TY - JOUR
T1 - Occupational impacts of early inflammatory arthritis
T2 - results from the National Early Inflammatory Arthritis Audit
AU - Bechman, Katie
AU - Cook, Emma S.
AU - Alveyn, Edward
AU - Houssien, Abdullah
AU - Stevens, Martin
AU - Russell, Mark D.
AU - Adas, Maryam
AU - Amlani-Hatcher, Paul
AU - Norton, Sam
AU - Lempp, Heidi
AU - Ledingham, Joanna M.
AU - Galloway, James B.
AU - Walker-Bone, Karen
N1 - Funding Information:
The National Early Inflammatory Arthritis Audit (NEIAA) is commissioned by the Healthcare Quality Improvement Partnership (HQIP), funded by NHS England and NHS Improvement and the Welsh government, and carried out by the BSR, King's College London, King's College Hospital and Net Solving. K.B. is in receipt of funding from NIHR as an NIHR Clinical Lecturer. M.S. has received funding from the Colt Foundation for doctoral research into work participation among older people. H.L. has received funding from the UK Medical Research Council in relation to Indigo Partnership and ARTEMIS awards.
Funding Information:
The National Early Inflammatory Arthritis Audit (NEIAA) is commissioned by the Healthcare Quality Improvement Partnership (HQIP), funded by NHS England and NHS Improvement and the Welsh government, and carried out by the BSR, King\u2019s College London, King\u2019s College Hospital and Net Solving. K.B. is in receipt of funding from NIHR as an NIHR Clinical Lecturer. M.S. has received funding from the Colt Foundation for doctoral research into work participation among older people. H.L. has received funding from the UK Medical Research Council in relation to Indigo Partnership and ARTEMIS awards.
Publisher Copyright:
© 2023 The Author(s). Published by Oxford University Press on behalf of the British Society for Rheumatology.
PY - 2024/7
Y1 - 2024/7
N2 - Objectives: Inflammatory arthritis causes significant work disability. Studies regarding this frequently fail to report important contextual information such as employment type. Our objective was to explore work participation, by gender and occupation type, in early inflammatory arthritis. Methods: Data are from the National Early Inflammatory Arthritis Audit for 2018-2020. At diagnosis, clinicians collected information on demographics, inflammatory arthritis disease activity, and working status. Participants completed patient-reported outcomes at baseline, 3 months and 12 months, including occupation and Work Productivity and Activity Impairment (WPAI). Descriptive analyses of work participation and WPAI scores by occupational class at all time points were performed. Regression models were used to examine associations between WPAI score and occupation. Results: In all, 12 473 people received a diagnosis of inflammatory arthritis and reported employment status, among whom 5999 (47%) were in paid work for at least 20 hours/week. At diagnosis, the working cohort had statistically significant lower measures of disease activity (P < 0.001). Occupational data were available for 3694 individuals. At diagnosis, 2793 completed a WPAI; 200 (7.2%) had stopped work and 344 (12.3%) changed jobs because of inflammatory arthritis symptoms. There was a high burden of absenteeism (30%) and presenteeism (40%). Compared with managerial or professional workers, the burden of work disability was greater among those in routine (manual) occupations. During follow-up, 9.4% of WPAI completers stopped work and 14.6% changed roles. Work drop-out occurred almost entirely among people doing routine jobs. Conclusion: It is easier to retain work in certain employment sectors. Participation in routine jobs is more affected, which may widen health inequalities.
AB - Objectives: Inflammatory arthritis causes significant work disability. Studies regarding this frequently fail to report important contextual information such as employment type. Our objective was to explore work participation, by gender and occupation type, in early inflammatory arthritis. Methods: Data are from the National Early Inflammatory Arthritis Audit for 2018-2020. At diagnosis, clinicians collected information on demographics, inflammatory arthritis disease activity, and working status. Participants completed patient-reported outcomes at baseline, 3 months and 12 months, including occupation and Work Productivity and Activity Impairment (WPAI). Descriptive analyses of work participation and WPAI scores by occupational class at all time points were performed. Regression models were used to examine associations between WPAI score and occupation. Results: In all, 12 473 people received a diagnosis of inflammatory arthritis and reported employment status, among whom 5999 (47%) were in paid work for at least 20 hours/week. At diagnosis, the working cohort had statistically significant lower measures of disease activity (P < 0.001). Occupational data were available for 3694 individuals. At diagnosis, 2793 completed a WPAI; 200 (7.2%) had stopped work and 344 (12.3%) changed jobs because of inflammatory arthritis symptoms. There was a high burden of absenteeism (30%) and presenteeism (40%). Compared with managerial or professional workers, the burden of work disability was greater among those in routine (manual) occupations. During follow-up, 9.4% of WPAI completers stopped work and 14.6% changed roles. Work drop-out occurred almost entirely among people doing routine jobs. Conclusion: It is easier to retain work in certain employment sectors. Participation in routine jobs is more affected, which may widen health inequalities.
KW - employment
KW - inflammatory arthritis
KW - patient-reported outcome measures
UR - http://www.scopus.com/inward/record.url?scp=85197641117&partnerID=8YFLogxK
U2 - 10.1093/rheumatology/kead484
DO - 10.1093/rheumatology/kead484
M3 - Article
C2 - 37725361
AN - SCOPUS:85197641117
SN - 1462-0324
VL - 63
SP - 1856
EP - 1867
JO - Rheumatology
JF - Rheumatology
IS - 7
ER -