Giles #RNL2025 @rheumnow.bsky.social ORAL Surveillance - 3 Yrs Later How do interpret in care of pts? Pts with known hx of ASCVD have higher risk w TOFA v TNF. If no hx ASCVD, no increase risk even w risk factors Statins were underused in study pts at risk or w CVD, may help mitigate risks

B England 75% of RA pts have multi-morbidity Pts develop multi-morbidity BEFORE the onset of RA Should we have different goals: Prioritize LDA over remission in pts w multimorbidity Collaborate w PCP: one size doesn't fit all, do something better than nothing! @rheumnow.bsky.social #RNL2025

3 Questions To Ask in Clinic @unamakris.bsky.social on STEADI Questions 1 Have you fallen in past year? 2 Do you feel unsteady when walking or standing? 3 Are you worried about falling? #RNL2025 @rheumnow.bsky.social

Review Med Lists in Rheum - ~40% of pts w RA/SLE on Potentially Inappropriate Meds (PIM) -Review Beers Criteria for Rx to avoid in older pts - Include: antidepress, benzo, steroid + NSAID, gaba, nifed, PPI, mm relax @unamakris.bsky.social at #RNL2025 @rheumnow.bsky.social @JihaRheum @NamrataRheum

How to approach older individuals in Rheumatology: Geriatric 5M's @unamakris.bsky.social 1. Mind 2. Mobility 3. Medications 4. Multicomplexity - whole person living w multiple conditions, illness, biopsych needs 5. What Matters Most #RNL2025 @rheumnow.bsky.social

@unamakris.bsky.social #RNL25 @rheumnow.bsky.social Older pts w RA 1/3 of pts onset >60-65 - More acute onset, more systemic, more PMR-like, larger jts - Higher IL-6, lower TNF-a, less RF, high ESR -Co-morbidities, polypharmacy, cognition, depression Age does not equal frailty, but does correlate

J Curtis #RNL2025 @rheumnow.bsky.social AI Will Not Replace You - AI cannot replace human interaction, examination, procedures, interpreting guidelines for an individual, providing empathy, and facilitate good patient education Will become a tool... but not a replacement to a good clinician

AI models require good Positive Predictive Value (PPV) But: PPV decreases as prevalence decreases - In choosing a successful biologic: Harder to predict more challenging patients (multiple failures, co-morbidities, etc) - ACR50 non-response is higher J Curtis @rheumnow.bsky.social #RNL2025

🏈Kick-off of @rheumnow.bsky.social RN Live w Jeff Curtis #RNL2025 🏈 AI in RA? Can help with Rheum Boards Questions, though AI is not confident in answers May not be better than paper charts for triage Other roles: pt chatbot, AI scribe, research populations, generate DDx, consume guidelines

What a weekend ahead! #RNL2025 #FlyEaglesFly  Follow along with me and @rheumnow.bsky.social @RichardPAConway @AdelaCastro222 for all the Rheumatology… as I tweet away my pre-game anxieties!