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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Work disability remains a major problem in rheumatoid arthritis in the 2000s: Data from 32 countries in the QUEST-RA Study
Arthritis Research and Therapy, Volume 12, No. 2, Article R42, Year 2010
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Description
Introduction: Work disability is a major consequence of rheumatoid arthritis (RA), associated not only with traditional disease activity variables, but also more significantly with demographic, functional, occupational, and societal variables. Recent reports suggest that the use of biologic agents offers potential for reduced work disability rates, but the conclusions are based on surrogate disease activity measures derived from studies primarily from Western countries.Methods: The Quantitative Standard Monitoring of Patients with RA (QUEST-RA) multinational database of 8,039 patients in 86 sites in 32 countries, 16 with high gross domestic product (GDP) (>24K US dollars (USD) per capita) and 16 low-GDP countries (<11K USD), was analyzed for work and disability status at onset and over the course of RA and clinical status of patients who continued working or had stopped working in high-GDP versus low-GDP countries according to all RA Core Data Set measures. Associations of work disability status with RA Core Data Set variables and indices were analyzed using descriptive statistics and regression analyses.Results: At the time of first symptoms, 86% of men (range 57%-100% among countries) and 64% (19%-87%) of women <65 years were working. More than one third (37%) of these patients reported subsequent work disability because of RA. Among 1,756 patients whose symptoms had begun during the 2000s, the probabilities of continuing to work were 80% (95% confidence interval (CI) 78%-82%) at 2 years and 68% (95% CI 65%-71%) at 5 years, with similar patterns in high-GDP and low-GDP countries. Patients who continued working versus stopped working had significantly better clinical status for all clinical status measures and patient self-report scores, with similar patterns in high-GDP and low-GDP countries. However, patients who had stopped working in high-GDP countries had better clinical status than patients who continued working in low-GDP countries. The most significant identifier of work disability in all subgroups was Health Assessment Questionnaire (HAQ) functional disability score.Conclusions: Work disability rates remain high among people with RA during this millennium. In low-GDP countries, people remain working with high levels of disability and disease activity. Cultural and economic differences between societies affect work disability as an outcome measure for RA. © 2010 Sokka et al.; licensee BioMed Central Ltd.
Authors & Co-Authors
Sokka, Tuulikki M.
Finland, Jyvaskyla
Jyvaskyla Central Hospital
Finland, Aanekoski
Finland Medcare Ltd.
Kautiainen, Hannu Juhani
Finland, Aanekoski
Finland Medcare Ltd.
Pincus, Theodore P.
United States, New York
Nyu Langone Orthopedic Hospital
Verstappen, Suzanne M.M.
Netherlands, Utrecht
University Medical Center Utrecht
Aggarwal, Amita
India, Lucknow
Sanjay Gandhi Postgraduate Institute of Medical Sciences
Alten, Rieke E.
Germany, Berlin
Charité – Universitätsmedizin Berlin
Andersone, Daina
Latvia, Riga
Paula Stradina Clinical University Hospital
Badsha, Humeira M.
United Arab Emirates, Dubai
Dubai Bone and Joint Center
Baecklund, Eva
Sweden, Uppsala
Akademiska Sjukhuset
Belmonte-Serrano, Miguel Ángel
Spain, Castellon de la Plana
Hospital General de Castellon
Craig-Müller, Jürgen
United States, St Cloud
Centracare Clinic
da Mota, Licia Maria Henrique
Brazil, Brasilia
Hospital Universitário de Brasília
Dimić, Aleksandar N.
Serbia
Rheumatology Institut
Fathi, Nihal Ahmad
Egypt, Asyut
Assiut University
Ferraccioli, Gianfranco
Italy, Rome
Università Cattolica Del Sacro Cuore, Facoltà Di Medicina e Chirurgia
Fukuda, Wataru
Japan, Kyoto
Japanese Red Cross Kyoto Daiichi Hospital
Géher, Pál
Hungary, Budapest
Semmelweis Egyetem
Göǧüş, Feride Nur
Turkey, Ankara
Gazi Üniversitesi
Hajjaj-Hassouni, Najia
Morocco, Rabat
Faculté de Médecine et de Pharmacie de Rabat
Hamoud, H.
Egypt, Cairo
Al-azhar University
Haugeberg, Glenn
Norway, Kristiansand
Service Box 416
Henrohn, Dan
Sweden, Uppsala
Akademiska Sjukhuset
Hørslev- Petersen, K.
Denmark, Grasten
King Christian the Xth Hospital
Ionescu, Ruxandra Maria
Romania, Bucuresti
Spitalul Clinic Sf. Maria
Karateyev, D. E.
Russian Federation, Moscow
V.a. Nasonova Research Institute of Rheumatology
Kuuse, Reet
Estonia, Tartu
Tartu Ülikooli Kliinikum
Laurindo, Iêda Maria Magalhães
Brazil, Sao Paulo
Universidade de São Paulo
Lazovskis, Juris
Canada, Sydney
Riverside Professional Center
Luukkainen, Reijo K.
Finland, Pori
Satakunta Central Hospital
Mofti, Ayman
United Arab Emirates, Dubai
American Hospital-dubai
Murphy, Eithne A.
Ireland, Dublin
Connolly Hospital Blanchardstown
Nakajima, Ayako
Japan, Tokyo
Tokyo Women's Medical University
Oyoo, Omondi G.
Kenya, Nairobi
Kenyatta National Hospital
Pandya, Sapan Chandranshu
India, Ahmedabad
Rheumatic Disease Clinic
India, Ahmedabad
Vedanta Institute of Medical Sciences
Pohl, Christoph
Germany, Berlin
Charité – Universitätsmedizin Berlin
Predeţeanu, Denisa
Romania, Bucuresti
Spitalul Clinic Sf. Maria
Rexhepi, Mjellma
Serbia, Pristina
University Clinical Center of Kosovo
Rexhepi, Sylejman K.
Serbia, Pristina
University Clinical Center of Kosovo
Sharma, Banwari L.
India, Jaipur
Jaipur Hospital
Shono, Eisuke
Japan, Fukuoka
Shono Rheumatism Clinic
Sibilia, Jean
France, Strasbourg
Hopital de Hautepierre
Sierakowski, Stanisław J.
Poland, Bialystok
Uniwersytet Medyczny w Bialymstoku
Skopouli, Fotini Nikolaos
Greece, Athens
Athens Euroclinic
Stropuvienė, Sigita
Lithuania, Vilnius
Vilniaus Universitetas
Toloza, Sergio Miguel Angel
Argentina, Catamarca
Hospital San Juan Bautista
Valter, Ivo
Estonia, Tallinn
Center for Clinical and Basic Research
Woolf, Anthony D.
United Kingdom, Truro
Royal Cornwall Hospital
Yamanaka, Haisashi
Japan, Tokyo
Tokyo Women's Medical University
Statistics
Citations: 261
Authors: 48
Affiliations: 44
Identifiers
Doi:
10.1186/ar2951
ISSN:
14786354
e-ISSN:
14786362
Research Areas
Disability
Health System And Policy
Study Design
Cross Sectional Study
Study Approach
Quantitative
Participants Gender
Male
Female