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Silent Cardiac Impairment in SLE

Arthritis & Rheumatology  |  November 27, 2018

Drug-naive, new-onset SLE patients, even those with inactive disease, are likely to have silent cardiac impairment, according to a new study by Guo et al. Cardiac involvement is the leading cause of death in patients with lupus, and the estimates of cardiac impairment in SLE range from 31–70%. Cardiac impairment can remain unrecognized until after autopsy. These researchers investigated the use of cardiac MRI to explore early warning signs of silent cardiac involvement in SLE and determine treatment timing…

Rituximab Receives Label Update for ANCA-Associated Vasculitis

Michele B. Kaufman, PharmD, BCGP  |  November 26, 2018

The FDA has approved an update for rituximab’s label, which will include safety and efficacy information for treating ANCA-associated vasculitis…

Canakinumab Reduces Risk for Gout Flares, But Not Serum Uric Acid Levels

Lara C. Pullen, PhD  |  November 26, 2018

An exploratory analysis of a canakinumab clinical trial has shown the interleukin 1β inhibitor may significantly reduce patients’ risk for gout flares. During the study, patients using canakinumab experienced this decreased risk, but the treatment did not change serum uric acid levels…

Long-Term Canakinumab Treatment Has Favorable Effect on Systemic Features & Joint Health for sJIA

Carina Stanton  |  November 21, 2018

During a five-year trial of canakinumab, patients with systemic juvenile idiopathic arthritis taking canakinumab showed progress toward clinical remission and glucocorticoid tapering…

Cerebral Blood Flow Variability May Provide Insights into Fibromyalgia

Lara C. Pullen, PhD  |  November 20, 2018

Recent research demonstrated that fibromyalgia patients have lower cerebral blood flow velocity variability than healthy controls, which may reflect impaired coordination of cerebral regulatory systems. This analysis may be a promising tool for characterizing fibromyalgia pathology and understanding health-related quality of life…

Psoriatic Arthritis Patients Show Long-Term, Sustained Improvement with Secukinumab

Michele B. Kaufman, PharmD, BCGP  |  November 20, 2018

In a four-year study, patients with active psoriatic arthritis (PsA) experienced sustained improvement in PsA signs and symptoms on secukinumab…

Pfizer Plans to Increase U.S. Drug Prices in January

Reuters Staff  |  November 19, 2018

NEW YORK (Reuters)—Pfizer Inc. said on Friday that it plans to hike U.S. prices on 41 of its medicines in January, after walking back its previous price increases this summer under pressure from President Donald Trump. The company said in a statement that the increases would be on around 10% of its drugs. Pfizer said…

Up to Date with the HIPAA Privacy Rule

From the College  |  November 19, 2018

Throughout a patient’s lifetime, providers are entrusted with their most intimate and personal information, which they expect to be kept private and confidential. Unfortunately, the healthcare system can face serious implications if any part of a patient’s privacy or information is breached. Under the Health Information Portability & Accountability Act (HIPAA) and state laws healthcare…

Coding Corner Answers: A Drug Administration Quiz

From the College  |  November 19, 2018

Take the challenge. C—This claim cannot be coded without querying the infusion nurse and physician. There must be documentation of the patient’s weight to document the correct dosage of the medication to be given to the patient. Also the start time and the completion time of the infusion must be documented to know which drug…

Coding Corner Questions: A Drug Administration Quiz

From the College  |  November 19, 2018

A 70–year-old female patient with rheumatoid arthritis affecting multiple joints who is rheumatoid-factor positive but without organ or system failure returns for her third infliximab infusion. She is scheduled to receive 500 mg of the drug. How should this encounter be coded? 96413, 96415, J1745 x 50; ICD 10: M05.79 96413, 96415, J1745 x 50;…

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