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Work disability in early rheumatoid arthritis

D Doeglas1, T Suurmeijer, B Krol

  • 1Northern Centre for Healthcare Research, University of Groningen, The Netherlands.

Annals of the Rheumatic Diseases
|June 1, 1995
PubMed
Summary

Early rheumatoid arthritis (RA) significantly impacts work status, causing disability in many patients. Factors like disease severity and lower education levels contribute to this work disability.

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Area of Science:

  • Rheumatology
  • Occupational Health
  • Epidemiology

Background:

  • Rheumatoid arthritis (RA) is a chronic autoimmune disease.
  • Early RA onset can lead to significant functional limitations.

Purpose of the Study:

  • To evaluate the effect of early rheumatoid arthritis (RA) on patients' work status.
  • To identify factors associated with work disability in early RA.

Main Methods:

  • Examined employment status in 119 patients with pre-onset jobs.
  • Compared patients with and without work disability based on disease characteristics, treatment, education, and age.

Main Results:

  • 62% of patients experienced work disability; 42% left their jobs.

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  • Work disability was linked to lower education, higher disease activity (ESR, HAQ), and longer disease duration.
  • Only education, disease duration, HAQ, and ESR significantly predicted work disability.
  • Conclusions:

    • Early RA substantially affects employment and work capacity.
    • Work disability in RA is influenced by disease severity and patient's educational attainment.