaffirms what rheumatologists have known for years - that HCQ use is associated with better outcomes in systemic lupus erythematosus, including

Low Risk of COVID-19 Pneumonia in Rheumatic Patients

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A current letter in the Annals of Rheumatic Disease details the rheumatic disease patient cohort outcomes from the University of Siena, Italy showing only 2 cases of COVID-19 among 859 patients treated with tsDMARDs and bDMARDs.

TNR - COVID-Rheumatology Registry & COVID in OZ

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This week's Tuesday Nite Rheumatology features presentations and interviews with Drs. Peter Nash and Philip Robinson. Dr. Robinson presents latest data on the Rheum-Covid.org Registry, that he helped establish under the Global Rheumatology Alliance. Dr. Nash presents the impact of COVID in

RheumNow Podcast - COVID Kids and Men (5.15.20)

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

RheumNow Podcast – The Beat Goes On (5.8.20)

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

Physical Activity Prevents Hospitalization

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Modifiable lifestyle choices can impact long term health.  A recent study shows that usual and increased physical activity can results in less hospitalization amongst the the general population.

Hydroxychloroquine's World of Confusion - What you Need to Know

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Hydroxychloroquine has been a dominant news item since the start of the COVID-19 crisis, with a great deal of misconceptions by those who don't know or use or take the drug. HCQ leaped to the headlines on March 19th when President Trump endorsed the drug as being “approved” by FDA. Of course at

German Society of Rheumatology COVID Pandemic Recommendations

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The Annals of Rheumatic Disease has published the preliminary recommendations of the German Society of Rheumatology for the management of Inflammatory rheumatic diseases patients during the SARS-CoV-2/Covid-19 pandemic.

These preliminary recommendations are based on an expert consensus from 17

RheumNow Podcast – In Times of Trouble (4.24.20)

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Dr Jack Cush reviews the news, journal reports, twitter feed and COVID developments from the past week on RheumNow.com

FDA Consumer Warnings on Cannabis and CBD

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The FDA issued a new consumer update on what you need to know about Cannabis or Cannabis-derived Compounds, Including CBD. This is part of the FDA effort to answer questions about the science, safety, and quality of products containing cannabis and cannabis-derived compounds, particularly CBD

TNR Grand Rounds - Moving Forward with Telemedicine

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Dr. Alvin Wells gives a primer on Telerheumatology and Telemedicine in the era of COVID-19. This 1 hour Grand Rounds Presentation includes a 30 minute lecture, followed by stimulating 30 minutes of Q&A with a rheumatology attendee audience.

Physical Therapy Superior to Steroid Injection for Knee OA

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Treatment options for painful knee osteoarthritis (OA) are numerous, but comparative outcomes are seldom available. A NEJM report shows that physical therapy is superior to intraarticular glucocorticoids injections assessing the outcomes 12 months after the intervention. 

This

NICE Guidelines on Managing Rheumatologic Conditions During COVID-19 Pandemic

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On April 3rd, the National Institute for Health and Care Excellence (NICE) in the UK, published a rapid guideline for managing children and adults with rheumatological autoimmune, inflammatory and metabolic bone disorders during the COVID-19 pandemic, while protecting staff from infection.

The Immunologic Basis of Wellness in the COVID-19 Era

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We indeed are living in interesting times and we all are seeking not to contract COVID-19 - this is logical. While our goal is to avoid infection, I think we all must agree that our aspirations must encompass more than disease avoidance. What we should be seeking now, as well, is more than

RheumNow Podcast – Pandemic Numbers (4.3.20)

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Dr. Jack Cush reviews the news on COVID-19 and FDA actions this past week. Be sure to check out:

RheumNow Podcast – New World Order (3.27.20)

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Dr. Jack Cush reviews the news and COVID developments from this past week.

Global Rheumatology Alliance Registry Will Study COVID-19

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In the midst of a global pandemic of the 2019 Novel coronavirus acute respiratory disease (COVID-19), a small handful of Rheumatologists gathered on social media to collectively grapple with the impact of this virus on vulnerable populations with rheumatic disease.

Infusions in the Time of Coronavirus

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As they say, necessity is the mother of invention. After years of bemoaning the challenges of telemedicine, our rheumatology clinic transition entirely to a remote clinic in the space of a week. One of the few good things to come out of this crisis is that we may learn that in-person visits