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E-Health, Telemedicine Pose Challenges, Offer Benefits for Patients with Arthritis

Michelle Burda, MLS, & Terence Starz, MD  |  August 11, 2016

A 52-year-old woman comes to the office complaining of a two-month history of pain and swelling in the small joints of her hands, feet and knees. She says, “Doctor, I’ve been searching the Internet, and I think I have rheumatoid arthritis. I have some questions for you.” The healthcare system in the U.S. is changing…

Filed under:ConditionsResearch RheumTechnology Tagged with:ArthritisInternetonlinepatient carepatient communicationResearchRheumatic DiseaserheumatologistrheumatologyTechnologytelehealthtelemedicine

Treatment Challenges, Uncertainty Abound with IgA Vasculitis

Thomas R. Collins  |  August 11, 2016

CHICAGO—Diagnosing and treating IgA vasculitis—leukocytoclastic vasculitis involving deposits of IgA1 deposits on the walls of small vessels—is rife with uncertainties, outright unknowns and treatment challenges, an expert on the disease said at the ACR’s 2016 State-of-the-Art Clinical Symposium. Alexandra Villa-Forte, MD, MPH, staff physician at Cleveland Clinic’s Center for Vasculitis Care and Research, said IgA…

Filed under:ConditionsResearch RheumVasculitis Tagged with:2016 State-of-the-Art Clinical SymposiumDiagnosisIgA vasculitisleukocytoclastic vasculitisResearchRheumatic DiseaserheumatologistrheumatologyTreatment

How Magnetic Resonance Imaging Technology Can Aid Spondyloarthritis Diagnosis

Larry Beresford  |  August 11, 2016

SAN FRANCISCO—“We haven’t made a lot of progress in ensuring the early diagnosis of spondyloarthritis,” said Walter Maksymowych, MD, FRCP, professor of medicine in the Division of Rheumatology at the University of Alberta and chief medical officer at CaRE (Canadian Research and Education) Arthritis, both in Edmonton. Speaking at the California Rheumatology Alliance 2016 Medical…

Filed under:Axial SpondyloarthritisConditionsResearch RheumTechnology Tagged with:California Rheumatology Alliance 2016ClinicalDiagnosismagnetic resonance imagingMRIoutcomepatient careResearchTechnology

Rheumatology Coding Question: Level 3 Established Patient Evaluation and Management Office Visit

From the College  |  August 10, 2016

Level 3 Established Patient E&M Visit A 43-year-old patient is seen in the office for a follow-up visit of her RF-positive rheumatoid arthritis and primary osteoarthritis of the left knee. The patient is on sulindac, methotrexate and folic acid. At her last visit, the patient’s methotrexate dose was increased, which has greatly reduced her pain….

Filed under:Billing/CodingFrom the CollegePractice Support Tagged with:BillingCodingEvaluationManagementofficepatient carePractice Managementrheumatologistrheumatologyvisit

Mesoblast Cell Treatment Shows Promise in Rheumatoid Arthritis

Reuters Staff  |  August 9, 2016

(Reuters)—Mesoblast Ltd. on Monday said its experimental stem-cell treatment led to significant improvements of symptoms and disease activity in patients whose rheumatoid arthritis had stopped being helped by widely used biotech medicines, according to data from a mid-stage trial. Treatment with the Australian company’s mesenchymal precursor cell (MPC) product, MPC-300-IV, was deemed well tolerated with…

Filed under:ConditionsDrug UpdatesRheumatoid Arthritis Tagged with:Rheumatoid Arthritis (RA)stem cell therapyStem Cells

Humira Found Partially Effective against Hidradenitis Suppurativa

Gene Emery  |  August 4, 2016

NEW YORK (Reuters Health) – The anti-inflammatory drug adalimumab can provide significant relief for about a quarter of people who suffer from a moderate-to-severe case of the chronic skin condition hidradenitis suppurativa, according to two 36-week trials. But the drug – which would cost over $104,000 per year for the weekly injections used in the…

Filed under:Biologics/DMARDsDrug Updates

How Sick Is Your Patient? Document the Details!

Carol Patton  |  August 4, 2016

Clear. Complete. Concise. These three Cs describe ideal patient record keeping, which is why they are among the key reasons to implement a clinical documentation information (CDI) program into your rheumatology practice. Not only will CDI help you accurately document the full picture of each patient’s clinical status, but it also promotes high-quality care and…

Filed under:Billing/CodingPractice SupportQuality Assurance/Improvement Tagged with:clinical documentation information programCoding

Ultrasound May Be Useful for Grading Rotator Cuff Tendinopathy

Lara C. Pullen, PhD  |  August 1, 2016

Researchers have developed procedures and assessed their efficacy for the use of ultrasound images to measure the inter-rater reliability of the measurement of structural changes in the tendon of patients with supraspinatus tendinopathy. The standardized procedures proved useful in evaluating patients…

Filed under:ConditionsOther Rheumatic Conditions Tagged with:imagingrotator cuffshouldershoulder painsupraspinatus tendinopathyTendinopathyUltrasound

MicroRNA Mediates Gene Regulation That Underlies JIA Pathology

Lara C. Pullen, PhD  |  July 25, 2016

Through the use of large-scale transcriptome analysis, researchers have gained insight into the role of innate immunity in juvenile idiopathic arthritis (JIA) pathology. Specifically, transcriptomes of neutrophils in chronic inflammatory states demonstrate extensive network rewiring caused by microRNA, suggesting a role for alternative splicing in JIA pathogenesis…

Filed under:Conditions Tagged with:cystic fibrosisJIAjuvenile idiopathic arthritis (JIA)microRNAneutrophilneutrophil transcriptome

Patients with PsA, Cutaneous Psoriasis May Undergo Hip Replacement

Richard Quinn  |  July 15, 2016

A recent study of patients with psoriatic arthritis and cutaneous psoriasis found that these patients do not have a higher risk of worse outcomes after total hip arthroplasty compared with patients with osteoarthritis…

Filed under:ConditionsOther Rheumatic ConditionsPsoriatic ArthritisResearch Rheum Tagged with:Arthritis & Rheumatologyhiphip arthroplastyhip replacementPsoriasispsoriatic arthritis

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