Across rheumatic diseases

2022 American College of Rheumatology Guideline for Vaccinations in Patients With Rheumatic and Musculoskeletal Diseases

Arthritis Care Res (Hoboken)Published Clinical practice guideline

Methodological detailsGRADE methodology, AGREE criteria, systematic literature review, expert Voting Panel, consensus ≥70% agreement
  • GRADE methodology
  • AGREE criteria
  • Systematic literature review
  • Expert Voting Panel
  • Consensus ≥70% agreement

Recommendations

As issued by the authors

  1. Expanded indications for some vaccines in patients with rheumatic and musculoskeletal diseases (RMDs)

  2. Guidance on whether to hold immunosuppressive medications or delay vaccination to maximize vaccine immunogenicity and efficacy

  3. Safe approaches to the use of live attenuated vaccines in patients taking immunosuppressive medications

  4. Mostly conditional; low quality of evidence

    Most recommendations are conditional and had low quality of supporting evidence

Original publication

2022 American College of Rheumatology Guideline for Vaccinations in Patients With Rheumatic and Musculoskeletal Diseases. Arthritis Care Res (Hoboken). Published 4 January 2023. doi:10.1002/acr.25045

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