Evidence map›Paper›PMID 33277981›Full record

GuidelineArthritis & rheumatology (Hoboken, N.J.)2021

American College of Rheumatology Guidance for the Management of Rheumatic Disease in Adult Patients During the COVID-19 Pandemic: Version 3.

Ted R Mikuls, Sindhu R Johnson, Liana Fraenkel, Reuben J Arasaratnam, Lindsey R Baden, Bonnie L Bermas, Winn Chatham, Stanley Cohen, Karen Costenbader, Ellen M Gravallese and 6 more

Abstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in Arthritis & rheumatology (Hoboken, N.J.), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 68 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
68citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

68 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Guideline
  3. Trial
  4. Review
  5. Review
  6. Article
  7. Association between COVID-19 infection and uveitis flare in patients with Behcet's disease, a retrospective multicenter cohort study.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Review
  17. The Impact of the COVID-19 Pandemic on Inflammatory Rheumatic Diseases.Journal of clinical practice and research · 2023
    Article
  18. Article
  19. Article
  20. Article

8 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Ted R MikulsUniversity of Nebraska Medical Center, Omaha, Nebraska and VA Nebraska-Western Iowa Health Care System, Omaha, Nebraska.ORCID 0000-0002-0897-2272
Sindhu R JohnsonToronto Western Hospital, Mount Sinai Hospital, and University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-0591-2976
Liana FraenkelBerkshire Health Systems, Pittsfield, Massachusetts, and Yale University, New Haven, Connecticut.ORCID 0000-0002-6148-610X
Reuben J ArasaratnamUniversity of Texas Southwestern Medical Center, Dallas.
Lindsey R BadenBrigham and Women's Hospital, Boston, Massachusetts.
Bonnie L BermasUniversity of Texas Southwestern Medical Center, Dallas.
Winn ChathamUniversity of Alabama at Birmingham.
Stanley CohenMetroplex Clinical Research Center, Dallas, Texas.
Karen CostenbaderBrigham and Women's Hospital, Boston, Massachusetts.
Ellen M GravalleseBrigham and Women's Hospital, Boston, Massachusetts.
Andre C KalilUniversity of Nebraska Medical Center, Omaha.
Michael E WeinblattBrigham and Women's Hospital, Boston, Massachusetts.
Kevin WinthropOregon Health and Science University, Portland.
Amy S MudanoUniversity of Alabama at Birmingham.
Amy TurnerAmerican College of Rheumatology, Atlanta, Georgia.
Kenneth G SaagUniversity of Alabama at Birmingham.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo provide guidance to rheumatology providers on the management of adult rheumatic disease in the context of the coronavirus disease 2019 (COVID-19) pandemic.

methodsA task force, including 10 rheumatologists and 4 infectious disease specialists from North America, was convened. Clinical questions were collated, and an evidence report was rapidly generated and disseminated. Questions and drafted statements were reviewed and assessed using a modified Delphi process. This included asynchronous anonymous voting by email and webinars with the entire panel. Task force members voted on agreement with draft statements using a 1-9-point numerical scoring system, and consensus was determined to be low, moderate, or high based on the dispersion of votes. For approval, median votes were required to meet predefined levels of agreement (median values of 7-9, 4-6, and 1-3 defined as agreement, uncertainty, or disagreement, respectively) with either moderate or high levels of consensus.

resultsDraft guidance statements approved by the task force have been combined to form final guidance.

conclusionThese guidance statements are provided to promote optimal care during the current pandemic. However, given the low level of available evidence and the rapidly evolving literature, this guidance is presented as a "living document," and future updates are anticipated.

Indexed as

Advisory CommitteesAntirheumatic AgentsConsensusCOVID-19Decision Making, SharedDelivery of Health CareDelphi TechniqueDeprescriptionsDisease ManagementGlucocorticoidsHumansImmunosuppressive AgentsPatient Education as TopicRheumatic DiseasesRheumatologySARS-CoV-2Antirheumatic AgentsGlucocorticoidsImmunosuppressive Agents

Identifiers

PMID33277981

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.