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December 2009 - The British Society for Rheumatology

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Other|News<br />

www.rheumatology.org.uk<br />

TRACE RA update<br />

<strong>The</strong> TRACE RA trial (TRial of Atorvastatin <strong>for</strong> the Primary Prevention<br />

of Cardiovascular Events in Rheumatoid Arthritis) has recruited its<br />

1,300 th patient. This is a great achievement <strong>for</strong> the largest<br />

network of rheumatology research collaborators ever put together<br />

in the UK, to whom the TRACE RA team owe great thanks. However,<br />

the challenge remains very high and this achievement needs to be<br />

built upon over the coming months in order to achieve the target of<br />

3,800 patients by the end of 2010. This will only be possible with<br />

the continuing commitment of patients and colleagues within the<br />

100 participating centres.<br />

<strong>The</strong>re are long proven benefits of statins to reduce cardiac events in<br />

at-risk populations due to their cholesterol-lowering properties or<br />

possibly through an anti-inflammatory effect. Due to RA patients being<br />

previously mostly excluded from statin trials it is unclear whether this<br />

benefit occurs in this patient group.<br />

This five year trial, jointly funded by arc and the <strong>British</strong> Heart<br />

Foundation, is led by Professors George Kitas, Jill Belch and Deborah<br />

Symmons. It investigates whether atorvastatin is more effective than<br />

placebo in the prevention of cardiovascular events in RA patients.<br />

<strong>The</strong> trial also incorporates two sub-studies, all on the UKCRN portfolio.<br />

TRACE RA-DAS investigates the hypothesis that atorvastatin is more<br />

effective than placebo as adjunctive therapy in reducing RA disease<br />

activity. TRACE RA-Biobank will provide a rich resource <strong>for</strong> future<br />

mechanistic studies.<br />

For further in<strong>for</strong>mation, please go to www.dgoh.nhs.uk/tracera or<br />

contact the Trial Manager, Hawys Williams, on 0161 2755639 or<br />

hawys.williams@manchester.ac.uk<br />

BSPAR Update<br />

<strong>The</strong> <strong>British</strong> <strong>Society</strong> of Paediatric and Adolescent <strong>Rheumatology</strong><br />

(BSPAR) Autumn meeting in Liverpool brought together many<br />

members of the paediatric rheumatology community <strong>for</strong> a<br />

successful meeting.<br />

An away day <strong>for</strong> the Clinical Affairs Committee set priorities <strong>for</strong> the<br />

group; this was open to all BSPAR membership and is to become an<br />

annual event. Priorities set include: development of standards of care<br />

and their assessment to support service development; clinical support<br />

with guidelines and patient in<strong>for</strong>mation leaflets; peer review and<br />

support <strong>for</strong> effective clinical networks.<br />

<strong>The</strong> BSPAR Standards of Care <strong>for</strong> Juvenile Arthritis are now available on<br />

the BSPAR website and an audit tool is being developed, these will be<br />

linked to new ARMA standards of care. <strong>The</strong> nursing group is growing<br />

and has an annual meeting to support their development.<br />

<strong>The</strong> BSPAR Etanercept Biologics Registry continues to recruit patients<br />

and collect data during a period of transition and an anticipated move<br />

to Manchester. A further study is looking at the use of other biologics in<br />

paediatric rheumatology. A list of BSPAR research projects is available<br />

on the website. Research is strongly encouraged <strong>for</strong> junior trainees in<br />

paediatric rheumatology, the ARC/Barbara Ansell fellowship offers<br />

funding <strong>for</strong> one year <strong>for</strong> trainees wishing to experience research in the<br />

field. It is advisable <strong>for</strong> trainees to consider this even prior to clinical<br />

experience in the specialty.<br />

<strong>The</strong> BSPAR website is anticipating a face lift, improving sharing of<br />

in<strong>for</strong>mation among professionals, to support the busy sub-committees,<br />

encourage membership involvement and disseminate publications and<br />

useful pieces of work. An area <strong>for</strong> public access and patient in<strong>for</strong>mation<br />

is also proposed.<br />

Please visit www.bspar.org.uk <strong>for</strong> more in<strong>for</strong>mation.<br />

NRAS World Arthritis Day parliamentary events<br />

This year, World Arthritis Day focused on the theme of the<br />

challenges of work. Over the last few years NRAS has been<br />

engaging with policymakers to ensure that patients with RA are<br />

supported in staying in or getting back to work. <strong>The</strong> aim of our<br />

parliamentary events this year was to raise MPs’ awareness of<br />

the developments that have been taking place in this area and<br />

the challenges that remain <strong>for</strong> people with RA of working age.<br />

implementing the Government’s Work, Health and Wellbeing<br />

strategy. Steve Bevan, MD of the Work Foundation also presented a<br />

summary of the pan-European study he has been leading on the<br />

impact of musculoskeletal disorders on the workplace. <strong>The</strong> session<br />

was chaired by Jenny Snell, Government Affairs Manager, NRAS and<br />

also included NRAS volunteer Jean Burke’s account of being<br />

diagnosed at age 39 when she was at the peak of her career.<br />

We held a ‘drop in’ event during the afternoon of 13 October in<br />

Portcullis House to enable MPs to call in and meet with both<br />

representatives of NRAS and some of their members. Over 50 MPs<br />

attended during the afternoon and were keen to hear our members’<br />

personal stories about coping with RA in the workplace and what<br />

impact it had on their ability to remain working. A photo opportunity<br />

enabled the MPs to raise awareness in their local constituency and<br />

highlight their support <strong>for</strong> WAD in the local media.<br />

Following the drop in event key parliamentarians joined<br />

representatives <strong>for</strong>m the Department of Health, National Audit Office<br />

and eminent clinicians and allied health professionals to hear an<br />

update from Professor Dame Carol Black, National Director <strong>for</strong><br />

Health and Work on the progress that has been made in<br />

Professor David G I Scott, Dr Deborah Bax and<br />

Professor David Isenberg at the NRAS World Arthritis Day<br />

7

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