Inflammatory myopathies

Work situation, work ability and expectation of returning to work in patients with systemic autoimmune myopathies

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

Our findings highlight the poor work participation in a well-characterized sample of working-age patients with SAMs.

Study context

Population
Adult patients with systemic autoimmune myopathies (SAMs)
Participants
75 patients
Exposure
Paid work vs Out of work
  • Paid workn = 33
  • Out of workn = 42
Outcome
Work situation (paid work vs out of work); work ability (WAI, scale 7-49) in those working; return-to-work self-efficacy (RTW-SE, scale 11-66) in those out of work

Main finding

As reported in the abstract

Work situation
1-point increase in Health Assessment Questionnaire-Disability Index (HAQ-DI) (0-3) decreased the chance of doing paid work by
66% (95% CI: 0.16, 0.74; P = 0.007)

Observational data: associations, not effects.

Further findings

Work ability (Work Ability Index (WAI), scale 7-49) in those doing paid work
33.5 · mean · SD 6.9
Work ability (WAI, scale 7-49) in those doing paid work — Female sex, decrease in WAI
−5.04
Work ability (WAI, scale 7-49) in those doing paid work — Diabetes, decrease in WAI
−5.94
Work ability (WAI, scale 7-49) in those doing paid work — FM, decrease in WAI
−6.40
Work ability (WAI, scale 7-49) in those doing paid work — Fatigue, decrease in WAI
−4.51
Work ability (WAI, scale 7-49) in those doing paid work — Severe anxiety, decrease in WAI
−4.59
Return-to-work self-efficacy (RTW-SE, scale 11-66) in those out of work
42.8 · mean · SD 12.4
Return-to-work self-efficacy (RTW-SE, scale 11-66) in those out of work — Cutaneous manifestations, average increase in RTW-SE (points)
10.57
Return-to-work self-efficacy (RTW-SE, scale 11-66) in those out of work — >12 years of education, average increase in RTW-SE (points)
10.9
Return-to-work self-efficacy (RTW-SE, scale 11-66) in those out of work — 1-point increase in HAQ-DI, decrease in RTW-SE (points)
4.69

Original publication

Work situation, work ability and expectation of returning to work in patients with systemic autoimmune myopathies. Rheumatology (Oxford). Published 22 July 2022. doi:10.1093/rheumatology/keac389

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