Our approach to initiating treatment for RA-ILD. We suggest treatment for symptomatic patients and patients with progressive RA-ILD. Risk factors for progression and UIP pattern are considered in shared decision-making regarding when to initiate treatment. HRCT, high-resolution computed tomography; ILD, interstitial lung disease; PFT, pulmonary function testing; RA, rheumatoid arthritis; UIP, usual interstitial pneumonia.