American College of Rheumatology Guidance for COVID‐19 Vaccination in Patients With Rheumatic and Musculoskeletal Diseases: Version 2
Objective To provide guidance to rheumatology providers on the use of coronavirus disease 2019 (COVID‐19) vaccines for patients with rheumatic and musculoskeletal diseases (RMDs). Methods A task force was assembled that included 9 rheumatologists/immunologists, 2 infectious disease specialists, and...
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| Veröffentlicht in: | Arthritis & rheumatology (Hoboken, N.J.) N.J.), 2021-08, Vol.73 (8), p.e30-e45 |
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| creator | Curtis, Jeffrey R. Johnson, Sindhu R. Anthony, Donald D. Arasaratnam, Reuben J. Baden, Lindsey R. Bass, Anne R. Calabrese, Cassandra Gravallese, Ellen M. Harpaz, Rafael Kroger, Andrew Sadun, Rebecca E. Turner, Amy S. Williams, Eleanor Anderson Mikuls, Ted R. |
| description | Objective
To provide guidance to rheumatology providers on the use of coronavirus disease 2019 (COVID‐19) vaccines for patients with rheumatic and musculoskeletal diseases (RMDs).
Methods
A task force was assembled that included 9 rheumatologists/immunologists, 2 infectious disease specialists, and 2 public health physicians. After agreeing on scoping questions, an evidence report was created that summarized the published literature and publicly available data regarding COVID‐19 vaccine efficacy and safety, as well as literature for other vaccines in RMD patients. Task force members rated their agreement with draft consensus statements on a 9‐point numerical scoring system, using a modified Delphi process and the RAND/University of California Los Angeles Appropriateness Method, with refinement and iteration over 2 sessions. Consensus was determined based on the distribution of ratings.
Results
Despite a paucity of direct evidence, 74 draft guidance statements were developed by the task force and agreed upon with consensus to provide guidance for use of the COVID‐19 vaccines in RMD patients and to offer recommendations regarding the use and timing of immunomodulatory therapies around the time of vaccination.
Conclusion
These guidance statements, made in the context of limited clinical data, are intended to provide direction to rheumatology health care providers on how to best use COVID‐19 vaccines and to facilitate implementation of vaccination strategies for RMD patients. |
| doi_str_mv | 10.1002/art.41877 |
| format | Article |
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To provide guidance to rheumatology providers on the use of coronavirus disease 2019 (COVID‐19) vaccines for patients with rheumatic and musculoskeletal diseases (RMDs).
Methods
A task force was assembled that included 9 rheumatologists/immunologists, 2 infectious disease specialists, and 2 public health physicians. After agreeing on scoping questions, an evidence report was created that summarized the published literature and publicly available data regarding COVID‐19 vaccine efficacy and safety, as well as literature for other vaccines in RMD patients. Task force members rated their agreement with draft consensus statements on a 9‐point numerical scoring system, using a modified Delphi process and the RAND/University of California Los Angeles Appropriateness Method, with refinement and iteration over 2 sessions. Consensus was determined based on the distribution of ratings.
Results
Despite a paucity of direct evidence, 74 draft guidance statements were developed by the task force and agreed upon with consensus to provide guidance for use of the COVID‐19 vaccines in RMD patients and to offer recommendations regarding the use and timing of immunomodulatory therapies around the time of vaccination.
Conclusion
These guidance statements, made in the context of limited clinical data, are intended to provide direction to rheumatology health care providers on how to best use COVID‐19 vaccines and to facilitate implementation of vaccination strategies for RMD patients.</description><identifier>ISSN: 2326-5191</identifier><identifier>EISSN: 2326-5205</identifier><identifier>DOI: 10.1002/art.41877</identifier><identifier>PMID: 34128356</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Academies and Institutes ; Advisory Committees ; Consensus ; Coronaviruses ; COVID-19 ; COVID-19 - prevention & control ; COVID-19 vaccines ; COVID-19 Vaccines - standards ; Delphi Technique ; Full Length ; Health care ; Humans ; Immunization ; Immunologic Factors - therapeutic use ; Immunomodulation ; Infectious diseases ; Iterative methods ; Musculoskeletal diseases ; Musculoskeletal Diseases - drug therapy ; Musculoskeletal Diseases - immunology ; Online‐Only Special ; Patients ; Physicians ; Practice Guidelines as Topic - standards ; Public health ; Rheumatic Diseases - drug therapy ; Rheumatic Diseases - immunology ; Rheumatology ; Rheumatology - standards ; SARS-CoV-2 ; Task forces ; United States ; Vaccine efficacy ; Vaccines ; Viral diseases</subject><ispartof>Arthritis & rheumatology (Hoboken, N.J.), 2021-08, Vol.73 (8), p.e30-e45</ispartof><rights>2021, American College of Rheumatology</rights><rights>2021, American College of Rheumatology.