Clinical Support

Delivering high-quality clinical care is a central priority for rheumatologists and others who care for patients with rheumatic disease. Find resources to help you deliver the best care possible and measure your actions and decisions for purposes of quality improvement and/or reporting. Researchers can also access disease-specific criteria and useful measurement tools.

COVID-19 Clinical Guidance for Adult Patients with Rheumatic Diseases

The ACR has developed clinical guidance for the care of adult patients with rheumatic diseases during the COVID-19 pandemic. Populations considered include patients with a documented COVID-19 infection, those who are stable following exposure to SARS-CoV-2 (but without known infection), and patients who are stable with no infection or exposure. The recommendations address various treatment options and provide general guidance, as well as direction for when to start, stop, or reduce medications. All recommendations are based on current knowledge and will be revised as circumstances and evidence evolve. 

COVID-19 Clinical Guidance Summary  - Updated April  30, 2020

ACR Guidance for Management of Adult Patients with Rheumatic Disease During COVID‐19 (paper)  - Published April 29, 2020

How to cite this article: Mikuls TR, Johnson SR, Fraenkel L, Arasaratnam RJ, Baden LR, Bermas BL, et al. American College of Rheumatology guidance for the management of adult patients with rheumatic disease during the COVID-19 pandemic. Arthritis Rheumatol doi: E-pub ahead of print.

 For quick access to the clinical guidance summary on your iOS or Android mobile device, download the free ACR Guideline and Criteria App on the App Store or Google Play.

Clinical Practice Guidelines

ACR guidelines include recommendations for the management of patients with particular conditions or diseases. Guidelines are developed using a systematic process, and are based on available evidence and the clinical experience and expertise of rheumatologists and other interested stakeholders.

Quality Measurement

Find more information about the ACR’s involvement and leadership in quality measurement activities, including measure development and testing, endorsement of measures, and relationships with other organizations. Also included are disease activity and functional status assessment tools.


Find the latest ACR-endorsed classification, response, and remission criteria for rheumatic diseases, along with a bibliography of criteria, guidelines, and health-status assessments used in rheumatology clinical care and research.

Musculoskeletal Ultrasound

The ACR has published recommendations for the use of musculoskeletal ultrasonography in rheumatology clinical practice.

Choosing Wisely

Learn more about the ACR’s list of top five tests and treatments commonly used in rheumatology that should be discussed between rheumatologists and their patients to be sure the care being given is beneficial and a good use of health care resources.

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