scholarly journals OP0261-HPR PERCEIVED CHALLENGES AT WORK AND NEED FOR SUPPORT AMONG PEOPLE WITH INFLAMMATORY ARTHRITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 159.1-159
Author(s):  
C. M. T. Madsen ◽  
J. Reffstrup Christensen ◽  
A. Bremander ◽  
J. Primdahl
Keyword(s):  
Rheumatoid Arthritis ◽  
Systematic Review ◽  
At Risk ◽  
Everyday Life ◽  
Rheumatic Diseases ◽  
Work Ability ◽  
Inflammatory Arthritis ◽  
Job Loss ◽  
Work Related ◽  
Need For Support

Background:People with inflammatory arthritis (IA), i.e. rheumatoid arthritis, psoriatic arthritis and axial spondyloarthritis, often experience low work ability and up to 38% lose their job during the first years after being diagnosed with IA (1). As a result, people with IA have a higher risk of job loss and permanent exclusion from the labor market than people without IA (1, 2). Work-related rehabilitation is complex and encompass a variety of interventions which aim to reduce barriers to maintain work and improve work ability. Unfortunately, positive results from work-related rehabilitation is scarce (3), why a better understanding of the challenges people at risk for job loss experience is needed to develop relevant interventions.Objectives:To explore perceived challenges and need for support to remain at work among people with IA who are at risk of job loss.Methods:A qualitative explorative design based on a hermeneutic approach was applied. Outpatients with IA who considered themselves at risk for long-term job loss, were recruited at the Danish Hospital for Rheumatic Diseases. An interview guide was developed based on earlier results from a systematic review and qualitative studies in close cooperation with three patient research partners. Individual semi-structured interviews were performed from December 2019 to May 2020.Results:Eleven women and four men with IA (aged 36-68 years) were interviewed. The participants were employed full time, part time or on sick leave. From the analysis, a main theme ‘Balancing work as a part of everyday life’ and four sub-themes emerged: 1) Working despite challenges, 2) Prioritizing energy for work, 3) Fatigue affects everything and 4) Need for support. To be able to work was very important to all participants. In general, they were stretching their limits, had concerns about maintaining their job and they used different strategies to deal with the challenges they met at work. Flexibility at work in every possible way and support from employers and co-workers were the main needs to be able to remain at work.Conclusion:Overall, patients with IA prioritized to keep working, but experienced challenges with balancing their work and energy in everyday life. They need support and flexibility at work to be able to remain at work.References:[1]Sokka T, Kautiainen H, Pincus T, Verstappen SMM, Aggarwal A, Alten R, et al. Work disability remains a major problem in rheumatoid arthritis in the 2000s: Data from 32 countries in the QUEST-RA Study. Arthritis Research and Therapy. 2010;12(2):R42-R.[2]Hansen SM, Hetland ML, Pedersen J, Ostergaard M, Rubak TS, Bjorner JB. Effect of rheumatoid arthritis on longterm sickness absence in 1994-2011: A danish cohort study. Journal of Rheumatology. 2016;43(4):707-15.[3]Madsen CMT, Kjaer, S., Primdahl, J., Christensen, J. R., & von Bulow, C. A SYSTEMATIC REVIEW OF JOB LOSS PREVENTION INTERVENTIONS FOR PERSONS WITH INFLAMMATORY ARTHRITIS. Annals of the rheumatic diseases, 79(Suppl 1) 916-917 [FRI0624-HPR]2020.Disclosure of Interests:None declared

scholarly journals A Systematic Review of Job Loss Prevention Interventions for Persons with Inflammatory Arthritis

2021 ◽  
Author(s):  
Christina Merete Tvede Madsen ◽  
Sara Kjær Bisgaard ◽  
Jette Primdahl ◽  
Jeanette Reffstrup Christensen ◽  
Cecilie von Bülow
Keyword(s):  
Systematic Review ◽  
Inflammatory Arthritis ◽  
Job Loss ◽  
Loss Prevention ◽  
Prevention Interventions

Prevalence of Work-Related Musculoskeletal Injuries among At-Risk Physicians: A Systematic Review and Meta-Analysis

2017 ◽  
Vol 225 (4) ◽  
pp. e158
Author(s):  
Sherise Epstein ◽  
Bao Ngoc N. Tran ◽  
Qing Z. Ruan ◽  
Dhruv Singhal ◽  
Bernard T. Lee
Keyword(s):  
Systematic Review ◽  
At Risk ◽  
Meta Analysis ◽  
Musculoskeletal Injuries ◽  
Work Related

