FRI0680 THE ASSOCIATION BETWEEN ANKYLOSING SPONDYLITIS AND UNEMPLOYMENTстатья из журнала
Аннотация:
Background
Previous registry studies have noted increased rates of unemployment in patients with ankylosing spondylitis (AS)(1-2). With improved treatment options and earlier detection of AS, its was anticipated that this would no longer be true.Objectives
The Ankylosing Spondylitis Registry of Ireland(ASRI) is a source of epidemiological data on AS patient in Ireland. The aim of this study was to examine unemployment rates in this population and possible links with disease activity, function and quality of life.Methods
An analysis of the patient population of the ASRI with data collected from 2013 to 2017 was performed using IBM SPSS Statistics version 25. Comparison of the mean ASQoL, HAQ, BASDAI, BASFI, and BASMI score were carried out between those employed versus those unemployed. An independent two tailed t test and a Mann Whitney U test was then carried out to determine significance. Further analysis was then performed using patient age and disease duration.Results
At the time of analysis 734 patient were enrolled in the registry. The mean age was 45 years, with 77% male and 23% female, mean duration of disease was 18 years (means: ASQoL 6.6, HAQ 0.5, BASDAI 4.0, BASFI 3.6, BASMI 3.6). Unemployment rate in the ASRI population was 23%. National unemployment during the same time period was noticeably lower with a range of 6.2% to 13.1% (3). Those patients were also noted to have higher ASQoL (9.7 versus 5.6), HAQ (0.85 versus 0.45), BASDAI (5.3 versus 3.7), and BASFI scores (5.2 versus 3.2). The difference between the means was statistically significant (p<0.05) across all 4 measures. However, BASMI scores were significantly lower in the unemployed (3.8 versus 3.0). No statistically significant difference was detected between genders. The distribution of age and disease duration was determined to be equal between the groups.Conclusion
There is a higher prevalence of unemployment in the AS population as compared to the general population. Unemployed AS patients tend to have decreased quality of life, poorer levels of function, and higher levels of disease activity. Further research is needed to determine a causation between level of disease activity and employment.References
[1. ] Webers C, Vanhoof L, Genderen SV, et al; Employment perspectives of patients with ankylosing spondylitis in the biologics era; Annals of the Rheumatic Diseases 2017;76:157. [2] Webers C, et al; Employment and the role of personal factors amoung patients with ankylosing spondylitis: a Dutch cross-sectional case-control study; RMD Open 2018. Jun27;4(1) [3] Central Statistics Office IrelandDisclosure of Interests
Sinead Maguire: None declared, Gillian Fitzgerald Grant/research support from: Recipient of the Bresnihan-Molloy Scholarship funded by AbbVie, Claire Sheehy: None declared, Finbar Barry O'Shea: None declaredГод издания: 2019
Авторы: Sinead Maguire, Gillian Fitzgerald, C. Sheehy, F. B. O’shea
Издательство: BMJ
Источник: Annals of the Rheumatic Diseases
Ключевые слова: Spondyloarthritis Studies and Treatments, Hip disorders and treatments
Открытый доступ: bronze
Страницы: 1038–1039