RT Journal Article SR Electronic T1 Rheumatoid arthritis initial therapy: unanswered questions. JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP 14 OP 16 VO 72 A1 James O'Dell YR 2005 UL http://www.jrheum.org/content/72/14.abstract AB Recent changes in the treatment of patients with rheumatoid arthritis (RA) are high lighted in this article,with emphasis on initial therapy in RA. Critical new concepts and developments are discussed: the importance of early treatment, increased use of combination disease modifying antirheumatic therapy as initial treatment and after failure of monotherapy, the role of the newer biological therapies, and the influence of comorbidity on morbidity and mortality.