Imaging

RheumNow Podcast – Good Time Charlie…. (10.16.20)

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

IL-1 Inhibition Alters Arthroplasty Rates

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A subanalysis of the CANTOS trial suggests that inhibition of interleukin-1β (IL-1β) can reduce rates of incident hip or knee replacement (THR/TKR) surgeries.

Fractures from Delays in Denosumab Reinfusions

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Denosumab is effective in osteoporosis when used on schedue, but research suggests that discontinuation leads to rapid reversal of effect; a new observational study has shown that delays in denosumab administration of more than 16 weeks results in an increased vertebral fracture risk,

RheumNow Podcast – Function Follows Form (10.2.20)

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Dr. Jack Cush reviews the news and journal articles from the past week on RheumNow.com. Regulatory approvals, update on global rheumatology alliance, smoking and psoriasis, gabapentin let down and defining difficult RA.

RheumNow Podcast – Cardiovascular Risk in Psoriatic Disease (9.25.20)

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

RheumNow Podcast – Lupus Delights (9.18.20)

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

Has the Risk of Hip Fracture Changed over Time?

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Data from the Framingham Heart Study has shown that hip fracture incidence has decreased over time, probably resulting from improved lifestyle changes (less smoking and heavy drinking). 

The incidence of hip fracture has been shown to be decreasing in the US, presumeably attributeable

Update on Polymyalgia Rheumatica and Giant Cell Arteritis

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JAMA has published a clinical update of recent studies on GCA. While PET/CT scanning are novel means of demonstrating activity, they have not changed the diagnostic approach to GCA or PMR and although there are no new proven treatment strategies for PMR beyond glucocorticoids, the FDA has

Diagnostic Accuracy of Symptoms, Signs and Labs in GCA

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A systematic review and meta-analysis of 68 diagnostic cohort studies (14 037 patients) suggests that no one feature is more impactful that the combination of symptoms, signs, and laboratory tests to diagnose the presence giant cell arteritis (GCA).

From these analyses findings

Upadacitinib is Superior to Methotrexate in Early RA

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In a head-to-head trial against methotrexate, JAK1 inhibition with upadacitinib was shown to be more effective in early, DMARD-naive RA patients. Here are the primary results.

Secukinumab Effective in Non-Radiographic Axial SpA

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The PREVENT trial was a one year, phase III study that showed significant benefits when secukinumab (SEC) was given to patients with active non‐radiographic axial spondyloarthritis (nr‐axSpA) for 52 weeks.

To be enrolled patients had to have inflammatory low back pain and have either

Methotrexate Not Associated with Interstitial Lung Disease

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A case-controlled study shows that methotrexate (MTX) use in rheumatoid arthritis (RA) is not associated with interstitial lung disease (ILD) according to a report in the European Respiratory Journal.

Researchers examined the associatioin by comparing 410 RA patients with

IL-1 Blockade: A Treatment at Last for Osteoarthritis?

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The interleukin (IL)-1β inhibitor canakinumab (Ilaris) showed promise for preventing the need for hip or knee replacement among patients with osteoarthritis in an exploratory analysis of data from a randomized clinical trial, investigators reported.

Among patients enrolled in CANTOS, the pooled

Serial DEXA May Not Be Advisable

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Does repeat bone mineral density (BMD) measurement predict subsequent fracture risk in postmenopausal women? A study published in JAMA suggests that a second BMD done 3 years after the initial DEXA did not further distinguish women who would be at a higher risk for a future hip fracture or

RheumNow Podcast – COVID-19 Responds to Steroids (7.24.20)

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Dr. Jack Cush reviews the News and Journal Reports from the past week on RheumNow.com.

RheumNow Podcast – Lupus Mortality Declines, But… (6.26.20)

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

Cosentyx FDA Approval for Non-Radiographic Axial Spondyloarthritis

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Yesterday the FDA approved secukinumab (Cosentyx) for the treatment of patients with active non-radiographic axial spondyloarthritis (nr-axSpA). There are now three agents that are FDA approved for nr-axSpA: certolizumab, ixekizumab and now, secukinumab.