Biologics and JAK inhibitors in rheumatic diseases in Poland 1 the possibility to improve quality of life through goal -directed therapy. 6,7 High effectiveness of biologic drugs, marked by a remarkable reduction of inflammatory symptoms, limited disease progression, including joint damage, and improved physical function, makes them a pillar of standard therapies. The steroid sparing effect and avoiding complications associated with chronic steroid use are the other important benefits for the patients. 6 However, a high degree of clinical and immunologic variability is observed within all major arthritides, which translates into different patient INTROduCTION Rheumatic musculoskeletal diseases (RMDs), including rheumatoid arthritis (RA), psoriatic arthritis (PsA), and axial spondyloarthritis (axSpA), represent a major challenge from a socioeconomic and health care perspective. 1-3 Timely diagnosis, stringent disease control, and effective treatment are crucial steps in preventing disease -related disability. Access to synthetic and biologic disease-modifying antirheumatic drugs (bDMARDs) has changed a natural course of inflammatory arthritis, 4 including extra -articular manifestations, 5 and has extended