Forgot Password?
Return to Course Listing

CME: Sickle cell disease (SCD): A focus on updates in therapy

ACCREDITATION EXPIRED: October 14, 2024

Activity Description / Statement of Need:

In this online, self-learning activity:

Sickle cell disease (SCD) is the most common monogenic blood disorder, affecting millions of people worldwide and approximately 100,000 Americans. Although it may be found in various areas of the world, SCD predominantly affects individuals of African or Hispanic heritage. It is caused by the inheritance of b-globin alleles that code for hemoglobin S, resulting in an amino acid substitution in hemoglobin’s b chain and clinical disease. Patients with SCD have impaired circulation, and lysis of the erythrocytes contributes to a chronic inflammatory response, causing severe pain and less efficient oxygen delivery. The hallmark clinical features of SCD are hemolytic anemia and painful vaso-occlusive crises (VOCs), which may lead to emergency department visits, hospitalization, and potentially fatal complications such as acute chest syndrome, stroke, or pneumonia. In one US study, 45% of deaths among people with SCD were related to cardiopulmonary causes, and VOCs alone have been shown to increase the risk of death by 50%. SCD may disrupt employment or school and is associated with a significant reduction in quality of life. This learning activity has been designed to bring HCPs’ knowledge of rationale behind treatment of SCD up to date and to enhance their competence and performance in the condition’s management.

Target Audience:

The following HCPs: Hematologists, pediatricians, and primary care physicians; physician assistants, nurse practitioners, and pharmacists who specialize in the aforementioned areas of specialty; and any other HCPs with an interest in or who may clinically encounter patients with SCD.


Commercial Support Disclosure: This program is supported by an educational grant from Global Blood Therapeutics.

This activity is free of charge.


Release Date: October 14, 2022 -- Expiration Date: October 14, 2024

Faculty: Shivi Jain, MD

Agenda

Faculty introduction, disclosures

SCD introduction content

· Epidemiology

· Pathophysiology with an emphasis on therapeutic targets

· Complications, including vaso-occlusive crisis

· Challenges in transitions in care

· Social determinants of and disparities in care and their role in compounding the healthcare burden in SCD

Updates in treatment in patients with SCD

  • Present and emerging therapy, including goals of therapy and recent clinical evidence
    • Historical standards of care: hydroxyurea therapy
    • Novel, disease-modifying therapy: hemoglobin S polymerization inhibition, glutamine
  • Practical aspects of and challenges in care
    • Transitions in care: Center for Health Care Transition Improvement’s Six Core Elements of Health Care Transition
    • VOCs: selectin antagonism and supportive care
  • Emerging therapies aimed at disease modification, anemia, vaso-occlusive crisis
    • Pyruvate kinase activation
    • Ferroportin inhibition
    • Gene therapy
  • Patient case(s)

Summary, conclusions, and best practice recap

Learning Objectives

By the end of the session the participant will be able to:

  • Recall SCD’s pathophysiology and healthcare burden.
  • Describe standards of care and emerging therapies for SCD.
  • Compose a treatment plan for a patient with SCD.

Accreditation

ACCME Activity #202341985

ACCREDITATION FOR THIS COURSE HAS EXPIRED. YOU MAY VIEW THE PROGRAM, BUT CME / CE IS NO LONGER AVAILABLE AND NO CERTIFICATE WILL BE ISSUED.

Faculty Disclosure and Resolution of COI

As a provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved thru content review by ScientiaCME.

Faculty Disclosure: Shivi Jain, MD, Assistant Professor of Medicine, Rush University2 Medial Center, has received financial compensation for speaker's bureau work for Novartis, Global Blood Therapeutics, Sanofi, Argenx, and Bluebird Bio.

Disclosures of Educational Planners: Charles Turck, PharmD, BCPS, BCCCP, President of ScientiaCME, has no relevant financial disclosures.

Faculty will NOT discuss off-label uses.

All relevant financial relationships have been mitigated.

ScientiaCME adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Commercial Support Disclosure: This program is supported by an educational grant from Global Blood Therapeutics.

Instructions

  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge gained by participating in this CME activity.
  • View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
  • Minimum participation threshold: Take the post-test. A score of 70% or higher is required to pass and proceed to the activity evaluation.
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

Cultural/Linguistic Competence & Health Disparities

System Requirements

PC
Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
MAC
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh

*Required to view Printable PDF Version


Perform Pre-Test (optional)

Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.


Additional Courses That Are Related To This Activity

Novel and practical approaches to the prevention of neutropenia associated with myelosuppressive chemotherapy

Pyruvate kinase deficiency (PKD): zeroing in on gaps in identification and treatment

Gaps in the identification and treatment of hemophilia B: what are the missing factors?

Updates in care and improving the healthcare experience of patients with mucopolysaccharidosis I (MPS I)