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Dissonance between physicians’ and patients’ perspectives on managing impaired morning function in Asian patients with rheumatoid arthritis

modified-release prednisolone, have been shown to reduce pain and early IMF in patients with RA [ 8 ]. However, composite measures to determine treatment efficacy, such as the Disease Activity Score 28 (DAS28), do not include IMF as a domain [ 9 ]. Furthermore, IMF is not included in American College of Rheumatology (ACR) classification criteria for RA [ 10 ], possibly because of the non-specific nature of this symptom. As IMF is included in neither the assessment tools nor the classification criteria for RA, physicians may overlook IMF symptoms in patients and

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