</rights><rights>2021 American College of Rheumatology</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4017-a840349fe1f4c2bff24d7cab6503e734cae34c55aedefc6f0a871e0b3385c98d3</citedby><cites>FETCH-LOGICAL-c4017-a840349fe1f4c2bff24d7cab6503e734cae34c55aedefc6f0a871e0b3385c98d3</cites><orcidid>0000-0002-0897-2272 ; 0000-0002-3225-8351 ; 0000-0003-0591-2976 ; 0000-0001-7695-2022 ; 0000-0002-8907-8976</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fart.41877$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fart.41877$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34128356$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Curtis, Jeffrey R.</creatorcontrib><creatorcontrib>Johnson, Sindhu R.</creatorcontrib><creatorcontrib>Anthony, Donald D.</creatorcontrib><creatorcontrib>Arasaratnam, Reuben J.</creatorcontrib><creatorcontrib>Baden, Lindsey R.</creatorcontrib><creatorcontrib>Bass, Anne R.</creatorcontrib><creatorcontrib>Calabrese, Cassandra</creatorcontrib><creatorcontrib>Gravallese, Ellen M.</creatorcontrib><creatorcontrib>Harpaz, Rafael</creatorcontrib><creatorcontrib>Kroger, Andrew</creatorcontrib><creatorcontrib>Sadun, Rebecca E.</creatorcontrib><creatorcontrib>Turner, Amy S.</creatorcontrib><creatorcontrib>Williams, Eleanor Anderson</creatorcontrib><creatorcontrib>Mikuls, Ted R.</creatorcontrib><title>American College of Rheumatology Guidance for COVID‐19 Vaccination in Patients With Rheumatic and Musculoskeletal Diseases: Version 2</title><title>Arthritis & rheumatology (Hoboken, N.J.)</title><addtitle>Arthritis Rheumatol</addtitle><description>Objective
To provide guidance to rheumatology providers on the use of coronavirus disease 2019 (COVID‐19) vaccines for patients with rheumatic and musculoskeletal diseases (RMDs).
Methods
A task force was assembled that included 9 rheumatologists/immunologists, 2 infectious disease specialists, and 2 public health physicians. After agreeing on scoping questions, an evidence report was created that summarized the published literature and publicly available data regarding COVID‐19 vaccine efficacy and safety, as well as literature for other vaccines in RMD patients. Task force members rated their agreement with draft consensus statements on a 9‐point numerical scoring system, using a modified Delphi process and the RAND/University of California Los Angeles Appropriateness Method, with refinement and iteration over 2 sessions. Consensus was determined based on the distribution of ratings.
Results
Despite a paucity of direct evidence, 74 draft guidance statements were developed by the task force and agreed upon with consensus to provide guidance for use of the COVID‐19 vaccines in RMD patients and to offer recommendations regarding the use and timing of immunomodulatory therapies around the time of vaccination.
Conclusion
These guidance statements, made in the context of limited clinical data, are intended to provide direction to rheumatology health care providers on how to best use COVID‐19 vaccines and to facilitate implementation of vaccination strategies for RMD patients.</description><subject>Academies and Institutes</subject><subject>Advisory Committees</subject><subject>Consensus</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>COVID-19 - prevention & control</subject><subject>COVID-19 vaccines</subject><subject>COVID-19 Vaccines - standards</subject><subject>Delphi Technique</subject><subject>Full Length</subject><subject>Health care</subject><subject>Humans</subject><subject>Immunization</subject><subject>Immunologic Factors - therapeutic use</subject><subject>Immunomodulation</subject><subject>Infectious diseases</subject><subject>Iterative methods</subject><subject>Musculoskeletal diseases</subject><subject>Musculoskeletal Diseases - drug therapy</subject><subject>Musculoskeletal Diseases - immunology</subject><subject>Online‐Only Special</subject><subject>Patients</subject><subject>Physicians</subject><subject>Practice Guidelines as Topic - standards</subject><subject>Public health</subject><subject>Rheumatic Diseases - drug therapy</subject><subject>Rheumatic Diseases - immunology</subject><subject>Rheumatology</subject><subject>Rheumatology - standards</subject><subject>SARS-CoV-2</subject><subject>Task forces</subject><subject>United States</subject><subject>Vaccine efficacy</subject><subject>Vaccines</subject><subject>Viral diseases</subject><issn>2326-5191</issn><issn>2326-5205</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9rFDEYhwdRbGl78AtIwIsets3fyYwHYdlqLVQqpa7HkM282U3NJG0yo-zNm1c_o5-kqdstKphD8kIeHn4vv6p6RvAhwZge6TQcctJI-ajapYzWE0GxeLydSUt2qoOcr3A5rcQ1Fk-rHcYJbZiod6sf0x6SMzqgWfQeloCiRRcrGHs9RB-Xa3Qyuk4HA8jGhGbn89PjX99_khbNtTEu6MHFgFxAH8sEYcjosxtWW4MzSIcOfRizGX3MX8DDoD06dhl0hvwazSHlOwHdr55Y7TMc3L971ad3by9n7ydn5yens-nZxHBM5EQ3HDPeWiCWG7qwlvJOGr2oBWYgGTcayiWEhg6sqS3WjSSAF4w1wrRNx_aqNxvv9bjooTMlctJeXSfX67RWUTv1909wK7WMX1XDqSRYFMHLe0GKNyPkQfUuG_BeB4hjVlRwwihuqCzoi3_QqzimUNYrlKg54bLlhXq1oUyKOSewD2EIVncNq9Kw-t1wYZ__mf6B3PZZgKMN8M15WP_fpKYXlxvlLT7hsnA</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Curtis, Jeffrey R.