TNF and rheumatoid arthritis: A PubMed search (20 April 2019) with the search term “meta-analysis and rheumatoid arthritis and TNF inhibitor” revealed 135 articles of which only 2 [10,11] are network meta-analyses, which exclusively compare the efficacies of the 5 known TNFis using the American College of Rheumatology improvement criteria (ACR 20, 50, and 70) and health assessment questionnaire (HAQ) scores as primary outcome measures.