December 2009 - The British Society for Rheumatology
December 2009 - The British Society for Rheumatology
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 />
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