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International Archives of Occupational and Environmental Health

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01-11-2006 | Original Article

Sick leave as a predictor of job loss in patients with chronic arthritis

Authors: Petronella D. M. de Buck, Geertruida H. de Bock, Frank van Dijk, Wilbert B. van den Hout, Jan P. Vandenbroucke, Theodora P. M. Vliet Vlieland

Published in: International Archives of Occupational and Environmental Health | Issue 2/2006

Abstract

Objectives: To study the occurrence and duration of sick leave as potential risk factors for permanent job loss after 24 months among 112 individuals with chronic arthritis and a disease related problem at work. Methods: Data collection was embedded in a multicentre randomised controlled trial in which the cost-effectiveness of a multidisciplinary job retention vocational rehabilitation programme for employees with chronic arthritis and a disease related problem at work was compared to usual outpatient care. Sick leave (complete or partial) was defined as absenteeism reported to the employer and permanent job loss as receiving a full work disability pension or unemployment. The association between sick leave at baseline and job loss after 24 months was investigated by multivariate logistic regression analysis, including those variables that were univariately significantly associated with job loss after 24 months. Results: At baseline, 60 of the 112 subjects (54%) were on sick leave, with a mean duration of 18.7 weeks, in half of these patients the sick leave was complete. After 24 months, 26 of the 112 patients (23%) had lost their job. The presence of complete sick leave (OR 4.74, 95% CI 1.86–12.07) and the depression score of the hospital anxiety and depression scale (OR 1.18, 95% CI 1.02–1.36) were significantly and independently associated with job loss after 2 years follow-up. Conclusion: The occurrence of complete sick leave was found to be an independent risk factor for job loss in patients with chronic arthritis who have a disease related problem at work.

Allaire SH, Li W, LaValley MP (2003) Reduction of job loss in persons with rheumatic diseases receiving vocational rehabilitation. A randomized controlled trial. Arthritis Rheum 48:3212–3218CrossRefPubMed

Arnett FC, Edworth SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS (1988) The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31:315–324PubMed

Baanders AN, Andries F, Rijken PM, Dekker J (2001) Work adjustments among the chronically ill. Int J Rehabil Res 24:7–14CrossRefPubMed

Backman CL (2004) Employment and work disability in rheumatoid arthritis. Curr Opin Rheumatol 16:148–152CrossRefPubMed

Boonen A, Chorus A, Miedema H, van der Heijde D, Landewe R, Schouten H, van der Tempel H, van der Linden S (2001a) Withdrawal from the labour force due to work disability in patients with ankylosing spondylitis. Ann Rheum Dis 60:1033–1039CrossRef

Boonen A, Chorus A, Miedema H, van der Heijde D, van der Tempel H, van der Linden S (2001b) Employment, work disability and work days lost in patients with ankylosing spondylitis. A cross-sectional study among Dutch patients. Ann Rheum Dis 60:353–358CrossRef

Borg G, Allander E, Berg E, Brodin U, From A, Trang L (1991) Auranofin treatment in early rheumatoid arthritis may postpone early retirement. Results from a 2-year double-blind trial. J Rheumatol 18:1015–1020PubMed

Brand R (1997) Project Manager software by Medical Research Data Management. Leiden, The Netherlands

Bräuer W, Merkesdal S, Mau W (2002) Langzeitverlauf und Prognose der Erwebstätigkeit im Frühstadium der chronische Polyarthritis (Long-term course and prognosis of gainful employment in early rheumatoid arthritis). Z Rheumatol 61:426–434CrossRefPubMed

Centraal Bureau voor de Statistiek (Statistics Netherlands) (2000) Statistisch Jaarboek 2000. Heerlen/Voorburg. SDU, The Hague

Charlson ME, Pompei P, Ales KL, MacKenzie CR (1987) A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis 40:373–383CrossRefPubMed

Chorus AMJ, Miedema HS, Wevers CJ, van der Linden S (2000) Labour force participation among rheumatoid arthritis patients. Ann Rheum Dis 59:549–554CrossRefPubMed

Dadoniene J, Stropuviene S, Venalis A, Boonen A (2004) High work disability rates among rheumatoid arthritis patients in Lithuania. Arthritis Rheum 51:433–439CrossRefPubMed

De Buck PDM, Breedveld J, van der Giesen FJ, Vliet Vlieland TPM (2004) A multidisciplinary job retention vocational rehabilitation programme for patients with chronic rheumatic diseases: patients’ and occupational physicians’ satisfaction. Ann Rheum Dis 63:562–568CrossRefPubMed

