Work disability among people with ankylosing spondylitis

Barlow, Julie H.; Wright, Chris; Williams, Bethan; Keat, Andrew

doi:10.1002/1529-0131(200110)45:5<424::aid-art361>3.0.co;2-7

Cited by 102 publications

(100 citation statements)

References 21 publications

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“…[21] Half of our newly diagnosed patients were working. If we add to this number the nearly 15% who were unemployed but intended to work, which suggests a desire and ability to work under appropriate circumstances (existence of work and health), then an estimated total of 65% were capable of working.…”

Section: Discussionmentioning

confidence: 99%

Early spondyloarthritis in multiracial society: differences between gender, race, and disease subgroups with regard to first symptom at presentation, main problem that the disease is causing to patients, and employment status

Roussou

Sultana

2011

Rheumatol Int

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To determine whether the first presenting symptoms, the main problem that the disease is causing to patients, and the employment status at presentation of patients with early spondyloarthritis (SpA) in a multicultural/multiracial patient cohort are different between gender, race, and disease subgroups of the SpA spectrum (ankylosing spondylitis, enteropathic arthritis, psoriatic arthritis, or undifferentiated arthritis). All patients above the age of 16 years, with disease duration of less than 3 years since symptom onset, seen in clinic between 2004 and 2008 with spondyloarthritis (SpAs) were assessed regarding their first presenting symptom, the main problem caused by the disease, and their employment status. In addition, clinical parameters such as the degree of disease activity (measured by BASDAI, ESR, and CRP), functional ability (measured by BASFI), night pain, sleep disturbance, well-being over past week, and over past 6 months prior to assessment (measured by a 10 cm VAS; 0 = good health, 10 = worst possible) were obtained. Statistical analysis with Pearson's χ(2) test compared and correlated two groups, and one-way analysis of variance (ANOVA) was used when more than two groups were compared and correlated. A total of 96 patients [(male:female = 33:63; (34.4:65.6%), (mean age 43.8 ± (SD) 13.9)] with early SpA were assessed. They were of multiethnic background representing Caucasians (n = 52; 54.2%), Asians (n = 33; 34.4%), and Africans (n = 10; 10.4%) mixed race (n = 1; 1%). The disease spectrum consisted of ankylosing spondylitis (AS) (n = 12; 12.7%), enteropathic arthritis or SpA associated with inflammatory bowel disease (IBD) (n = 9; 9.4%), psoriatic arthritis (PsA) (n = 47; 49%), undifferentiated spondyloarthritis (USpA) (n = 27; 28.2%), reactive arthritis (n = 1;1%), and juvenile SpA (n = 1;1%). Back pain stated as the first presenting symptom by 45 patients (46.8%) (followed by knee pain) and joint pains as the main problem by 49 patients (51.7%), while 47 patients of 93 who replied on the employment section (50.5%) were working. The total group had BASDAI score of 5.91 (±2.1), ESR of 19.65 (±19.4) mmHg/h, CRP of 8.10 (±9.2) mmol/L, BASFI score of 4.51 (±2.57), night pain of 5.26 (±3.2), sleep disturbance of 5.24 (±3.03) well-being over past week of 5.9 (±2.7), and well-being over past 6 months of 6.4 (±2.5). Most patients had PsA at presentation. Comparisons between genders showed significantly more women to have knee pain as first presenting symptom than men. No differences between races found in the first presenting symptom, main problem caused to patients by disease, and employment, but Africans have significantly more sleep disturbance than other races. Comparisons between disease subgroups showed patients with AS to have significantly more back pain and hip pain as first presenting symptom and patients with IBD to have more joint pain as main problem caused by the disease.

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Section: Discussionmentioning

confidence: 99%

Early spondyloarthritis in multiracial society: differences between gender, race, and disease subgroups with regard to first symptom at presentation, main problem that the disease is causing to patients, and employment status

Roussou

Sultana

2011

Rheumatol Int

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“…Less is known about the whole group of SpA, although a previous cross-sectional study reported that presenteeism was common, especially in women [11]. In AS, presenteeism has been shown to be associated with higher scores of disease activity, depression and anxiety, impaired physical function and health related quality of life, and lower self-efficacy [10,17,18,20,21]. Associations between presenteeism and poor quality of life, disease activity, physical function, selfefficacy and depression are also confirmed in patients with SpA, although the longitudinal perspective is not fully studied [11].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Presenteeism and Activity Impairment Outside Work in Patients with Spondyloarthritis

et al. 2014

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“…[26] Chorus et al [4] investigated employment perspectives of patients with AS and reported a reduced participation in labor force which was related with sociodemographic factors, disease related factors and coping styles. On the other hand, Barlow et al [27] identified 31% of AS patients as disabled with an additional 15% reporting changes in working conditions. Work disability was associated with age, longer disease duration, lower educational level, comorbidity, pain, fatigue, stiffness, anxiety and depression.…”

Section: Discussionmentioning

confidence: 99%

“…Work disability was associated with age, longer disease duration, lower educational level, comorbidity, pain, fatigue, stiffness, anxiety and depression. [27] There are few studies that have comparatively investigated QoL and work in patients with AS and RA. [5,11,12] Previous studies comparing the consequences of RA and AS indicated that both groups of patients had similar amounts of disability and pain which is in accordance with our data.…”

Section: Discussionmentioning

confidence: 99%

Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis

et al. 2011

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Work disability among people with ankylosing spondylitis

Cited by 102 publications

References 21 publications

Early spondyloarthritis in multiracial society: differences between gender, race, and disease subgroups with regard to first symptom at presentation, main problem that the disease is causing to patients, and employment status

Early spondyloarthritis in multiracial society: differences between gender, race, and disease subgroups with regard to first symptom at presentation, main problem that the disease is causing to patients, and employment status

Predictors of Presenteeism and Activity Impairment Outside Work in Patients with Spondyloarthritis

Work Status and Related Variables in Patients with Rheumatoid Arthritis and Ankylosing Spondylitis

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