Work instability in rheumatoid arthritis patients from Argentina: prevalence and associated factors

To determine the prevalence of and associated factors to work instability (WI) in rheumatoid arthritis (RA) Argentinean patients. Observational cross-sectional study that assessing employment status in currently working RA patients. They answered the validated version of RA work instability scale (R...

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Published in:	Rheumatology international Vol. 35; no. 1; pp. 107 - 114
Main Authors:	Tamborenea, Maria N., Pisoni, Cecilia, Toloza, Sergio, Mysler, Eduardo, Tate, Guillermo, Pereira, Dora, García Carrasco, M., Quintero, J., Cappuccio, A., Granel, A., Lazaro, M., Arturi, Pablo, Citera, Gustavo, Velazco Zamora, J., Saurit, Veronica, Alvarellos, A., Pons Estel, S. B., Danielsen, C., Graf, C., Paira, Sergio, Ceccatto, F., Cavallasca, Javier, Civit, E., Moreno, J., Estevez, A., Diaz, M., Verando, Marcela, Catalan Pellet, Antonio, Gomez, G., Maid, Pablo, Beron, Ana, Salvatierra, Gabriela, Mendez, Marcos, Cusa, A., Rillo, Oscar, Paez, M., Larraude, M., Sohn, D., Gallo, M., Conforti, A., Malah, Veronica, Tate, Patricio, Baños, A.
Format:	Journal Article
Language:	English
Published:	Berlin/Heidelberg Springer Berlin Heidelberg 01-01-2015 Springer Nature B.V
Subjects:	Adult Argentina Arthritis, Rheumatoid Cross-Sectional Studies Disability Evaluation Employment Female Humans Male Medicine Medicine & Public Health Middle Aged Original Article Rheumatology Severity of Illness Index Surveys and Questionnaires Argentina Disability HAQ Rheumatoid arthritis Work disability
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Summary:	To determine the prevalence of and associated factors to work instability (WI) in rheumatoid arthritis (RA) Argentinean patients. Observational cross-sectional study that assessing employment status in currently working RA patients. They answered the validated version of RA work instability scale (RA-WIS). High-risk WI was considered when RA-WIS was ≥17. Factors associated with high-risk WI were examined by univariable and multivariable analysis. Four-hundred and fifty RA patients were enrolled; of these, 205 patients were currently employed, but only 172 have completed questionnaires required [RA-WIS and health assessment questionnaire (HAQ-A)]. Their mean age was 49.3 ± 10.8 years; 81.3 % were female; and their mean disease duration was 8.1 ± 7.2 years. Fifty-two percent of patients were doing manual work. The mean RA-WIS score was 11.4 ± 6.8, and 41 % of patients had a high-risk WI. High-risk WI was associated with radiographic erosions ( p < 0.001) and HAQ-A >0.87 ( p < 0.001) in the univariable analysis, whereas in the multivariable logistic regression analysis the variables associated with a high-risk WI were as follows: HAQ-A >0.87 [odds ratio (OR) 12.31; 95 % CI 5.38–28.18] and the presence of radiographic erosions (OR 4.848; 95 % CI 2.22–10.5). In this model, having a higher monthly income (OR 0.301; 95 % CI 0.096–0.943) and a better functional class (OR 0.151; 95 % CI 0.036–0.632) were protective. Forty-one percent of RA working patients had high-risk WI. The predictors of high RA-WIS were HAQ-A ≥0.87 and radiographic erosions, whereas having a better functional class and have higher incomes were protective.
Bibliography:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-Undefined-1 ObjectType-Feature-3 content type line 23
ISSN:	0172-8172 1437-160X
DOI:	10.1007/s00296-014-3062-7