

ACR24 RA Panel Key Discussions on Rheumatoid Arthritis
Dec 3, 2024
Rheumatologists Eric Dein from Atlantic Health, Jiha Lee from the University of Michigan, and Jeffrey Spark from Harvard Medical School dive into crucial topics surrounding rheumatoid arthritis. They discuss the importance of statin prescription amidst cardiovascular risks and the challenges of steroid use, particularly for elderly patients. Innovations in remote monitoring with smartphone technology and AI are highlighted, alongside a study aimed at improving fertility for women with RA, showcasing advancements in tailored treatment strategies.
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Statin Optimization for RA Patients
- Optimize statin therapy for RA patients with cardiovascular risk factors, especially those on JAK inhibitors.
- This may mitigate MACE event risks associated with JAK inhibitors like tofacitinib.
Statin Prescription in Rheumatology
- Rheumatologists may not adequately prescribe statins due to limited appointment times.
- Increased awareness and focus on statin prescription, especially for older RA patients on JAK inhibitors, are needed.
Long-Term Glucocorticoid Risks
- Mortality risk from cardiovascular disease and infections remains elevated even after stopping long-term glucocorticoid use.
- Increased mortality risk never returns to baseline after more than 2 years of glucocorticoid use.