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Employment in ankylosing spondylitis.

L E McGuigan, H H Hart, P J Gow

    Annals of the Rheumatic Diseases
    |August 1, 1984
    PubMed
    Summary
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    Ankylosing spondylitis patients generally maintain good employment prospects, even with long-standing and severe disease. Physical limitations did not strongly correlate with unemployment in this rheumatology clinic study.

    Area of Science:

    • Rheumatology
    • Occupational Health
    • Clinical Medicine

    Background:

    • Ankylosing spondylitis (AS) is a chronic inflammatory disease primarily affecting the axial skeleton.
    • Understanding the impact of AS on an individual's ability to maintain employment is crucial for patient well-being and economic participation.
    • Previous studies have not fully elucidated the relationship between disease severity, physical function, and employment status in AS patients.

    Purpose of the Study:

    • To assess the effect of ankylosing spondylitis on employment status among patients attending rheumatology clinics.
    • To investigate correlations between disease parameters (spinal mobility, chest expansion, peripheral joint involvement) and work capability.
    • To evaluate the long-term employment prospects for individuals with ankylosing spondylitis.

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    Main Methods:

    • A review of patients with ankylosing spondylitis attending rheumatology clinics.
    • Assessment of disease impact included measuring back movement in three planes and chest expansion.
    • Peripheral joint involvement was documented to determine its correlation with work capability.

    Main Results:

    • Sixty patients (47 men, 13 women) with a mean disease duration of 24.3 years were reviewed.
    • Nine patients were unemployed, with only four attributing unemployment directly to ankylosing spondylitis.
    • Severe neck, back, and hip involvement in unemployed patients did not distinguish them from fully employed individuals; no relationship was found between disease duration and employment.

    Conclusions:

    • The prospect for continued employment in ankylosing spondylitis patients is generally good, irrespective of disease duration.
    • Even with long-standing and severe ankylosing spondylitis, patients can often maintain employment.
    • Physical limitations, while present, do not appear to be a primary determinant of unemployment in this cohort.