RhAPPcast

Rheumatology Advanced Practice Providers (RhAPP)
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RhAPPcast

This is the official podcast of Rheumatology Advanced Practice Providers (RhAPP), a non-profit 501c3 organization dedicated to developing educational programs, providing professional advancement services, and assembling resources for—and guided by—advanced practice providers (APPs).    Through our peer-to-peer network, we seek to support the integral role APPs play in the rheumatology healthcare community by providing the most relevant and timely information and communication for the treatment of their patients with rheumatic diseases. 

  1. قبل ١٣ ساعة

    According to the New 2024 ACR Guidelines for LN, What Are the Treatment Goals For Patients With LN?

    The 2024 ACR guidelines introduce important updates for the screening, treatment, and monitoring of lupus nephritis, with a focus on preserving renal function, reducing chronic kidney disease morbidity, and minimizing medication-related toxicities. In this video, Lisa Asfahani, PA-C, a rheumatology expert with over 11 years of experience, breaks down these new recommendations. She discusses the importance of screening all lupus patients every 6 to 12 months, as 30-50% of SLE patients eventually develop lupus nephritis. The updated guidelines recommend renal biopsy for patients with significant proteinuria or unexplained impaired renal function. For Class 3 and Class 4 lupus nephritis, a triple immunosuppressive regimen is conditionally recommended, which may include glucocorticoids, mycophenolate, belimumab, calcineurin inhibitors, or cyclophosphamide. For Class 5 lupus nephritis with proteinuria greater than 1 g/g, triple therapy involving glucocorticoids, mycophenolate, and a calcineurin inhibitor is recommended. The guidelines also emphasize low-dose steroid tapering to minimize toxicity, starting with 0.5 mg/kg/day of prednisone and tapering to ≤5 mg/day by six months. Additionally, new strong recommendations for monitoring include assessing proteinuria every three months in patients without complete renal response and every three to six months in those with sustained complete renal response. Stay updated on the latest evidence-based approaches to managing lupus nephritis with these 2024 ACR guidelines. For more educational content please visit RhAPP.org or download the RhAPP ACE 2.0 app.

    ٣ من الدقائق

  2. قبل يوم واحد

    Journal Club Review: Long-Term Safety of Guselkumab in Patients with Psoriatic Disease

    Join Amber Hudgins, PharmD, a pharmacist specializing in rheumatology and specialty pharmacy at Novant Health in Winston-Salem, North Carolina, as she provides a concise yet insightful review of the long-term safety of Guselkumab in patients with psoriatic disease, including psoriasis and psoriatic arthritis. This discussion highlights a comprehensive integrated analysis of 11 Phase 2 and Phase 3 clinical studies, which pooled over 10,000 patient-years of follow-up data. The results reinforce Guselkumab’s favorable safety profile, demonstrating low rates of severe adverse events, infections, and malignancies, which remained consistent across diverse patient subgroups. Furthermore, adverse event rates during treatment were comparable to those observed during placebo-controlled periods, solidifying Guselkumab as a low-risk, well-tolerated option for long-term management of psoriatic disease. Visit the RhAPP website or explore additional educational content on the RhAPP ACE App.

    ٢ من الدقائق

  3. ٤ مارس

    RhAPPcast: Navigating Leflunomide Use in Pregnant Patients with Sjögren’s Syndrome

    Join Danielle Gatti Palumbo, PharmD, a clinical pharmacist and RhAPP Board member, alongside Monica Richey, NP, a renowned rheumatology specialist and educator, as they discuss a challenging and unexpected clinical case live from the RhAPP National Conference in Nashville, Tennessee. This special RhAPPcast episode explores a real-world scenario of a patient who unexpectedly became pregnant while on leflunomide, highlighting the complexities of medication management in autoimmune diseases. Monica shares her initial reaction, the steps taken to initiate the cholestyramine washout protocol, and the multidisciplinary approach needed to ensure both maternal and fetal safety. Danielle provides critical insights into the pharmacology of leflunomide, including its long half-life, the importance of drug clearance before conception, and patient counseling strategies. They also discuss broader considerations for disease management in women of childbearing age, the role of conventional DMARDs in rheumatology, and lessons learned from this case. Recorded live at the RhAPP National Conference, this engaging discussion offers valuable takeaways for rheumatology providers navigating pregnancy risks with immunosuppressive therapies. For more expert insights, visit RhAPP.org and explore the RhAPP ACE App for the latest in rheumatology education.

    ١٥ من الدقائق

  4. ٢٨ فبراير

    FAQ: According to the New 2024 ACR Guidelines, How Do You Treat LN?

    Stacey Johnson, NP, a rheumatology specialist at Montana Arthritis Center, discusses key updates in the 2024 American College of Rheumatology (ACR) guidelines for lupus nephritis, with a strong emphasis on minimizing glucocorticoid exposure to prevent long-term complications. The updated guidelines focus on achieving a daily glucocorticoid dose of 5 mg or less within six months of initiating therapy. This approach aims to reduce steroid-related adverse effects such as osteoporosis, cardiovascular risks, and metabolic disturbances while maintaining disease control. To achieve this, clinicians must closely monitor disease activity and tailor tapering strategies to each patient’s individual needs. Frequent patient assessments and laboratory monitoring play a crucial role in ensuring stability throughout the tapering process. Identifying early signs of disease worsening is essential to making timely adjustments and preventing potential flares. By adopting a personalized approach, healthcare providers can optimize outcomes and improve the long-term management of lupus nephritis. For more expert insights on lupus nephritis treatment strategies, visit the RhAPP website or explore additional educational content on the RhAPP ACE App.

