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Work disability in ankylosing spondylitis: Differences among working and work-disabled patients
Clinical Rheumatology, 08/21/09
Cakar E et al. – Study reports that older age at onset, longer time since the diagnosis, longer diagnosis delay, and some physical impairments like decrease in spinal mobility and hip involvement may preclude ankylosing spondylitis (AS) patients from leading a productive work life.
Methods- An investigation of work disability among AS pts, and related factors and differences among disabled and nondisabled groups
- Among 121 male AS pts:
- Patient demographics and duration of disease were noted, and
- Employment status and disability were questioned
- Measures of functionality, axial mobility, health-related quality of life, and depression were used
- Out of 121 AS pts:
- 31.4% pts continued their work lives with no change
- 44.6% changed to a lighter job, and
- 24% were retired due to AS
- Differences in age at onset of the disease, time since the diagnosis, CRP levels, and hip involvement were statistically significant
- Mean retirement age of the pts was 36±4.2 yrs
- Frequency of hip involvement was higher in the work-disabled group
- Spine was evidently affected more seriously, and CRP values were higher in the work-disabled group
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