ORIGINAL ARTICLE Michael Hughes, Corresponding Author Michael.hughes-6@postgrad.manchester.ac.uk orcid.org/0000-0003-3361-4909 Department of Rheumatology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK Corresponding author Dr Michael Hughes BSc (Hons) MSc MBBS MRCP (UK) (Rheumatology) PhD, Consultant Rheumatologist, Department of Rheumatology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.