Una Makris
@unamakris.bsky.social
Rheumatologist, #Aging research. Dallas VA #hsr #UTSW. Improving outcomes most relevant to older adults w #mskpain #GeriRheum
Also mama, wife and mentor
Also mama, wife and mentor
Pinned
Una Makris
@unamakris.bsky.social
· Nov 21
Ageing in Rheumatic Diseases
www.thelancet.com
www.thelancet.com/series/agein...
Proud of this series on aging, thank you for the opportunity to highlight what is known (and what is not) in aging and rheumatic diseases
#gerirheum #acr24
#ClinSTAR2024
@utswinternalmed.bsky.social @thelancet.bsky.social
Proud of this series on aging, thank you for the opportunity to highlight what is known (and what is not) in aging and rheumatic diseases
#gerirheum #acr24
#ClinSTAR2024
@utswinternalmed.bsky.social @thelancet.bsky.social
Reposted by Una Makris
OA vs LORA: Know the Difference!
www.thecurbsiders.com
Not all joint pain is the same. 🦴
➡️ Swipe through to see how osteoarthritis (OA) differs from late-onset rheumatoid arthritis (LORA)—from where it shows up to how it’s treated. With expert guest
@unamakris.bsky.social
www.thecurbsiders.com
Not all joint pain is the same. 🦴
➡️ Swipe through to see how osteoarthritis (OA) differs from late-onset rheumatoid arthritis (LORA)—from where it shows up to how it’s treated. With expert guest
@unamakris.bsky.social
August 2, 2025 at 1:52 PM
OA vs LORA: Know the Difference!
www.thecurbsiders.com
Not all joint pain is the same. 🦴
➡️ Swipe through to see how osteoarthritis (OA) differs from late-onset rheumatoid arthritis (LORA)—from where it shows up to how it’s treated. With expert guest
@unamakris.bsky.social
www.thecurbsiders.com
Not all joint pain is the same. 🦴
➡️ Swipe through to see how osteoarthritis (OA) differs from late-onset rheumatoid arthritis (LORA)—from where it shows up to how it’s treated. With expert guest
@unamakris.bsky.social
Reposted by Una Makris
Thank you to UTSW Rheumatology for hosting me the past few days. I enjoyed meeting folks in Rheum & other Div/Depts, & engaging in micro-mentoring. I think I got people interested in #osteoarthritis, pain mechanisms, & #gout! I’m looking forward to new collaborations!
@unamakris.bsky.social
@unamakris.bsky.social
May 2, 2025 at 5:53 PM
Thank you to UTSW Rheumatology for hosting me the past few days. I enjoyed meeting folks in Rheum & other Div/Depts, & engaging in micro-mentoring. I think I got people interested in #osteoarthritis, pain mechanisms, & #gout! I’m looking forward to new collaborations!
@unamakris.bsky.social
@unamakris.bsky.social
Reposted by Una Makris
Viewpoint: Recent disruptions and funding cuts at the NIH undermine the infrastructure and stability of US scientific research, threatening the nation's global leadership and scientific productivity. https://ja.ma/3FLvqHS
American Science in Peril
This Viewpoint discusses the importance of federal funding of biomedical research from the National Institutes of Health to scientific discovery, advancements in individual and public health, and the support of the US’ community of scientists.
ja.ma
March 19, 2025 at 11:00 AM
Viewpoint: Recent disruptions and funding cuts at the NIH undermine the infrastructure and stability of US scientific research, threatening the nation's global leadership and scientific productivity. https://ja.ma/3FLvqHS
Great weekend #RNL2025
Speaking about geriatrics concepts we can integrate into our care to improve outcomes for older adults with rheumatic disease.
Thank you to this engaged audience early Sat morning 🙌🙌
@rheumnow.bsky.social @kwyshammd.bsky.social
Credit to #gerirheum for moving us forward
Speaking about geriatrics concepts we can integrate into our care to improve outcomes for older adults with rheumatic disease.
Thank you to this engaged audience early Sat morning 🙌🙌
@rheumnow.bsky.social @kwyshammd.bsky.social
Credit to #gerirheum for moving us forward
February 10, 2025 at 1:11 AM
Great weekend #RNL2025
Speaking about geriatrics concepts we can integrate into our care to improve outcomes for older adults with rheumatic disease.
