Rheumatology

Allopurinol Dose Escalation for Gout Does Not Improve Mortality

Allopurinol Dose Escalation for Gout Does Not Improve Mortality

Linked to small increase in mortality; at 2 years, 31% of dose escalators achieved serum urate goal.

Effects of Pain, Depression, and Insomnia on Health Care Use in Older Adults With Osteoarthritis

Effects of Pain, Depression, and Insomnia on Health Care Use in Older Adults With Osteoarthritis

The combined effects of pain with insomnia and pain with depression increased diverse types of health care use.

Many RA Patients' Pain Related to Central Nervous System

Many RA Patients' Pain Related to Central Nervous System

MRIs show rheumatoid arthritis patients have neurobiologic features observed in fibromyalgia.

Mediterranean Diet Tied to Lower Risk of Rheumatoid Arthritis

Mediterranean Diet Tied to Lower Risk of Rheumatoid Arthritis

Association only significant among men and only in seropositive rheumatoid arthritis.

EULAR Releases 2018 Recommendations for the Management of Hand Osteoarthritis

EULAR Releases 2018 Recommendations for the Management of Hand Osteoarthritis

EULAR has released updated guidelines for the management of hand osteoarthritis.

Medicare bundled payments for lower extremity joint replacements results in fewer discharges to post-acute care facilities

Medicare patients randomized to the Comprehensive Care for Joint Replacement bundle payment model were less likely to be discharged to a post-acute care facility.

Mobile Apps for Rheumatoid Arthritis Require More Comprehensive User Experiences

Mobile Apps for Rheumatoid Arthritis Require More Comprehensive User Experiences

Most mobile apps directed toward individuals with rheumatoid arthritis do not provide a comprehensive experience.

Antirheumatic Medication Management for Orthopedic Surgery: An Interdisciplinary Perspective

Antirheumatic Medication Management for Orthopedic Surgery: An Interdisciplinary Perspective

A rheumatologist and orthopedic surgeon provide an interdisciplinary perspective on the perioperative management of antirheumatic medications in patients undergoing elective orthopedic surgery.

Elevated Late Mortality Persists After Blood or Marrow Transplant

Elevated Late Mortality Persists After Blood or Marrow Transplant

But in past 3 decades, decrease in late mortality seen among those who underwent BMT in childhood.

EULAR Releases 2018 Guideline on Physical Activity in Inflammatory Arthritis, Osteoarthritis

EULAR Releases 2018 Guideline on Physical Activity in Inflammatory Arthritis, Osteoarthritis

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The European League Against Rheumatism has issued their 2018 recommendations for physical activity in patients with inflammatory arthritis and osteoarthritis.

Radiofrequency Denervation Efficacious in Treating Thoracic Zygapophyseal Joint Pain

Radiofrequency Denervation Efficacious in Treating Thoracic Zygapophyseal Joint Pain

Radiofrequency denervation, typically used to treat lumbar and cervical zygapophyseal joint pain, has shown efficacy in treating thoracic zygapophyseal joint pain.

Acute Coronary Syndrome Risk Elevated in Siblings of Patients With RA

Acute Coronary Syndrome Risk Elevated in Siblings of Patients With RA

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Siblings of patients with rheumatoid arthritis appear to have an increased risk for acute coronary syndrome, which suggests there is a shared susceptibility between the 2 conditions.

Osteoporosis Fracture Risk Awareness Lacking in Postmenopausal Women

Osteoporosis Fracture Risk Awareness Lacking in Postmenopausal Women

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Postmenopausal women have little awareness of osteoporotic fracture risk and poor understanding that a fragility fracture may be indicative of osteoporosis and that it increases future fracture risk.

NSAID Use May Increase CVD Risk in Osteoarthritis

NSAID Use May Increase CVD Risk in Osteoarthritis

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Nonsteroidal anti-inflammatory drug use mediated a substantial amount of cardiovascular disease risk in osteoarthritis.

