These consensus-based and evidence-based points to consider were developed for individual rheumatologists or groups of rheumatologists (eg, in a hospital). They were designed to be applicable across different healthcare systems. For the development of the points to consider, we used the EULAR standardised operating procedure for recommendations10 (link) and the additional EULAR guidance on methodology.11 Of note, where the word ‘rheumatologist’ is used, the task force means any rheumatology healthcare provider prescribing b/tsDMARDs, including among others rheumatology trainees, and in some countries also nurse specialists and physician assistants. For the definition of cost-effectiveness, we used an adapted version of the NICE definition: ‘Guideline recommendations should be based on the estimated costs of the interventions or services in relation to their expected health benefits (that is, their “cost-effectiveness”), rather than on the total cost or resource impact of implementing them’.7