Achievement of treatment effectiveness criteria 12 months post-index	TNFi cyclers	Non-TNFi switchers	P value
	(n=5,020)	(n=1,925)
Achieved all criteria	24.0%	27.8%	0.001
≥80% Adherence	40.0%	41.7%	0.182
No dose increase	88.3%	96.7%	<0.001
No switch to another bDMARD	65.4%	70.3%	<0.001
No new conventional DMARD	84.7%	85.6%	0.353
No new/increased oral glucocorticoid	85.7%	84.7%	0.285
<2 Glucocorticoid injections in first 90 days	90.6%	90.6%	0.968