Spondyloarthritis & psoriatic arthritis

Work participation in patients with axial spondyloarthritis: high prevalence of negative workplace experiences and long-term work impairment

RMD OpenPublished Cross-sectional study

Authors' conclusion

Despite improvements in pharmacological treatment options, we still observed substantially impaired WP in patients with axSpA.

Study context

Population
Patients with axial spondyloarthritis (axSpA), ATTENTUS-axSpA survey, Germany
Participants
770 patients
Outcome
Outcomes of work participation and prevalence of negative workplace experiences in axSpA
Methodological detailsmulticentre, observational survey, multivariate logistic regression
  • Multicentre
  • Observational survey
  • Multivariate logistic regression

Main finding

As reported in the abstract

Work participation
Not employed
23.4%
Receiving disability pensions
6.5%
Current work cessation (patients)
120
Out of work for 10 years or longer, among those with work cessation
28
Absenteeism for >1 month within the past year, among 590 currently employed
31.9%
Presenteeism for >1 month within the past year, among 590 currently employed
35.9%

Observational data: associations, not effects.

Further findings

Predictors of unimpaired work participation (WP) (n=242), multivariate logistic regression

Main predictors: low disease activity (BASDAI), better physical function (BASFI) and better global functioning (ASAS-Health Index)
Biological treatment, disease duration, age, sex, education level and BMI were not reliable predictors

Original publication

Work participation in patients with axial spondyloarthritis: high prevalence of negative workplace experiences and long-term work impairment. RMD Open. Published 16 March 2023. doi:10.1136/rmdopen-2022-002663

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