title: Effective rheumatoid arthritis treatment requires comprehensive management strategies.
abstract: Work by Lee and colleagues has shown that decreased sleep quality and increased psychiatric distress increase pain sensitivity at both articular and nonarticular sites in rheumatoid arthritis (RA) patients. This work is consistent with prior studies showing that factors independent of RA disease activity can influence RA outcome measures. Owing to increasing pressure on rheumatologists to use outcome measures to inform treatment decisions, the work by Lee and colleagues highlights the need for comprehensive RA management strategies to understand and address the human factors that influence outcomes measures. Such strategies will ensure appropriate use of increasingly expensive therapies while maximizing patient satisfaction and reimbursement.
authors.forename: Chad S
authors.initials: CS
authors.lastname: Boomershine
mesh_terms: D018501:Antirheumatic Agents / Q000627:therapeutic use; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000188:drug therapy / Q000523:psychology*; D005356:Fibromyalgia / Q000150:complications; D006801:Humans; D017288:Pain Threshold; D012720:Severity of Illness Index
chemical_list: D018501:Antirheumatic Agents