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. 1995 Jun;54(6):455–460. doi: 10.1136/ard.54.6.455

Work disability in early rheumatoid arthritis.

D Doeglas 1, T Suurmeijer 1, B Krol 1, R Sanderman 1, M van Leeuwen 1, M van Rijswijk 1
PMCID: PMC1009902  PMID: 7632086

Abstract

OBJECTIVE--To assess the impact of early rheumatoid arthritis (RA) on work status. METHODS--The employment status of 119 patients who had jobs before the onset of RA was examined. Patients with work disability were compared with those without, for several disease characteristics, therapeutic regimen, and educational level and age. RESULTS--Sixty two percent of the patients, particularly manual workers, reported some kind of work disability (7% worked less, 13% were on sick leave, and 42% had quit their jobs). Forty five patients (38%) stated that they were working without any restrictions; however, only 12 of this latter group (10% of the total group) had not encountered any changes at all within their jobs. The patients who reported work disability had a lower level of education and scored higher for several disease characteristics (erythrocyte sedimentation rate (ESR), joint tenderness, Health Assessment Questionnaire (HAQ), and Groningen Activity Restriction Scale) and were provided with more medication compared with patients without work disability, though only the educational level, disease duration, HAQ and ESR contributed significantly to work disability in logistic regression analysis. CONCLUSION--Even at an early stage, RA has a considerable impact on work status. This study indicates that work disability is dependent on disease characteristics and on the educational level of the patient.

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Selected References

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  1. Callahan L. F., Bloch D. A., Pincus T. Identification of work disability in rheumatoid arthritis: physical, radiographic and laboratory variables do not add explanatory power to demographic and functional variables. J Clin Epidemiol. 1992 Feb;45(2):127–138. doi: 10.1016/0895-4356(92)90005-8. [DOI] [PubMed] [Google Scholar]
  2. Charmaz K. Loss of self: a fundamental form of suffering in the chronically ill. Sociol Health Illn. 1983 Jul;5(2):168–195. doi: 10.1111/1467-9566.ep10491512. [DOI] [PubMed] [Google Scholar]
  3. Devins G. M., Edworthy S. M., Seland T. P., Klein G. M., Paul L. C., Mandin H. Differences in illness intrusiveness across rheumatoid arthritis, end-stage renal disease, and multiple sclerosis. J Nerv Ment Dis. 1993 Jun;181(6):377–381. doi: 10.1097/00005053-199306000-00007. [DOI] [PubMed] [Google Scholar]
  4. Guillemin F., Suurmeijer T., Krol B., Bombardier C., Briançon S., Doeglas D., Sanderman R., van den Heuvel W. Functional disability in early rheumatoid arthritis: description and risk factors. J Rheumatol. 1994 Jun;21(6):1051–1055. [PubMed] [Google Scholar]
  5. Kirwan J. R., Reeback J. S. Stanford Health Assessment Questionnaire modified to assess disability in British patients with rheumatoid arthritis. Br J Rheumatol. 1986 May;25(2):206–209. doi: 10.1093/rheumatology/25.2.206. [DOI] [PubMed] [Google Scholar]
  6. Krol B., Sanderman R., Suurmeijer T., Doeglas D., van Rijswijk M., van Leeuwen M. Disease characteristics, level of self-esteem and psychological well-being in rheumatoid arthritis patients. Scand J Rheumatol. 1994;23(1):8–12. doi: 10.3109/03009749409102127. [DOI] [PubMed] [Google Scholar]
  7. Meenan R. F., Kazis L. E., Anthony J. M., Wallin B. A. The clinical and health status of patients with recent-onset rheumatoid arthritis. Arthritis Rheum. 1991 Jun;34(6):761–765. doi: 10.1002/art.1780340618. [DOI] [PubMed] [Google Scholar]
  8. Meenan R. F., Yelin E. H., Nevitt M., Epstein W. V. The impact of chronic disease: a sociomedical profile of rheumatoid arthritis. Arthritis Rheum. 1981 Mar;24(3):544–549. doi: 10.1002/art.1780240315. [DOI] [PubMed] [Google Scholar]
  9. Mitchell J. M., Burkhauser R. V., Pincus T. The importance of age, education, and comorbidity in the substantial earnings losses of individuals with symmetric polyarthritis. Arthritis Rheum. 1988 Mar;31(3):348–357. doi: 10.1002/art.1780310306. [DOI] [PubMed] [Google Scholar]
  10. Pincus T., Callahan L. F. Reassessment of twelve traditional paradigms concerning the diagnosis, prevalence, morbidity and mortality of rheumatoid arthritis. Scand J Rheumatol Suppl. 1989;79:67–96. doi: 10.3109/03009748909092614. [DOI] [PubMed] [Google Scholar]
  11. Pincus T., Callahan L. F., Sale W. G., Brooks A. L., Payne L. E., Vaughn W. K. Severe functional declines, work disability, and increased mortality in seventy-five rheumatoid arthritis patients studied over nine years. Arthritis Rheum. 1984 Aug;27(8):864–872. doi: 10.1002/art.1780270805. [DOI] [PubMed] [Google Scholar]
  12. Reisine S. T., Grady K. E., Goodenow C., Fifield J. Work disability among women with rheumatoid arthritis. The relative importance of disease, social, work, and family factors. Arthritis Rheum. 1989 May;32(5):538–543. doi: 10.1002/anr.1780320505. [DOI] [PubMed] [Google Scholar]
  13. Sherrer Y. S., Bloch D. A., Mitchell D. M., Young D. Y., Fries J. F. The development of disability in rheumatoid arthritis. Arthritis Rheum. 1986 Apr;29(4):494–500. doi: 10.1002/art.1780290406. [DOI] [PubMed] [Google Scholar]
  14. Straaton K. V., Harvey M., Maisiak R. Factors associated with successful vocational rehabilitation in persons with arthritis. Arthritis Rheum. 1992 May;35(5):503–510. doi: 10.1002/art.1780350503. [DOI] [PubMed] [Google Scholar]
  15. Targoff I. N., Arnett F. C., Reichlin M. Antibody to threonyl-transfer RNA synthetase in myositis sera. Arthritis Rheum. 1988 Apr;31(4):515–524. doi: 10.1002/art.1780310408. [DOI] [PubMed] [Google Scholar]
  16. Verbrugge L. M., Jette A. M. The disablement process. Soc Sci Med. 1994 Jan;38(1):1–14. doi: 10.1016/0277-9536(94)90294-1. [DOI] [PubMed] [Google Scholar]
  17. Wiener C. L. The burden of rheumatoid arthritis: tolerating the uncertainty. Soc Sci Med. 1975 Feb;9(2):97–104. doi: 10.1016/0037-7856(75)90101-8. [DOI] [PubMed] [Google Scholar]
  18. Yelin E. Arthritis. The cumulative impact of a common chronic condition. Arthritis Rheum. 1992 May;35(5):489–497. [PubMed] [Google Scholar]
  19. Yelin E., Henke C., Epstein W. The work dynamics of the person with rheumatoid arthritis. Arthritis Rheum. 1987 May;30(5):507–512. doi: 10.1002/art.1780300504. [DOI] [PubMed] [Google Scholar]
  20. Yelin E., Meenan R., Nevitt M., Epstein W. Work disability in rheumatoid arthritis: effects of disease, social, and work factors. Ann Intern Med. 1980 Oct;93(4):551–556. doi: 10.7326/0003-4819-93-4-551. [DOI] [PubMed] [Google Scholar]

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