NDLI: Work instability and financial loss in early inflammatory arthritis.

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Work instability and financial loss in early inflammatory arthritis.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Looper, Karl J. Mustafa, Sally S. Zelkowitz, Phyllis Purden, Margaret Baron, Murray
Spatial Coverage	Quebec
Description	Country affiliation: Canada Author Affiliation: Looper KJ ( Psychiatry, McGill University, Montreal, Quebec, Canada. karl.looper@mcgill.ca)
Abstract	OBJECTIVE: Inflammatory arthritis is associated with a high degree of work instability and financial burden. In this study, we examine the extent of work instability and financial loss as well as their association with disease characteristics during the first 18 months of inflammatory arthritis. METHOD: One hundred and four patients in the early phase (more than 6 weeks, < 18 months) of inflammatory arthritis were recruited from a larger early inflammatory arthritis registry. Questionnaires recorded sociodemographic data and disease characteristics, including pain assessed using the Short Form McGill Pain Questionnaire (MPQ) and physical functioning measured with the Medical Outcomes Study Short Form 36 (SF-36) physical functioning score. The Rheumatoid Arthritis Work Instability Scale (RA-WIS) was used to measure patient-perceived functioning in the workplace and the Financial Loss Questionnaire (FLQ) measured the impact on family finances. RESULTS: Participants' mean age was 56 years, 70.2% were female and 49.0% were working. Average yearly household income was < 60 000 Canadian dollars (CAD) for 38.5% of the sample. Of our working patients, 43% had a medium or high risk of work loss as measured by the RA-WIS and 35% reported a financial loss. On multivariate analysis, MPQ and SF-36 contributed to the dependent variable work instability, while age and SF-36 contributed to financial loss. CONCLUSION: This study identifies pain and physical dysfunction as potential modifiable risk factors for negative socioeconomic repercussions of illness in early inflammatory arthritis.
File Format	HTM / HTML
ISSN	17561841
Issue Number	6
Volume Number	15
e-ISSN	1756185X
Journal	International Journal of Rheumatic Diseases
Language	English
Publisher	Wiley
Publisher Date	2012-12-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Rheumatology Absenteeism Arthritis Diagnosis Economics Cost Of Illness Income Sick Leave Adolescent Adult Age Factors Aged Aged, 80 And Over Physiopathology Disability Evaluation Female Humans Linear Models Male Middle Aged Multivariate Analysis Pain Measurement Quebec Registries Risk Factors Severity Of Illness Index Questionnaires Time Factors Young Adult Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Rheumatology

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