</creator><creator>Johnson, Sindhu R.</creator><creator>Anthony, Donald D.</creator><creator>Arasaratnam, Reuben J.</creator><creator>Baden, Lindsey R.</creator><creator>Bass, Anne R.</creator><creator>Calabrese, Cassandra</creator><creator>Gravallese, Ellen M.</creator><creator>Harpaz, Rafael</creator><creator>Kroger, Andrew</creator><creator>Sadun, Rebecca E.</creator><creator>Turner, Amy S.</creator><creator>Williams, Eleanor Anderson</creator><creator>Mikuls, Ted R.</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7QP</scope><scope>7T5</scope><scope>7TM</scope><scope>7U7</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0897-2272</orcidid><orcidid>https://orcid.org/0000-0002-3225-8351</orcidid><orcidid>https://orcid.org/0000-0003-0591-2976</orcidid><orcidid>https://orcid.org/0000-0001-7695-2022</orcidid><orcidid>https://orcid.org/0000-0002-8907-8976</orcidid></search><sort><creationdate>202108</creationdate><title>American College of Rheumatology Guidance for COVID‐19 Vaccination in Patients With Rheumatic and Musculoskeletal Diseases: Version 2</title><author>Curtis, Jeffrey R. ; 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To provide guidance to rheumatology providers on the use of coronavirus disease 2019 (COVID‐19) vaccines for patients with rheumatic and musculoskeletal diseases (RMDs).
Methods
A task force was assembled that included 9 rheumatologists/immunologists, 2 infectious disease specialists, and 2 public health physicians. After agreeing on scoping questions, an evidence report was created that summarized the published literature and publicly available data regarding COVID‐19 vaccine efficacy and safety, as well as literature for other vaccines in RMD patients. Task force members rated their agreement with draft consensus statements on a 9‐point numerical scoring system, using a modified Delphi process and the RAND/University of California Los Angeles Appropriateness Method, with refinement and iteration over 2 sessions. Consensus was determined based on the distribution of ratings.
Results
Despite a paucity of direct evidence, 74 draft guidance statements were developed by the task force and agreed upon with consensus to provide guidance for use of the COVID‐19 vaccines in RMD patients and to offer recommendations regarding the use and timing of immunomodulatory therapies around the time of vaccination.
Conclusion
These guidance statements, made in the context of limited clinical data, are intended to provide direction to rheumatology health care providers on how to best use COVID‐19 vaccines and to facilitate implementation of vaccination strategies for RMD patients.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34128356</pmid><doi>10.1002/art.41877</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-0897-2272</orcidid><orcidid>https://orcid.org/0000-0002-3225-8351</orcidid><orcidid>https://orcid.org/0000-0003-0591-2976</orcidid><orcidid>https://orcid.org/0000-0001-7695-2022</orcidid><orcidid>https://orcid.org/0000-0002-8907-8976</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 2326-5191 |
| ispartof | Arthritis & rheumatology (Hoboken, N.J.), 2021-08, Vol.73 (8), p.e30-e45 |
| issn | 2326-5191 2326-5205 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection |
| subjects | Academies and Institutes Advisory Committees Consensus Coronaviruses COVID-19 COVID-19 - prevention & control COVID-19 vaccines COVID-19 Vaccines - standards Delphi Technique Full Length Health care Humans Immunization Immunologic Factors - therapeutic use Immunomodulation Infectious diseases Iterative methods Musculoskeletal diseases Musculoskeletal Diseases - drug therapy Musculoskeletal Diseases - immunology Online‐Only Special Patients Physicians Practice Guidelines as Topic - standards Public health Rheumatic Diseases - drug therapy Rheumatic Diseases - immunology Rheumatology Rheumatology - standards SARS-CoV-2 Task forces United States Vaccine efficacy Vaccines Viral diseases |
| title | American College of Rheumatology Guidance for COVID‐19 Vaccination in Patients With Rheumatic and Musculoskeletal Diseases: Version 2 |
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