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Rheumatoid Arthritis Integrative Treatment

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Key Points Integrative Interventions for Rheumatoid Arthritis Guiding Principles: ` Rheumatoid arthritis (RA) is a chronic, systemic, inflammatory condition that requires early diagnosis, evaluation, and management to achieve optimal outcomes. ` Rheumatoid arthritis should be treated with disease-modifying anti- rheumatic drugs and follow a treat-to-target management strategy, as detailed in the 2021 American College of Rheumatology (ACR) Rheumatoid Arthritis Pharmacologic Treatment Guidelines. 1 ` Persons with chronic diseases, like rheumatoid arthritis, seek many available therapies to maintain physical function, reduce pain, and improve their quality of life. ` Treatment decisions should follow a shared decision-making process. Persons with rheumatoid arthritis present with a variety of manifestations and experiences. ` Optimum rheumatoid arthritis treatment outcomes are achieved through interprofessional teams providing expert patient-centered care. ` Recommendations assume no contraindications to listed management strategies. ` Recommendations pertain to rheumatoid arthritis management. • Recommendations do not pertain to clinical situations when patients have alternative indications for listed treatments. • Other general health benefits may exist for listed treatments. ` Surgical interventions are not included in this guideline because there are other guideline efforts that address large joint replacement, and small joint surgeries are not frequently a part of the current management of rheumatoid arthritis. ` Disease activity and disease activity levels refer to those calculated using an ACR-endorsed RA disease activity measure. 2 1. Fraenkel L, Bathon JM, England BR, St. Clair EW, Arayssi T, Carandang K, et al. 2021 American College of Rheumatolog y guideline for the treatment of rheumatoid arthritis. Arthritis Care Res 2021;73:924-939. 2. England BR, Tiong BK, Bergman MJ, Curtis JR, Kazi S, Mikuls TR, et al. 2019 Update of the American College of Rheumatolog y Recommended Rheumatoid Arthritis Disease Activity Measures. Arthritis Care. 2019;71:1540-1555.

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