Lupus & antiphospholipid syndrome

A 6-year prospective study on work participation and the associated factors in Dutch patients with systemic lupus erythematosus (SLE)

Arthritis Res TherPublished Prospective cohort study

Authors' conclusion

This study shows that alongside demographic and disease-related characteristics, also work characteristics are associated with having and maintaining paid work in SLE patients.

Study context

Population
Patients diagnosed with SLE, independent of disease duration, under treatment in Amsterdam UMC location VUmc or Reade (Amsterdam SLE cohort, 2007–2018)157 at six years
Participants
220 patients
Outcome
Having and maintaining paid work for ≥ 5 years
Follow-up
Six-year period
Methodological detailslongitudinal, 6-year follow-up, Generalized Estimating Equations with logit link function, logistic regression
  • Longitudinal
  • 6-year follow-up
  • Generalized Estimating Equations with logit link function
  • Logistic regression

Main finding

As reported in the abstract

Paid employment
Employed at baseline
52% (114/220)
Employed after six years
46% (73/157)
Unemployed at baseline who gained work during follow-up
16% (17/106)
Of those gaining work, also maintained work
47% (8/17)
Employed at baseline who remained employed throughout six-year follow-up
29% (33/114)

Observational data: associations, not effects.

Further findings

Main reported reason for unemployment: SLE-related symptoms

SLE-related symptoms
63%

Work disability at baseline

Longer disease duration associated with work disability

Original publication

A 6-year prospective study on work participation and the associated factors in Dutch patients with systemic lupus erythematosus (SLE). Arthritis Res Ther. Published 2 September 2025. doi:10.1186/s13075-025-03631-7

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