Thank you to this engaged audience early Sat morning 🙌🙌
@rheumnow.bsky.social @kwyshammd.bsky.social
Credit to #gerirheum for moving us forward
Speaking about geriatrics concepts we can integrate into our care to improve outcomes for older adults with rheumatic disease.
Thank you to this engaged audience early Sat morning 🙌🙌
@rheumnow.bsky.social @kwyshammd.bsky.social
Credit to #gerirheum for moving us forward
Reposted by Una Makris
B England
75% of RA pts have multi-morbidity
Pts develop multi-morbidity BEFORE the onset of RA
Should we have different goals: Prioritize LDA over remission in pts w multimorbidity
Collaborate w PCP: one size doesn't fit all, do something better than nothing!
@rheumnow.bsky.social #RNL2025
75% of RA pts have multi-morbidity
Pts develop multi-morbidity BEFORE the onset of RA
Should we have different goals: Prioritize LDA over remission in pts w multimorbidity
Collaborate w PCP: one size doesn't fit all, do something better than nothing!
@rheumnow.bsky.social #RNL2025
February 8, 2025 at 3:09 PM
B England
75% of RA pts have multi-morbidity
Pts develop multi-morbidity BEFORE the onset of RA
Should we have different goals: Prioritize LDA over remission in pts w multimorbidity
Collaborate w PCP: one size doesn't fit all, do something better than nothing!
@rheumnow.bsky.social #RNL2025
75% of RA pts have multi-morbidity
Pts develop multi-morbidity BEFORE the onset of RA
Should we have different goals: Prioritize LDA over remission in pts w multimorbidity
Collaborate w PCP: one size doesn't fit all, do something better than nothing!
@rheumnow.bsky.social #RNL2025
Reposted by Una Makris
Review Med Lists in Rheum
- ~40% of pts w RA/SLE on Potentially Inappropriate Meds (PIM)
-Review Beers Criteria for Rx to avoid in older pts
- Include: antidepress, benzo, steroid + NSAID, gaba, nifed, PPI, mm relax
@unamakris.bsky.social at #RNL2025 @rheumnow.bsky.social
@JihaRheum @NamrataRheum
- ~40% of pts w RA/SLE on Potentially Inappropriate Meds (PIM)
-Review Beers Criteria for Rx to avoid in older pts
- Include: antidepress, benzo, steroid + NSAID, gaba, nifed, PPI, mm relax
@unamakris.bsky.social at #RNL2025 @rheumnow.bsky.social
@JihaRheum @NamrataRheum
February 8, 2025 at 2:28 PM
Review Med Lists in Rheum
- ~40% of pts w RA/SLE on Potentially Inappropriate Meds (PIM)
-Review Beers Criteria for Rx to avoid in older pts
- Include: antidepress, benzo, steroid + NSAID, gaba, nifed, PPI, mm relax
@unamakris.bsky.social at #RNL2025 @rheumnow.bsky.social
@JihaRheum @NamrataRheum
- ~40% of pts w RA/SLE on Potentially Inappropriate Meds (PIM)
-Review Beers Criteria for Rx to avoid in older pts
- Include: antidepress, benzo, steroid + NSAID, gaba, nifed, PPI, mm relax
@unamakris.bsky.social at #RNL2025 @rheumnow.bsky.social
@JihaRheum @NamrataRheum
Reposted by Una Makris
@unamakris.bsky.social #RNL25
@rheumnow.bsky.social
Older pts w RA
1/3 of pts onset >60-65
- More acute onset, more systemic, more PMR-like, larger jts
- Higher IL-6, lower TNF-a, less RF, high ESR
-Co-morbidities, polypharmacy, cognition, depression
Age does not equal frailty, but does correlate
@rheumnow.bsky.social
Older pts w RA
1/3 of pts onset >60-65
- More acute onset, more systemic, more PMR-like, larger jts
- Higher IL-6, lower TNF-a, less RF, high ESR
-Co-morbidities, polypharmacy, cognition, depression
Age does not equal frailty, but does correlate
February 8, 2025 at 2:13 PM
@unamakris.bsky.social #RNL25
@rheumnow.bsky.social
Older pts w RA
1/3 of pts onset >60-65
- More acute onset, more systemic, more PMR-like, larger jts
- Higher IL-6, lower TNF-a, less RF, high ESR
-Co-morbidities, polypharmacy, cognition, depression
Age does not equal frailty, but does correlate
@rheumnow.bsky.social
Older pts w RA
1/3 of pts onset >60-65
- More acute onset, more systemic, more PMR-like, larger jts
