“…Two strategies for the use of biosimilars can be differentiated in patients already treated with an originator: mandatory switch or physician–patient shared decision. Physician–patient shared decision has been favored by rheumatology scientific societies, by an international consensus group and by patients association 6–8. Indeed, real-life studies reporting the acceptance of the switch from OE to SB4 in case of shared decision together with an optimised communication strategy have reported acceptance rates of 92%–99% 9 10.…”