Table 2. Recommendations for the Management of RA
a
B. Rehabilitation interventions (cont'd) Level of Evidence
We conditionally recommend use of environmental adaptations
over no environmental adaptations.
No studies met
eligibility criteria
For patients who are currently employed or desire to become
employed, we conditionally recommend use of vocational
rehabilitation over no work interventions.
No studies met
eligibility criteria
For patients who are currently employed or desire to become
employed, we conditionally recommend work site evaluations
and/or modifications over no work site evaluations and/or
modifications.
Low
C. Diet recommendations Level of Evidence
We conditionally recommend adherence to a Mediterranean-style
diet over no formally defined diet.
Low to moderate
We conditionally recommend against adherence to a formally
defined diet, other than Mediterranean-style.
Very low to
moderate
We conditionally recommend following established dietary
recommendations without dietary supplements over adding dietary
supplements.
Very low to
moderate
D. Additional integrative interventions Level of Evidence
We conditionally recommend use of a standardized self-
management program over no standardized self-management
program.
Low
We conditionally recommend use of cognitive behavioral therapy
and/or mind-body approaches over no cognitive behavioral therapy
and/or mind-body approaches.
Very low to low
We conditionally recommend use of acupuncture over no
acupuncture.
Low
We conditionally recommend use of massage therapy over no
massage therapy.
Very low
We conditionally recommend use of thermal modalities over no
thermal modalities.
Very low
We conditionally recommend against using electrotherapy. Low
We conditionally recommend against using chiropractic therapy. No studies met
eligibility criteria
a
Intervention definitions and examples are provided in Table 1.
