2017 May AHPA Newsbrief
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Ontario AHPA members and ORA
ACPAC Application for 2017-18 Program
Recent Articles and Online Resources
Ontario AHPA Members are Invited to Attend the Ontario Rheumatology Association (ORA) Annual General Meeting
The 2017 ORA Annual General Meeting is coming soon! AHPA has partnered with the ORA to plan for the meeting and we have a terrific panel lined up of AHPs and rheumatologists, for the workshop entitled “Collaborative Approaches to Rheumatology Care: Some Working Models”. There are still spaces available for AHPA members to attend.
Since our last communication, we have been fortunate to secure some funding which means bursaries will be available to support your attendance at an Ontario AHPA Strategic Planning Meeting, which is concurrently scheduled during the ORA meeting weekend at the JW Marriott The Rosseau Muskoka Resort.
We encourage you to complete an application. Please log in to the AHPA website www.ahpa.ca and look under ‘Events’ to access the application. Please submit completed applications to Lynn Richards or if you have any questions about the upcoming meeting, please contact her at email@example.com.
The 2017 AHPA-ORA Collaboration Committee
ACPAC Application for 2017-18 program
ADVANCED CLINICIAN PRACTITIONER IN ARTHRITIS CARE (ACPAC)
ACPAC is a hybrid academic and clinical training program designed to prepare experienced physical therapists, occupational therapists, and nurses for extended practice roles in the diagnosis and management of patients with arthritis. The program promotes the development of innovative models of care and will help you to improve patient outcomes. 100% of our graduates have been satisfied with the program and found the content extremely relevant to their practice.
Scholarships and research fellowships up to $11,000 CAD are available for this year’s program. For more information, contact Julia Ferrari, firstname.lastname@example.org.
To apply, visit our new website at www.acpacprogram.ca.
The application deadline is Friday May 19, 2017.
2017-18 Program Weeks
Program Directors: Dr. Rachel Shupak (MD, FRCP(c)) and Dr. Katie Lundon (BSc (P.T.), MSc, PhD)
Location: Downtown Toronto
Awards - Arthritis Alliance of Canada Research Award Winners
Congratulations to 2 of our AHPA members on receiving AAC 2016 Research Awards:
Early Career Researcher/ Early Career Faculty Member Award, sponsored by CIHR Institute of Musculoskeletal Health and Arthritis, presented to Dr. Karine Toupin- April (Children’s Hospital of Eastern Ontario Research Institute and University of Ottawa, Ottawa ON).
KT Research Award, sponsored by Bone and Joint Institute of the University of Western Ontario, presented to Dr. Linda Li (University of British Columbia, Vancouver BC).
Recent Articles and Online Resources
Symptom Recognition and Perceived Urgency of Help-Seeking for Rheumatoid Arthritis and Other Diseases in the General Public: A Mixed Method Approach
Simons, G., Belcher, J., Morton, C., Kumar, K., Falahee, M., Mallen, C. D., Stack, R. J. and Raza, K. (2017), Symptom Recognition and Perceived Urgency of Help-Seeking for Rheumatoid Arthritis and Other Diseases in the General Public: A Mixed Method Approach. Arthritis Care Res, 69: 633–641. doi: 10.1002/acr.22979
Clinical outcomes in rheumatoid arthritis (RA) are improved if the disease is treated early. However, treatment is often significantly delayed as a result of delayed help-seeking by patients who fail to recognize its symptoms or the need for rapid medical attention. Two studies were conducted to investigate the role of symptom recognition in help-seeking for the symptoms of RA, and compared this to symptom recognition and help-seeking in angina and bowel cancer.
A qualitative interview study with 31 individuals and a survey of 1,088 members of the general public (all without RA) were conducted. Both studies used vignettes describing the symptoms of RA, bowel cancer, and angina. Participants made causal attributions and rated the perceived seriousness of the symptoms and the urgency with which they would seek medical help if confronted with these symptoms.
Only a small proportion of participants in both studies recognized the symptoms of RA, whereas the symptoms of bowel cancer and angina were readily recognized by many participants and considered to be more serious and to require more rapid medical attention (Z = 14.7–34.2, P < 0.001).
Accurate symptom attribution and the perception that symptoms are indicative of a serious underlying condition are both important drivers for rapid help-seeking. In the case of angina and bowel cancer, recent campaigns have promoted not only recognition of symptoms and their seriousness, but also emphasized the consequences of not seeking timely help. Our results suggest that these consequences should also be addressed in any public health campaign for RA.
Clinical Risk Factors for the Presence and Development of Vertebral Fractures in Patients With Ankylosing Spondylitis
Maas, F., Spoorenberg, A., van der Slik, B. P. G., van der Veer, E., Brouwer, E., Bootsma, H., Bos, R., Wink, F. R. and Arends, S. (2017), Clinical Risk Factors for the Presence and Development of Vertebral Fractures in Patients With Ankylosing Spondylitis. Arthritis Care Res, 69: 694–702. doi: 10.1002/acr.22980
To investigate the prevalence and incidence of radiographic vertebral fractures and the association with patient characteristics, clinical assessments, and medication use in a large prospective cohort of patients with ankylosing spondylitis (AS) in daily clinical practice.
Consecutive AS patients from the Groningen Leeuwarden AS (GLAS) cohort with baseline and 2-year lateral radiographs of the thoracic and lumbar spine were included. Radiographs were scored for vertebral fractures by 2 readers according to the method of Genant et al. Differences in baseline characteristics between patients with and without radiographic vertebral fractures were explored.
Of 292 included AS patients, 59 (20%) had radiographic vertebral fractures at baseline, 15 (6%) developed new fractures, and 7 (2%) showed an increase in the severity of existing fractures during 2 years of follow-up. Most fractures were mild and located in the midthoracic and thoracolumbar region of the spine. The presence of vertebral fractures was significantly associated with older age, higher body mass index, longer smoking duration, larger occiput-to-wall distance, more spinal radiographic damage, and lower hip bone mineral density (BMD). The development of new or progressive vertebral fractures was also associated with older age and low BMD. Patients using nonsteroidal antiinflammatory drugs (NSAIDs) at baseline showed less prevalent and incident vertebral fractures.
In this large AS cohort in daily clinical practice, radiographic vertebral fractures were frequently present in AS, especially in older patients with more advanced disease, low hip BMD, and a less healthy lifestyle. Interestingly, NSAID use was associated with a reduced vertebral fractures risk.
Next News Brief Deadline
The deadline for the June newsletter will be May 31st, 2017. Please send any contributions to Leanna Souza-Barros at Leanna.email@example.com. We are particularly interested in notices of conferences or workshops, new resources for patients or health professionals and summaries of recent research/publications. We welcome contributions from members from all parts of the country.