Effect of Rheumatoid Arthritis on Longterm Sickness Absence in 1994-2011: A Danish Cohort Study

Hansen, Sofie; Hetland, Merete Lund; Pedersen, Jacob; Østergaard, Mikkel; Rubak, Tine Steen; Bjørner, Jakob Bue

doi:10.3899/jrheum.150801

Cited by 24 publications

(30 citation statements)

References 26 publications

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“…From a previous study [7] we used a sample of individuals of working age (20-59 years) drawn randomly from the general population by Statistics Denmark (n = 134 500). The sample had been used as a control group to participants with rheumatoid arthritis and because more women in the age range 40 to 59 years have rheumatoid arthritis, the control group had purposely oversampled women in this age range.…”

Section: Participantsmentioning

confidence: 99%

Increased risk of long‐term sickness absence, lower rate of return to work and higher risk of disability pension among people with type 1 and type 2 diabetes mellitus: a Danish retrospective cohort study with up to 17 years’ follow‐up

et al. 2019

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Aim To evaluate labour market outcomes in type 1 or type 2 diabetes. Methods Individuals with type 1 (n = 431) and type 2 diabetes (n = 4047) were identified in Danish national registers from 1994 to 2011 and compared with individuals without diabetes (n = 101 295). Multi-state Cox proportional hazards analyses estimated hazard ratios (HR) with 95% confidence intervals (CI) for transitions between work, sickness absence, unemployment and disability pension.

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Section: Participantsmentioning

confidence: 99%

Increased risk of long‐term sickness absence, lower rate of return to work and higher risk of disability pension among people with type 1 and type 2 diabetes mellitus: a Danish retrospective cohort study with up to 17 years’ follow‐up

et al. 2019

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“…In the case of individuals with rheumatoid arthritis, an increased risk of long-term sickness absence has been found compared with a general population21; as with the general population, the risk is associated with high physical demands of work 21. The focus in previous studies regarding the association between occupational class and sickness absence due to musculoskeletal diseases has been restricted to either specific anatomical sites15–17 19 or at most to a couple of different diagnostic groups 18.…”

Section: Introductionmentioning

confidence: 99%

Sickness absence due to different musculoskeletal diagnoses by occupational class: a register-based study among 1.2 million Finnish employees

et al. 2018

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ObjectivesThose in lower occupational classes have an increased risk of sickness absence due to musculoskeletal diseases (MSDs), but studies examining the associations simultaneously across specified diagnostic groups within MSDs are lacking. We examined occupational class differences in the occurrence and length of long-term sickness absence due to different musculoskeletal diagnoses.MethodsA 70% random sample of employed Finns aged 25–64 years old at the end of 2013 was linked to data on sickness absence of over 10 working days obtained from The Social Insurance Institution of Finland and occupational class from Statistics Finland. Sickness absences due to MSDs initiated in 2014 were followed until the end of each episode for female (n=675 636) and male (n=604 715) upper non-manuals, lower non-manuals and manual workers. Negative binomial hurdle models were used to analyse the associations.ResultsWithin the studied MSDs, the most common causes of absence were back disorders, particularly back pain, and shoulder disorders. Osteoarthritis, disc disorders and rheumatoid arthritis induced the longest episodes of absence. Clear hierarchical class differences were found throughout, but the magnitude of the differences varied across the diagnostic causes. The largest class differences in the occurrence were detected in shoulder disorders and back pain. The class differences in length were greatest in rheumatoid arthritis, disc disorders and, among men, also in hip osteoarthritis.ConclusionsHierarchical occupational class differences were found across different MSDs, with large differences in back and shoulder disorders. Occupational class and diagnosis should be considered when attempting to reduce sickness absence due to MSDs.

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“…4 In fact, many RA patients have long-standing disease and are often forced to resign from their jobs due to irreversible structural damage to multiple joints (both small and large joints), which causes disability in daily life. 5,6 Total management, including reconstructive joint surgery and rehabilitation, is required to improve the physical function of these patients.…”

Section: Introductionmentioning

confidence: 99%

Target setting for lower limb joint surgery using the Timed Up and Go test in patients with rheumatoid arthritis: A prospective cohort study

et al. 2018

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Objective This prospective observational cohort study aimed to set targets for lower limb joint surgery based on the Timed Up and Go test (TUG), an objective functional outcome measure, in patients with established rheumatoid arthritis (RA). Methods We validated TUG as an outcome measure of lower limb joint surgery and compared it with changes in patient‐reported outcomes, including the Health Assessment Questionnaire Disability Index (HAQ‐DI) and European Quality of life scale with five dimensions (EQ‐5D). Changes in these outcomes were compared by performed surgery and by achievement of the minimal clinically important difference (MCID) for EQ‐5D using univariate analysis of variance. Associations between TUG and HAQ remission (HAQ‐DI ≤0.5) were determined using logistic regression analysis. Cut‐off values of TUG at baseline and 6 months after surgery for HAQ remission were determined using receiver operating characteristic curves. Results A total of 126 patients were analyzed. Mean age, HAQ‐DI, and TUG were 65.4 years, 1.036, and 12.8 seconds, respectively. After surgery, patients showed improvements in TUG as well as HAQ‐DI. TUG at 6 months after surgery was significantly associated with HAQ remission (adjusted OR: 0.78; 95% CI: 0.65‐0.93). TUG cut‐off values at baseline and 6 months after surgery for achieving HAQ remission were 12.1 and 8.8 seconds, respectively. Significant improvements in TUG (∆TUG, 3.7 seconds) were associated with achievement of the MCID for EQ‐5D (≥0.05) at 6 months after surgery. Conclusion Timed Up and Go test is a useful tool for assessing the outcome of lower limb joint surgery in RA patients. We propose that TUG ≤9 seconds could be an objective target for achieving good physical function after lower limb joint surgery.

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Effect of Rheumatoid Arthritis on Longterm Sickness Absence in 1994-2011: A Danish Cohort Study

Abstract: While improvements were observed from 1994-1999 to 2006-2011, patients with RA have significant increased risk of LTSA, in particular in the first year after diagnosis.

Cited by 24 publications

References 26 publications

Increased risk of long‐term sickness absence, lower rate of return to work and higher risk of disability pension among people with type 1 and type 2 diabetes mellitus: a Danish retrospective cohort study with up to 17 years’ follow‐up

Increased risk of long‐term sickness absence, lower rate of return to work and higher risk of disability pension among people with type 1 and type 2 diabetes mellitus: a Danish retrospective cohort study with up to 17 years’ follow‐up

Sickness absence due to different musculoskeletal diagnoses by occupational class: a register-based study among 1.2 million Finnish employees

Target setting for lower limb joint surgery using the Timed Up and Go test in patients with rheumatoid arthritis: A prospective cohort study

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