Rheumatoid arthritis patients should know: 4 principles, 10 recommendations A. 4 principles 1, RA treatment plan should be discussed and developed by the patient himself and the rheumatologist. 2, the most important goal of treatment is to maximize the long-term maintenance of a good quality of life, need to do: control pain, inflammation, stiffness, fatigue and other disease-related symptoms; prevent bone or joint destruction; return to normal work and participate in daily activities. 3, The most important way to achieve the above goals is to control joint inflammation. 4, RA to achieve good results, treatment goals should be clear, to control the disease activity as the goal, if not achieved to adjust the treatment plan in a timely manner. Second, 10 recommendations 1, the main goal of RA is to achieve disease remission. 2, Clinical remission refers to the disappearance of signs or symptoms due to inflammation. 3.Some patients cannot achieve remission, especially those with long disease duration, and the goal should be to achieve low disease activity. 5.Disease activity should be evaluated and recorded regularly. Patients with moderate to severe disease activity should be evaluated at least once a month, while patients with low disease activity or remission can be evaluated at longer intervals (e.g., once every 3-6 months). 6.There are various methods of disease activity evaluation, and evaluation methods including joint examination should be mastered to guide clinical decision making. 7.In addition to disease mobility, joint destruction and joint mobility limitation should be a concern in daily life. 8.The ideal treatment goal should be adhered to throughout the course of disease treatment. 9.The choice of the appropriate method of disease activity assessment or treatment goal should be based on the patient’s own situation, such as concomitant diseases, patient’s wishes, drug safety issues, etc. 10.Patients should be reasonably informed of the goals of treatment and the treatment strategy to be adopted under the guidance of the rheumatologist.