- Higher IL-6, lower TNF-a, less RF, high ESR
-Co-morbidities, polypharmacy, cognition, depression
Age does not equal frailty, but does correlate
Reposted by Una Makris
J Curtis #RNL2025 @rheumnow.bsky.social
AI Will Not Replace You
- AI cannot replace human interaction, examination, procedures, interpreting guidelines for an individual, providing empathy, and facilitate good patient education
Will become a tool... but not a replacement to a good clinician
AI Will Not Replace You
- AI cannot replace human interaction, examination, procedures, interpreting guidelines for an individual, providing empathy, and facilitate good patient education
Will become a tool... but not a replacement to a good clinician
February 8, 2025 at 2:08 PM
J Curtis #RNL2025 @rheumnow.bsky.social
AI Will Not Replace You
- AI cannot replace human interaction, examination, procedures, interpreting guidelines for an individual, providing empathy, and facilitate good patient education
Will become a tool... but not a replacement to a good clinician
AI Will Not Replace You
- AI cannot replace human interaction, examination, procedures, interpreting guidelines for an individual, providing empathy, and facilitate good patient education
Will become a tool... but not a replacement to a good clinician
Both an integrated pain team and pharmacist collaborative management resulted in similar small improvements in pain and substantial reductions in opioid dosage among chronic pain patients on long-term opioid therapy. ja.ma/3VttRDz @jama.com
Care Models to Improve Pain and Reduce Opioids Among Patients Prescribed Long-Term Opioid Therapy
This randomized clinical trial compares the effectiveness of an integrated pain team vs pharmacist collaborative management on pain and opioid dosage.
ja.ma
December 16, 2024 at 6:13 PM
Both an integrated pain team and pharmacist collaborative management resulted in similar small improvements in pain and substantial reductions in opioid dosage among chronic pain patients on long-term opioid therapy. ja.ma/3VttRDz @jama.com
Reposted by Una Makris
Assessing agreement of frailty measures and association with health outcomes over 3 years found percentages of individuals classified as frail and agreement of frailty classification varied widely. Most measures were predictive of poor health outcomes
In AC&R
doi.org/10.1002/acr....
In AC&R
doi.org/10.1002/acr....
Measuring Frailty in Systemic Lupus Erythematosus
Objective Recent research has explored frailty in systemic lupus erythematosus (SLE) using multiple measures. We examined the agreement among frailty measures and the association of each with cross-...
doi.org
December 10, 2024 at 5:18 PM
Assessing agreement of frailty measures and association with health outcomes over 3 years found percentages of individuals classified as frail and agreement of frailty classification varied widely. Most measures were predictive of poor health outcomes
In AC&R
doi.org/10.1002/acr....
In AC&R
doi.org/10.1002/acr....
Fantastic collaboration amongst medical specialists around #frailty
@clinstarcc.bsky.social @agsjournal.bsky.social
agsjournals.onlinelibrary.wiley.com/doi/10.1111/...
@clinstarcc.bsky.social @agsjournal.bsky.social
agsjournals.onlinelibrary.wiley.com/doi/10.1111/...
Frailty integration in medical specialties: Current evidence and suggested strategies from the Clin‐STAR frailty interest group
Frailty is a syndrome that can inform clinical treatments and interventions for older adults. Although implementation of frailty across medical subspecialties has the potential to improve care for th...
agsjournals.onlinelibrary.wiley.com
November 26, 2024 at 9:06 PM
Fantastic collaboration amongst medical specialists around #frailty
@clinstarcc.bsky.social @agsjournal.bsky.social
agsjournals.onlinelibrary.wiley.com/doi/10.1111/...
