PT  - JOURNAL ARTICLE
AU  - Porter, Duncan
AU  - Dale, James
AU  - Sattar, Naveed
TI  - How low to aim in rheumatoid arthritis? Learning from other disciplines
AID  - 10.1136/annrheumdis-2013-204339
DP  - 2014 Mar 01
TA  - Annals of the Rheumatic Diseases
PG  - 480--482
VI  - 73
IP  - 3
4099  - http://ard.bmj.com/content/73/3/480.short
4100  - http://ard.bmj.com/content/73/3/480.full
SO  - Ann Rheum Dis2014 Mar 01; 73
AB  - Treat-to-target strategies have been widely adopted as the standard of care for the management of patients with rheumatoid arthritis. The concept of ‘tight control’ is prevalent in other disciplines, particularly in diabetes and cardiovascular risk management. In these disciplines, evidence has accumulated that the utility of tight control strategies must be carefully weighed against the disutility that may arise from multiple interventions, particularly in patients at low risk. There is a lively debate in rheumatology circles about whether treatment should be targeted at achieving low disease activity, clinical remission or imaging remission. As rheumatologists we should learn the lessons from other disciplines, and ensure that we expand the evidence base to ensure our recommendations are securely underpinned by robust evidence.