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Arthritis Registry Compiles Patient Experiences

Online registry creates a databank to bolster patient support, research.

By Alice Goodman

12/19/11  After a successful first year of the Arthritis Internet Registry, dubbed AIR, investigators are kicking up enrollment efforts, aiming to make it the largest registry of people with arthritis. The registry creates a centralized bank of information, which promises not only to support research for treatments, but also eventually to connect people who have arthritis with each other.

“AIR is meant to create a community of patients unlike any that currently exists. We want to empower the patient through online information about their disease, social networking for patients with similar diseases, and computer tools – for example, iPhone apps – to help them communicate with their health care providers,” says Robert Plenge, MD, PhD, explaining the long-term vision for the project. “In doing so, AIR will enable cutting-edge research to understand fundamental mechanisms of disease.” Dr. Plenge is a rheumatologist and geneticist at Harvard University and one of the lead AIR researchers.

Developed by the Arthritis Foundation in conjunction with the National Data Bank for Rheumatic Diseases and Quest Diagnostics, the registry was launched in June 2010. Almost 1,000 people enrolled in the first year, according to the findings of a feasibility study presented at the 2011 scientific meeting of the American College of Rheumatology. The researchers hope to hit 3,000 by the end of 2012, with the eventual goal of 20,000.  

Although rheumatoid arthritis, or RA, is the primary focus of the AIR project, people with all types of arthritis are encouraged enroll. “The more data we have the better,” says Kaleb Michaud, PhD, co-director of the National Data Bank for Rheumatic Diseases and director of the AIR effort. “While we have more researchers currently conducting studies with the RA patients, we do have a couple that are interested in [osteoarthritis], and are often limited by the numbers available. Once more are enrolled, more researchers will want to use the AIR.”

Compared with randomized controlled trials, which gather information based on homogenous groups of patients, patient registries are more inclusive. “Clinical trials have an inherent bias. The patient population enrolled in clinical trials meet strict criteria and represent only about 5 percent of all people with RA,” says Michaud.

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Leslie
27 Feb 2012, 14:44
I have RA and OA. I registered for the database. I referred 2 friends to the registry. I sign on to Facebook groups that address arthritis (all forms). I repost and share articles. I research the various meds and treatments so that I can actively participate with my rheumatologist on my treatment plan. After almost 5 years of one failed treatment after another and finally at the last availabe drug that might work I haven't given up hope. I also accept that I may never go into remission.

I am my best advocate. If you have any form of arthritis educate yourself. Be your best advocate.
Caroline
27 Feb 2012, 12:48
I've taken part in the surveys and hope they help. I've had 3 knee replacements (the 3rd one was to change a partial knee replacement to a total). Given the choice between major surgery (replacement)that takes months to get over and suffering for the rest of my life, I'd gladly take the replacements, and have done so. I'm 57. The first replacement was done when I was 54.
By participating in the surveys, I feel I am helping someone and researchers as well.
M.Ann
23 Feb 2012, 21:37
I to have OA and I have Sjogrens and take various prescribed meds.I would be interested to hear of others with Sjogrens.

