{"doi":"10.1002/art.41928","title":"American College of Rheumatology Guidance for COVID‐19 Vaccination in Patients With Rheumatic and Musculoskeletal Diseases: Version 3","abstract":"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 RESULTS: Despite a paucity of direct evidence, 74 draft guidance statements were developed by the task force and agreed upon with consensus to provide guidance for use of the COVID-19 vaccines in RMD patients and to offer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.","journal":"Arthritis & Rheumatology","year":2021,"id":146707,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":201,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9124,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2021-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":332655,"name":"Sindhu R. Johnson","orcid":"0000-0003-0591-2976","position":1,"is_corresponding":false},{"id":434574,"name":"Donald D. Anthony","orcid":"0000-0002-1226-5976","position":2,"is_corresponding":false},{"id":623589,"name":"Reuben J. Arasaratnam","orcid":"0000-0002-6480-8215","position":3,"is_corresponding":false},{"id":3841,"name":"Lindsey R. Baden","orcid":null,"position":4,"is_corresponding":false},{"id":520563,"name":"Anne R. Bass","orcid":"0000-0002-3225-8351","position":5,"is_corresponding":false},{"id":623590,"name":"Cassandra Calabrese","orcid":"0000-0002-8773-7739","position":6,"is_corresponding":false},{"id":226231,"name":"Ellen M. Gravallese","orcid":"0000-0002-0981-0996","position":7,"is_corresponding":false},{"id":623591,"name":"Rafael Harpaz","orcid":"0000-0003-1024-057X","position":8,"is_corresponding":false},{"id":335957,"name":"Andrew T. Kroger","orcid":null,"position":9,"is_corresponding":false},{"id":373589,"name":"Rebecca E. Sadun","orcid":"0000-0001-7768-3565","position":10,"is_corresponding":false},{"id":615350,"name":"Amy S. Turner","orcid":"0000-0001-7695-2022","position":11,"is_corresponding":false},{"id":624679,"name":"Eleanor Anderson Williams","orcid":null,"position":12,"is_corresponding":false},{"id":314417,"name":"Ted R. Mikuls","orcid":"0000-0002-0897-2272","position":13,"is_corresponding":false},{"id":305811,"name":"Jeffrey R. Curtis","orcid":"0000-0002-8907-8976","position":0,"is_corresponding":true}],"reference_count":88,"raw_metadata":null,"created_at":"2026-07-18T23:42:24.567796Z","pmid":"34346564","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}