Predictive factors of work disability in rheumatoid arthritis: a systematic literature review

Croon, E. M. de; Sluiter, Judith K.; Nijssen, T.F.; Dijkmans, B.A.C.; Lankhorst, Gustaaf J.; Frings‐Dresen, Monique H. W.

doi:10.1136/ard.2003.020115

Cited by 183 publications

(151 citation statements)

References 42 publications

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“…Also relevant to needing and using workplace policies were greater education and job control. Both factors relate to a range of important work outcomes, including forgoing employment (7,19,34,47,48). Disclosure of arthritis at work was also associated with more benefit/accommodation use.…”

Section: Discussionmentioning

confidence: 99%

Availability, Need for, and Use of Work Accommodations and Benefits: Are They Related to Employment Outcomes in People With Arthritis?

Gignac

Cao

McAlpine

2015

Arthritis Care & Research

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ObjectiveTo examine the availability, need, and use of workplace policies for workers with osteoarthritis (OA) and inflammatory arthritis (IA) and their association with employment outcomes.MethodsParticipants (n = 219) were employed, ages ≥25 years, and diagnosed with OA or IA. They were recruited through community advertising and rheumatology clinics in 2 Canadian provinces. Respondents completed a 35–45‐minute telephone interview assessing demographics (age, sex), health (diagnosis, pain, activity limitations), work context (job control), employment outcomes (workplace activity limitations, absenteeism, productivity losses, reduced hours), benefits (extended health, short‐term leaves), and accommodations (flexible hours, modified schedules, special equipment/adaptations, work‐at‐home arrangements). Regression analyses examined differences in benefit/accommodation need and use.ResultsMany participants reported that arthritis impacted their work. But with the exception of extended health benefits, ∼50–65% of participants reported not needing each individual benefit/accommodation, although only 7.3% of respondents reported needing no benefits or accommodations at all. Greater job control and education were associated with greater perceived need and use of benefits/accommodations. Need was also associated with greater activity limitations, and disclosure of arthritis was related to use of benefits/accommodations. Participants needing but not using workplace policies often had significantly poorer employment outcomes compared to those using benefits/accommodations.ConclusionFindings are relevant to workers with arthritis and to employers. Results suggest that individuals with arthritis are unlikely to be a drain on workplace resources. Many individuals do not use benefits/accommodations until needed, and among those using them, there were generally positive relationships with diverse employment outcomes.

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Section: Discussionmentioning

confidence: 99%

Availability, Need for, and Use of Work Accommodations and Benefits: Are They Related to Employment Outcomes in People With Arthritis?

Gignac

Cao

McAlpine

2015

Arthritis Care & Research

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“…However, because the severity of illness was not collected in the current study, we did not incorporate the severity of each chronic disease in the current study. Some studies indicate that work demands, work stress 38) , decision authority 39) , and a misfit between work demands and health status are risk factors for early retirement 40) . For example, heavy physical work load is related to early retirement due to musculoskeletal disorder, not early retirement due to mental diseases 31) .…”

Section: Discussionmentioning

confidence: 99%

Influence of illness and unhealthy behavior on health‐related early retirement in Korea: Results from a longitudinal study in Korea

