# UpToDate vs ARF RHD Guidelines

The clearest difference is review sentiment: ARF RHD Guidelines at 100% against UpToDate's 28%. ARF RHD Guidelines also leads on rating (5.0 vs 3.6) and iOS requirement (13.0 vs 18.0). UpToDate's advantage is update cadence (every 2 months vs every 16 months) and ratings volume (587 vs 1). On price, ads, in-app purchases and monetization model there is nothing between them.

Both are free to download. Neither carries in-app purchases, so what you see is what you pay.

ARF RHD Guidelines holds the better App Store score, 5.0 against 3.6. That said, the two scores are not equally well evidenced: UpToDate has 587 ratings behind it against 1, so its average is the more settled of the two. Written reviews point the same way: 28% of UpToDate's written reviews are positive against 100% of ARF RHD Guidelines's.

UpToDate ships an update every 2 months, ARF RHD Guidelines every 16 months. The most recent releases landed on November 13, 2026 and November 1, 2026 respectively.

## The numbers

| Metric | UpToDate | ARF RHD Guidelines |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [3.6 (587 ratings)](https://appshunter.io/ios/app/uptodate/id334265345/reviews) | **[5.0 (1 ratings)](https://appshunter.io/ios/app/arf-rhd-guidelines/id542098888/reviews)** |
| Number of ratings | **587** | 1 |
| Positive reviews | 28.4% of reviews | **100.0% of reviews** |
| In-app purchases | No | No |
| Ads | No | No |
| Update frequency | **Every 2 months** | Every 16 months |
| Monetization | Free | Free |
| Size | 56 MB | 9 MB |
| Requires iOS | 18.0 | **13.0** |
| Devices | iPhone, iPad | **iPhone, iPad, iPod** |
| Age rating | 17+ | 12+ |
| Developer | [UpToDate, Inc.](https://appshunter.io/developer/334265348) | [Menzies School of Health Research](https://appshunter.io/developer/542098911) |

## What reviewers say

### UpToDate

[App page](https://appshunter.io/ios/app/uptodate/id334265345)

This medical app provides clinicians with evidence-based decision support, featuring AI-powered conversational guidance, comprehensive clinical content, and practice-changing updates. It offers tools for patient education, drug reference, and clinical calculations to enhance care delivery and patient outcomes.

**Highlights:** Expert AI conversational guidance, Gold standard clinical content, Practice-changing updates, Patient education leaflets, Drug reference & interactions, Clinical calculators, Kidney dosing guidance

**Features:** Vision Pro support

**In-app purchases:** none

**What reviewers like**

- 💎 Invaluable medical resource
- 🚀 Quick and easy to use
- 🔍 Comprehensive and up-to-date content

**What reviewers complain about**

- 🐛 Frequent crashes and freezing issues
- 🔌 Unreliable offline functionality
- 💰 Expensive subscription cost

**Reported bugs**

- Inability to download offline content
- Constant need to re-authenticate
- Incompatibility with recent iOS updates

**Requested features**

- Highlight and annotate content
- Improved institutional login support
- Dark mode and font size options


### ARF RHD Guidelines

[App page](https://appshunter.io/ios/app/arf-rhd-guidelines/id542098888)

This app provides clinicians with up-to-date evidence and guidance for diagnosing and managing acute rheumatic fever and rheumatic heart disease. It includes a diagnostic calculator based on global criteria to simplify complex algorithms.

**Highlights:** Diagnosis and management of ARF/RHD, Up-to-date evidence-based information, ARF Diagnosis Calculator, Global diagnostic criteria compliance, Published by RHDAustralia

**Features:** macOS Compatibility, Vision Pro support

**In-app purchases:** none


## Frequently asked questions

### Is UpToDate free?

UpToDate is free to download, with no in-app purchases.

### Is ARF RHD Guidelines free?

ARF RHD Guidelines is free to download, with no in-app purchases.

### Which has better reviews, UpToDate or ARF RHD Guidelines?

ARF RHD Guidelines is rated higher. UpToDate averages 3.6 out of 5 from 587 ratings, while ARF RHD Guidelines averages 5.0 from 1 ratings.

### Do UpToDate or ARF RHD Guidelines have ads?

Neither UpToDate nor ARF RHD Guidelines shows ads.

### Which is updated more often, UpToDate or ARF RHD Guidelines?

UpToDate ships an update every 2 months, and ARF RHD Guidelines every 16 months. Most recently, UpToDate was updated on November 13, 2026 and ARF RHD Guidelines on November 1, 2026.

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*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*