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
中科院分区:
文献类型:
--
作者:
Bertin, Philippe;Fagnani, Francis;Kobelt, Gisela
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.