SMJ // Rheumatology and Orthopedics

SMJ Article | Original Article

CME Article: Safety of Recombinant Zoster Vaccine in Rheumatology Patients

Objectives: Recombinant zoster vaccine (RZV) is Food and Drug Administration approved for the prevention of herpes zoster (shingles) in adults 50 years old and older. Immunocompromised subjects were excluded from the pivotal vaccine trials. We studied the safety of this vaccine in our university-affiliated rheumatology practice. Methods: This was a...

Posted in: Rheumatology and Orthopedics10

SMJ Article | Original Article

COVID-19 Impact on Orthopedic Surgeons: Elective Procedures, Telehealth, and Income

Objectives: The purpose of this study was to investigate the response in orthopedic surgery to the coronavirus disease 2019 (COVID-19) pandemic across the United States by surveying surgeons about their care setting, timing of restrictions on elective surgery, use of telehealth, and estimated economic impact. Methods: A survey was distributed...

Posted in: Infectious Disease79 Rheumatology and Orthopedics10

SMJ Article | Review Article

Safety of Baricitinib 4 mg for the Treatment of Moderate to Severe Rheumatoid Arthritis

Objective: We evaluated the safety of baricitinib 4 mg at 24 weeks for the treatment of moderate to severe rheumatoid arthritis (RA). Methods: Multiple databases were searched from inception up to November 26, 2019 for randomized controlled trials comparing baricitinib 4 mg with placebo for the treatment of moderate to...

Posted in: Rheumatology and Orthopedics10

SMJ Article | Original Article

Factors Affecting Quality of Life at Discharge among Patients with Osteoporotic Vertebral Fractures

Objectives: This study aimed to identify factors, including physical functions and activities that affect quality of life (QOL) at discharge among patients with osteoporotic vertebral fractures. Methods: Patients with osteoporotic vertebral fractures were included in our prospective cohort study. Multiple regression analysis was performed to determine the predictors of QOL...

Posted in: Metabolic & Other Bone Disease (Osteoporosis)4

SMJ Article | Review Article

CME Article: Osteoporosis in Adult Patients with Intellectual and Developmental Disabilities: Special Considerations for Diagnosis, Prevention, and Management

 As medical care progresses, patients with intellectual and developmental disabilities are living longer and beginning to experience diseases that commonly afflict the aging population, such as osteoporosis. Osteoporosis and resultant fractures increase disability and threaten the independence of this vulnerable population. In addition, the diagnosis, prevention, and management of osteoporosis...

Posted in: Metabolic & Other Bone Disease (Osteoporosis)4

SMJ Article | Perspectives

Osteoporosis Management Strategies in the COVID-19 Pandemic

Coronavirus disease 2019 (COVID-19) has led to active infections and relatively high morbidity and mortality across the world, including the United States.1 The pandemic has challenged the US healthcare system, and rapid treatment adaptations have had to be made to stabilize public health and provide effective medical care.

Posted in: Infectious Disease79 Metabolic & Other Bone Disease (Osteoporosis)4

SMJ Article | Review Article

Sports-Injury Encephalopathy

Sports-related encephalopathies are a growing concern among athletes who have experienced head trauma. Anxiety is heightened for the public and especially among parents of children playing contact sports. The most common neuropsychological conditions are concussions and traumatic encephalopathies. Concussions result from brain traumas that can be asymptomatic, but more serious...

Posted in: Sports Injuries & Trauma1

SMJ Article | Invited Commentary

Commentary on “Use of Rheumatologic Testing in Patients Who Eventually Receive a Diagnosis of Rheumatoid Arthritis”

Rheumatoid arthritis (RA) is a chronic systemic autoimmune inflammatory disorder of unknown etiology, for which delay in diagnosis and treatment may cause irreversible structural joint damage in affected individuals. A large body of evidence supports that early diagnosis and aggressive treatment of RA have a fundamental role in the prevention...

Posted in: Rheumatology and Orthopedics10 Rheumatoid Arthritis2

SMJ Article | Original Article

Use of Rheumatologic Testing in Patients Who Eventually Receive a Diagnosis of Rheumatoid Arthritis

Objectives: Anti-cyclic citrullinated peptide antibody (ACPA) has excellent specificity and prognostic value in patients with early rheumatoid arthritis (RA). The American College of Rheumatology included ACPA in their 2010 classification criteria for RA, but we hypothesize that primary care physicians (PCPs) underuse ACPA, even when clinical suspicion for RA is...

Posted in: Rheumatology and Orthopedics10 Rheumatoid Arthritis2

SMJ Article | Original Article

Weight-Bearing Physical Activity Influences the Effect of Vitamin D on Bone Turnover Markers in Patients with Intellectual Disability

Objectives: Individuals with intellectual disabilities (IDs) are at increased risk for low bone mass and fragility fractures, and those who are nonambulatory may be at even higher risk. Patients with IDs often are vitamin D deficient, but there is little information concerning how vitamin D treatment of patients with IDs...

Posted in: Metabolic & Other Bone Disease (Osteoporosis)4
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