ArticleArthritis research & therapy2017
Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA.
Article in Arthritis research & therapy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed.
- Frailty and healthy working life expectancy: a multicohort modelling study.Journal of global health · 2026Article
- Death anxiety predicts fear of progression in people with rheumatic conditions.British journal of health psychology · 2026Article
- Patient and Health Care Professional Perspectives on the Burden and Daily Life Impact of Ulcerative Colitis and Crohn's Disease: Results from the Japanese CONFIDE Study.Advances in therapy · 2025Article
- Article
- Employment of patients with rheumatoid arthritis - a systematic review and meta-analysis.BMC rheumatology · 2023Article
- Work productivity and activity impairment in disorders of gut-brain interaction: Data from the Rome Foundation Global Epidemiology Study.United European gastroenterology journal · 2023Article
- Preoperative systemic inflammatory response index predicts the prognosis of patients with hepatocellular carcinoma after liver transplantation.Frontiers in immunology · 2023Article
- Absenteeism and associated labour costs according to depressive symptom severity in the German general population: why preventive strategies matter.International archives of occupational and environmental health · 2022Article
- EULAR Points to Consider (PtC) for designing, analysing and reporting of studies with work participation as an outcome domain in patients with inflammatory arthritis.Annals of the rheumatic diseases · 2021Article
- Efficacy and Safety of Metformin Use in Rheumatoid Arthritis: A Randomized Controlled Study.Frontiers in pharmacology · 2021Article
- Sustained improvement in work outcomes in employed patients with rheumatoid arthritis during 2 years of adalimumab therapy: an observational cohort study.Clinical rheumatology · 2020Observational
- Abatacept retention and clinical outcomes in Austrian patients with rheumatoid arthritis: real-world data from the 2-year ACTION study.Wiener medizinische Wochenschrift (1946) · 2020Article
- Physical and Emotional Burden of Rheumatoid Arthritis in Saudi Arabia: An Exploratory Cross-Sectional Study.Open access rheumatology : research and reviews · 2020Article
- Employment and the role of personal factors among patients with ankylosing spondylitis: a Dutch cross-sectional case-control study.RMD open · 2018Article
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Authors and funding
7 authors.
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Abstract
backgroundWe aimed to explore whether country of residence or specific country characteristics are associated with work outcomes in rheumatoid arthritis (RA).
methodsData from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions.
resultsThe patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). Patients in Taiwan had the highest odds of presenteeism (OR 13.0 (5.5; 30.9) vs. Venezuela). All country indices except SPE were associated with work outcomes. For example, patients in low-GDP countries had lower odds of employment (OR 0.6 (0.5; 0.8)), higher odds of absenteeism (OR 2.8 (2.0; 4.1)), but lower odds of presenteeism (OR 0.5 (0.4; 0.7)) compared to higher-GDP countries.
conclusionSubstantial differences in work outcomes among patients with RA were observed between countries. Lower economic wealth and human development of countries were associated with worse employment and higher absenteeism, but lower presenteeism.
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