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Arthritis. 2012;2012:137635. doi: 10.1155/2012/137635. Epub 2012 Dec 19.

Work productivity in rheumatoid arthritis: relationship with clinical and radiological features.

Author information

1
Section of Rheumatology, Hospital General de Agudos "Dr. Enrique Tornú," Combatientes de Malvinas 3002, C1427ARN Buenos Aires, Argentina.

Abstract

OBJECTIVE:

To assess the relationship between work productivity with disease activity, functional capacity, life quality and radiological damage in patients with rheumatoid arthritis (RA).

METHODS:

The study included consecutive employed patients with RA (ACR'87), aged over 18. Demographic, disease-related, and work-related variables were determined. The reduction of work productivity was assessed by WPAI-RA.

RESULTS:

90 patients were evaluated, 71% women. Age average is 50 years old, DAS28 4, and RAQoL 12. Median SENS is 18 and HAQ-A 0.87. Mean absenteeism was of 14%, presenting an average of 6.30 work hours wasted weekly. The reduction in performance at work or assistance was of 38.4% and the waste of productivity was of 45%. Assistance correlated with DAS28 (r = 0.446; P < 0.001), HAQ-A (r = 0.545; P < 0.001) and RAQoL (r = 0.475; P < 0.001). Lower total productivity was noticed in higher levels of activity and functional disability. Patients with SENS > 18 showed lower work productivity than those with SENS < 18 (50 versus 34; P = 0.04). In multiple regression analysis, variables associated with reduction of total work productivity were HAQ-A and RAQoL.

CONCLUSION:

RA patients with higher disease severity showed higher work productivity compromise.

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