Pre-rheumatoid arthritis

2020 ◽  
pp. 121-132
Author(s):  
Karim Raza ◽  
Catherine McGrath ◽  
Laurette van Boheemen ◽  
Dirkjan van Schaardenburg
Keyword(s):  
Rheumatoid Arthritis ◽  
Risk Factors ◽  
At Risk ◽  
Genetic Risk ◽  
Inflammatory Arthritis ◽  
Primary Site ◽  
Individual Level ◽  
Mucosal Surfaces ◽  
Risk Patients ◽  
The Individual

The typical evolution of rheumatoid arthritis (RA) is that a person, with genetic risk factors, develops autoantibodies and subclinical inflammation under relevant environmental influences. There are indications that the primary site of the pathology is at mucosal surfaces (e.g. in the gums, lungs, and/or the gut), after which the disease translocates to the joints. Preclinical RA can be defined at the phase during which no clinically apparent features are present (i.e. no symptoms of inflammatory arthritis or clinically apparent joint swelling) but during which RA related biologic derangements such as the presence of autoantibodies are present. This chapter presents an overview of the risk factors, stages, and events occurring during the pre-RA phase. A better understanding of the factors involved will enable more accurate prediction of RA at the individual level and selection of high-risk individuals for inclusion in preventive studies. Several pharmacologic and non-pharmacologic studies aiming to prevent or delay the onset of RA in at-risk individuals are currently underway. It is hoped that such interventions in the pre-RA and indeed in the preclinical-RA phases will allow us to reduce the risk of RA and prevent RA developing in at least a proportion of at-risk patients.

What are the effects of medication adherence interventions in rheumatic diseases: a systematic review

2015 ◽  
Vol 75 (4) ◽  
pp. 667-673 ◽  
Author(s):  
Jessica S Galo ◽  
Pavandeep Mehat ◽  
Sharan K Rai ◽  
Antonio Avina-Zubieta ◽  
Mary A De Vera
Keyword(s):  
Systematic Review ◽  
Medication Adherence ◽  
Treatment Adherence ◽  
Rheumatic Diseases ◽  
Inflammatory Arthritis ◽  
Patient Characteristics ◽  
Disease Outcome ◽  
International Pharmaceutical Abstract ◽  
Study Methodology ◽  
Adherence Interventions

ObjectivesConsistent reports of suboptimal treatment adherence among patients with inflammatory arthritis underscore the importance of understanding how adherence can be promoted and supported. Our objectives were to identify and classify adherence interventions; and assess the evidence on the effects of adherence interventions on outcomes of patients with rheumatic diseases.MethodsWe conducted a mapped search of Medline, Embase and International Pharmaceutical Abstract databases to identify studies meeting inclusion criteria of: (1) patient population with inflammatory arthritis; (2) evaluation of an intervention or programme targeting medication adherence directly or indirectly; (3) reporting of one or more measures of medication adherence and disease outcome; (4) publication in English, French or Spanish. For our first objective, we applied a structured framework to classify interventions according target (patient vs provider), focus (educational vs behavioural vs affective), implementation (generalised vs tailored), complexity (single vs multifaceted) and provider. For the second objective, we appraised the evidence of effects of interventions on adherence and disease outcomes.ResultsWe identified 23 studies reporting adherence interventions that directly or indirectly addressed treatment adherence in rheumatic diseases and further appraised included RCTs. Interventions that were shown to impact adherence outcomes were generally interventions directed at adherence, tailored to patients and delivered by a healthcare provider. For interventions that were not shown to have impacts, reasons may be those related to the intervention itself, patient characteristics or study methodology.ConclusionsOur systematic review shows limited research on adherence interventions in rheumatic diseases with inconsistent impacts on adherence or disease outcome.

Overview of psoriatic arthritis pathogenesis

2018 ◽  
Author(s):  
Kurt de Vlam
Keyword(s):  
Rheumatoid Arthritis ◽  
Immune Response ◽  
Psoriatic Arthritis ◽  
Environmental Factors ◽  
Rheumatic Diseases ◽  
Skin Disease ◽  
Inflammatory Arthritis ◽  
Heterogeneous Group ◽  
Chronic Inflammatory Arthritis

