“…This distance between points of view was also found in several other studies. In general, pain and/or physical function were associated with poorer patient assessment in the vast majority of studies [3,8,10,11,13,[23][24][25][26][27][28][29], whereas NSJ and/or abnormal acute inflammation tests were more frequent determinants of worse physician's assessments [8][9][10][11]13,26,27,29]. Numerous potential causes for this discordance have been identified, particularly pain due to inflammatory and non-inflammatory processes different from RA, fatigue, functional disability, depression, psychological stress, low health literacy, and patient-physician communication problems [6,9,10,26].…”