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2015 ACR/ARHP Annual Meeting: Immune Mediators Can Impact Inflammatory Response

Susan Bernstein  |  March 15, 2016

SAN FRANCISCO—Inflammation can be either acute or chronic, and it’s the inflammatory responses that don’t shut down normally, or resolve, that cause tissue damage in rheumatic disease. “Resolution bridges the gap between acute inflammation and adaptive immunity,” said Derek W. Gilroy, PhD, head of the Centre for Clinical Pharmacology and Professor of Immunology at University…

Filed under:ConditionsMeeting ReportsOther Rheumatic ConditionsResearch Rheum Tagged with:2015 ACR/ARHP Annual MeetingAmerican College of Rheumatology (ACR)fatty acidsinflammationlipidsResearchRheumatic Diseasetissue damage

How Rural Rheumatologists Are Coping with Passage of Affordable Care Act, Changes in Reimbursement, Payment Systems

Kurt Ullman  |  March 15, 2016

Four years ago, a series of articles in The Rheumatologist talked about the practice of rheumatology in rural settings. Since then, changes have occurred, with the passage of the Affordable Care Act (ACA), differences in reimbursement and the trek toward value-based payment systems. One major concern expressed in the original article was the fact that…

Filed under:Practice Support Tagged with:Affordable Care Act (ACA)hospitalpatient carepaymentphysicianPractice ManagementReimbursementrheumatologistrheumatologyrural

Women Lag Men as Lead Authors in Top Medical Journals

Lisa Rapaport  |  March 11, 2016

(Reuters Health)—Women are more apt to be lead authors of research in major medical journals today than they were a generation ago, but they still lag significantly behind men, a recent study suggests. The gender gap matters because lead authors make key decisions on what topics to research, who to include in studies, which outcomes…

Filed under:Career DevelopmentProfessional TopicsResearch Rheum Tagged with:Career developmentClinical researchJournalsWomen

From the Expert: New Insights into Treating Pregnant Patients with Rheumatic Disease

Richard Quinn  |  March 11, 2016

The approach of under-treating rheumatic disease in pregnant patients is changing, according to Bonnie Lee Bermas, MD. Dr. Bermas discusses with The Rheumatologist the need for more research on how drugs affect this patient group, and how timing of conception and disease stability play important roles in the safe outcomes of mother and infant…

Filed under:Conditions Tagged with:Clinical Guidelinespatient carepatient communicationpregnancyRheumatic Disease

U.S. Health Agency Estimates 2015 Prescription Drug Spending Rose to $457 Billion

Reuters Staff  |  March 10, 2016

NEW YORK (Reuters)—Spending on prescription drugs is projected to have risen to $457 billion in 2015 and will likely continue to grow as a percentage of overall healthcare spending, a U.S. government health agency said on Tuesday. That is an increase of about 8% from 2014’s prescription drug spending, which is also an estimated figure,…

Filed under:Drug Updates Tagged with:Centers for Medicare & Medicaid Services (CMS)costsPrescription drugsspending

The ACR Addresses the FDA about the Safe Adoption of Biosimilars in the U.S.; Plus Tofacitinib Approved for RA & Romosozumab May Reduce Fracture Risk

Michele B. Kaufman, PharmD, BCGP  |  March 9, 2016

The ACR has continued its advocacy to ensure the safe adoption of biosimilars in the U.S., most recently addressing an FDA public hearing. Also, the FDA has approved tofacitinib for RA, and a clinical trial of romosozumab for patients with osteoporosis met its primary endpoint…

Filed under:Biologics/DMARDsDrug Updates Tagged with:American College of Rheumatology (ACR)BiosimilarsFDAFood and Drug AdministrationinfliximabromosozumabTofacitinibtofacitinib citrate

Doctor Quality Ratings May Be Influenced By Setting

Madeline Kennedy  |  March 8, 2016

(Reuters Health)—Patients give the same doctors different ratings depending on where their visit took place, according to a small U.S. study. Although doctors might act differently in an emergency department compared with a calmer office setting, researchers say the results also suggest that ratings are not a completely reliable measure of the quality of care…

Filed under:Practice SupportProfessional Topics Tagged with:Emergency Departmenthospitalpatient satisfactionpatient surveysphysician

From the Expert: Insight into the Intersection of Cancer & Autoimmunity

Richard Quinn  |  March 4, 2016

Research by Dr. Anthony Rosen, MD, and colleagues found a link between cancer and scleroderma, suggesting the immune system may edit cancer cells. In an interview with The Rheumatologist, Dr. Rosen explores the meaning of this finding and its potential…

Filed under:ConditionsSystemic Sclerosis Tagged with:CancerSclerodermaskinskin inflammation

Patients Get Mixed Reactions from Docs over Mail-Ordered Genetic Tests

Andrew M. Seaman  |  March 3, 2016

(Reuters Health)—Patients who order direct-to-consumer genetic tests report mixed experiences when they take the results to their doctors, a new study found. About a quarter of people who ordered direct-to-consumer genetic testing from such companies as 23andMe reported discussing the results with their primary care doctors. But nearly one in five were not at all…

Filed under:Practice SupportProfessional Topics Tagged with:genetic riskgenetic testpatient carePrimary Care Physicians

Tofacitinib Released from FDA REMS Requirement; Plus Biosimilars for Etanercept & Adalimumab Show Promise

Michele B. Kaufman, PharmD, BCGP  |  March 2, 2016

Tofacitinib has been released from the FDA’s risk evaluation and mitigation strategy requirement. The FDA is also reviewing a biologics license application for ABP-501, an adalimumab biosimilar. And CHS-0214, a proposed etanercept biosimilar, has met its primary endpoint at Week 24 in an ongoing 52-week study…

Filed under:Biologics/DMARDsDrug Updates Tagged with:adalimumabetanerceptFDAFood and Drug AdministrationTofacitinib

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