Psoriatic arthritis (PsA) is a chronic inflammatory arthritis occurring in patients with psoriasis. Some consider it as part of the heterogeneous group of diseases unified in the concept of spondyloarthritis (SpA). At least some subtypes, such as the oligoarticular and axial subtypes, can be classified as SpA. The aetiology and pathogenesis are poorly understood. An enthesitis-based model was proposed to unify skin and joint manifestation and to differentiate PsA from other rheumatic diseases such as rheumatoid arthritis and osteoarthritis. The development of PsA results from the interplay of genes, the immune response, and interaction with environmental factors. The fact that more than 80% of patients with PsA have precedent or simultaneous psoriasis suggests that the skin disease is almost a ‘condicio sine qua non’ for the development of PsA.

scholarly journals Effectiveness of Workplace Interventions for Improving Absenteeism, Productivity, and Work Ability of Employees: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

2020 ◽  
Vol 17 (6) ◽  
pp. 1901 ◽  
Author(s):  
Lucia Tarro ◽  
Elisabet Llauradó ◽  
Gemma Ulldemolins ◽  
Pedro Hermoso ◽  
Rosa Solà
Keyword(s):  
Systematic Review ◽  
Randomized Controlled Trials ◽  
Work Ability ◽  
Meta Analysis ◽  
Work Outcomes ◽  
Controlled Trials ◽  
Employee Productivity ◽  
Workplace Interventions ◽  
Work Related ◽  
Randomized Controlled

To determine the effectiveness of workplace interventions and the most effective methodological design for the improvement of employee productivity, work ability, and absenteeism. A meta-analysis of randomized controlled trials (RCTs) of workplace interventions was conducted (PROSPERO, CRD42018094083). The PubMed, Scopus, PsycINFO, and Cochrane databases were searched. RCTs from 2000 to 2017 and with employees (18–65 years) were selected. Then, intervention characteristics and work-related outcomes data were extracted. A total of 47 RCTs were included in the systematic review, and 19 RCTs (11 absenteeism, 7 productivity, and 5 work ability) were included in the meta-analysis. The meta-analysis showed that the effectiveness of workplace interventions for absenteeism was −1.56 (95% CI, −2.67 to −0.44) and −2.65 (95% CI, −4.49 to −0.81) considering only moderate quality RCTs. In contrast, only a few studies of workplace interventions for productivity and work ability were included, which was insufficient for determining the effectiveness and best design for improving these work outcomes. The workplace is an interesting environment to reduce absenteeism, and individualized and counseling interventions with <10 sessions/total were the most effective workplace intervention methodological design for reducing the absenteeism of employees. Future high-quality RCTs that also consider health risks should be implemented to strengthen the results.

scholarly journals Impact of interventions on work-related outcomes for individuals with musculoskeletal injuries after road traffic crash: a systematic review protocol

2019 ◽  
Vol 8 (1) ◽  
Author(s):  
Charlotte L. Brakenridge ◽  
Elise M. Gane ◽  
Esther J. Smits ◽  
Nicole E. Andrews ◽  
Venerina Johnston
Keyword(s):  
Systematic Review ◽  
Sick Leave ◽  
Return To Work ◽  
Work Ability ◽  
Road Traffic ◽  
Musculoskeletal Injury ◽  
Musculoskeletal Injuries ◽  
Road Traffic Crash ◽  
Traffic Crash ◽  
Work Related

Abstract Background Musculoskeletal injuries are the most common non-fatal injury from road traffic crashes. Even when the injuries are mild, they can cause pain which can affect return to work rates and work ability post-crash. Workplace output losses are the biggest cost from traffic crash-related injuries. There is a need to identify effective interventions that can improve work-related outcomes (e.g. time to return to work, sick leave, and work ability) in this group and a need to understand the intervention components, external factors, and participant characteristics that may be associated with improvement. Methods A systematic review will be conducted using seven databases and search terms related to road traffic crash, musculoskeletal injury, work-related outcomes, and study design. Intervention studies will be eligible if they report on at least one work-related outcome, include adults with a traffic crash-related musculoskeletal injury (e.g. fracture or whiplash), include a comparison group, and are written in English. Interventions can be medical, therapeutic, work-based, multicomponent, or other. Two researchers will independently screen titles and abstracts, review full texts for inclusion in the review, and perform the data extraction. The main outcomes of the review will be time until return to work and duration of sick leave. The results will be narratively described, with meta-analyses conducted where possible. Discussion This review will explore the effectiveness of interventions in individuals with traffic crash-related musculoskeletal injury on work-related outcomes and will act as a useful source for researchers, policy makers, and stakeholders when developing and implementing interventions in this group. Systematic review registration PROSPERO CRD42018103746

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