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November 2012 Volume 8 Number 11 | |||||||||||||||||||||||||||||||||||||
In this issue Research Highlights News and Views Reviews Perspectives
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NEWS AND VIEWS | Top | ||||||||||||||||||||||||||||||||||||
Osteoarthritis: Is viscosupplementation really so unsafe for knee OA? Timothy E. McAlindon & Raveendhara R. Bannuru Published online: 11 September 2012 p635 | doi:10.1038/nrrheum.2012.152 The latest in a series of meta-analyses of trials assessing viscosupplementation for knee osteoarthritis is the first to raise concerns about its safety. Questions remain, however, regarding the methodological rigour with which the serious adverse events were analyzed, and the biological plausibility of the events reported. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Immunology: Zoster vaccine and biologic agents: time to question a paradigm? Tim Bongartz & Robert Orenstein Published online: 02 October 2012 p636 | doi:10.1038/nrrheum.2012.168 Vaccination for the prevention of herpes zoster with the attenuated live vaccine is currently not recommended for patients with rheumatic diseases while they are receiving biologic agents, but new evidence calls the validity of this guidance into question. Is it time to rethink the use of the herpes zoster vaccine in these patients? Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Paediatric rheumatic disease: Defining clinically inactive disease in juvenile dermatomyositis Nadia J. Luca & Brian M. Feldman Published online: 02 October 2012 p638 | doi:10.1038/nrrheum.2012.165 Achievement of a state of inactive disease has become a realistic goal in juvenile dermatomyositis. The development of a standardized definition of inactive disease in this disorder is a critical step in measuring outcomes, and might now be a step closer. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Diagnosis: Screening for arthritis in patients with psoriasis Oliver FitzGerald Published online: 16 October 2012 p640 | doi:10.1038/nrrheum.2012.177 Early diagnosis of psoriatic arthritis will prevent joint damage and improve long-term patient outcome. For dermatologists and general practitioners, early recognition of the diverse musculoskeletal manifestations can prove problematic. Screening tools and biomarkers offer great promise—the recent description and initial validation of the EARP tool is an encouraging development. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Rheumatoid arthritis: Obesity impairs efficacy of anti-TNF therapy in patients with RA Miguel A. González-Gay & Carlos González-Juanatey Published online: 25 September 2012 p641 | doi:10.1038/nrrheum.2012.158 Insulin resistance is closely associated with an increased risk of subclinical atherosclerosis in patients with rheumatoid arthritis (RA). Anti-TNF therapy reduces insulin resistance and improves insulin sensitivity in patients with severe RA. New findings have shown, however, that the efficacy of these agents in this regard is impaired by obesity. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
Imaging: Use of MRI as an outcome measure in clinical trials in RA Annette H. M. van der Helm-van Mil Published online: 16 October 2012 p643 | doi:10.1038/nrrheum.2012.182 Following a decade of substantial improvements in sensitivity and usability, MRI is increasingly used to assess primary outcomes of therapeutic trials in rheumatoid arthritis (RA). In the wake of an MRI-based evaluation of treatment efficacy, what lessons are emerging about the clinical value of this technique for patients with RA? Full Text | PDF | |||||||||||||||||||||||||||||||||||||
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*Journal Citation Reports, Thomson, 2011. Nature Reviews Rheumatology was previously published as Nature Clinical Practice Rheumatology. |
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