Table 1

Glossary and definitions (after9)

TermDefinition
Poor prognostic factors
  • Persistently moderate or high disease activity despite conventional synthetic DMARD (csDMARD) therapy according to composite measures including joint counts

  • High acute phase reactant levels

  • High swollen joint count

  • Presence of RF and/or ACPA, especially at high levels

  • Presence of early erosions

  • Failure of two or more csDMARDs

Low-dose glucocorticoids<7.5 mg/day (prednisone equivalent)
Tapering
  • Reduction of drug dose or increase of application interval

  • May include cessation (tapering to 0), but then only after slow reduction

Cessation, stopping
  • Stopping of a particular drug

Disease activity states
RemissionACR-EULAR remission definition (Boolean or index based)
Low disease activityLow disease activity state according to any of the validated composite disease activity measures that include joint counts
Moderate, high disease activityRespective disease activity state according to any of the validated composite disease activity measures that include joint counts
DMARD nomenclature
Synthetic DMARDscsDMARDsEg, methotrexate, leflunomide, sulfasalazine, hydroxychloroquine
Targeted synthetic DMARDsEg, baricitinib, tofacitinib, upadacitinib
Biological DMARDsBiological originator DMARDsTNFi: adalimumab, certolizumab, etanercept, golimumab, infliximab; IL-6Ri: sarilumab, tocilizumab;
Costimulation-i: abatacept; anti-B cell (CD20): rituximab
Biosimilar DMARDs(currently for: adalimumab, etanercept, infliximab, rituximab)
  • ACPA, anticitrullinated protein antibody; ACR, American College of Rheumatology; cs, conventional synthetic; DMARDs, disease-modifying antirheumatic drugs; EULAR, European League Against Rheumatism; IL-6Ri, interleukin 6 receptor inhibitor; RF, rheumatoid factor; TNFi, tumour necrosis factor inhibitor.