Shannon A. Scielzo, PhD; Langdon Stone, MD; Salahuddin Kazi, MD
Disclosures: Dr. Kazi reports that he is the Chair of the Registries and Health Information Technology Committee for the American College of Rheumatology and a member of the ABIM Rheumatology Board. Authors not named here have disclosed no conflicts of interest. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOf InterestForms.do?msNum=M16-0223.
Editors' Disclosures: Christine Laine, MD, MPH, Editor in Chief, reports that she has no financial relationships or interests to disclose. Darren B. Taichman, MD, PhD, Executive Deputy Editor, reports that he has no financial relationships or interests to disclose. Cynthia D. Mulrow, MD, MSc, Senior Deputy Editor, reports that she has no relationships or interests to disclose. Deborah Cotton, MD, MPH, Deputy Editor, reports that she has no financial relationships or interest to disclose. Jaya K. Rao, MD, MHS, Deputy Editor, reports that she has stock holdings/options in Eli Lilly and Pfizer. Sankey V. Williams, MD, Deputy Editor, reports that he has no financial relationships or interests to disclose. Catharine B. Stack, PhD, MS, Deputy Editor for Statistics, reports that she has stock holdings in Pfizer.
Requests for Single Reprints: Shannon A. Scielzo, PhD, University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9030; e-mail, email@example.com.
Current Author Addresses: Drs. Scielzo, Stone, and Kazi: University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9030.
Author Contributions: Conception and design: S.A. Scielzo, S. Kazi.
Analysis and interpretation of the data: S.A. Scielzo, S. Kazi.
Drafting of the article: S.A. Scielzo, L. Stone, S. Kazi.
Critical revision of the article for important intellectual content: S.A. Scielzo, L. Stone, S. Kazi.
Final approval of the article: S.A. Scielzo, L. Stone, S. Kazi.
Statistical expertise: S.A. Scielzo.
Administrative, technical, or logistic support: S.A. Scielzo.
Collection and assembly of data: S.A. Scielzo, L. Stone, S. Kazi.
Scielzo SA, Stone L, Kazi S. Update in Rheumatology: Evidence Published in 2015. Ann Intern Med. 2016;164:W61-W64. doi: 10.7326/M16-0223
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Published: Ann Intern Med. 2016;164(9):W61-W64.
This update summarizes key articles in rheumatology published in 2015 that improve our understanding of systems-level barriers, identify new developments in high-value care, and describe treatment advances. PubMed searches were performed by using rheumatic disease keywords. We reviewed the abstracts retrieved by these searches and identified a core set of articles for detailed review. Articles were independently reviewed and selected on the basis of quality of the study methods and relevance to general internists.
Eight articles that were selected by all reviewers are discussed. At the systems level, one study found that the scarcity of rheumatologists is generating a need for innovative approaches; another showed that effective prioritization strategies can help better identify patients with early rheumatoid arthritis (RA) for timely treatment; and a third study indicated that electronic health records (EHRs) can be optimized to facilitate productivity and improve quality of care. In terms of high-value care, nurse-run programs in rheumatology clinics may facilitate better comorbidity management and patient self-assessment; intensive therapy with a combination of disease-modifying antirheumatic drugs (DMARDs) may be as effective as more expensive tumor necrosis factor (TNF) inhibitors, and hydroxychloroquine may be the drug of choice for reducing hyperlipidemia in patients with early RA; and Medicare Part D coverage of biologic agents and patients' out-of-pocket expenses for these medications may affect use. Finally, there may be a novel pathway to reduce the development of autoimmune diseases, and discouraging pregnancy in patients with systemic lupus erythematosus (SLE) may not be necessary because outcomes are generally positive with proper care.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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