[Skip to Content]
[Skip to Content Landing]
Views 42
Citations 0
Comment & Response
May 2018

Admitting What We Do Not Know in Rheumatologic Disease—The First Step Toward Learning More

Author Affiliations
  • 1School of Medicine, University of Colorado, Denver
  • 2Department of Rheumatology, University of California at Los Angeles, David Geffen School of Medicine, Los Angeles
JAMA Intern Med. 2018;178(5):723-724. doi:10.1001/jamainternmed.2018.1251

To the Editor We read with interest the Research Letter by Duarte-García1 and colleagues in a recent issue of JAMA Internal Medicine. As chairs of the American College of Rheumatology (ACR) Quality of Care Committee and Guideline Subcommittee, we welcome critical evaluation of ACR guideline efforts because these efforts help direct guideline development. We agree that high-quality evidence is ideal, but unfortunately, many rheumatic conditions are rare and require complex treatment choices, making it impossible to have sufficient large-scale trials. As Duarte-García and colleagues1 note, integration of such evidence is comparable with guidelines in other subspecialties.

First Page Preview View Large
First page PDF preview
First page PDF preview
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Limit 140 characters
Limit 3600 characters or approximately 600 words