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dc.contributor.authorMcWilliams, Daniel F.
dc.contributor.authorVarughese, Sneha
dc.contributor.authorYoung, Adam
dc.contributor.authorKiely, Patrick D.
dc.contributor.authorWalsh, David A.
dc.date.accessioned2014-11-10T14:29:28Z
dc.date.available2014-11-10T14:29:28Z
dc.date.issued2014-03-01
dc.identifier.citationMcWilliams , D F , Varughese , S , Young , A , Kiely , P D & Walsh , D A 2014 , ' Work disability and state benefit claims in early rheumatoid arthritis : The ERAN cohort ' , Rheumatology , vol. 53 , no. 3 , ket373 , pp. 473-481 . https://doi.org/10.1093/rheumatology/ket373
dc.identifier.issn1462-0324
dc.identifier.otherPURE: 7732437
dc.identifier.otherPURE UUID: a72d12a3-1293-4d52-8f6e-c01aab7a7857
dc.identifier.otherScopus: 84894320240
dc.identifier.otherPubMed: 24241033
dc.identifier.urihttp://hdl.handle.net/2299/14711
dc.descriptionCopyright The Author 2013. Published by Oxford University Press on behalf of the British Society for Rheumatology. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.description.abstractObjective. RA is an important cause of work disability. This study aimed to identify predictive factors for work disability and state benefit claims in a cohort with early RA. Methods. The Early RA Network (ERAN) inception cohort recruited from 22 centres. At baseline, and during each annual visit, participants (n = 1235) reported employment status and benefits claims and how both were influenced by RA. Survival analysis derived adjusted hazard ratios (aHRs) and 95% CIs to predict associations between baseline factors and time until loss of employment due to RA or a state benefits claim due to RA. Results. At baseline, 47% of participants were employed and 17% reported claiming benefits due to RA. During follow-up, loss of employment due to RA was reported by 10% (49/475) of the participants and 20% (179/905) began to claim benefits. Independent predictors of earlier work disability were bodily pain (aHR 2.45, 95% CI 1.47, 4.08, P = 0.001) and low vitality (aHR 1.84, 95% CI 1.18, 2.85, P = 0.007). Disability (aHR 1.28, 95% CI 1.02, 1.61, P = 0.033), DAS28 (aHR 1.48, 95% CI 1.05, 2.09, P = 0.026) and extra-articular disease (aHR 1.77, 95% CI 1.17, 2.70, P = 0.007) predicted earlier benefits claims. Conclusion. Work disability and benefits claims due to RA were predicted by different baseline factors. Pain and low vitality predicted work disability. Baseline disability, extra-articular disease manifestations and disease activity predicted new benefits claims due to RA. Future research on interventions targeting these factors could investigate job retention and financial independence.en
dc.format.extent9
dc.language.isoeng
dc.relation.ispartofRheumatology
dc.subjectEmployment
dc.subjectRheumatoid arthritis
dc.subjectSocial security
dc.subjectWork disability
dc.subjectRheumatology
dc.subjectPharmacology (medical)
dc.titleWork disability and state benefit claims in early rheumatoid arthritis : The ERAN cohorten
dc.contributor.institutionSchool of Life and Medical Sciences
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionPostgraduate Medicine
dc.contributor.institutionHealth Services and Medicine
dc.description.statusPeer reviewed
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1093/rheumatology/ket373
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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