The Sjogrens causes dry mouth problems and i use Guaifenesin, it seems to help has anyone else found this?
I also have same areas of pain, to keep my OA from severe pain I have found heat is good. I wear socks at night and during day use cotton hose or stretches under my jeans or dress pants. for my back at night I use a heating pad and also morning hot showers when my knee pain also causes my muscles to hurt I ride my bike and that helps immediately....M.Ann
Irish
04 Feb 2012, 16:57
I can relate to all of you. Life for me after rt. knee replacement was hard, but I got over it and got well. I thought after having the knee replaced the pain would go away. NOT..I still have problems with it and the left one is worn out. My hip joints are so painful and any movement is unbearable all times. Meds when convinced that taking them would slow down the progression of the disease...I was thrilled that the inflammation would subside some. NOT- all my hair fell out. The few strands that have stayed are so thin I just cut it all short and hats are my friends. I am never in pain remission. I have rituxin every 6 months now and this last treatment I had 1 day of not so much pain. I was thrilled but the next day was a nightmare. The pain moved from my fingers, not so much to all focused it seemed on my hips and feet. I use my hands for everything that I do daily as we all do. After the end of the day I am crying for some relief. I use a heating pad for comfort, I ice them as well. But the last yr. pleural effusion has reared its ugly head and trapped me with pneumonia 5 times and 6 major lung surgeries to remove a nodule that caused havock. I would not wish this on my worst enemy. So, yes I know how it is for all of you. Irish
Missy
01 Feb 2012, 13:39
Hi AB!
I also have severe OA that I COULDN'T work anymore...period!
I have been on permanent disability for almost 3 years (after 35 years of steady employment) and it's not easy.
I lost approx $9,000 of my income but I've tried to adjust.
Unfortunately, the pain never goes away. I've had 2 neck surgeries and still need to have hips and knees replaced.
Sometimes it does get very depressing but just know that you are not alone. Continuous pain from morning to night is sometimes unbearable to make it thru the day.
Janiece
31 Jan 2012, 21:02
Does anyone know anything about Tofacitinib? I have been researching some about it and am very interested in it. I know FDA is currently reviewing the application Pfizer has submitted. Any information would be appreciated.
Darla Parkin
31 Jan 2012, 18:43
I would like to make a comment to Allan. You say u do not want a knee replacement or hip replacement. Why do u not want these surgeries? I am a 44 year old who was diagnosed with R.A. at age 1. I've had it my whole life and believe me it was very hard to get through it. I could hardly get through school because of the pain and not being able to walk. I've been through any kind of treatment u can think of and some u wouldn't believe. (crazy stuff) When I was 18 and I got through high school I was told I should get both knees replaced. I was finally full grown & could have the surgery. I wanted it done because the pain was so bad & I couldn't get around. I was terrified and cried alot because the thought of a having a new joint scared me. I had the best support from my family and a good surgeon. Those were the days when they were just starting to do replacements. Believe me, it was the best thing I'd ever done. It was hard to go through the recovery, but it was so worth it! I had my other knee done after the previous one healed. I felt so good, finally I could walk!! Then my hips were hurting so bad that I had both of those replaced. I was the happiest I'd ever been. I could walk and I could finally cross my legs(a big thing for a girl) with NO PAIN!! I would walk around and tell everyone "I love my new hips"
After that I had both ankles fused. I've had shoulder replacements and fingers too. In 2009, I had my r.hip done again and in 2010 I had my left hip redone. It's not the same as when I was in my 20's. My bones aren't as strong and getting back in shape isn't that easy, but I'm finally sarting to get better. I'm sorry this is so long, but what I'm trying to say is if u r in alot of pain & cannot function having the surgery is the best thing u can do for yourself. I do not know your story or circumstances, but I do know that it works and it is so worth it. I had my knees done back in 1987,1988 and I haven't had any complications. Just think what they can do now with all the new technology. I just wanted to tell you that having surgery isn't so bad. If u would like to talk more, u can email me @ dparkin21@msn.com. I hope this helped u out.
ROSEANN HOURIHAN
31 Jan 2012, 15:02
MY R.A.IS GETTING WORST....MY R-HAND HAS SWAN FINGERS I CAN'T OPEN ANY JARS I HAVE TO HAVE MY GRANDKIDS DO IT FOR ME (AFTER THEY ARE OPEN I CLOSE THEM LOSE SO I CAN OPEN THEM MY SELF ) I CAN'T HOLD A KNIFE RIGHT SO IT IS HARD FOR ME TO CUT OR DICE..I BUY THINGS TO HELP ME IN THE KITCHEN WHEN I COOK I DOUBLE IT FREEZE IT SO I DON'T HAVE TO COOK EVERY DAY...RIGHT NOW I HAVE 3-4 WEEKS OF FOOD IN THE FREEZER SO IN THE MORNING I TAKE SOMETHING OUT & I'M ALL SET...I HAVE TROUBLE WALKING TOO....MY TOES ARE ALL TURNED UNDER&MY FEET HURT...I'M LUCKY I CAN STILL TAKE CARE OF MYSELF & I STILL LIVE ALONE...DO MY OWN HOUSE WORK,SHOPPING,WASHING OF CLOTHS,AND OTHER THINGS..IF I CAN'T DO SOMETHING I CALL MY GRAND SON & HE DOES IT FOR ME OR I PUT IT OFF UNTIL I CAN DO IT ...I STILL DRIVE (NOT VERY FAR JUST TO DRS.OR SHOPPING BUT I TRY TO BE AS INDEPENT AS I CAN...I'M IN PAIN 24/7 BUT AS I ALWAY'S SAY GOD DOESN'T GIVE U MORE THAN U CAN TAKE...........
Nikki Chichester
31 Jan 2012, 12:03
I know this is mainly for RA patients but it welcomed OA as well. I am a 40 year old female with spinal stenosis, disc degenerative disease, OA of the spine, and most likely Fibromyolgia but doctor won't waste money testing me since I will be taking the same medicines anyway whether I get diagnosed or not. It just would make me feel better to explain all the extreme pains and nerve sensations that don't make sense with a back injury like mine. I started early by injuring my back on the job working as a CNA in my early twenties and I have had three back surgeries since. I have tried everything and if it weren't for the surgeries I would be in a wheelchair right now. I can't walk far, stand long, or sit up very long and spend a lot of time in bed because of it. I feel stiff all the time and also feel electrical shocks up and down my body including numbness in certain areas. I go to physical therapy (pool) twice a week and it helps relax the nerves and muscles but it tires me out quickly and I am not much good for the rest of the day. It saddens me to have an 80 year old body for the last 15yrs. My youngest child doesn't know me when I was abled and could do everything imaginable. He only knows the one who has to sit down all the time or the one who has to lay down in bed. I wish they could find something that would better our lives. I don't expect any cures. I just want to be able to sit up, walk, run, and ride a bicycle one day. By the way, I do have to rely on heavy doses of narcotics just so I can get out of bed every morning. If I don't, I end up going to the ER because I won't be able to move at all. Luckily, I take the Fentanyl patch which won't affect my stomach or mind like the pills do which means I am allowed to drive also. Let's hope they will learn more about RA & OA so that they can find a way to lessen the effects and pain that we go through each and every day.
Allan
31 Jan 2012, 11:39
I have arthritis (quite uncomfortable) in knee and hip. I do not, do not want replacement.

