Rheumatoid arthritis (RA) is an autoimmune disease characterized by inflammation and progressive destruction of joints. 1 Over 23 million people worldwide suffer from RA. The disease has variable expression and outcome ranging from mild, limited disease to severe disease associated with progressive joint destruction and reduced survival. 1 Substantial comorbidity can be seen outside the musculoskeletal system, with excess cardiovascular risk, dyslipidemia, and propensity for infection partially related to the need for treatment with immunomodulatory agents. 2 Furthermore, RA causes a significant reduction in quality of life (QoL), impacting the physical, emotional, occupational, and economic aspects of patients' lives. 3 The combination of costs associated with long-term therapy and socio-economic consequences of RA have a major impact on healthcare systems and on society in general. 4