Navegar

Colección

Datos Estadísticas

Artículo

Marengo, M.F.; Schneeberger, E.E.; Citera, G.; Cocco, J.A.M. "Work status among patients with ankylosing spondylitis in Argentina" (2008) Journal of Clinical Rheumatology. 14(5):273-277
Estamos trabajando para incorporar este artículo al repositorio
Consulte el artículo en la página del editor
Consulte la política de Acceso Abierto del editor

Abstract:

OBJECTIVE:: To evaluate work status and its determinants among ankylosing spondylitis (AS) patients in our country. MATERIALS AND METHODS:: We carried out a case-control study, including AS patients older than 16-year-old. Demographic, socioeconomic, and employment data were collected. Individuals from the general population matched by age, sex, and socioeconomic level served as the control group. Functional capacity was evaluated by bath ankylosing spondylitis functional index (BASFI) and health assessment questionnaire (HAQ-S) and disease activity by bath ankylosing spondylitis disease activity index (BASDAI). All patients completed quality of life (ASQol), depression (CES-D), and fatigue (FSS)-validated questionnaires. RESULTS:: Sixty-four patients with AS (57 men) and 93 controls (83 men) were included. The frequency of retirement due to age was comparable in both groups, however, a significantly larger number of patients with AS were retired due to disability: 6 (9.4%) versus 0 (P = 0.004). Patients with AS had a significantly greater number of comorbidities than controls (78.7% vs. 31.5%, P = 1 × 10). Sixteen patients (26.2%) were unemployed compared with 4 controls (4.5%) (P = 0.001). Permanence at work was significantly lower in patients (median age 58, SD 54-61 years) versus controls (median age 66, SD 63-68 years) (log Rank P = 0.001). There were less full-time workers (71% vs. 87%, P = 0.03) and higher number of sick leave days (6.56 ± 13 vs. 2.13 ± 4.5, P = 0.01) in AS patients than controls. Unemployed patients had significantly worst quality of life, disease activity, and depression scores than employed patients. In the multivariate analysis, the primary variable associated to unemployment was depression [Odds Ratio (OR): 20, 95% confidence interval (CI), 1.69-258, P = 0.001] followed by disease activity (OR: 1.05, 95% CI, 1-1.1, P = 0.04) and age (OR: 1.1, 95% CI, 1.02-1.21, P = 0.01) as secondary variables. CONCLUSIONS:: The frequency of work disability among our patients with AS was significantly higher than in age, sex, and socioeconomic matched population. The main variable associated with work disability and unemployment was depression. Whether this factor is contributing to or is a result of disability is not known. © 2008 Lippincott Williams & Wilkins.

Registro:

Documento: Artículo
Título:Work status among patients with ankylosing spondylitis in Argentina
Autor:Marengo, M.F.; Schneeberger, E.E.; Citera, G.; Cocco, J.A.M.
Filiación:Section of Rheumatology, Instituto de Rehabilitación Psicofísica, Buenos Aires, Argentina
Section of Rheumatology, Instituto de Rehabilitación Psicofísica, Echeverŕa 955, Buenos Aires 1428, Argentina
Palabras clave:Ankylosing spondylitis; Disability; Fatigue; Quality of life; Work; adult; aged; ankylosing spondylitis; Argentina; article; comorbidity; controlled study; depression; disease activity; employment status; fatigue; female; human; major clinical study; male; priority journal; quality of life; scoring system; structured questionnaire; ankylosing spondylitis; case control study; depression; disability; employment; middle aged; statistical model; statistics; unemployment; Adult; Argentina; Case-Control Studies; Depression; Disability Evaluation; Employment; Female; Humans; Logistic Models; Male; Middle Aged; Quality of Life; Spondylitis, Ankylosing; Unemployment
Año:2008
Volumen:14
Número:5
Página de inicio:273
Página de fin:277
DOI: http://dx.doi.org/10.1097/RHU.0b013e31817d1089
Título revista:Journal of Clinical Rheumatology
Título revista abreviado:J. Clin. Rheumatol.
ISSN:10761608
CODEN:JCRHF
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_10761608_v14_n5_p273_Marengo

Referencias:

