MRC/Arthritis Research UK Centre for Musculoskeletal Health and Work (grant no: 20665 CI KW-B). The BSRBR-AS is funded by the British Society for Rheumatology who have received funding for this from Pfizer, AbbVie and UCB. These companies receive advance copies of manuscripts for comments. They have no input in determining the topics for analysis or work involved in undertaking it.Peer reviewedPostprin

Dean, Linda E.

Jones, Gareth T.

Macfarlane, Gary J.

Pathan, Ejaz

Shim, Joanna

Walker-Bone, Karen

The Journal of Rheumatology

English

Objective: First, to test the hypothesis that, among working patients with axial spondyloarthritis (axSpA), those who report issues with reduced productivity at work (presenteeism) are at higher risk of work absence (absenteeism), and patients who report absenteeism are at higher risk of subsequently leaving the workforce. Second, to identify characteristics of workers at high risk of poor work outcome. Methods: The British Society for Rheumatology Biologics Register in Ankylosing Spondylitis has recruited patients meeting Assessment of Spondyloarthritis international Society criteria for axSpA from 83 centers. Data collection involved clinical and patient-reported measures at recruitment and annually thereafter, including the Work Productivity and Activity Impairment scale. Generalized estimating equations were used to identify factors associated with poor work outcomes. Results:  Of the 1188 participants in this analysis who were working at recruitment, 79% reported some presenteeism and 19% some absenteeism in the past week owing to their axSpA. Leaving employment was most strongly associated with previous absenteeism (RR 1.02 per % increase in absenteeism, 95% CI 1.01–1.03), which itself was most strongly associated with previous presenteeism, a labor-intensive job, and peripheral joint involvement. High disease activity, fatigue, a labor-intensive job, and poorer physical function were all independently associated with future presenteeism. Conclusion: Clinical and patient-reported factors along with aspects of work are associated with an increased risk of axSpA patients having a poor outcome in relation to work. This study has identified modifiable factors as targets, facilitating patients with axSpA to remain productive at work

Open Access Institutional Repository at Robert Gordon University

Identifying persons with axial spondyloarthritis at risk of poor work outcome: results from the British Society for Rheumatology Biologics Register.

MRC/Arthritis Research UK Centre for Musculoskeletal Health and Work (grant no: 20665 CI KW-B). The BSRBR-AS is funded by the British Society for Rheumatology who have received funding for this from Pfizer, AbbVie and UCB. These companies receive advance copies of manuscripts for comments. They have no input in determining the topics for analysis or work involved in undertaking it.Peer reviewe

Aberdeen University Research

Identifying Persons with Axial Spondyloarthritis At Risk of Poor Work Outcome : Results from the British Society for Rheumatology Biologics Register

Objective: Firstly to test the hypothesis that, amongst working patients with axSpA, those who report issues with reduced productivity at work (presenteeism)are at higher risk of work absence (absenteeism), and patients who report absenteeism are at higher risk of subsequently of leaving the workforce. Secondly to identify characteristics of workers at high risk of poor work outcome.Methods: The British Society for Rheumatology Biologics Register in Ankylosing Spondylitis has recruited patients meeting ASAS criteria for axSpA from eighty-three centres. Data collection involves clinical and patient reported measures at recruitment and annually thereafter, including the Work Productivity and Activity Impairment scale. Generalised Estimating Equations were used to identify factors associated with poor work outcomes.Results: Of the 1188 participants in this analysis who were working at recruitment, 79% reported some presenteeism and 19% some absenteeism in the past week due to their axSpA. Leaving employment was most strongly associated with previous absenteeism (Risk Ratio 1.02per % increase in absenteeism, 95% CI1.01, 1.03) which itself was most strongly associated with previous presenteeism, a labour intensive job and peripheral joint involvement. High disease activity, fatigue, a labour intensive job and poorer physical function were all independently associated with future presenteeism.Conclusion: Clinical and patient reported factors along with aspects of work are associated with an increased risk of axSpA patients having a poor outcome in relation to work. This study has identified modifiable factors as targets, facilitating patients with axSpA to remain productive in work

MacFarlane, Gary J.

Southampton (e-Prints Soton)

Identifying persons with axial spondyloarthritis at risk of poor work outcome: results from the British Society for Rheumatology Biologics Register

https://rgu-repository.worktribe.com/preview/1607123/MACFARLANE%202019%20Identifying%20persons%20with%20axial.pdf

Identifying Persons with Axial Spondyloarthritis At Risk of Poor Work Outcome : Results from the British Society for Rheumatology Biologics Register

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Open Access Institutional Repository at Robert Gordon University

Aberdeen University Research

Southampton (e-Prints Soton)