Back to the future: the pyramids of rheumatoid arthritis.

The management treatment pyramid, treatment target and treatment pyramids provide a framework for RA management and treatment. This model brings back the traditional pyramid, which was widely accepted, and adapts it to our newer understanding of RA treatment. It provides a focus for care, as well as the flexibility to apply selective treatments to different temperaments of disease. We hope that these models will fill the void left by the …