Design

We performed a 2-year RCT with RA patients at the Center for Rheumatology and Spine Diseases, Copenhagen University Hospital Gentofte, capital region of Copenhagen, Denmark. At baseline, patients were randomly assigned (1:1) to the OOCP or TSRF group using a web-based secure centralised system with stratification according to biologic and non-biologic treatment [9]. Patients were evaluated at baseline and years 1 and 2, including assessment of disease activity and reporting of outcome measures on a touch screen at the clinic [10]. One blinded, senior project rheumatologist, who did not take part in the treatment or daily clinic, examined all the patients at baseline and years 1 and 2. The patient’s usual rheumatologist performed the other visits, and in total, 13 rheumatologists in the clinic took part in the study.