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Rheumatology • General Rheumatology • Obesity Medicine • Peri-Operative Medicine • Bariatric Surgery
What are your recommendations for perioperative management of DMARDs and biologics in patients undergoing bariatric surgery?
The bariatrics department wants patients to hold immunosuppressants for 4 months prior to bariatric surgery.
Answer from: at Community Practice
One of the goals of the ACR's perioperative guidelines (Goodman et al., PMID 35718887) was to avoid unnecessarily long interruptions in therapy in the perioperative setting, which increases the risk of disease flares, can lead to increased glucocorticoid use in the perioperative setting (which is as...
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