#dermJC Transcript

Healthcare social media transcript of the #dermJC hashtag.
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See #dermJC Influencers/Analytics.

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Ade Adamson, MD MPP @AdeAdamson
I'm a dermatologists at UT Austin no COI #dermjc
John Barbieri, MD, MBA @DrJohnBarbieri
Hi #dermjc. John Barbieri from Penn. No conflicts.
Dermatology Journal Club @DermatologyJC
RT @RoxanaDaneshjou: Hey #dermjc. I'm a resident at Stanford; none of my conflicts are related to this topic, but you can see a full list here: https://t.co/55sSvql7XP
Dermatology Journal Club @DermatologyJC
RT @AdeAdamson: I'm a dermatologists at UT Austin no COI #dermjc
Dermatology Journal Club @DermatologyJC
RT @DrJohnBarbieri: Hi #dermjc. John Barbieri from Penn. No conflicts.
Ade Adamson, MD MPP @AdeAdamson
Just need to make sure I highlight COIs for the paper... #dermjc https://t.co/9cQn79C1WS
John Barbieri, MD, MBA @DrJohnBarbieri
Was anyone else a little confused by Table II vs what was written in results? Results section mentions 3 serious infections in ADA qweek, but Table II has 12 (14%) #dermjc
Ade Adamson, MD MPP @AdeAdamson
@DrJohnBarbieri yea it wasn't very clear. also the methods section writ large was hard to follow #dermJC
Dermatology Journal Club @DermatologyJC
RT @AdeAdamson: Just need to make sure I highlight COIs for the paper... #dermjc https://t.co/9cQn79C1WS
John Barbieri, MD, MBA @DrJohnBarbieri
While I'm glad we have these studies to support use of adalimumab/TNF-i for HS, the results of the PIONEER studies did not demonstrate not huge effect sizes and the side effect profile is potentially worrisome #dermjc
Dr. Mark Abdelmalek @DrMarkReports
@DrJohnBarbieri I would’ve probably been confused —- had I read it. But into this #dermjc hashtag you all have going.
Ade Adamson, MD MPP @AdeAdamson
This is so true and I don't think many dermatologists appreciate that! #dermJC 👇🏾👇🏾👇🏾
Ade Adamson, MD MPP @AdeAdamson
RT @DrJohnBarbieri: While I'm glad we have these studies to support use of adalimumab/TNF-i for HS, the results of the PIONEER studies did not demonstrate not huge effect sizes and the side effect profile is potentially worrisome #dermjc
Dermatology Journal Club @DermatologyJC
RT @AdeAdamson: This is so true and I don't think many dermatologists appreciate that! #dermJC 👇🏾👇🏾👇🏾
Dermatology Journal Club @DermatologyJC
RT @DrJohnBarbieri: While I'm glad we have these studies to support use of adalimumab/TNF-i for HS, the results of the PIONEER studies did not demonstrate not huge effect sizes and the side effect profile is potentially worrisome #dermjc
Ade Adamson, MD MPP @AdeAdamson
@DrMarkABC @DrJohnBarbieri its somewhat hard to understand without reading the NEJM PIONEER trials #DermJC
Steven Chen 陳持威, MD, MPH, MHPEd @DrStevenTChen
#dermjc Hi all, sorry I'm late! (was on a conference call). Steven here from Boston. No conflicts.
Roxana Daneshjou MD/PhD @RoxanaDaneshjou
I found the lack of diversity in this study problematic. Especially given the high prevalence of hidradenitis suppurativa within skin of color populations. #dermjc https://t.co/nUj8ozSyc9
Ade Adamson, MD MPP @AdeAdamson
@SonaJesrani thank you for sharing your story. HS is a frustrating disease and we don't have great medicines for it. ADA can help, but is by no means a magic bullet #dermJC
Dermatology Journal Club @DermatologyJC
RT @DrStevenTChen: #dermjc Hi all, sorry I'm late! (was on a conference call). Steven here from Boston. No conflicts.
