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Factors associated with functional limitations and subsequent employment or schooling in Buruli ulcer patients
Ymkje Stienstra1, Margijske H G van Roest, Marieke J van Wezel
1Groningen University Hospital, Groningen, The Netherlands. y.stienstra@int.azg.nl
Objectives:
To evaluate former Buruli ulcer disease (BUD) patients to assess the factors associated with functional limitations and subsequent employment or schooling.
Methods:
The previously validated Buruli ulcer functional limitation score (BUFLS) questionnaire and interviews about educational and professional consequences incurred by BUD.
Results:
Of 638 participants, 362 (57%) had a functional limitation after a median period of almost 4 years after treatment for BUD. A lesion on a joint, older age, female gender, a lesion on a distal part of an extremity and a persistent wound were found to be independent risk factors for stopping work or education. The same risk factors applied to the development of a functional limitation. Both functional limitations and financial difficulties due to BUD disease often led to job loss and school dropout.
Conclusions:
Rehabilitation programmes are urgently needed to diminish the suffering from the functional limitations and employment or schooling problems caused by BUD.
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