Journal of Rheumatology最新文献_第10页

Opioid Use and Healthcare Utilization in Adults With Psoriatic Arthritis and Ankylosing Spondylitis. 银屑病关节炎和强直性脊柱炎成人的阿片类药物使用和医疗保健使用情况。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-10-01 DOI: 10.3899/jrheum.2024-0127

Jean W Liew, Sofia Pedro, Kaleb Michaud, Alexis Ogdie

{"title":"Opioid Use and Healthcare Utilization in Adults With Psoriatic Arthritis and Ankylosing Spondylitis.","authors":"Jean W Liew, Sofia Pedro, Kaleb Michaud, Alexis Ogdie","doi":"10.3899/jrheum.2024-0127","DOIUrl":"10.3899/jrheum.2024-0127","url":null,"abstract":"Objective: Opioid use among individuals with spondyloarthritis is common; however, data on whether these individuals have higher utilization of the healthcare system are lacking. We examined the association between opioid use and healthcare utilization and costs among patients with psoriatic arthritis (PsA) and ankylosing spondylitis (AS).Methods: We included adults with PsA or AS enrolled in the FORWARD registry, with ≥ 1 completed disease activity or disability questionnaire between 2010 and 2019. The exposure was patient-reported opioid use, and the outcomes were annualized healthcare utilization and prescription costs. We used negative binomial regression to assess the association between opioid use and the utilization outcomes, and generalized linear models with γ-distribution and log link function for the association between opioid use and costs. Models were adjusted for age, sex, and hospitalization. AS and PsA were studied separately.Results: Among 828 patients with PsA, 21.4% used opioids; for those with AS, 27.2% of 334 patients reported opioid use. Opioid users had higher healthcare utilization and costs, including increased medical visits, diagnostic tests, direct medical costs, and pharmacy expenses. Opioid users had 32-33% more medical visits annually vs nonusers. Patients using opioids spent more on medical visits annually compared to nonusers (US $3464 vs $2706 for PsA; US $4500 vs $3660 for AS).Conclusion: Compared to patients not using opioids, patients with PsA and AS who used opioids had higher healthcare utilization and higher health-related costs. New care pathways are needed to improve care and reduce costs.","PeriodicalId":50064,"journal":{"name":"Journal of Rheumatology","volume":" ","pages":"1009-1014"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Atypical Presentation of Parvovirus B19 Arthritis. Parvovirus B19 关节炎的非典型表现。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-10-01 DOI: 10.3899/jrheum.2024-0598

Tia Solomon, Anne Powell, John Findeisen

引用次数: 0

GRAPPA Debate: Targeted Small Molecules Versus Biologics as First-Line Systemic Therapy After Conventional Therapy for Moderate-to-Severe Psoriasis. GRAPPA 辩论：靶向小分子药物与生物制剂作为中重度银屑病常规疗法后的一线系统疗法。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-10-01 DOI: 10.3899/jrheum.2024-0293

Wilson Liao, April W Armstrong, Kristina Callis Duffin

引用次数: 0

I Don't Think This Is Gout…. 我不认为这是痛风....

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-10-01 DOI: 10.3899/jrheum.2024-0212

Anna Antony, Senhong Lee, Yi Mon, Cathryn Hui

引用次数: 0

Point-of-Care Ultrasound With Artificial Intelligence-Driven Diagnostics in Giant Cell Arteritis: Blindness Prevention on a Global Scale. 人工智能驱动的巨细胞动脉炎护理点超声诊断：在全球范围内预防失明。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-10-01 DOI: 10.3899/jrheum.2024-0217

Jagannadha Avasarala, Saurav Das, Suresh Keshavamurthy

引用次数: 0

Deciding to Attend the Emergency Department: Experiences of Patients With Inflammatory Arthritis. 炎症性关节炎患者就诊决策和使用急诊科的经历。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-10-01 DOI: 10.3899/jrheum.2024-0111

Emilie Pianarosa, Pam Roach, Claire E H Barber, Brian R Holroyd, Patrick McLane, Steven J Katz, Meghan J Elliott, Nazret Russon, Clare Hildebrandt, Kelsey Chomistek, Eileen Davidson, Stephanie Keeling, Cheryl Barnabe