Dermatology Journal Club @DermatologyJC
RT @RoxanaDaneshjou: I found the lack of diversity in this study problematic. Especially given the high prevalence of hidradenitis suppurativa within skin of color populations. #dermjc https://t.co/nUj8ozSyc9
John Barbieri, MD, MBA @DrJohnBarbieri
RT @RoxanaDaneshjou: I found the lack of diversity in this study problematic. Especially given the high prevalence of hidradenitis suppurativa within skin of color populations. #dermjc https://t.co/nUj8ozSyc9
Leo Shmuylovich, MD PhD @leoshmu
#dermJC hello Leo from Wash U, no conflicts
John Barbieri, MD, MBA @DrJohnBarbieri
Hidradenitis seems like it could benefit from a study like DCERN to begin to parse out some of the differences between the therapeutic options available and to guide future comparative effectiveness research https://t.co/yrbyu7QiSo #dermjc
Roxana Daneshjou MD/PhD @RoxanaDaneshjou
Have people had success with TNF-alpha inhibitors in HS? #dermjc
Ade Adamson, MD MPP @AdeAdamson
I also had trouble wrapping my head around the PRR subset analyzed in this paper. anyone else have that problem? #dermjc
Dermatology Journal Club @DermatologyJC
RT @DrJohnBarbieri: Hidradenitis seems like it could benefit from a study like DCERN to begin to parse out some of the differences between the therapeutic options available and to guide future comparative effectiveness research https://t.co/yrbyu7QiSo #dermjc
Dermatology Journal Club @DermatologyJC
RT @AdeAdamson: @SonaJesrani thank you for sharing your story. HS is a frustrating disease and we don't have great medicines for it. ADA can help, but is by no means a magic bullet #dermJC
Ade Adamson, MD MPP @AdeAdamson
The few times I tried in residency, it did not help that much #dermJC
Dermatology Journal Club @DermatologyJC
RT @AdeAdamson: I also had trouble wrapping my head around the PRR subset analyzed in this paper. anyone else have that problem? #dermjc
Leo Shmuylovich, MD PhD @leoshmu
#dermjc would it be fair to say that most derms taking care of HS have TNF inhibitors in the treatment ladder for patients that are not well controlled with ILK and oral antibiotics?
John Barbieri, MD, MBA @DrJohnBarbieri
@RoxanaDaneshjou I've found infliximab (sometimes dosed more frequently) to be most effective. Have not had as much success with adalimumab, but that is somewhat expected based on trial data and given that I have often used it in patients with severe disease #dermjc
Ade Adamson, MD MPP @AdeAdamson
RT @DrJohnBarbieri: @RoxanaDaneshjou I've found infliximab (sometimes dosed more frequently) to be most effective. Have not had as much success with adalimumab, but that is somewhat expected based on trial data and given that I have often used it in patients with severe disease #dermjc
John Barbieri, MD, MBA @DrJohnBarbieri
@AdeAdamson I am confused that they initially give a prespecified definition for the PRR subset, but then for the statistical analysis they mention "The final PRR subpopulation was proposed on the basis of a threshold-based model". Was there some specification searching here? #dermjc
Steven Chen 陳持威, MD, MPH, MHPEd @DrStevenTChen
@DrJohnBarbieri @RoxanaDaneshjou Infliximab is nice as it's more accurately weight-based. I haven't used anti-TNFs a ton in HS, but overall haven't been super impressed. #dermjc
Leo Shmuylovich, MD PhD @leoshmu
#dermJC
Ade Adamson, MD MPP @AdeAdamson
@DrJohnBarbieri thats exactly what I thought too. #dermJC #Weird
John Barbieri, MD, MBA @DrJohnBarbieri
@DrStevenTChen @RoxanaDaneshjou I agree, weight based dosing with Infliximab I think is very helpful advantage #dermjc
Ade Adamson, MD MPP @AdeAdamson
I'm glad others are having similar feelings #dermJC
Roxana Daneshjou MD/PhD @RoxanaDaneshjou
RT @DrStevenTChen: @DrJohnBarbieri @RoxanaDaneshjou Infliximab is nice as it's more accurately weight-based. I haven't used anti-TNFs a ton in HS, but overall haven't been super impressed. #dermjc
Roxana Daneshjou MD/PhD @RoxanaDaneshjou
RT @DrJohnBarbieri: @DrStevenTChen @RoxanaDaneshjou I agree, weight based dosing with Infliximab I think is very helpful advantage #dermjc
Leo Shmuylovich, MD PhD @leoshmu
@AdeAdamson @DrJohnBarbieri What is the ideal measure for a study like this? HS can be so bothersome to some patients with only a few lesions, so lesion count alone seems to be missing something. #dermJC
Dermatology Journal Club @DermatologyJC
RT @DrStevenTChen: @DrJohnBarbieri @RoxanaDaneshjou Infliximab is nice as it's more accurately weight-based. I haven't used anti-TNFs a ton in HS, but overall haven't been super impressed. #dermjc
Dermatology Journal Club @DermatologyJC
RT @DrJohnBarbieri: @DrStevenTChen @RoxanaDaneshjou I agree, weight based dosing with Infliximab I think is very helpful advantage #dermjc