  • Boonen, A., Chorus, A., Miedema, H., Employment, work disability, and workdays lost in patients with ankylosing spondylitis: A cross sectional study of Dutch patients (2001) Ann Rheum Dis, 60, pp. 353-358
  • Allaire, S.H., Update on work disability in rheumatic diseases (2001) Curr Opin Rheumatol, 13, pp. 93-98
  • Barlow, J.H., Wright, C.C., Williams, B., Work disability among people with ankylosing spondylitis (2001) Arthritis Rheum, 45, pp. 424-429
  • Ward, M., Functional disability in patients with ankylosing spondylitis (2001) J Rheumatol, 28, pp. 315-321
  • Van der Linden, S., Valkenburg, H.A., Cats, A., Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria (1984) Arthritis Rheum, 27, pp. 361-368
  • Citera G, Maldonado Cocco JA, Moroldo M, et al. Validación de la version en español de los cuestionarios de capacidad funcional BASFI y actividad de la enfermedad BASDAI en pacientes con Espondilitis Anquilosante en cuatro países Latinoamericanos. Revista Argentina de Reumatología [abstract] CONAR1999; Citera, G., Arriola, M.S., Maldonado Cocco, J.A., Validation and cross cultural adaptation of an Argentine Spanish version of the health assessment questionnaire disability index (2004) J Clin Rheumatol, 10, pp. 110-115
  • Daltroy, L.H., Larson, M.G., Roberts, N.W., A modification of the health assessment questionnaire for the spondyloarthropathies (1990) J Rheumatol, 17, pp. 946-950
  • Gonzalez, V.M., Stewart, A., Ritter, P.L., Translation and validation of arthritis outcome measures into Spanish (1995) Arthritis Rheum, 38, pp. 429-446
  • Blalock, S.J., De Vellis, R.F., Brown, G.K., Validity of the center for epidemiological studies depression scale in arthritis populations (1989) Arthritis Rheum, 32, pp. 991-997
  • Krupp, L., LaRocca, N.G., Muir-Nash, J., The fatigue severity scale. Application to patients with multiple sclerosis and lupus erythematosus (1989) Arch Neurol, 46, pp. 1121-1123
  • Doward, L.C., Spoorenberg, A., Cook, S.A., Development of the ASQoL: A quality of life instrument specific to ankylosing spondylitis (2003) Ann Rheum Dis, 62, pp. 20-26
  • Clasificación, I.L.O., (1990) Internacional Uniforme de Ocupaciones. Publicación de Oficina Internacional del Trabajo. CIUO 1988. Ginebra CHE
  • Pujol, J., Análisis Ocupacional. Manual de Aplicación para Instituciones de Forma Profesional (1987) Publicación de Oficina Internacional del Trabajo. Centro Interamericano de Investigación y Documentacioacute;n sobre Formación Profesional
  • Boonen, A., Chorus, A., Miedema, H., Withdrawal from labor force due to work disability in patients with ankylosing spondylitis (2001) Ann Rheum Dis, 60, pp. 1033-1039
  • Boonen, A., van der Heijde, D., Landewé, R., Work status and productivity costs due to ankylosing spondylitis: Comparison of three European countries (2002) Ann Rheum Dis, 61, pp. 429-437
  • Ramos-Remus, C., Macías, M.A., Suarez-Almazor, M.E., Labor status and working days lost in a consecutive sample of 103 patients with ankylosing spondylitis (1997) Arthritis Rheum, 40, pp. S263. , abstract
  • Gran, J.T., Skomsvoll, J.F., The outcome of ankylosing spondylitis: A study of 100 patients (1997) Br J Rheumatol, 36, pp. 766-771
  • Boonen, A., de Vet, H., van der Heijde, D., Work status and its determinants among patients with ankylosing spondylitis (2001) J Rheumatol, 28, pp. 1056-1062
  • Ward, M.M., Weisman, M.H., Davis, J.C., Risk factors for functional limitations in patients with long standing ankylosing spondylitis (2005) Arthritis Rheum, 53, pp. 710-717

Citas:

---------- APA ----------
Marengo, M.F., Schneeberger, E.E., Citera, G. & Cocco, J.A.M. (2008) . Work status among patients with ankylosing spondylitis in Argentina. Journal of Clinical Rheumatology, 14(5), 273-277.
http://dx.doi.org/10.1097/RHU.0b013e31817d1089
---------- CHICAGO ----------
Marengo, M.F., Schneeberger, E.E., Citera, G., Cocco, J.A.M. "Work status among patients with ankylosing spondylitis in Argentina" . Journal of Clinical Rheumatology 14, no. 5 (2008) : 273-277.
http://dx.doi.org/10.1097/RHU.0b013e31817d1089
---------- MLA ----------
Marengo, M.F., Schneeberger, E.E., Citera, G., Cocco, J.A.M. "Work status among patients with ankylosing spondylitis in Argentina" . Journal of Clinical Rheumatology, vol. 14, no. 5, 2008, pp. 273-277.
http://dx.doi.org/10.1097/RHU.0b013e31817d1089
---------- VANCOUVER ----------
Marengo, M.F., Schneeberger, E.E., Citera, G., Cocco, J.A.M. Work status among patients with ankylosing spondylitis in Argentina. J. Clin. Rheumatol. 2008;14(5):273-277.
http://dx.doi.org/10.1097/RHU.0b013e31817d1089