Rheumatoid Arthritis Treatment Guidelines
United rheumatology clinical practice guideline rheumatoid arthritis ra adult v1 1 2018 page 5 introduction rheumatoid arthritis ra is a multisystem autoimmune disease affecting primarily diarthrodial joints.
Rheumatoid arthritis treatment guidelines. Management of early ra. To promote transparency and assist acr guideline development groups in their work the acr has outlined its policies and procedures for guideline development and maintenance in the acr guideline manual. 2015 american college of rheumatology acr recommendations for the treatment of established rheumatoid arthritis ra defined as disease duration 6 months or meeting the 1987 acr classification criteria 81. Reproductive health in rheumatic diseases.
A n array of targeted biologic therapies have now 29 been approved to treat ra. The 2012 acr ra guidelines refers to the acr ra disease activity measure recommendations. The goals of medication treatment are to achieve remission of symptoms and signs of ra and prevent further damage of the joints and loss of function without causing permanent or unacceptable side effects. 2012 update of the 2008 recommendations for the use of disease modifying anti rheumatic drugs and biologics in the treatment of rheumatoid arthritis.
In 2016 the european league against rheumatism eular updated its 2007 guidelines for the management of early arthritis which put renewed emphasis on early intervention. There is no cure for rheumatoid arthritis. Acr ra treatment recommendations 11. 27 the mainstays of treatment have been conventional synthetic disease modifying anti rheumatic drugs 28 dmards such as methotrexate and sulfasalazine.
But clinical studies indicate that remission of symptoms is more likely when treatment begins early with medications known as disease modifying antirheumatic drugs dmards. 2012 rheumatoid arthritis guideline. The treatment of rheumatoid arthritis ra is directed toward the control of synovitis and the prevention of joint injury.