
Rheum Journal Club
3.8K posts

Rheum Journal Club
@RheumJC
Rheumatology Journal Club on Twitter: #RheumJC
Worldwide Katılım Şubat 2013
115 Takip Edilen5.5K Takipçiler
Rheum Journal Club retweetledi

Belimumab and Lupus Nephritis: A Marriage made by B Cells? nephjc.com/news/bliss-ln
New York, USA 🇺🇸 English

The @NephJC team is going to be discussing the Belimumab in #LupusNephritis (BLISS LN) for #NephJC on Nov 24/25 #RheumJC
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Taking suggestions for #RheumJC articles for this month.
Any papers you’d like to see discussed?
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Rheum Journal Club retweetledi

@RheumJC @AriellaStudies @ChewChrissie @JYazdanyMD @MilenaGianfran the differences in p values in tables are likely due to confounding. unadjusted there seems to be a difference for smokers and risk of hospitalization, but in the multivariable models the association was explained by other factors such as chronic lung disease #RheumJC
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@Ann26217989 @DoctorRheum We collect data on this... hopefully enough to report on it in the next paper.
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@DoctorRheum Agree. Wonder how many of the patients with HTN was on ACE-I
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@AriellaStudies @ChewChrissie Maybe @JYazdanyMD or @MilenaGianfran would be better able to explain this.
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@ChewChrissie Ahh yes I see now! Interesting how a different method of analysis produces a different result. Also, I wonder if "ever smoker" perhaps diluted the "current/recent smoker" variable and lead to a weaker trend... totally just speculation though!
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Anybody surprised that the "smoker" group did not have increased odds of hospitalization? #rheumjc
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Alright... thanks again. Good night everyone! (if there are follow up questions, tag me @psufka and/or @rheum_covid, and I can try to answer in the AM). #RheumJC

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Also, given initial limited testing supplies, only most severe and "classic" cases were tested.
Would be really interesting to see a case series of "asymptomatic" rheum pts. #RheumJC
Jinoos Yazdany@JYazdanyMD
@jeffsparks @RheumJC @BolekBerqui @zach_wallace_md We’ve started doing systematic antibody testing in our rheum clinic and it’s amazing how many people have antibodies (esp our Latinx population) and were asymptomatic. So I think the registry skews to severe patients.
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Wow, this hour went by fast! I'll stick around for a little bit longer... but then I have to get my kid to bed.
Just want to thank everyone for joining the discussion tonight! And thanks to everyone who put in so much work into this project! #RheumJC
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@RheumJC @jeffsparks @BolekBerqui So interesting that the no oxygen group in the dex trial looked like they did a little worse. Would make sense if steroids worse early in the disease, but helpful in late inflammatory phase. But this still needs to be proven.
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How has this paper (and any other data) has changed your clinical practices over the course of this pandemic?
#RheumJC
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@BolekBerqui @RheumJC unless COVID-19 infection is severe, then #moresteroids #recovery #dexamethasone #RheumJC the eternal paradox of steroids
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Rheum Journal Club retweetledi

For me:
-throughout the pandemic, I've been more aggressive to get people off prednisone than even my usual
- before data, I did try to slightly ween down/spread out DMARDs a bit, esp in pts that were in remission -- I don't feel the need to do this any more
#RheumJC
Rheum Journal Club@RheumJC
How has this paper (and any other data) has changed your clinical practices over the course of this pandemic? #RheumJC
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Rheum Journal Club retweetledi

@Ann26217989 @RheumJC We were all probably reluctant to prescribe biologics/JAK’s in March/April because there was so much unknown about #covid19. There still is but this paper helps the conversation. #rheumjc
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