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treat early it is also cheaper! 5 yr cost of ra ttmt 11250 acpa+ &gt; 3526 acpa- bdmards users 44788 acpa+ &gt; 40896 acpa- acpa- "late" ttmt 46% more expensive acpa+ early vs. late = similar costs #eular23 pos0369 
MD, PhD @UofGlasgow UK. Chair of EULAR live course subcommittee. Past Co-chair @EULAR Synovitis Study Group. CrossFit athlete and Mountains lover. Views my own.