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LetterResearch Letter

Canadian Rheumatology Association Living Guidelines for Rheumatoid Arthritis: Update #2

Roko P.A. Nikolic, Jordi Pardo Pardo, Janet E. Pope, Claire E.H. Barber, Cheryl Barnabe, Orit Schieir, Shahin Jamal, Alexandra Legge, Bindee Kuriya, Pooneh Akhavan, J. Carter Thorne, Claire Bombardier, Regina Taylor-Gjevre, Vivian Bykerk, Majed Khraishi, Laurie Proulx, Dawn P. Richards, Peter Tugwell, Arnav Agarwal, Nick Bansback and Glen S. Hazlewood
The Journal of Rheumatology July 2024, jrheum.2024-0540; DOI: https://doi.org/10.3899/jrheum.2024-0540
Roko P.A. Nikolic
Roko P.A. Nikolic, MD, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
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Jordi Pardo Pardo
Jordi Pardo Pardo, LDO, Cochrane Musculoskeletal, University of Ottawa, Ottawa, Ontario, Canada.
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Janet E. Pope
Janet E. Pope, MD, MPH, Department of Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
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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.
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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.
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Orit Schieir
Orit Schieir, PhD, Department of Medicine, McGill University, Montreal, Quebec, Canada.
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Shahin Jamal
Shahin Jamal, MD, MSc, Arthritis Research Canada, Vancouver, British Columbia, Canada; Division of Rheumatology, University of British Columbia, Vancouver, British Columbia, Canada.
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Alexandra Legge
Alexandra Legge, MD, MSc, Arthritis Research Canada, Vancouver, British Columbia, Canada; Department of Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
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Bindee Kuriya
Bindee Kuriya, MD, Division of Rheumatology, Mount Sinai Hospital, Toronto, Ontario, Canada.
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Pooneh Akhavan
Pooneh Akhavan, MD, MSc, Division of Rheumatology, Mount Sinai Hospital, Toronto, Ontario, Canada.
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J. Carter Thorne
J. Carter Thorne, MD, The Arthritis Program Research Group, Newmarket, Ontario, Canada.
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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.
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Regina Taylor-Gjevre
Regina Taylor-Gjevre, MD, MSc, Division of Rheumatology, Department of Medicine, College of Medicine, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.
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Vivian Bykerk
Vivian Bykerk, MD, Hospital for Special Surgery, Weill Cornell Medicine, Cornell University, New York, New York, USA.
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Majed Khraishi
Majed Khraishi, MD, Department of Medicine, Memorial University of Newfoundland, St. Johns, Newfoundland and Labrador, Canada.
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Laurie Proulx
Laurie Proulx, BCom, Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
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Dawn P. Richards
Dawn P. Richards, PhD, Canadian Arthritis Patient Alliance, Toronto, Ontario, Canada.
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Peter Tugwell
Peter Tugwell, MD, Department of Medicine and School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.
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Arnav Agarwal
Arnav Agarwal, MD, Division of General Internal Medicine, Department of Medicine, McMaster University, Hamilton, Ontario, Canada.
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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.
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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.
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Abstract

We have updated the Canadian Rheumatology Association (CRA) guidelines for rheumatoid arthritis (RA) with 3 recommendations for the use of glucocorticoids (GCs). The recommendations address the use of short-term GCs for RA flares or as bridging therapy when disease-modifying antirheumatic drugs (DMARDs) are initiated or changed, and the use of long-term GCs as adjuncts to DMARDs.

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The Journal of Rheumatology: 53 (8)
The Journal of Rheumatology
Vol. 53, Issue 8
1 Aug 2026
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Canadian Rheumatology Association Living Guidelines for Rheumatoid Arthritis: Update #2
Roko P.A. Nikolic, Jordi Pardo Pardo, Janet E. Pope, Claire E.H. Barber, Cheryl Barnabe, Orit Schieir, Shahin Jamal, Alexandra Legge, Bindee Kuriya, Pooneh Akhavan, J. Carter Thorne, Claire Bombardier, Regina Taylor-Gjevre, Vivian Bykerk, Majed Khraishi, Laurie Proulx, Dawn P. Richards, Peter Tugwell, Arnav Agarwal, Nick Bansback, Glen S. Hazlewood
The Journal of Rheumatology Jul 2024, jrheum.2024-0540; DOI: 10.3899/jrheum.2024-0540

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Canadian Rheumatology Association Living Guidelines for Rheumatoid Arthritis: Update #2
Roko P.A. Nikolic, Jordi Pardo Pardo, Janet E. Pope, Claire E.H. Barber, Cheryl Barnabe, Orit Schieir, Shahin Jamal, Alexandra Legge, Bindee Kuriya, Pooneh Akhavan, J. Carter Thorne, Claire Bombardier, Regina Taylor-Gjevre, Vivian Bykerk, Majed Khraishi, Laurie Proulx, Dawn P. Richards, Peter Tugwell, Arnav Agarwal, Nick Bansback, Glen S. Hazlewood
The Journal of Rheumatology Jul 2024, jrheum.2024-0540; DOI: 10.3899/jrheum.2024-0540
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