De Buck PDM, le Cessie S, van den Hout WB, Peeters AJ, Ronday HK, Westedt ML, Breedveld FC, Vliet Vlieland TPM (2005) A randomized comparison of a multidisciplinary job retention vocational rehabilitation program with usual outpatient care in patients with chronic arthritis at risk for job loss. Arthritis Rheum 53:682–690CrossRefPubMed

De Croon EM, Sluiter JK, Nijssen TF, Dijkmans BAC, Lankhorst GJ, Frings-Dresen MHW (2004) Predictive factors of work disability in rheumatoid arthritis: a systematic literature review. Ann Rheum Dis 63:1362–1367CrossRefPubMed

De Zwart BC, Broersen JP, van der Beek AJ, Frings-Dresen MH, van Dijk FJ (1997) Occupational classification according to work demands: an evaluation study. Int J Occup Med Environ Health 10:283–295PubMed

Detaille SI, Haafkens JA, van Dijk FJ (2003) What employees with rheumatoid arthritis, diabetes mellitus and hearing loss need to cope with at work. Scand J Work Environ Health 29:134–142PubMed

Doeglas D, Suurmeijer T, Krol B, Sanderman R, van Leeuwen M, van Rijswijk M (1995) Work disability in early rheumatoid arthritis. Ann Rheum Dis 54:455–460PubMedCrossRef

Fex E, Larsson BM, Nived K, Eberhardt K (1998) Effect of rheumatoid arthritis on work status and social and leisure time activities in patients followed 8 years from onset. J Rheumatol 25:44–50PubMed

Gignac MAM, Badley EM, Lacaille D, Cott CG, Adam P, Anis AH (2004) Managing arthritis and employment: making arthritis-related work changes as a means of adaptation. Arthritis Rheum 51:909–916CrossRefPubMed

Gilworth G, Haigh R, Tennant A, Chamberlain MA, Harvey AR (2001) Do rheumatologists recognize their patients’ work related problems? Rheumatology 40:1206–1210CrossRefPubMed

Gilworth G, Chamberlain MA, Harvey A, Woodhaouse A, Smith J, Smyth MG, Tennant A (2003) Development of a work instability scale for rheumatoid arthritis. Arthritis Rheum 49:349–354CrossRefPubMed

Guillemin F, Durieux S, Daurès J-P, Lafuma A, Saraux A, Siblia J, Bourgeois P, Sany J (2004) Costs of rheumatoid arthritis in France: a multicenter study of 1109 patients managed by hospital-based rheumatologists. J Rheumatol 31:1297–1304PubMed

Hallert E, Husberg M, Jonsson D, Skogh T (2004) Rheumatoid arthritis is already expensive during the first year of the disease (the Swedish TIRA project). Rheumatology 43:1374–1382CrossRefPubMed

Hays RD, Sherbourne CD, Mazel RM (1993) The RAND-36-item health survey 1.0. Health Econ 2:217–227PubMed

Jansen LMA, van der Horst-Bruinsma IE, van Schaardenburg D, Lard LR, Hazes JMW, Huizinga TWJ, Dijkmans BAC (2004) Comparison of the baseline disease activity of early oligo- and polyarthritis in sequential years. Clin Exp Rheumatol 22:447–452PubMed

Lerner D, Amick BC, Rogers WH et al (2001) The work limitations questionnaire. Med Care 39:72–85CrossRefPubMed

Mancuso CA, Paget SA, Charlson ME (2000) Adaptations made by rheumatoid arthritis patients to continue working: a pilot study of workplace challenges and successful adaptations. Arthritis Care Res 13:89–99CrossRefPubMed

Mau W, Bornmann M, Weber H, Weidemann HF, Hecker H, Raspe HH (1996a) Prediction of permanent work disability in a follow-up study of early rheumatoid arthritis: results of a tree structured analysis using RECPAM. Br J Rheumatol 35:652–659

Mau W, Bornmann M, Weber H (1996b) Indikatoren der Arbeitsunfähigkeit im ersten jahr der chronischen polyarthritis (Indicators of sick-leave in the first year of rheumatoid arthritis). Z Rheumatol 55:233–240

