From the Rheumatology Unit, Complejo Hospitalario Universitario de Santiago de Compostela, IDIS Ramon Dominguez, Santiago, A Coruña (ES, LC, JJG-R); Rheumatology Unit, Complejo Hospitalario Universitario de Ourense, Ourense (ES); Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, Pamplona, Navarra (MB-R, JDI); Instituto de Salud Musculoesquelética; Universidad Camilo José Cela, Madrid (LC); and Department of Medicine, School of Medicine, Universidad de Santiago de Compostela, A Coruña, Spain (JJG-R).