American College of Rheumatology
ACR Guidelines are the US standard for rheumatology. Biologic recommendations drive the bulk of biologic appeals.
What this society is
ACR publishes guidelines for rheumatoid arthritis, axial spondyloarthritis, psoriatic arthritis, gout, juvenile idiopathic arthritis, lupus, ANCA-associated vasculitis, and other rheumatologic conditions.
Authority basis
US standard for rheumatology. Insurance plans typically follow ACR for biologic-class therapy decisions.
Citation tips
Cite ACR Guideline + year + treatment recommendation. ACR Guidelines are graded with GRADE methodology — Strong recommendations are most defensible.
Example guidelines
- 2021 ACR Guideline for Treatment of Rheumatoid Arthritis
- 2019 ACR/EULAR Lupus Classification + 2024 EULAR/ACR Lupus Recommendations
- ACR Vaccinations in Rheumatic and Musculoskeletal Diseases Guidelines
Frequently asked questions
What is the American College of Rheumatology?
ACR publishes guidelines for rheumatoid arthritis, axial spondyloarthritis, psoriatic arthritis, gout, juvenile idiopathic arthritis, lupus, ANCA-associated vasculitis, and other rheumatologic conditions.
Why is it authoritative?
US standard for rheumatology. Insurance plans typically follow ACR for biologic-class therapy decisions.
How do I cite specific guidelines?
Cite ACR Guideline + year + treatment recommendation. ACR Guidelines are graded with GRADE methodology — Strong recommendations are most defensible.
Other societies
- AASLD-IDSA — Hepatitis C treatmentAASLD-IDSA HCV Guidance opposes fibrosis-stage and sobriety restrictions on HCV
- AACE — Endocrinology — diabetes, thyroid, obesity, osteoporosisAACE/ACE Clinical Practice Guidelines for endocrine conditions. Strong on obesit
- ADA — Diabetes careADA Standards of Care in Diabetes is the most-cited diabetes guideline globally.
- AGA — Gastroenterology — IBD, IBS, hep C, colorectal screeningAGA Clinical Practice Guidelines for GI conditions. IBD biologic guidelines are
- AHA/ACC — Cardiology + cardiovascular medicineAHA/ACC Joint Guidelines are the dominant US cardiology standard. Class I + IIa
- APA — Psychiatry + mental healthAPA Practice Guidelines for psychiatric disorders. Essential for MHPAEA parity a
Visit ACR
Visit https://rheumatology.org/clinical-practice-guidelines for the full guidelines list.
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