Kang

Yoon²,

Yoon

2015

Journal of Occupational Health

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sion, diabetes, malignancy, arthritis, cardiovascular and cerebrovascular diseases, smoking, and obesity increased the risk of ERdHP. To enhance the sustainability of labor in an aging society, more studies on ERdHP are needed. (J Occup Health 2015; 57: 28-38) Key words: Aging, Cox proportional hazard model, Early retirement, Gender, Korean longitudinal data Involuntary early retirement is a serious financial concern for workers and their families 1) . Beyond the individual level, early retirement contributes to social problems. Because most industrialized countries have an increased life expectancy and reduced birth rates, social concern has developed with regard to increasing labor force participation and decreasing involuntary retirement 2) . Various studies have indicated that worker retired early due to illness even though they needed to work to maintain their economic lives 3) . Illness also affects restarting work participation after retirement in old age 4) . Some studies have shown that chronic disease affects early retirement 4) . Furthermore, studies that used self-perceived health status to investigate the effect of illness on early retirement 5) suggest that selfperceived health is a very important factor in the retirement process 6) . In addition, it is important to identify specific diseases related to early retirement in order to reduce the risk of early retirement. For example, workers with psychological diseases such as depression show higher job turnover, low productivity, and eventually high retirement rates 7) . Lower physical functioning, working error, and limitations at work are predictors of early retirement, and these factors are linked to musculoskeletal disorder 8) . Nevertheless, few The aim of this study was to elucidate the effect of illness and unhealthy behavior on early retirement due to health problems (ERdHP) using Korean longitudinal data. Methods: This study used data collected from 3,508 subjects enrolled in the first to fourth phases of the Korean Longitudinal Study of Ageing (KLoSA). This study was conducted from 2006 to 2012 using structured questionnaires on retirement, morbidities, and health-related behaviors. We adopted the Cox proportional hazard model to investigate the effects of diagnosed disease and health-related behaviors on ERdHP. Results: Participants who smoked, were obese, or suffered from hypertension, diabetes, malignancy, heart disease, stroke, or arthritis had a significantly higher risk of health-related early retirement after adjustment for gender, age, and occupation. Further, risk factors such as lack of exercise, stroke, arthritis, obesity, and malignancy differentially affect early retirement by gender. Conclusions: This is the first study, that we are aware of, to examine the effect of illness and unhealthy behavior on ERdHP in Asia, using Korean longitudinal data. We found that hyperten-

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“…Predictors most frequently identified include demographic markers (e.g., older age, less education), disease markers (e.g., long disease duration, high functional disability, high disease activity), and job markers (e.g., manual or physically demanding jobs) (24,25). The importance of contextual factors in job retention (e.g., family support, telling coworkers about RA) is also recognized, but often difficult to capture (26 -28).…”

Section: Introductionmentioning

confidence: 99%

Work Productivity Loss in Early Arthritis During the First 3 Years of Disease: A Study From a French National Multicenter Cohort

Dadoun

Guillemin

Lucier³

et al. 2014

Arthritis Care & Research

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Objective. To assess work productivity (WP) loss during the first 3 years of disease in a cohort of patients with early arthritis (EA) diagnosed between 2002 and 2005. Methods. The ESPOIR (Etude et Suivi des Polyarthrites Indifférenciées Récentes) cohort included 813 EA patients; we included those of working age at baseline in the present study. WP loss was assessed by 3 components: sick leave, permanent disability, and early retirement. The proportion of affected patients and the mean number of days off work were assessed for each component. WP costs were estimated and determinants of positive and extreme costs were assessed by logistic regression models. Results. Among the 664 patients included, 81.6% were in the workforce at baseline. During the first 3 years of disease, 45% reported at least 1 sick leave day and 11% reported permanent disability. Only a few patients (1%) reported early retirement. The mean number of days on sick leave due to EA decreased regularly from 44 to 13, whereas the mean number of days on permanent disability tripled from 10 to 33. The mean annual cost was €1,333 (95% confidence interval €1,075-1,620). Sick leave longer than 30 days due to EA before inclusion and a decrease in mental and physical scores of the Medical Outcomes Study Short Form 36 at inclusion were independent determinants of positive and extreme costs in multivariate models. Conclusion. WP loss is substantial in EA patients and is due to permanent disability before the third year of disease. Work absence and poor mental and physical health status at baseline are major determinants of WP costs.

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Predictive factors of work disability in rheumatoid arthritis: a systematic literature review

Cited by 183 publications

References 42 publications

Availability, Need for, and Use of Work Accommodations and Benefits: Are They Related to Employment Outcomes in People With Arthritis?

Availability, Need for, and Use of Work Accommodations and Benefits: Are They Related to Employment Outcomes in People With Arthritis?

Influence of illness and unhealthy behavior on health‐related early retirement in Korea: Results from a longitudinal study in Korea

Work Productivity Loss in Early Arthritis During the First 3 Years of Disease: A Study From a French National Multicenter Cohort

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