The impact of rheumatoid arthritis on work capacity in Chinese patients: a cross-sectional study
作者： Xiaoying Zhang , Rong Mu , Xiuru Wang , Chuanhui Xu , Tianjiao Duan
DOI: 10.1093/RHEUMATOLOGY/KEV014
关键词: Physical therapy 、 Manual labour 、 Rheumatoid arthritis 、 Logistic regression 、 Internal medicine 、 Odds ratio 、 Interquartile range 、 Population study 、 Medicine 、 Disease 、 Cross-sectional study
摘要: OBJECTIVE To evaluate the impact of RA on work capacity and identify factors related to impairment in patients with RA. METHODS A cross-sectional multicentre study was performed 21 tertiary care hospitals across China. consecutive sample 846 recruited, which 589 working age at disease onset constituted population. Information socio-demographic, clinical, financial conditions collected. Logistic regression analyses were used associated impairment. RESULTS The rate 48.0% a mean duration 60 months (interquartile range 14-134 months), including 11.7% leaving labour force early, 33.6% reduced hours 2.7% changing job. Multivariable logistic analysis showed that significantly current smoking [odds ratio (OR) 2.07 (95% CI 1.08, 3.97)], no insurance [OR 1.94 1.20, 3.12)], manual 2.66 1.68, 4.20)] higher HAQ score 2.22 1.36, 3.60)]. There an association 3.75 1.54, 9.15)], 2.33 1.17, 4.64)], longer 1.01 1.00, 1.01)] lower BMI 0.90 0.82, 0.99)] early. CONCLUSION is substantial Social-demographic, disease- work-related are all
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Puolakka K, Kautiainen H, Leirisalo-Repo M, Möttönen T, Hannonen P, Korpela M, Hakala M, Solovieva S, Viikari-Juntura E, Arkela-Kautiainen M, A mismatch between self-reported physical work load and the HAQ: early identification of rheumatoid arthritis patients at risk for loss of work productivity. Clinical and Experimental Rheumatology. ,vol. 27, pp. 422- 429 ,(2009)
J F Fries, P W Spitz, D Y Young, The dimensions of health outcomes: the health assessment questionnaire, disability and pain scales. The Journal of Rheumatology. ,vol. 9, pp. 789- 793 ,(1982)
Sokka T, Work disability in early rheumatoid arthritis. Clinical and Experimental Rheumatology. ,vol. 21, ,(2003)
S. M. M. Verstappen, J. W. J. Bijlsma, H. Verkleij, E. Buskens, A. A. M. Blaauw, E. J. ter Borg, J. W. G. Jacobs, , Overview of work disability in rheumatoid arthritis patients as observed in cross-sectional and longitudinal surveys. Arthritis Care and Research. ,vol. 51, pp. 488- 497 ,(2004) , 10.1002/ART.20419
Kaleb Michaud, Jodi Messer, Hyon K. Choi, Frederick Wolfe, Direct medical costs and their predictors in patients with rheumatoid arthritis: a three-year study of 7,527 patients. Arthritis & Rheumatism. ,vol. 48, pp. 2750- 2762 ,(2003) , 10.1002/ART.11439
Kerstin Eberhardt, Kerstin Nived, Elisabet Lindqvist, Britt-Marie Larsson, Work disability in rheumatoid arthritis--development over 15 years and evaluation of predictive factors over time. The Journal of Rheumatology. ,vol. 34, pp. 481- 487 ,(2007)
Monique A. M. Gignac, Xingshan Cao, Diane Lacaille, Aslam H. Anis, Elizabeth M. Badley, Arthritis-related work transitions: a prospective analysis of reported productivity losses, work changes, and leaving the labor force. Arthritis & Rheumatism. ,vol. 59, pp. 1805- 1813 ,(2008) , 10.1002/ART.24085
Frederick Wolfe, Kaleb Michaud, Effect of body mass index on mortality and clinical status in rheumatoid arthritis Arthritis Care and Research. ,vol. 64, pp. 1471- 1479 ,(2012) , 10.1002/ACR.21627
Qing Zeng, Ren Chen, John Darmawan, Zheng Xiao, Su Chen, Richard Wigley, Shun Le Chen, Nai Zhang, Rheumatic diseases in China. Arthritis Research & Therapy. ,vol. 10, pp. 1- 11 ,(2008) , 10.1186/AR2368
Diane Lacaille, Samuel Sheps, John J. Spinelli, Andrew Chalmers, John M. Esdaile, Identification of modifiable work-related factors that influence the risk of work disability in rheumatoid arthritis. Arthritis Care and Research. ,vol. 51, pp. 843- 852 ,(2004) , 10.1002/ART.20690