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Clinical questions and subsequent guidance statements were drafted based on a review of the queries posed by the patients as well as the families and healthcare providers of children with PRD. An evidence report was generated and disseminated to task force members to assist with 3 rounds of asynchronous, anonymous voting by email using a modified Delphi approach. Voting was completed using a 9\u2010point numeric scoring system with predefined levels of agreement (categorized as disagreement, uncertainty, or agreement, with median scores of 1\u20133, 4\u20136, and 7\u20139, respectively) and consensus (categorized as low, moderate, or high). To be approved as a guidance statement, median vote ratings were required to fall into the highest tertile for agreement, with either moderate or high levels of consensus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The task force drafted 33 guidance statements, which were voted upon during the second and third rounds of voting. Of these 33 statements, all received median vote ratings within the highest tertile of agreement and were associated with either moderate consensus (n = 6) or high consensus (n = 27). Statements with similar recommendations were combined, resulting in 27 final guidance statements.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These guidance statements have been generated based on review of the available literature, indicating that children with PRD do not appear to be at increased risk for susceptibility to SARS\u2013CoV\u20102 infection. This guidance is presented as a \u201cliving document,\u201d recognizing that the literature on COVID\u201019 is rapidly evolving, with future updates anticipated.<\/jats:p><\/jats:sec>","DOI":"10.1002\/art.41455","type":"journal-article","created":{"date-parts":[[2020,7,24]],"date-time":"2020-07-24T02:06:15Z","timestamp":1595556375000},"page":"1809-1819","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["American College of Rheumatology Guidance for the Management of Pediatric Rheumatic Disease During the COVID\u201019 Pandemic: Version 1"],"prefix":"10.1002","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0543-7805","authenticated-orcid":false,"given":"Dawn M.","family":"Wahezi","sequence":"first","affiliation":[{"name":"Children\u2019s Hospital at Montefiore and Albert Einstein College of Medicine  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2328-3536","authenticated-orcid":false,"given":"Mindy S.","family":"Lo","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital and Harvard Medical School  Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8170-9377","authenticated-orcid":false,"given":"Tamar B.","family":"Rubinstein","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital at Montefiore and Albert Einstein College of Medicine  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8660-0207","authenticated-orcid":false,"given":"Sarah","family":"Ringold","sequence":"additional","affiliation":[{"name":"Seattle Children\u2019s Hospital  Seattle Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stacy P.","family":"Ardoin","sequence":"additional","affiliation":[{"name":"Nationwide Children\u2019s Hospital and Ohio State University  Columbus Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin J.","family":"Downes","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karla B.","family":"Jones","sequence":"additional","affiliation":[{"name":"Nationwide Children\u2019s Hospital and Ohio State University  Columbus Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald M.","family":"Laxer","sequence":"additional","affiliation":[{"name":"University of Toronto and The Hospital for Sick Children  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Pellet Madan","sequence":"additional","affiliation":[{"name":"New York University Grossman School of Medicine and Hassenfeld Children\u2019s Hospital  New York New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy S.","family":"Mudano","sequence":"additional","affiliation":[{"name":"University of Alabama at Birmingham"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy S.","family":"Turner","sequence":"additional","affiliation":[{"name":"American College of Rheumatology  Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9005-1690","authenticated-orcid":false,"given":"David R.","family":"Karp","sequence":"additional","affiliation":[{"name":"University of Texas Southwestern Medical Center  Dallas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1739-9639","authenticated-orcid":false,"given":"Jay J.","family":"Mehta","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital of Philadelphia and University of Pennsylvania Perelman School of Medicine  Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,28]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Centers for Disease Control and Prevention.Coronavirus disease 2019 (COVID\u201019). 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