Am trying acupuncture, raisins and gin,and tiger balm. Any suggestions would be appreciated.
AB
31 Jan 2012, 11:04
I am 57 yrs old, I was diagnosed in my late 20's, I have Rheumatoid & Osteo Arthritis, Lupus, Fibromylegia, I have found absolutely no way to relieve pain, and I have been through many.
Quality of life has been crap. You wake up each morning in pain and stiff for hours, before you can get yourself going each and everyday.
I have neck, back, shoulder, elbows, knees, feet & severe hand pain. Had 3 fingers fused it helped, but I have 7 more in pain, plus wrist pain (had surgery on both) pain is back again from the wrists to the tips of my fingers.
How can we survive at work?? Cannot afford to go on disability. My doctors tell me I need to do it, I just took a year off of work, but it did not help anything. I go to the gym 3 days a week for 2 1/2 hours each session, I also do water exercises in our community pool. Been to therapy had numerous epidurals. Nothing helps. Any ideas ???
Francis
31 Jan 2012, 09:23
help me
Katrina
29 Dec 2011, 01:48
I am 38 with Rheutoid Arthritis,fibromyalgia, and osteoartritis. My doctor wants me to do water therapy. But I am on a fixed income. I am on disablity. Is there anywere in the hampton roads area I can get water therapy or get in a pool that will not cost to much. Oh, I cannot swim, lol.
Tammy Sanchez
28 Dec 2011, 22:53
I suffer from Rheumatoid Arthritus in my hands,feet,legs,knees,back,and shoulders. I suffer from burning pain and stiffness. I can't walk when I get up from bed or sitting. I refuse to use any major drugs use to additional problems such as stomach problems to infections. I need a natural way to treat it. I am 42. My 18yr old has it also and she has a hard time standing for long and she is in pain from head to toe.

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