@clinstarcc.bsky.social @agsjournal.bsky.social
agsjournals.onlinelibrary.wiley.com/doi/10.1111/...
www.thelancet.com/series/agein...
Proud of this series on aging, thank you for the opportunity to highlight what is known (and what is not) in aging and rheumatic diseases
#gerirheum #acr24
#ClinSTAR2024
@utswinternalmed.bsky.social @thelancet.bsky.social
Proud of this series on aging, thank you for the opportunity to highlight what is known (and what is not) in aging and rheumatic diseases
#gerirheum #acr24
#ClinSTAR2024
@utswinternalmed.bsky.social @thelancet.bsky.social
Ageing in Rheumatic Diseases
www.thelancet.com
November 21, 2024 at 9:16 PM
www.thelancet.com/series/agein...
Proud of this series on aging, thank you for the opportunity to highlight what is known (and what is not) in aging and rheumatic diseases
#gerirheum #acr24
#ClinSTAR2024
@utswinternalmed.bsky.social @thelancet.bsky.social
Proud of this series on aging, thank you for the opportunity to highlight what is known (and what is not) in aging and rheumatic diseases
#gerirheum #acr24
#ClinSTAR2024
@utswinternalmed.bsky.social @thelancet.bsky.social
Lessons learned from advancing aging research in Rheumatology. Proud of my #gerirheum colleagues for moving our field forward
#ClinSTARCC #ClinSTAR2024 #AFARorg #NIHAging
#acr24
#ClinSTARCC #ClinSTAR2024 #AFARorg #NIHAging
#acr24
November 21, 2024 at 8:48 PM
Lessons learned from advancing aging research in Rheumatology. Proud of my #gerirheum colleagues for moving our field forward
#ClinSTARCC #ClinSTAR2024 #AFARorg #NIHAging
#acr24
#ClinSTARCC #ClinSTAR2024 #AFARorg #NIHAging
#acr24
Reflecting on a fantastic #ACR24 for both the science and reconnecting with so many dear colleagues and friends #gerirheum
November 21, 2024 at 8:09 PM
Reflecting on a fantastic #ACR24 for both the science and reconnecting with so many dear colleagues and friends #gerirheum
Reposted by Una Makris
Pros and cons of leading a #NIH network grant or conference grant #ClinSTAR2024 w/ Drs. Sharon Inouye @manish-shah.bsky.social Basil Eldadah, William Dale
#R13 #R24 #R33
#R13 #R24 #R33
November 20, 2024 at 5:41 PM
Pros and cons of leading a #NIH network grant or conference grant #ClinSTAR2024 w/ Drs. Sharon Inouye @manish-shah.bsky.social Basil Eldadah, William Dale
#R13 #R24 #R33
#R13 #R24 #R33
Reposted by Una Makris
Now @unamakris.bsky.social rheumatologist about how to be a specialist with an #aging focus #Beeson2024
- create learning opportunities like journal clubs
- identify diverse funding sources
- attend special interest group meetings for your specialty relevant to aging
- submit proposals to symposia
- create learning opportunities like journal clubs
- identify diverse funding sources
- attend special interest group meetings for your specialty relevant to aging
- submit proposals to symposia
November 20, 2024 at 3:45 PM
Now @unamakris.bsky.social rheumatologist about how to be a specialist with an #aging focus #Beeson2024
- create learning opportunities like journal clubs
- identify diverse funding sources
- attend special interest group meetings for your specialty relevant to aging
- submit proposals to symposia
- create learning opportunities like journal clubs
- identify diverse funding sources
- attend special interest group meetings for your specialty relevant to aging
- submit proposals to symposia
Reposted by Una Makris
Now at #ClinSTAR2024 Dr. Sharon Inouye, MD, MPH, Editor-in-Chief of @jamacurrent.bsky.social Internal Medicine sharing tips on "Publishing in Academic Medicine: A Few Pearls to Enhance Success"
🧵
🧵
November 19, 2024 at 9:16 PM
Now at #ClinSTAR2024 Dr. Sharon Inouye, MD, MPH, Editor-in-Chief of @jamacurrent.bsky.social Internal Medicine sharing tips on "Publishing in Academic Medicine: A Few Pearls to Enhance Success"
🧵
🧵