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Search results for: Primary care

Stealing Time

Philip Seo, MD, MHS  |  September 17, 2019

I knew I shouldn’t look. I was driving 60 miles per hour, heading north on I-95, trying to get to the George Washington Bridge before dusk. It takes a certain fatalism to drive through New York City if you are not a native. Ninety percent of the drivers sharing the road with you know exactly…

Filed under:OpinionRheuminationsSpeak Out Rheum Tagged with:burnoutpatient-centered care

If It’s Broken, Fix It: Can an Automated System Predict Short-Term Fracture Risk?

Jason Liebowitz, MD, FACR  |  September 17, 2019

A clinician’s ability to determine which patients are at greatest risk for hip or other fracture is improving with the use of algorithm-based fracture risk calculators…

Filed under:ConditionsEULAR/OtherMeeting ReportsOsteoarthritis and Bone Disorders Tagged with:EULARfracture riskfracture risk evaluation modelFracturesOsteoporosisTechnology

This chest CT shows new left upper lobe groundglass opacity.

Case Report: Could Myocarditis + Shortness of Breath = EGPA?

Ambreesh Chawla, MD, Ashwini Komarla, MD, & Sujatha Vuyyuru, MD  |  August 16, 2019

Eosinophilic granulomatosis with polyangiitis (EGPA), also known as Churg-Strauss syndrome or allergic granulomatosis and angiitis, is a rare small- and medium-vessel vasculitis. This disease was first described by American pathologists Jacob Churg and Lotte Strauss in 1951.1 Although the vasculitis is often not apparent in the initial phases of the disease, EGPA can affect any…

Filed under:Conditions Tagged with:eosinophilic granulomatosis with polyangiitis (EGPA)myocarditis

Jinoos Yazdany, MD, MPH, Advances RISE Through the Registries and Health IT Committee

Carina Stanton  |  August 2, 2019

With her combined expertise in rheumatology and informatics, Dr. Yazdany is leading the ACR’s Registries and Health Information Technology Committee to create a national health IT infrastructure that advances rheumatology practice.

Filed under:Uncategorized Tagged with:Jinoos YazdanyRegistries and Health Information Technology CommitteeRISE

Addiction Therapy Is Underprescribed but May Benefit Medical Adherence

Thomas R. Collins  |  July 18, 2019

CHICAGO—Although medical treatments for addiction have been proved effective, they are not used often enough, said Kenneth Stoller, MD, during a session at the 2019 ACR State-of-the-Art Clinical Symposium, held April 5–7. These treatments bring health benefits that extend beyond addiction, he said. Dr. Stoller, assistant professor of psychiatry and behavioral sciences at Johns Hopkins…

Filed under:Conditions Tagged with:Addictionaddiction treatmentadherence

Study Shows Lupus Clinics Outperform General Rheumatology Clinics

Larry Beresford  |  July 18, 2019

Are outcomes better in a specialized lupus clinic compared with care provided in a general rheumatology setting? New research from Rush University, Chicago, studies this important care management question and finds the specialized clinic does indeed produce better outcomes.1 A big part of the difference may be due to the added experience specialty clinic clinicians…

Filed under:ConditionsPractice SupportQuality Assurance/ImprovementSystemic Lupus Erythematosus Tagged with:cliniclupus clinicsspecialty

David M. Phillips / Science Source

Lyme Arthritis: Presentation, Diagnosis & Treatment

John N. Aucott, MD, & Sheila L. Arvikar, MD  |  July 18, 2019

A 52-year-old man living in greater Boston with a history of hyper­tension presented at our rheumatology clinic with bilateral knee pain and swelling. He had been in his usual state of health until four months earlier when he developed right knee pain and swelling without an incipient trauma, which did not improve with non-steroidal anti-inflammatory…

Filed under:Conditions Tagged with:Borrelia burgdorferiLyme arthritisLyme Disease

Beyond Addiction: Medical Therapy for Addiction May Benefit Medical Adherence

Thomas R. Collins  |  June 17, 2019

Treating patients with rheumatic disease for their addictions will also encourage patients to address their overall health conditions, resulting in better medical adherence…

Filed under:Conditions Tagged with:Addictionaddiction treatmentOpioid abuseOpioids

Until Broadband Access Improves, Telemedicine Won’t Help Rural Communities

Linda Carroll  |  May 22, 2019

(Reuters Health)—Telemedicine has been touted as a solution to the dearth of doctors in rural America. But the same places where residents must drive many miles to see a physician often also have limited broadband access, a new study suggests. About 25% of Americans live in rural communities while a mere 10% of physicians practice…

Filed under:Technology Tagged with:patient accessruralrural areastelemedicinevideo-based telemedicine

Prevent Osteoporotic Fractures with a Fracture Liaison Service

Micah Yu, MD, Anna Lafian, DO, & Christina Downey, MD  |  May 18, 2019

Imagine leaving the hospital after suffering a heart attack without being treated for hypertension or being started on a beta blocker. What would we think of the hospital where patients are never educated about the relationship between treating hypertension and reducing myocardial infarction and stroke risk? Unfortunately, this happens every day with osteoporosis and fractures…

Filed under:ConditionsOsteoarthritis and Bone Disorders Tagged with:FracturesOsteoporosisosteoporosis treatmentsosteoporotic fracture rates

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