Improvements in work productivity among patients with inflammatory arthritis and osteoarthritis in the first six months after diagnosis: an inception cohort study.

Clin Exp Rheumatol

Department of Rheumatology and Immunology, Singapore General Hospital; Yong Loo Lin School of Medicine, National University of Singapore, and Duke-NUS Medical School, Singapore.

Published: May 2023

AI Article Synopsis

  • Patients with inflammatory arthritis (IA) show more significant improvements in work productivity (WP) within six months after diagnosis compared to those with osteoarthritis (OA).
  • The study measured changes in work productivity loss (WPL) and work disability (WD), finding a notable decrease in WPL for both groups, but an increase in WD for OA patients.
  • Health status metrics like physical functioning and vitality at the time of diagnosis were found to be associated with work productivity outcomes six months later.

Article Abstract

Objectives: Reduced work productivity (WP), measured by work productivity loss (WPL) and work disability (WD), is common in patients with inflammatory arthritis (IA) and osteoarthritis (OA) but is not well characterised. We aimed to assess if there were any improvements in WP (WPL and WD) from diagnosis (T1) to six months later (T2) and to explore associations between WP at T2 and health status at T1 among these patients.

Methods: Patients were surveyed for work characteristics, work ability, WP and health status including physical functioning and vitality at T1 and T2. Associations between WP at T2 and health status at T1 were explored using regression models.

Results: Patients with IA (n=109) were younger than those with OA (n=70) (mean age: 50.5 vs. 57.7 years). The median WPL score decreased from 30.0 to 10.0 in patients with IA and from 20.0 to 0.0 in patients with OA, while the proportion reporting WD decreased from 52.3% to 45.3% in patients with IA and increased from 52.2% to 56.5% in patients with OA from T1 to T2. Physical functioning at T1 (coefficient = -0.35) was significantly associated with WPL at T2. Vitality at T1 (coefficient = 0.03) was associated with WD at T2.

Conclusions: Greater improvements in WP were observed among patients with IA than those with OA in the first six months after diagnosis. This provides a basis for healthcare professionals to aim for greater improvements in work and health status for patients with IA.

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Source
http://dx.doi.org/10.55563/clinexprheumatol/n25nd7DOI Listing

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