Article Text

Download PDFPDF

Greetings from the editor 2022
  1. Josef S Smolen
  1. Medical University of Vienna, Wien, Austria
  1. Correspondence to Dr Josef S Smolen, Division of Rheumatology, Department of Medicine 3, Medical University of Vienna, 1090 Vienna, Austria; josef.smolen{at}

Statistics from

When a year closes and gives way to its successor, it is good to pause for breath to reflect on the achievements of the past and contemplate the prospects for the incoming year.

So when looking back at the year just past and the tension that always exists between expectations and realisation, your editor must admit to being overwhelmed and humbled by the fantastic activities of our authors who have continued to submit the output of their excellent research work to the Annals of the Rheumatic Diseases; but also by the work of the Associate Editors, the Editorial Board and all Reviewers who supported the journal in an amazingly efficient, knowledgeable, thoughtful and balanced way. Most may think that this should be self-evident for the leading scientific journal in rheumatology, however, in this day and age, when COVID-19 continues to dominate, this is anything but a matter of course. I would therefore, like to place on record from the outset, my sincere gratitude to the referees, the Associate Editors and Editorial Board members and all authors—thank you!!

Pandemic and ARD

Against our hopes, COVID-19 is far from over. Vaccinations have not been taken up to an extent that will permit herd immunity across Europe, let alone across the world. Part of this reflects supply issues and rate of feasible uptake across distinct healthcare economies. Sadly, large parts of the population are deceived by misleading information, not for the first time in this context,1 and as such the greatest weapon to combat pandemics and prevent the ailments induced by infectious diseases, namely vaccination, is rendered less effective. For many decades, indeed, for more than a century, it is firmly established that ‘vaccination is the most effective medical intervention ever introduced and, together with clean water and sanitation, it has eliminated a large part of the infectious diseases that once killed millions of people’2; ‘Arguably the single most life-saving innovation in the history of medicine’.3 4 Today, we remain convinced, maybe even more so. Many European politicians act with populist intention and an eye to the polls, and apparently seek to prevent short-term economic losses, rather than fighting robustly, and with moral determination to prevent deaths and gain long-term economic stability. This journal reminds the political class that the right to life is the foremost human right.5 Are human rights enforceable by law? When I sent you my Greetings last year, I mentioned that the global death toll caused by the pandemic amounted to 1.5 million people.6 By now, this toll has exceeded 5 million deaths,7 and more will follow to our common dismay, many of which should be preventable if political decision makers would put in place appropriate rules, regulations or laws—morituri te salutant!

COVID-19 and the effects of vaccination in patients with rheumatic and musculoskeletal diseases (RMDs) was, unsurprisingly, a major research focus for many rheumatologists throughout the past year, and this was also reflected in ARD, just as for many other journals. Indeed, while ARD published accepted papers consistently across the year, the October 2020 issue in particular, presented several papers related to SARS-CoV-2 vaccination and immune responses in the general rheumatic and musculoskeletal disease population and in those receiving immunomodulatory therapy,8–14 accompanied by a fine editorial that examined the broad scope of this issue.15 Of note, EULAR is currently preparing a document concerning SARS-CoV-2 vaccination which soon may be presented in ARD after appropriate review.

New insights into rheumatic and musculoskeletal diseases

Obviously, while all rheumatologists were confronted with the worries of their patients regarding the pandemic around both disease risks and those of vaccines, and many had to take care of patients with RMD who developed COVID-19, rheumatology cannot primarily focus on the pandemic, nor can ARD. Consequently, many papers provided novel insights across the range of RMDs, from osteoarthritis16–18 to systemic sclerosis19 and from spondyloarthritis20 21 to gout,22 23 to name a few topics and cite randomly selected papers, focussing at translational and clinical aspects including novel or re-purposed therapies.

Last year several EULAR task forces provided ARD readers with the results of their work after approval by the EULAR Council, starting in January with a EULAR definition of difficult to treat rheumatoid arthritis (RA) and management of checkpoint inhibitor-induced RMDs24 25 and ending with recommendations regarding self-management strategies and points to consider in patients at risk of RA, that is, pre-RA.26 27 Needless to say the numerous correspondences to various articles and the recently introduced rapid responses are a living embodiment of the interest of our readership in the papers published in the journal.

Incoming 2022: a EULAR anniversary

In 2022 ARD will continue its path, striving to present breakthrough research activities across basic/translational and clinical/outcomes sciences, already exemplified in this January issue, in which we learn about several studies on the potential prevention of the evolution of psoriatic arthritis in patients with psoriasis undergoing effective treatment,28–30 accompanied by an editorial that summarises these findings and puts them into perspective.31 But this edition harbours yet another publication, which for the first time appears simultaneously in all five EULAR and ACR journals, accompanied by a commentary from all five editors, making authors aware that all these journals will require adherence to ACR, EULAR and joint recommendations and criteria more strongly in future papers than done before.32–36 This will also be reflected in the respective instructions to authors.

Of particular note, ARD has engaged in a collaborative effort among many journals to publish an editorial on the emergency of combatting climate change37 and is conscious of environmental issues, and such efforts were also initiated some time ago in EULAR and EULAR is committed to continuing them. Much to our dismay, the EULAR congresses in 2020 and 2021 were only virtual and personal contacts between researchers and clinicians, have not been possible. This even puts more emphasis on the EULAR Journal to be an open—peer-reviewed—forum for research. Hopefully, the physical interactions between participants can be resumed in June in Copenhagen.

Speaking of EULAR: while 3 years ago ARD, the oldest journal devoted to rheumatology, celebrated its 90th anniversary and 2 years ago the 20th anniversary of becoming ‘The EULAR Journal’,38 yet another anniversary must be honoured in 2022, namely the founding of EULAR itself in 1947. EULAR’s 75th anniversary will obviously be celebrated at the EULAR congress, but with the turn of the year, ARD hereby conveys sincere congratulations to its parent organisation on this occasion with many thanks for the terrific collaboration over the decades!

Let me please close where I started, thanking wholeheartedly the reviewers, authors, editorial board and especially you, the readers! As always, I will be happy to receive your feedback on the scope and quality of the papers and on topics that you may wish to see covered in the future so that we can consider further important steps into the coming years.

And let me please use this opportunity to wish you and your families a happy, successful, safe and healthy New Year!

Ethics statements

Patient consent for publication

Ethics approval

This study does not involve human participants.


I would like to thank Christiane Notarmarco and Professors Hans Bijlsma and Iain McInnes for their critical comments and thoughtful suggestions regarding this and the previous Greetings pieces.



  • Funding The author has not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Provenance and peer review Commissioned; internally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.