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


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2015-01

AUTHORS

Maria N. Tamborenea, Cecilia Pisoni, Sergio Toloza, Eduardo Mysler, Guillermo Tate, Dora Pereira, M. García Carrasco, J. Quintero, A. Cappuccio, A. Granel, M. Lazaro, Pablo Arturi, Gustavo Citera, J. Velazco Zamora, Veronica Saurit, A. Alvarellos, S. B. Pons Estel, C. Danielsen, C. Graf, Sergio Paira, F. Ceccatto, Javier Cavallasca, E. Civit, J. Moreno, A. Estevez, M. Diaz, Marcela Verando, Antonio Catalan Pellet, G. Gomez, Pablo Maid, Ana Beron, Gabriela Salvatierra, Marcos Mendez, A. Cusa, Oscar Rillo, M. Paez, M. Larraude, D. Sohn, M. Gallo, A. Conforti, Veronica Malah, Patricio Tate, A. Baños

ABSTRACT

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. More... »

PAGES

107-114

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00296-014-3062-7

DOI

http://dx.doi.org/10.1007/s00296-014-3062-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1026938813

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24948375


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