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  • Question on Document

    Do you agree with the proposal to update section 1.8 – non-pharmacological management?Please could you let us know if you agree or disagree (yes/no) and provide your comments

  • Question on Document

    Do you agree with the proposal not to update the remaining sections of the guideline?Please could you let us know if you agree or disagree (yes/no) and provide your comments

  • Question on Document

    Do you have any comments or information regarding the use of MRI in current clinical practice for:a. Diagnosing RA? b. As monitoring aspect of the treat-to-target strategy?Please could you let us know if you have any comments.

  • Question on Document

    Do you have any comments or information on the utility of anti-CCP for diagnosing RA in current practice? Is the use of anti-CCP in current practice still in line with current NICE recommendations?Please could you let us know if you have any comments.

  • Question on Document

    Do you have any comments on areas excluded from the scope of the guideline?Please could you let us know if you have any comments.

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2023 surveillance of rheumatoid arthritis in adults: management

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Surveillance proposal

We will update section 1.8 non-pharmacological management of the guideline on Rheumatoid arthritis in adults: management, with the focus on exercise/physical activity for people with rheumatoid arthritis.

We will not update other sections of the guideline.

Reasons for the proposal

Evidence was found regarding a variety of exercise methods for people with rheumatoid arthritis (RA). Aerobic exercise, resistance training and water-based exercise were found to improve fatigue, anxiety, grip strength and aerobic capacity, whilst reducing C-reactive protein (CRP) levels. Low intensity exercise (such as yoga) was found to improve anxiety, depression and sleep quality whilst being safe and feasible for people with RA. This was also echoed by topic experts and patient groups who felt that physical activity was an area of interest for this guideline. An external guideline, the European Alliance of Associations for Rheumatology (EULAR) 2021 guideline also provided a combination of evidence-based and consensus-based recommendations relating to exercise. Currently NG100 does not have any specific recommendations regarding exercise or physical activity for the improvement of symptoms related to RA. As such this may require a change to section 1.8 on non-pharmacological management.

For further details and a summary of all evidence identified in surveillance, see the summary of evidence from surveillance.