Roxana Daneshjou MD/PhD @RoxanaDaneshjou
@DrJohnBarbieri @DrStevenTChen I've heard of patients going on infliximab after failing Humira. Are there any trials for that? #dermjc
Roxana Daneshjou MD/PhD @RoxanaDaneshjou
Also wanted to mention that there is this study with using apremilast, which I've definitely never used for hidradenitis suppurativa. #dermjc Also in @JAADjournals https://t.co/jRn2Lrombw
Ade Adamson, MD MPP @AdeAdamson
RT @RoxanaDaneshjou: @DrJohnBarbieri @DrStevenTChen I've heard of patients going on infliximab after failing Humira. Are there any trials for that? #dermjc
Roxana Daneshjou MD/PhD @RoxanaDaneshjou
@AdeAdamson I think I had one or two patients that did well with Humira... but the others, not so much. #dermjc
Roxana Daneshjou MD/PhD @RoxanaDaneshjou
Definitely hidradenitis suppurativa is an area that needs more research and better treatments! #dermjc
John Barbieri, MD, MBA @DrJohnBarbieri
@RoxanaDaneshjou @DrStevenTChen https://t.co/AsbruM5WEy #dermjc
Roxana Daneshjou MD/PhD @RoxanaDaneshjou
This is why diversity matters - why are there so few diverse patients in this trial? #dermjc https://t.co/d8w5GF62TA
Dermatology Journal Club @DermatologyJC
RT @DrJohnBarbieri: @RoxanaDaneshjou @DrStevenTChen https://t.co/AsbruM5WEy #dermjc
John Barbieri, MD, MBA @DrJohnBarbieri
Could be really exciting to develop a multicenter collaborative study network for both observational studies and maybe some comparative effectiveness research down the road #dermjc
Dermatology Journal Club @DermatologyJC
RT @AdeAdamson: I'm glad others are having similar feelings #dermJC
Dermatology Journal Club @DermatologyJC
RT @leoshmu: @AdeAdamson @DrJohnBarbieri What is the ideal measure for a study like this? HS can be so bothersome to some patients with only a few lesions, so lesion count alone seems to be missing something. #dermJC
Ade Adamson, MD MPP @AdeAdamson
RT @RoxanaDaneshjou: This is why diversity matters - why are there so few diverse patients in this trial? #dermjc https://t.co/d8w5GF62TA
Ade Adamson, MD MPP @AdeAdamson
RT @DrJohnBarbieri: Could be really exciting to develop a multicenter collaborative study network for both observational studies and maybe some comparative effectiveness research down the road #dermjc
Leo Shmuylovich, MD PhD @leoshmu
@RoxanaDaneshjou @DrJohnBarbieri @DrStevenTChen Found a Phase 2 trial for infliximab here: https://t.co/6SfM9u4VMd. Sometimes I wonder if the Humira->Infliximab path is what is forced upon us by insurance requiring Humira failure before approving Infliximab... #dermjc
Dermatology Journal Club @DermatologyJC
RT @RoxanaDaneshjou: This is why diversity matters - why are there so few diverse patients in this trial? #dermjc https://t.co/d8w5GF62TA
Ade Adamson, MD MPP @AdeAdamson
RT @leoshmu: @RoxanaDaneshjou @DrJohnBarbieri @DrStevenTChen Found a Phase 2 trial for infliximab here: @RoxanaDaneshjou @DrJohnBarbieri @DrStevenTChen Found a Phase 2 trial for infliximab here: https://t.co/6SfM9u4VMd. Sometimes I wonder if the Humira->Infliximab path is what is forced upon us by insurance requiring Humira failure before approving Infliximab... #dermjc
Dermatology Journal Club @DermatologyJC
RT @leoshmu: @RoxanaDaneshjou @DrJohnBarbieri @DrStevenTChen Found a Phase 2 trial for infliximab here: @RoxanaDaneshjou @DrJohnBarbieri @DrStevenTChen Found a Phase 2 trial for infliximab here: https://t.co/6SfM9u4VMd. Sometimes I wonder if the Humira->Infliximab path is what is forced upon us by insurance requiring Humira failure before approving Infliximab... #dermjc
Roxana Daneshjou MD/PhD @RoxanaDaneshjou
RT @DrJohnBarbieri: Could be really exciting to develop a multicenter collaborative study network for both observational studies and maybe some comparative effectiveness research down the road #dermjc
Leo Shmuylovich, MD PhD @leoshmu
@AdeAdamson @DrJohnBarbieri You guys make a great point here - the reference supporting their post-hoc analysis appears to be an abstract of some sort, maybe a poster? But even if that was a bit shady, the ADAw group results show some promise right? #dermJC
Roxana Daneshjou MD/PhD @RoxanaDaneshjou
Also wanted to add this #dermjc
Dermatology Journal Club @DermatologyJC
Technically we end now but no need to stop great conversations! #dermjc
Dermatology Journal Club @DermatologyJC
RT @leoshmu: @AdeAdamson @DrJohnBarbieri You guys make a great point here - the reference supporting their post-hoc analysis appears to be an abstract of some sort, maybe a poster? But even if that was a bit shady, the ADAw group results show some promise right? #dermJC
Dermatology Journal Club @DermatologyJC
RT @RoxanaDaneshjou: Also wanted to add this #dermjc
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