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Practice Guideline
South African Rheumatism and Arthritis Association 2024 updated guidelines for the management of rheumatoid arthritis.
- G Tarr, N Govind, M Seboka, E Gardiner, and B Hodkinson.
- Rheumatology Department, Institute of Orthopaedics and Rheumatology, Mediclinic Winelands Orthopaedic Hospital, Stellenbosch, South Africa.
- S. Afr. Med. J. 2024 Sep 2; 114 (9): e2598e2598.
AbstractThe management of rheumatoid arthritis (RA) requires early diagnosis and prompt initiation of therapy, together with lifestyle interventions, particularly smoking cessation. These guidelines recommend a treat-to-target strategy using a composite disease activity score at each visit, with frequent follow-up and escalation or switching of disease-modifying antirheumatic drug (DMARD) therapy until the goal of low disease activity is achieved. A stepwise algorithm for DMARD therapy is provided. Screening for comorbidities and vaccination is advised.
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