{"title":"Deciding to Attend the Emergency Department: Experiences of Patients With Inflammatory Arthritis.","authors":"Emilie Pianarosa, Pam Roach, Claire E H Barber, Brian R Holroyd, Patrick McLane, Steven J Katz, Meghan J Elliott, Nazret Russon, Clare Hildebrandt, Kelsey Chomistek, Eileen Davidson, Stephanie Keeling, Cheryl Barnabe","doi":"10.3899/jrheum.2024-0111","DOIUrl":"10.3899/jrheum.2024-0111","url":null,"abstract":"Objective: Patients may use emergency departments (EDs) to meet their health needs when ambulatory care systems are not sufficient. We aim to describe contributing factors to the decision made by persons with inflammatory arthritis (IA) to present to the ED, as well as their experiences of ED care and postdischarge follow-up.Methods: An embedded mixed-methods approach was taken to contextualize quantitative data with associated free-text responses from an online survey distributed to residents of Alberta with a known IA condition and an ED visit.Results: Eighty-two persons (63% aged 16-55 years, 48% female, 50% urban residents) with rheumatoid arthritis (48%), psoriatic arthritis (12%), spondyloarthritis (6%), or gout (34%) completed the survey. Presenting concerns were arthritis flare (37%), chest pain (15%), injury (12%), and infection (11%). Of all visits, 29% proceeded directly to the ED, 35% attempted accessing ambulatory care first, and 32% arrived for a return visit. In presentations for arthritis flare, patients were aware of the rheumatology service being contacted by the ED provider for advice in just 9% of events. Challenges in healthcare system coordination and system pressures resulted in patients requiring ED attendance to assess their concern. The quality of communication and relationality developed between patients with IA and healthcare providers informed experiences of ED care.Conclusion: Modifying rheumatology ambulatory care models could better meet patient needs and ultimately reduce avoidable ED use by patients with IA.","PeriodicalId":50064,"journal":{"name":"Journal of Rheumatology","volume":" ","pages":"1015-1022"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advances in Psoriatic Disease Research: Insights From GRAPPA Pilot Research Awardees. 银屑病研究进展：GRAPPA 试点研究获奖者的见解。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-10-01 DOI: 10.3899/jrheum.2024-0292

Ashley Elliott, Tejpal Gill, Jaehwan Kim, Maria S Shutova, Oliver FitzGerald, Stephen R Pennington, Madeleine Rooney, Atul Deodhar, Siba P Raychaudhuri, Wolf-Henning Boehncke, Kurt de Vlam, Vinod Chandran, Wilson Liao

引用次数: 0

Hot Topics: Depression in Individuals With Psoriasis and Psoriatic Arthritis. 热门话题：银屑病和银屑病关节炎患者的抑郁问题。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-10-01 DOI: 10.3899/jrheum.2024-0362

Niti Goel, Elizabeth B Wallace, Christine Lindsay

{"title":"Hot Topics: Depression in Individuals With Psoriasis and Psoriatic Arthritis.","authors":"Niti Goel, Elizabeth B Wallace, Christine Lindsay","doi":"10.3899/jrheum.2024-0362","DOIUrl":"10.3899/jrheum.2024-0362","url":null,"abstract":"Psoriasis and psoriatic arthritis are associated with an increased risk of mental health conditions such as depression and anxiety. People with psoriatic disease (PsD) are also more likely to die by suicide than those without. Mood disorders affect people with PsD in a multitude of ways, such as in effectiveness of care, response to treatment, remission rates, and quality of life. Although the links between PsD and mental health conditions have not been fully elucidated, this review will highlight recent studies investigating shared biologic mechanisms between depression and PsD. Since mental health disorders can be assessed and treated effectively, dermatologists and rheumatologists should be aware of the mental health burden in individuals with PsD to accomplish the following: (1) educate their patients with PsD about this association, (2) screen for mental health conditions on an ongoing basis in their clinical practice, (3) refer their patients with PsD to a mental health professional when needed, and (4) ensure selection of a safe PsD treatment in the setting of comorbid mental health disease. Finally, important treatment considerations for individuals with PsD and depression are reviewed. This topic was presented at the Group for Research and Assessment of Psoriasis and Psoriatic Arthritis (GRAPPA) 2023 annual meeting.","PeriodicalId":50064,"journal":{"name":"Journal of Rheumatology","volume":" ","pages":"43-50"},"PeriodicalIF":3.6,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Young-GRAPPA 2023: The Future Is Bright. Young-GRAPPA 2023：未来一片光明。

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-10-01 DOI: 10.3899/jrheum.2024-0238

Hanna J Johnsson, Gizem Ayan, Roxana Coras, Rachel Grynszpan, Sebastián Herrera, Hannah Jethwa, Dimitri L F Silva, Michelle Mulder, David Simon, Arani Vivekanantham, Leonieke van Mens, Fabian Proft

引用次数: 0

Parathyroid Adenoma Presenting as Femoral Tumor Lesion in a 27-Year-Old Woman. 一名27岁女性的甲状旁腺腺瘤表现为股骨肿瘤病变

IF 3.6 2区医学

Journal of Rheumatology Pub Date : 2024-09-15 DOI: 10.3899/jrheum.2024-0245

Anastasia Mocritcaia, Pilar Peris

引用次数: 0