@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
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
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
@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.
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
@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.
@RheumJC This has helped the “going back to work and school” conversation. It is still a personal decision. This paper and the data that will come in the next few months makes it less of a medical decision and more of a personal/family decision. #rheumjc
@RheumJC This paper helped create a more informed discussion with patients on potential risks of medications. Helped provide some reassurance when prescribing new DMARDs too
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
@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