Mau W, Bornmann M, Weber H (1997) Arbeitsunfähigkeit im ersten Jahr der chronischen polyarthritis. Ein Vergleich mit Pflichtmitgliedern der gesetzlichen Krankenversicherung (The occurrence if sick-leave in the first year of rheumatoid arthritis. A comparison with the members of the compulsory health insurance). Z Rheumatol 56:1–7PubMed

Partridge AJ, Karlson EW, Daltroy LH, Lew RA, Wright EA, Fossel AH, Straaton KV, Stern SH, Kavanough AF, Roberts WN, Liang MH (1997) Risk factors for early work disability in systemic lupus erythematosus. Arthritis Rheum 40:2199–2206PubMed

Puolakka K, Kautiainen H, Möttönen T, Hannonen P, Korpela M, Julkunen H, Luukkainen R, Vuori K, Paimela L, Blafield H, Hakala M, Leirisalo-Repo M (2004) Impact of initial aggressive drug treatment with a combination of disease-modifying antirheumatic drugs on the development of work disability in early rheumatoid arthritis. A five-year randomized follow up trial. Arthritis Rheum 50:55–62CrossRefPubMed

Reisine S, Fifield J, Walsh SJ, Feinn R (2001) Factors associated with continued employment among patients with rheumatoid arthritis: a survival model. J Rheumatol 28:2400–2408PubMed

Ruof J, Hülsemann JL, Mittendorf T, Handelmann S, von der Schulenberg JM, Zeidler H, Merkesdal S (2003) Costs of rheumatoid arthritis in Germany: a micro-costing approach based on healthcare payer’s data sources. Ann Rheum Dis 62:544–550CrossRefPubMed

Siegert CE, Vleming L-J, Vandenbroucke JP, Cats A (1984) Measurement of disability in Dutch rheumatoid arthritis patients. Clin Rheumatol 13:305–309CrossRef

Sokka T, Pincus T (2001) Markers for work disability in rheumatoid arthritis. J Rheumatol 28:1718–1722PubMed

Spinhoven P, Ormel J, Sloekers PP, Kempen GI, Speckens AE, van Hemert AM (1997) A validation study of the hospital anxiety and depression scale (HADS) in different groups of Dutch subjects. Psychol Med 27:363–370CrossRefPubMed

Tan EM, Cohen AS, Fries JF, Masi AT, McShane DJ, Rothfield NF, Schaller JG, Talal N, Winchester RJ (1982) The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum 25:1271–1277PubMed

Van der Linden S, Valkenburg HA, Cats A (1984) Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum 27:361–368PubMed

Van Veldhoven MJPM, Meijman TF (1994) Het meten van psychosociale arbeidsbelasting met een vragenlijst: de Vragenlijst Beleving en Beoordeling van de Arbeid (VBBA) (Questionnaire on psychosocial job demands and job stress). Amsterdam, NIA

Verstappen SMM, Bijlsma JWJ, Verkleij H, Buskens E, Blaauw AAM, ter Borg EJ, Jacobs JW (2004) Overview of work disability in rheumatoid arthritis patients as observed in cross-sectional and longitudinal surveys. Arthritis Rheum 51:488–497CrossRefPubMed

Weijman I, Ros WJG, Rutten GEHM, Schaufeli WB, Schabracq JM, Winnubst JA (2003) Fatigue in employees with diabetes: its relation with work characteristics and diabetes related burden. Occup Environ Med 60:93iCrossRef

Wolfe F, Hawley DJ (1998) The longterm outcomes of rheumatoid arthritis: work disability: a prospective 18 year study of 823 patients. J Rheumatol 25:2108–2117PubMed

Young A, Dixey J, Kulinskaya E, Cox N, Davies P, Devlin J, Emery P, Gough A, James D, Prouse P, Williams P, Winfield J (2002) Which patients stop working because of rheumatoid arthritis? Results of five years’ follow up in 732 patients from the early RA study (ERAS). Ann Rheum Dis 61:335–340CrossRefPubMed

Title: Sick leave as a predictor of job loss in patients with chronic arthritis
Authors: Petronella D. M. de Buck
Geertruida H. de Bock
Frank van Dijk
Wilbert B. van den Hout
Jan P. Vandenbroucke
Theodora P. M. Vliet Vlieland
Publication date: 01-11-2006
Publisher: Springer-Verlag
Published in: International Archives of Occupational and Environmental Health / Issue 2/2006
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-006-0116-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Sick leave as a predictor of job loss in patients with chronic arthritis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

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