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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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Pain Persists in RA, Even Without Inflammation

MedPage Today
Jun 23, 2021

One-third of patients with rheumatoid arthritis had unacceptably high levels of pain 5 years after diagnosis, often despite low levels of inflammation, Swedish researchers found.

In an inception cohort of 232 patients with early rheumatoid arthritis, 34.1% still reported unacceptable

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Ten Things to Tell Patients About Diet and Rheumatic Disease: Dr. Eric Dein ( @ejdein1 )
Dr. John Cush @RheumNow( View Tweet )
Jun 16, 2021
#EULAR2021: Great talk by Dr. McFarland recapping the evidence for managing fibromyalgia. ➡️Over a 6 month time period, costs were significantly lower for people receiving psychological therapies compared to those receiving usual care as shown by Cabral et al. @RheumNow
Meral K. El Ramahi, MD @MeralElRamahiMD( View Tweet )
Jun 03, 2021
Good Free 2 part series on Juvenile Fibromyalgia: a chronic diffuse musculoskeletal aching and pain syndrome that may be hard to distinguish from complex regional pain syndrome (CRPS) (ALWAYS CHECK FOR HYPERMOBILITY in Kids)

Dr. John Cush @RheumNow( View Tweet )

May 26, 2021
Listen to Dr. Jack Cush review the news and journal reports from the past week on RheumNow. Our latest podcast is available for download on SoundCloud, Apple and Android carplay.
Dr. John Cush @RheumNow( View Tweet )
May 24, 2021

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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NSAID Safety with COVID-19 Infection

May 12, 2021

NSAIDs do not affect COVID outcomes; here we are nearly 16 months into the pandemic, and this is the common sense conclusion of a recent trial published in Lancet Rheumatology.

Early in the pandemic there was an unfounded directive from the French government suggesting that non-

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RheumNow Podcast – Falling or Falling in Love?

May 06, 2021

Dr. Jack Cush reviews the best journal articles from the past week on

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Get a Clue - to the Dx of FM

Dr. John Cush @RheumNow( View Tweet )

Apr 28, 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

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Diary study of 79 FM, 86 RA, 33 w/ both FM/RA shows that compared to RA, pts with FM have worse daily well-being, negative affect, more isolation, inability to complete plan. FM had more perceived stigma and lower well-being.

Dr. John Cush @RheumNow( View Tweet )

Apr 23, 2021
News Feature: NICE Guidelines on Chronic Pain Management Chronic primary pain is pain with no clear underlying cause, or pain (or its impact) that is out of proportion to any observable injury or disease.
Dr. John Cush @RheumNow( View Tweet )
Apr 15, 2021
News Feature: Sinusitis Activity Linked to Brain Dysfunction Have you wondered why fibromyalgia, fatigue or cognitive dysfunction often co-associate with chronic sinusitis?
Dr. John Cush @RheumNow( View Tweet )
Apr 15, 2021

NICE Guidelines on Chronic Pain Management

Apr 14, 2021

In the United Kingdom, where it is estimated that chronic pain affects one‑third to one‑half of the population, NICE (National Institute for Health and Care Excellence) has recently released an updated guideline on the management of chronic pain for people aged 16 years and over. This

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Sinusitis Activity Linked to Brain Dysfunction

Apr 13, 2021

Have you wondered why fibromyalgia, fatigue or cognitive dysfunction often co-associate with chronic sinusitis?

A case-control study of 22 patients with chronic rhinosinusitis published in JAMA Otolaryngology–Head and Neck Surgery found that sinonasal inflammation was

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GLP-1 Therapy in Knee Osteoarthritis

Apr 08, 2021

Knee osteoarthritis is best managed by weight loss, as the effects of most analgesic therapies have been marginal and debatable. The use of anti-diabetic glucagon-like peptide-1 therapies have demonstrated significant weight loss benefits; hence this trial evaluated the potential weight loss and

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Cost Efficacy of Knee Replacement in Obese Osteoarthritis

Apr 05, 2021

Total knee replacement (TKR) in obese patients with end-stage knee osteoarthritis appears to be a beneficial and cost-effective strategy for treating. The only potential limitation is a greater risk for adverse events in those with a body mass index (BMI) of 40 kg/m2 or greater.

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Aortic Calcification and Lumbar Fracture Risk in Older Men

Mar 30, 2021

Fractures of the spine and abdominal aortic calcification (AAC) can both be visualized with spinal imaging; a new report shows that finding both radiographic vertebral fracture and AAC on the same lateral spine images may predict the risk of future incident major osteoporotic fracture in

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Listen to our latest QD clinic--Why Pain Consults present Not Taking Pain Meds
Dr. John Cush @RheumNow( View Tweet )
Mar 29, 2021

FDA Panel Rejects Tanezumab for Osteoarthritis

Mar 25, 2021

A two day FDA review by the Drug Safety and Risk Management and Arthritis Advisory Committees has yielded a 19-1 vote against the approval of tanezumab, a nerve growth factor inhibitor, for use in osteoarthritis (OA).

Tanezumab (TAN) has been developed by Pfizer and Eli Lilly over the

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Want to ask a question for the RheumNow Podcast? Record your question in 1 minute or less and we may feature it on an upcoming episode.
Dr. John Cush @RheumNow( View Tweet )
Mar 22, 2021
News Feature: Are You a Super Rheum?
Dr. John Cush @RheumNow( View Tweet )
Mar 19, 2021

Are You a Super Rheum?

Mar 18, 2021

Several weeks ago, at the Rheumatology Winter Clinical Symposia, an interesting debate between Drs. Orrin Troum and Marty Bergman hashed over the concept of whether rheumatologists should sub-specialize with a practice, research or career devoted to one disease ("Super Rheum"), or be "selective

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Metanalysis of 45 studies, ∼175 000 individuals shows a significant association between pain and socioeconomic status (SES).Chronic pain was higher with low SES (OR 1.32) and medium SES level (OR 1.16)

Dr. John Cush @RheumNow( View Tweet )

Mar 12, 2021