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RheumNow Podcast – ACR 20 is Coming to Town (10.30.20)

Oct 29, 2020

Dr Jack Cush overviews the RheumNow commitment, upcoming bonus coverage of ACR20 and the good news and journal reports from the past week on

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RheumNow Podcast – Lupus Delights (9.18.20)

Sep 18, 2020

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

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RheumNow Podcast – To Celiac Test or Not? (9.4.20)

Sep 04, 2020

Dr Jack Cush reviews the news, journal articles and takes a few Back Talk questions this week:

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Durability of Total Shoulder Arthoplasty

Aug 27, 2020

A systematic review of the outcomes of total shoulder replacements (TSR), humeral hemiarthroplasties, and reverse total shoulder replacements finds that approximately 90% of shoulder replacements last for longer than 10 years with good patient-reported outcomes.

This metanalysis

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RheumNow Podcast – Drive Them Crazy (4.17.20)

Apr 17, 2020

Dr. Jack Cush reviews the news, journal articles and new ACR COVID-19 guidelines from the past week on

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Rituximab in Rheumatoid Vasculitis

Apr 15, 2020

The Journal of Rheumatology reports a retrospective, single center, analysis of 17 rheumatoid vasculitis patients who responded well to intravenous rituximab (RTX) therapy.

They identified 17 patients treated with RTX for systemic rheumatoid vasculitis from 2000 to 2017. At RV

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Low Risk with Immunosuppression at Surgery

Apr 13, 2020

The Annals of Rheumatic Disease reports that rheumatoid arthritis patients on biologic therapies do not have a greater risk of postoperative infection after hip fracture, abdominopelvic or cardiac surgery compared (compared with those on methotrexate alone) and that glucocorticoids were

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Bariatric Surgery Improves Rheumatoid Activity

Feb 25, 2020

Obesity is a risk factor for the onset of rheumatoid arthritis (RA) and may also an impediment to optimal DMARD and biologic responses.  A new study has shown that after 1 year, obese RA patients undergoing bariatric surgery with weight loss had significantly lower disease activity.

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RheumNow Podcast - RWCS Quick Hits (2.14.20)

Feb 14, 2020

Dr. Jack Cush reviews the highlights from the 2020 RWCS meeting in Maui, Hawaii.

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Bariatric Weight Loss Fails to Alter RA Risk

Feb 06, 2020

Obesity has been shown to be a risk factor for the onset of rheumatoid arthritis (RA) and also shown to affect outcomes by impairing responses to many DMARD therapies. A Swiss study of RA patients undergoing bariatric surgery failed to show that bariatric surgery and weight loss had any effect

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Aspirin after Hip or Knee Arthoplasty

Feb 05, 2020

JAMA Internal Medicine has reported that use of low dose aspirin for venous thromboembolism (VTE) prophylaxis after total hip and knee replacement is equal in efficacy to other anticoagulants.

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Knee Replacements Last 25 Years

Jan 29, 2020

UK registry reports that greater than 80% of total knee replacements can last for 25 years.

The outcomes regarding the duration and durability of knee arthroplasties is sketchy, with many orthopedists projecting a 15 to 20 year survivial. Hence the need for an appraisal of the data.

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NSAIDs May Impair Healing if Taken Nightly

Jan 27, 2020

A new study in Scientific Reports suggest that circadian rhythms play an important role in wound healing, and that nonsteroidal anti-inflammatory drugs (NSAIDs) may be disruptive if taken at night given primary healing that occurs in a body at night. 

NSAIDs provide analgesic

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RheumNow Podcast- The Down Side of Steroids (1.17.20)

Jan 17, 2020

Dr. Jack Cush reviews the journal reports and news from
Be sure to register for RheumNow Live 3/13/2020 in Fort Worth

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Best of 2019 - War on RA - Part 3: Useless Drugs

Dec 31, 2019

We have options that are endless – we have 28 biologics in rheumatology; 19 approved for RA in the last 20 years, but 15 of these are me-too copies or biosimilars. We currently have 2 JAK inhibitors and may have 3 or 4 by year end. But what we really need is the right drug, at the right time,

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Predicting Inpatient Gout Flares

Dec 13, 2019

Analysis of New Zealand hospitalized patients revals nine predictors of inpatient flare for people with comorbid gout.

This retrospective cohort study of hospitalised patients with comorbid gout included 625 hospitalised patients, 87 experienced inpatient gout flare.

There were 9

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RheumNow Podcast - The Elusive Hand OA Problem (12.13.19)

Dec 13, 2019

Dr. Jack Cush recaps the news and journal reports from the past week on

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One-Third of Psoriatic Arthritis Patients Will Need Joint Surgery

Oct 15, 2019

Dannish study has shown that one-third of psoriatic arthritis (PsA) will have joint surgery that that PsA patients have twice the rate of joint surgery when compared with the general population.

The Danish National Patient Registry was used in this cohort study of incident PsA patients

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ASBMR Recommendations on Secondary Fracture Prevention

Oct 03, 2019

The American Society for Bone and Mineral Research has developed multistakeholder consensus clinical recommendations for the prevention of secondary fractures for those aged 65 years and older after an initial hip or vertebral fracture.

Overall they have promoted 13 recommendations (7

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Similar Outcomes for Hip Arthroplasty or Hemiarthroplasty in Hip Fracture

Oct 01, 2019

The NEJM reports on a randomized comparison of hemiarthroplasty and total hip arthroplasty in displaced femoral neck fractures and shows no difference in function and quality of life over 24 months.

This Canadian, multicenter trial included 1495 patients, over age 50 years, who had a

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RheumNow Podcast – Believe in Vitamin D or Rituximab? (9.20.19)

Sep 20, 2019

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

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FEAR: A Perception of Fact In Spite of the Fiction

Sep 19, 2019

Pregnancy for patients with lupus has long been considered high risk and associated with both medical and obstetric complications, but outcomes have improved over the last 2 decades and continue to improve. The large decline in in-hospital maternal mortality was greater for lupus pregnancies

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RheumNow Podcast – The End of Arthritis (9.13.19)

Sep 13, 2019

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

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Need for Pre-operative Hyperglycemia Testing Prior to Total Joint Replacement

Sep 10, 2019

JAMA reports on a large Medicare cohort study showing that amongst patients undergoing total joint replacement (TJR), preoperative HbA1c testing was performed in 26% to 43% of patients with diabetes and in only 5% of those without diabetes. Importantly research has shown that an elevated HbA1c

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Weight Loss Cuts Hospital Stays for Obese TKA Patients

Sep 04, 2019

Morbidly obese patients who lost 20 lbs before total knee arthroplasty (TKA) cut their hospital stays by about 1 day, and were 76% less likely to have an extended hospital stay, research showed. 

However, morbidly obese patients who lost between 5 and 10 lbs before the surgical

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