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American College of Rheumatology Guidance for COVID-19 Vaccination in Patients With Rheumatic and Musculoskeletal Diseases: Version 4.

Publication ,  Journal Article
Curtis, JR; Johnson, SR; Anthony, DD; Arasaratnam, RJ; Baden, LR; Bass, AR; Calabrese, C; Gravallese, EM; Harpaz, R; Kroger, A; Sadun, RE ...
Published in: Arthritis Rheumatol
May 2022

OBJECTIVE: To provide guidance to rheumatology providers on the use of COVID-19 vaccines for patients with rheumatic and musculoskeletal diseases (RMDs). METHODS: A task force was assembled that included 9 rheumatologists/immunologists, 2 infectious disease specialists, and 2 public health physicians. After agreeing on scoping questions, an evidence report was created that summarized the published literature and publicly available data regarding COVID-19 vaccine efficacy and safety, as well as literature for other vaccines in RMD patients. Task force members rated their agreement with draft consensus statements on a 9-point numerical scoring system, using a modified Delphi process and the RAND/University of California Los Angeles Appropriateness Method, with refinement and iteration over 2 sessions. Consensus was determined based on the distribution of ratings. RESULTS: Despite a paucity of direct evidence, statements were developed by the task force and agreed upon with consensus to provide guidance for use of the COVID-19 vaccines, including supplemental/booster dosing, in RMD patients and to offer recommendations regarding the use and timing of immunomodulatory therapies around the time of vaccination. CONCLUSION: These guidance statements are intended to provide direction to rheumatology health care providers on how to best use COVID-19 vaccines and to facilitate implementation of vaccination strategies for RMD patients.

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Published In

Arthritis Rheumatol

DOI

EISSN

2326-5205

Publication Date

May 2022

Volume

74

Issue

5

Start / End Page

e21 / e36

Location

United States

Related Subject Headings

  • Vaccination
  • United States
  • Rheumatology
  • Rheumatic Diseases
  • Musculoskeletal Diseases
  • Muscular Diseases
  • Humans
  • COVID-19 Vaccines
  • COVID-19
  • 3204 Immunology
 

Citation

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Chicago
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Curtis, J. R., Johnson, S. R., Anthony, D. D., Arasaratnam, R. J., Baden, L. R., Bass, A. R., … Mikuls, T. R. (2022). American College of Rheumatology Guidance for COVID-19 Vaccination in Patients With Rheumatic and Musculoskeletal Diseases: Version 4. Arthritis Rheumatol, 74(5), e21–e36. https://doi.org/10.1002/art.42109
Curtis, Jeffrey R., Sindhu R. Johnson, Donald D. Anthony, Reuben J. Arasaratnam, Lindsey R. Baden, Anne R. Bass, Cassandra Calabrese, et al. “American College of Rheumatology Guidance for COVID-19 Vaccination in Patients With Rheumatic and Musculoskeletal Diseases: Version 4.Arthritis Rheumatol 74, no. 5 (May 2022): e21–36. https://doi.org/10.1002/art.42109.
Curtis JR, Johnson SR, Anthony DD, Arasaratnam RJ, Baden LR, Bass AR, et al. American College of Rheumatology Guidance for COVID-19 Vaccination in Patients With Rheumatic and Musculoskeletal Diseases: Version 4. Arthritis Rheumatol. 2022 May;74(5):e21–36.
Curtis, Jeffrey R., et al. “American College of Rheumatology Guidance for COVID-19 Vaccination in Patients With Rheumatic and Musculoskeletal Diseases: Version 4.Arthritis Rheumatol, vol. 74, no. 5, May 2022, pp. e21–36. Pubmed, doi:10.1002/art.42109.
Curtis JR, Johnson SR, Anthony DD, Arasaratnam RJ, Baden LR, Bass AR, Calabrese C, Gravallese EM, Harpaz R, Kroger A, Sadun RE, Turner AS, Williams EA, Mikuls TR. American College of Rheumatology Guidance for COVID-19 Vaccination in Patients With Rheumatic and Musculoskeletal Diseases: Version 4. Arthritis Rheumatol. 2022 May;74(5):e21–e36.
Journal cover image

Published In

Arthritis Rheumatol

DOI

EISSN

2326-5205

Publication Date

May 2022

Volume

74

Issue

5

Start / End Page

e21 / e36

Location

United States

Related Subject Headings

  • Vaccination
  • United States
  • Rheumatology
  • Rheumatic Diseases
  • Musculoskeletal Diseases
  • Muscular Diseases
  • Humans
  • COVID-19 Vaccines
  • COVID-19
  • 3204 Immunology