    ١ من الدقائق

  5. ٢٦ فبراير

    FAQ: How Do You Interpret cDAPSA/DAPSA and MDA?

    Join Katie Springer, PA-C, a rheumatology specialist at Northwestern Medicine in Lake Forest, Illinois, as she dives into critical tools for measuring disease activity in psoriatic arthritis (PsA) and how they shape treatment strategies for improved patient outcomes. Accurate assessment of PsA requires disease-specific tools beyond traditional rheumatoid arthritis (RA) measures. The Disease Activity in Psoriatic Arthritis (DAPSA) score evaluates joint inflammation using tender and swollen joint counts, CRP levels, and patient-reported assessments. The clinical DAPSA (cDAPSA), an alternative version, removes CRP from the calculation, offering another method to track disease progression. For a comprehensive view of PsA’s impact, the Minimal Disease Activity (MDA) index goes beyond joint symptoms, assessing enthesitis, skin involvement, pain, function, and patient-reported outcomes. Achieving MDA is a key goal in treat-to-target strategies, guiding adjustments in therapy to improve long-term patient health. Clinical trials and real-world evidence highlight guselkumab’s efficacy in PsA treatment. The DISCOVER-2 trial found that 25% of biologic-naïve PsA patients on guselkumab achieved MDA by week 24, increasing to 40% over two years. Additionally, real-world registry data from CorEvitas showed that 80% of patients remained on guselkumab at six months, with one in four achieving low disease activity—reinforcing the effectiveness seen in clinical trials. Understanding and utilizing these PsA-specific disease activity measures helps rheumatology providers make informed treatment decisions and ensure sustained improvements in patient care. For more expert insights into rheumatology advancements, visit RhAPP.org or explore the RhAPP ACE App.

    ٤ من الدقائق

  6. ٢٥ فبراير

    FAQ: According to the New 2024 ACR Guidelines for Lupus Nephritis, What Are the Treatment Goals For Patients With LN?

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    ٣ من الدقائق

  7. ١٩ فبراير

    FAQ: How Do You Explain The Timing of Ixekizumab's Clinical Efficacy to Patients?

    Claudia Rivera Salas, DNP, a nurse practitioner at Pine Hollow Partners in East Lansing, Michigan, shares firsthand insights into the rapid efficacy of Ixekizumab in treating psoriasis and psoriatic arthritis. One of the most common questions patients ask is how quickly they can expect relief, and the answer is simple—fast. From the first injection, many patients begin to see significant improvement in their symptoms, including reduced inflammation, joint pain, stiffness, enthesitis, and dactylitis. By the three-month follow-up, clinical data aligns with real-world experiences, showcasing meaningful symptom relief. Claudia recounts patient stories of life-changing transformations—individuals who once hid their skin under long sleeves and struggled with daily activities due to joint pain now confidently enjoy time with their families at the beach, free from discomfort and embarrassment. Ixekizumab’s rapid onset of action not only improves physical symptoms but also restores quality of life, allowing patients to regain mobility and confidence in ways they never thought possible. For more expert insights on psoriasis and psoriatic arthritis treatments, visit the RhAPP website, explore the Content Rheum hub, and access the latest educational materials on the RhAPP ACE App.

    ٢ من الدقائق

  8. ١٤ فبراير

    FAQ: 2024 ACR Guidelines: Screening & Diagnosing Lupus Nephritis in SLE Patients

    Monica Richey, NP, a seasoned rheumatology specialist with two decades of experience, provides an in-depth review of the 2024 lupus nephritis screening and diagnosis guidelines. As systemic lupus erythematosus (SLE) remains a leading cause of kidney-related complications, early detection and accurate diagnostic methods are essential for improving patient outcomes. This expert-led discussion explores the latest best practices for lupus nephritis screening, emphasizing why the spot protein-to-creatinine ratio has become the preferred diagnostic tool over the traditional 24-hour urine collection. The shift aims to provide a more efficient and practical approach to identifying early kidney involvement in SLE patients. Monica highlights the importance of performing full urinalysis at every patient visit, a practice that allows for earlier intervention and better disease management. The discussion also covers when healthcare providers should consider a kidney biopsy to confirm a lupus nephritis diagnosis and determine disease severity. Understanding lupus nephritis classifications and chronicity is crucial for tailoring treatment strategies and preventing long-term kidney damage. Monica shares her real-world insights on proactive patient care, offering guidance on how frequent monitoring can lead to more effective disease control. For rheumatology professionals, nephrologists, and caregivers, this video provides a comprehensive overview of the evolving landscape of lupus nephritis diagnosis. By staying informed on the latest screening recommendations, healthcare providers can enhance their approach to patient care and contribute to improved outcomes in lupus management. For more expert discussions on the latest advancements in rheumatology, visit RhAPP.org or explore the RhAPP ACE App.

    ٣ من الدقائق
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This is the official podcast of Rheumatology Advanced Practice Providers (RhAPP), a non-profit 501c3 organization dedicated to developing educational programs, providing professional advancement services, and assembling resources for—and guided by—advanced practice providers (APPs).    Through our peer-to-peer network, we seek to support the integral role APPs play in the rheumatology healthcare community by providing the most relevant and timely information and communication for the treatment of their patients with rheumatic diseases. 

المعلومات

  • صناع العمل
    Rheumatology Advanced Practice Providers (RhAPP)
  • سنوات النشاط
    ٢٠٢٣ - ٢٠٢٥
  • الحلقات
    ٧٤
  • التقييم
    ملائم
  • حقوق النشر
    © 2025 RhAPPcast
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    RhAPPcast

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