approaching significanceP = 0.073
However, when both fine specificities were combined with anti‐CCP2, the 28‐joint Disease Activity Score (DAS28) 5 in patients positive for all 3 markers was significantly increased ( P = 0.038) compared to that in patients positive for only CCP2, with the difference in the Health Assessment Questionnaire score 6 approaching significance ( P = 0.073).