Research ArticleResearch Letter
Canadian Rheumatology Association Living Guidelines for Rheumatoid Arthritis: Update #1
Glen S. Hazlewood, Pooneh Akhavan, Jordi Pardo Pardo, Arnav Agarwal, Orit Schieir, Claire E.H. Barber, Laurie Proulx, Dawn P. Richards, Claire Bombardier, Janet E. Pope, Cheryl Barnabe, Peter Tugwell, Shahin Jamal, J. Carter Thorne, Roko P.A. Nikolic, Majed Khraishi, Nick Bansback, Alexandra Legge, Vivian Bykerk and Regina Taylor-Gjevre
The Journal of Rheumatology August 2023, jrheum.2023-0625; DOI: https://doi.org/10.3899/jrheum.2023-0625
Glen S. Hazlewood
Glen S. Hazlewood, MD, PhD, Departments of Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Arthritis Research Canada, Vancouver, British Columbia, Canada.
Pooneh Akhavan
Pooneh Akhavan, MD, MSc, Division of Rheumatology, Mount Sinai Hospital, Toronto, Ontario, Canada.
Jordi Pardo Pardo
Jordi Pardo Pardo, LDO, Cochrane Musculoskeletal, University of Ottawa, Ottawa, Ontario, Canada.
Arnav Agarwal
Arnav Agarwal, MD, Division of General Internal Medicine, Department of Medicine, McMaster University, Hamilton, Ontario, Canada; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada; MAGIC Evidence Ecosystem Foundation, Oslo, Norway.
Orit Schieir
Orit Schieir, PhD, Canadian Early Arthritis Cohort Study, Toronto, Ontario, Canada.
Claire E.H. Barber
Claire E.H. Barber, MD, PhD, Departments of Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Arthritis Research Canada, Vancouver, British Columbia, Canada.
Laurie Proulx
Laurie Proulx, B.Com, Canadian Arthritis Patient Alliance, Toronto, Ontario, Canada.
Dawn P. Richards
Dawn P. Richards, PhD, Canadian Arthritis Patient Alliance, Toronto, Ontario, Canada.
Claire Bombardier
Claire Bombardier, MD, Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada; Department of Medicine, University of Toronto, Toronto, Ontario, Canada.
Janet E. Pope
Janet E. Pope, MD, MPH, Department of Medicine, Western University, Schulich School of Medicine &Dentistry, London, Ontario, Canada.
Cheryl Barnabe
Cheryl Barnabe, MD, MSc, Departments of Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada; Arthritis Research Canada, Vancouver, British Columbia, Canada.
Peter Tugwell
Peter Tugwell, MD, Department of Medicine and School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.
Shahin Jamal
Shahin Jamal, MD, MSc, Division of Rheumatology, University of British Columbia,Arthritis Research Canada, Vancouver, British Columbia, Canada.
J. Carter Thorne
J. Carter Thorne, MD, The Arthritis Program Research Group, Newmarket, Ontario, Canada.
Roko P.A. Nikolic
Roko P.A. Nikolic, MD, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Majed Khraishi
Majed Khraish, MD, Department of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland and Labrador, Canada.
Nick Bansback
Nick Bansback, PhD, Arthritis Research Canada, Vancouver, British Columbia, Canada;School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
Alexandra Legge
Alexandra Legge, MD, MSc, Arthritis Research Canada, Vancouver, British Columbia, Canada;Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Vivian Bykerk
Vivian Bykerk, MD, Hospital for Special Surgery, Weill Cornell Medicine (Cornell University), New York, New York, USA.
Regina Taylor-Gjevre
Regina Taylor-Gjevre, MD, MSc, Division of Rheumatology, Department of Medicine, College of Medicine, University of Saskatchewan, Saskatchewan, Manitoba, Canada.

Abstract
We have updated the Canadian Rheumatology Association (CRA) guidelines for rheumatoid arthritis, with a series of best practice statements and a recommendation for the choice of disease-modifying antirheumatic drug therapy after an inadequate response to tumor necrosis factor inhibitors (TNFi). These add to our prior recommendation for tapering of advanced therapy.1
In this issue
The Journal of Rheumatology
Vol. 52, Issue 4
1 Apr 2025
Canadian Rheumatology Association Living Guidelines for Rheumatoid Arthritis: Update #1
Glen S. Hazlewood, Pooneh Akhavan, Jordi Pardo Pardo, Arnav Agarwal, Orit Schieir, Claire E.H. Barber, Laurie Proulx, Dawn P. Richards, Claire Bombardier, Janet E. Pope, Cheryl Barnabe, Peter Tugwell, Shahin Jamal, J. Carter Thorne, Roko P.A. Nikolic, Majed Khraishi, Nick Bansback, Alexandra Legge, Vivian Bykerk, Regina Taylor-Gjevre
The Journal of Rheumatology Aug 2023, jrheum.2023-0625; DOI: 10.3899/jrheum.2023-0625
Canadian Rheumatology Association Living Guidelines for Rheumatoid Arthritis: Update #1
Glen S. Hazlewood, Pooneh Akhavan, Jordi Pardo Pardo, Arnav Agarwal, Orit Schieir, Claire E.H. Barber, Laurie Proulx, Dawn P. Richards, Claire Bombardier, Janet E. Pope, Cheryl Barnabe, Peter Tugwell, Shahin Jamal, J. Carter Thorne, Roko P.A. Nikolic, Majed Khraishi, Nick Bansback, Alexandra Legge, Vivian Bykerk, Regina Taylor-Gjevre
The Journal of Rheumatology Aug 2023, jrheum.2023-0625; DOI: 10.3899/jrheum.2023-0625