Impact of rheumatoid arthritis on career progression, productivity, and employability: The PRET Study

Impact of rheumatoid arthritis on career progression, productivity, and employability: The PRET Study
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DOI:
10.1016/j.jbspin.2015.05.001
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发表时间:
2016-01-01
期刊:
影响因子:
4.2
通讯作者:
Kobelt, Gisela
Kobelt, Gisela
中科院分区:
医学2区
文献类型:
--
作者:
Bertin, Philippe;Fagnani, Francis;Kobelt, Gisela

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目的:为了评估类风湿关节炎(RA)对职业生涯,生产力和employability.Methods的影响:回顾性横断面调查进行了2012-2013年在法国RA患者谁是年龄小于60岁,就业或失业。患者要么在风湿病学家访问期间招募,要么在全国患者支持组织(ANDAR)的成员中招募。他们完成了一份调查问卷的健康评估问卷(HAQ)的RA评估的功能影响和他们的疾病对工作能力的影响。结果:在488名接受调查的患者,364(74.6%)积极就业,31(6.4%)是求职者,93(19.1%)已经离开了劳动力。在就业组中,平均年龄为48.9岁; 82.1%的患者为女性;平均RA持续时间为11.6年; HAQ评分与生产力下降的各种标志物密切相关,包括病假,临时或永久性工作中断,以及不情愿地从全职降级为兼职工作或改变工作。在求职者中,54%的人失去了他们以前的工作,因为他们的RA。结论:RA是与各种形式的工作残疾,这是直接相关的疾病相关的功能障碍的严重程度。(C)2015年法国rhumatologie协会。由Elsevier Masson SAS出版。All rights reserved.
Objectives: To evaluate the impact of rheumatoid arthritis (RA) on career, productivity, and employability.Methods: A retrospective cross-sectional survey was conducted in 2012-2013 in France among patients with RA who were younger than 60 years of age and employed or unemployed. Patients were either recruited during a rheumatologist visit or among members of a nationwide patient-support organization (ANDAR). They completed a questionnaire on the functional impact of RA evaluated by the Health Assessment Questionnaire (HAQ) and on the impact of their disease on work ability.Results: Of 488 surveyed patients, 364(74.6%) were actively employed, 31(6.4%) were job seekers, and 93 (19.1%) had left the workforce. In the employed group, mean age was 48.9 years; 82.1% of patients were women; mean RA duration was 11.6 years; and the HAQ score correlated strongly with various markers for decreased productivity including sick leaves, temporary or permanent work discontinuation, and having unwillingly downgraded from a full-time to a part-time work schedule or changed to a different job. Among job seekers, 54% had lost their previous job because of their RA.Conclusion: RA is associated with various forms of work disability, which are directly related to the severity of disease-related functional impairments. (C) 2015 Societe francaise de rhumatologie. Published by Elsevier Masson SAS. All rights reserved.