TY - JOUR
T1 - Predictive factors of work disability in rheumatoid arthritis: a systematic literature review.
AU - de Croon, E.M.
AU - Sluiter, J.K.
AU - Nijssen, TF
AU - Dijkmans, B.A.C.
AU - Lankhorst, G.J.
AU - Frings-Dresen, MH
PY - 2004
Y1 - 2004
N2 - Background: Work disability-a common outcome of rheumatoid arthritis (RA)-is a societal (for example, financial costs) and individual problem (for example, loss of status, income, social support, and distraction from pain and distress). Until now, factors that predict work disability in RA have not been systematically reviewed. Objective: To determine predictive factors of work disability in RA as reported in the literature. Methods: A systematic literature search in Cinahl (1988-2004), Embase (1988-2004), and Medline (1989-2004) was followed by the application of two sets of criteria related to: (a) methodological quality, and (b) measurement of the predictive factor. Based on the quality and the consistency of the findings, a rating system was used to assess the level of evidence for each predictive factor. Results: Nineteen publications (17 cohorts) were identified, of which 13 met the general methodological quality criteria. Results provided strong evidence that physical job demands, low functional capacity, old age, and low education predict work disability in RA. Remarkably, biomedical variables did not consistently predict work disability. Moreover, owing to the lack of high quality studies no evidence was found for personal factors such as coping style, and work environmental factors such as work autonomy, support, work adjustments that are presumed crucial in the work disablement process. Conclusions: The results indicate that work disability in RA is a biopsychosocially determined misfit between individual capability and work demands
AB - Background: Work disability-a common outcome of rheumatoid arthritis (RA)-is a societal (for example, financial costs) and individual problem (for example, loss of status, income, social support, and distraction from pain and distress). Until now, factors that predict work disability in RA have not been systematically reviewed. Objective: To determine predictive factors of work disability in RA as reported in the literature. Methods: A systematic literature search in Cinahl (1988-2004), Embase (1988-2004), and Medline (1989-2004) was followed by the application of two sets of criteria related to: (a) methodological quality, and (b) measurement of the predictive factor. Based on the quality and the consistency of the findings, a rating system was used to assess the level of evidence for each predictive factor. Results: Nineteen publications (17 cohorts) were identified, of which 13 met the general methodological quality criteria. Results provided strong evidence that physical job demands, low functional capacity, old age, and low education predict work disability in RA. Remarkably, biomedical variables did not consistently predict work disability. Moreover, owing to the lack of high quality studies no evidence was found for personal factors such as coping style, and work environmental factors such as work autonomy, support, work adjustments that are presumed crucial in the work disablement process. Conclusions: The results indicate that work disability in RA is a biopsychosocially determined misfit between individual capability and work demands
KW - AMC wi-eigen
U2 - https://doi.org/10.1136/ard.2003.020115
DO - https://doi.org/10.1136/ard.2003.020115
M3 - Article
C2 - 15479885
SN - 0003-4967
VL - 63
SP - 1362
EP - 1367
JO - Annals of the rheumatic diseases
JF - Annals of the rheumatic diseases
IS - 11
ER -