Case 3: Patient With Established RA and Cardiovascular Risk Factors Who Is Not Responding to Traditional DMARDs
Jointly provided by
This activity is supported by an independent educational grant from Pfizer.
Medium: CME Enduring Material Online
Release date: 8/4/2015
Expiration date: 8/4/2016
Estimated time to complete: 30 minutes
Many therapies are available to treat rheumatoid arthritis (RA) but few achieve remission in more than 50% of patients and even fewer achieve remission that lasts longer than one year. Choosing an appropriate therapy for a given patient—that is, individualizing treatment—is dependent on such considerations as risk factors, insurance coverage, and patient choice. Additionally, determining the effectiveness of treatment requires use of appropriate disease activity assessment tools, an area that has been shown to be a challenge for many rheumatologists.
Case 3 introduces you to Patrick Hunter, who finds himself at the Virtual Practice for a second opinion about his RA. Patrick was diagnosed three years ago and has not been able to taper his prednisone without experiencing a flare. Patrick also has cardiovascular risk factors that must be considered. This activity examines the use of RA therapies in patients with pre-existing risk factors, the use of objective tools to measure disease severity, and best strategies for approaching patient-management issues. This activity also features the Resource Library, which houses tools that can aid clinicians in RA disease activity assessment and patient management.
Joel M. Kremer, MD—Program Chair
Pfaff Family Professor of Medicine
Albany Medical College
Director of Research
The Center for Rheumatology
Albany, New York
Allan Gibofsky, MD
Professor of Medicine
Weill Cornell Medical College
New York, New York
Yusuf Yazici, MD
Assistant Professor of Medicine
NYU Hospital for Joint Diseases
New York, New York
Chaim Putterman, MD
Professor, Department of Medicine (Rheumatology)
Professor, Department of Microbiology & Immunology
Albert Einstein College of Medicine of Yeshiva University
Chief, Division of Rheumatology, Department of Medicine
Montefiore Medical Center
Bronx, New York
This activity has been designed to meet the educational needs of rheumatologists and other clinicians who provide care to patients with RA.
Upon completion of this activity, participants should be able to:
- Utilize clinically relevant assessment tools to assess disease activity and identify remission in patients with RA
- Develop an effective treatment plan that utilizes strategies to optimize the efficacy and safety of established therapies in RA
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The faculty reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests relevant to the content of this CME activity:
Joel M. Kremer, MD, reported a financial interest/relationship or affiliation in the form of:
Grants/Research Funding: AbbVie, Genentech, Lilly, Pfizer
Consultant: Bristol Myers-Squibb, Lilly, Pfizer, Sanofi
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Allan Gibofsky, MD, reported a financial interest/relationship or affiliation in the form of:
Consultant: AbbVie, Amgen, Antmes, Celgene, Genentech, Horizon, Iroko, Pfizer
Stakeholder: AbbVie, Amgen, GlaxoSmithKline, Johnson & Johnson
Speakers Bureau: AbbVie, Amgen, Celgene, Iroko, Pfizer
Dr. Gibofsky has indicated that his relationships will not impact his ability to author an unbiased presentation.
Yusuf Yazici, MD, reported a financial interest/relationship or affiliation in the form of:
Grants/Research Funding: Bristol-Myers Squibb, Celgene, Genentech
Consultant: Bristol-Myers Squibb, Celgene, Genentech
Dr. Yazici has indicated that his relationships will not impact his ability to author an unbiased presentation.
Chaim Putterman, MD, has reported that he does not have any financial relationships or relationships to products or devices with any commercial interest related directly or indirectly to the content of this activity during the past 12 months.
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