Moderate Alcohol Consumption Linked to Increased Disease Progression for Women With RA

Moderate Alcohol Consumption Linked to Increased Disease Progression for Women With RA

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Moderate consumption of alcohol is associated with increased radiological progression in women with early RA.

Corticosteroid Plus Lidocaine Injections Do Not Alleviate Pain in Central Lumbar Spinal Stenosis

Corticosteroid Plus Lidocaine Injections Do Not Alleviate Pain in Central Lumbar Spinal Stenosis

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Adding corticosteroids to epidural lidocaine injections does not improve patient-reported pain or function at 12 months.

Incident Gout Risk, Serum Urate, and Comorbidities: What Are the Links?

Incident Gout Risk, Serum Urate, and Comorbidities: What Are the Links?

Ethnicity and hypertension have an association with incident gout that is not fully explained by differences in serum urate.

Hand Grip Strength Associated With All-Cause Mortality, Other Adverse Outcomes

Hand Grip Strength Associated With All-Cause Mortality, Other Adverse Outcomes

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Grip strength is strongly and inversely associated with all-cause mortality and incidence of and mortality from cardiovascular disease, respiratory disease, COPD, all cancer, and subtypes of cancer, with associations being modestly stronger in the younger age groups.

Rheumatology Curriculum Outline Aims to Train and Integrate NPs and PAs

Rheumatology Curriculum Outline Aims to Train and Integrate NPs and PAs

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The ACR/ ARHP created a rheumatology curriculum outline that can be used to create more efficient integration of NPs and PAs into rheumatology practice.

Addition of Peripheral Nerve Blocks Beneficial for TKA

Addition of Peripheral Nerve Blocks Beneficial for TKA

Lower numeric rating scale pain scores on ambulation on postoperative days zero, one, and two

Inhibiting mitochondrial responses after intra-articular fracture slows progression of posttraumatic osteoarthritis

Intra-articular fractures often lead to posttraumatic osteoarthritis through mechanisms that involve mitochondria.

FDA warns that febuxostat may increase risk of heart-related mortality

FDA warns that febuxostat may increase risk of heart-related mortality

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Preliminary clinical trial results show more heart-related deaths occur in patients taking febuxostat compared to allopurinol.

USPSTF recommends osteoporosis screening, testing in women aged 65 and older

USPSTF recommends osteoporosis screening, testing in women aged 65 and older

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The USPSTF has updated its recommendations on osteoporosis screening and testing in women and men.

Case Study: Cardiac conditions of rheumatoid arthritis

Case Study: Cardiac conditions of rheumatoid arthritis

A 69-year-old man with no prior medical history presents over the course of several months with new-onset nonspecific joint pain and swelling without evidence of erosions.

Steroid treatment effective for carpal tunnel syndrome

Steroid treatment effective for carpal tunnel syndrome

The researchers found that four weeks after treatment there was significant improvement in Boston Carpal Tunnel Questionnaire scores.

Early antiretroviral therapy initiation linked to bone loss in HIV patients

Early antiretroviral therapy initiation linked to bone loss in HIV patients

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Early antiretroviral therapy initiation may increase the rate of bone loss in HIV patients.

DASH diet associated with lower risk of gout

DASH diet associated with lower risk of gout

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The DASH diet could offer a dietary strategy that may help prevent gout and its comorbidities in high-risk patients with hyperuricemia.

Osteoporotic fracture risk linked to mental disorders and related medication use

Osteoporotic fracture risk linked to mental disorders and related medication use

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Researchers used FRAX scores to examine the association of mental disorders and related medication use with osteoporotic fracture risk in clinical practice.

PAs may help fill rheumatology workforce shortage

PAs may help fill rheumatology workforce shortage

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The gap between supply and demand in the rheumatology workforce is expected to widen substantially by 2030.

FDA approves radiofrequency treatment for osteoarthritis knee pain

FDA approves radiofrequency treatment for osteoarthritis knee pain

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The FDA has cleared Halyard Health's COOLIEF Radiofrequency Treatment for relief of chronic osteoarthritis knee pain.

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