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PMID: 16583385 Arthritis Rheum.. 2006 Apr;55(2):333-7.

D - TESTED

L 1

pdf

Tumor necrosis factor inhibitor therapy and risk of serious postoperative orthopedic infection in rheumatoid arthritis.

Giles JT Bartlett SJ Gelber AC Nanda S Fontaine K Ruffing V Bathon JM

Giles JT, A 2006

Pubmed

http://onlinelibrary.wiley.com/doi/10.1002/art.21841/pdf

Polls results

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change

BIG change

85% Article relates to my practice (6/7)

14% Article does not relate to my practice (1/7)

0% Undecided (0/7)

Will this article lead to more cost-effective healthcare?

100% Yes (7/7)

0% No (0/7)

0% Undecided (0/7)

Was this article biased? (commercial or personal)

14% Yes (1/7)

85% No (6/7)

0% Undecided (0/7)

⁴

What level of evidence do you think this article is?

0% Level 1 (0/7)

42% Level 2 (3/7)

14% Level 3 (1/7)

14% Level 4 (1/7)

28% Level 5 (2/7)

Flashcards (0)

Cards

1 of 0

Action	Numeric Key	Letter Key	Function Key
Show Bullets		S	Enter (frontside only)
20%	1	N
40%	2	H
60%	3	F	Enter (backside only)
80%	4	E
100%	5	M
Toss	0	T

Questions (2)

(OBQ13.59) The perioperative use of which medication has been shown to increase the risk of post-operative infection following orthopaedic procedures in patients with rheumatoid arthritis (RA)?

QID: 4694

Type & Select Correct Answer

Type in at least one full word to see suggestions list

Naproxen

(56/4996)

Leflunomide

(264/4996)

Sulfasalazine

(357/4996)

Etanercept

85%

(4261/4996)

Aspirin

(33/4996)

Select Answer to see Preferred Response

SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic

(OBQ10.4) A 45-year-old woman with rheumatoid arthritis is being scheduled for a total knee athroplasty in 2 weeks. She is currently taking sulfasalazine, Penicillamine, and etanercept, a tumor necrosis factor inhibitor (aTNF-a). What changes should be made to her medication regimen prior to surgery?

QID: 3092

Type & Select Correct Answer

Type in at least one full word to see suggestions list

Discontinuation of all three medications 1 weeks prior to surgery

10%

(238/2455)

Discontinuation of sulfasalazine 1 weeks prior to surgery, continuation of etanercept and penicillamine

(121/2455)

Continuation of sulfasalazine, penicillamine, and etanercept

(122/2455)

Continuation of sulfasalazine and penicillamine, discontinuation of etanercept 1 week prior to surgery

65%

(1587/2455)

Continuation of penicillamine, discontinuation of sulfasalazine and etanercept 1 week prior to surgery

15%

(375/2455)

Select Answer to see Preferred Response

SUBMIT RESPONSE 4 Review Tested Concept Review Full Topic

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