Across rheumatic diseases

How long do people with rheumatic and musculoskeletal diseases stay healthy and in work across Europe? Analysis of data from SHARE and ELSA

Ann Rheum DisPublished Longitudinal cohort study

Authors' conclusion

The differences observed in HWLE demonstrate the substantial societal burden associated with RMDs.

Study context

Population
People aged 50 years and over in 19 European countries (SHARE 2004–2022, ELSA 2002–2023)2 longitudinal studies
Exposure
People with rheumatic and musculoskeletal diseases (RMDs) vs people without RMDs
Outcome
Healthy working life expectancy (HWLE): no limiting long-standing illness and employment/self-employment
Follow-up
From age 50
Methodological detailsanalysis of SHARE and ELSA data, age-adjusted discrete time 3-state models, IMaCh (interpolation of Markov Chains), stratified by 19 countries
  • Analysis of SHARE and ELSA data
  • Age-adjusted discrete time 3-state models
  • IMaCh (interpolation of Markov Chains)
  • Stratified by 19 countries

Main finding

As reported in the abstract

HWLE from age 50 in populations with vs without RMDs

Lowest healthy working life expectancy (HWLE) for populations with RMDs: Austria, 42.9% of HWLE for the population without RMDs (interval as printed: 1.49, 3.71)

2.60 years

Observational data: associations, not effects.

Further findings

HWLE by education and physical activity in populations with RMDs

HWLE lower with RMDs and physically inactive, number of countries
16
HWLE lower with RMDs and lower than upper secondary education in all countries

Original publication

How long do people with rheumatic and musculoskeletal diseases stay healthy and in work across Europe? Analysis of data from SHARE and ELSA. Ann Rheum Dis. Published 5 March 2026. doi:10.1016/j.ard.2026.02.010

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