Rheumatoid arthritis

Impact of incident rheumatoid arthritis on earnings: a nationwide sibling comparison study

Rheumatology (Oxford)Published Sibling comparison cohort study

An erratum to this article was published (Rheumatology (Oxford), 1 Jun 2025 ↗)

Main finding · Average annual earningsResult — go to the resultDifference −1430 € 95% CI −2130 to −720

Authors' conclusion

RA diagnosis was associated with lower earnings in comparison with same-sex siblings, particularly for older individuals and those with lower education level. The negative impact of RA on earnings declined or disappeared over the study period.

Study context

Population
Swedish patients with RA (aged 30–60 years, diagnosed 2006–2017) and their same-sex siblings (mean 48 years; 72% women)
Participants
2,433 vs 2,433
Exposure
Patients with RA vs their same-sex siblings
  • RAn = 2,433
  • Siblingsn = 2,433reference
Outcome
Annual earnings from 5 years before to 5 years after RA diagnosis
Follow-up
5 years after diagnosis
Methodological detailsnationwide, register-based, same-sex sibling comparison
  • Nationwide
  • Register-based
  • Same-sex sibling comparison

Main finding

Average annual earnings

Difference

−1430 €

95% CI −2130 to −720

RAvs Siblings
difference −1430 € (95% CI −2130 to −720)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeDifference (€) (95% CI)
Change in earnings, diagnosed 2006–2010 (subgroup)−8.2%−2020 (−2930 to −1120)
Change in earnings, diagnosed 2011–2017 (subgroup)−1.5%; not statistically significant−420 (−1490 to 640)

Earnings by age and education (subgroups)

More negative impact on earnings for older individuals and those with lower education level

Original publication

Impact of incident rheumatoid arthritis on earnings: a nationwide sibling comparison study. Rheumatology (Oxford). Published 16 October 2024. doi:10.1093/rheumatology/keae535

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