Characteristics Switched to RTX Switched to anti-TNF P † Patients, no. 387 941 – Age, mean ± SD years 58.7 ± 11.2 55.6 ± 12.3 < 0.0001 Female sex, no. (%) 300 (77.5) 757 (80.5) 0.23 Disease duration, mean ± SD years 14.7 ± 10.2 14.0 ± 9.5 0.25 RF positive, no. (%) 242 (64.9) 604 (64.2) 0.06 Comorbidities, no. (%)‡ 259 (66.9) 546 (58.0) 0.003 TJC, mean ± SD no. 14.4 ± 8.1 12.5 ± 8.3 < 0.001 SJC, mean ± SD no. 8.7 ± 5.8 8.2 ± 6.1 0.17 ESR, mean ± SD mm/hour 45.0 ± 30.5 43.0 ± 28.5 0.30 CRP level, mean ± SD mg/dl 33.6 ± 35.0 39.7 ± 46.0 0.11 Global health VAS score, mean ± SD 68.5 ± 20.8 63.6 ± 25.1 < 0.001 DAS28, mean ± SD 6.2 ± 1.2 5.9 ± 1.4 < 0.001 Reason for stopping first anti-TNF 0.001  Inefficacy, no. (%) 190 (49.1) 547 (58.1)  Adverse events, no. (%) 96 (24.8) 257 (27.3)  Other/missing, no. (%) 101 (26.1) 137 (14.6) First anti-TNF therapy  Etanercept, no. (%) 159 (41.1) 266 (28.3) < 0.001  Monoclonal antibody, no. (%) 228 (58.9) 675 (71.7) Therapy switched to, no. (%)  Etanercept – 494 (52.5)  Infliximab – 102 (11.0)  Adalimumab – 344 (36.5)