Impact of early systemic lupus erythematosus on work disability-results from the Finnish nationwide register 2000-2007.

Abstract:

:Objectives of this study were to examine work disability (WD) and its leading causes in incident SLE patients. Data were derived from the Finnish nationwide registries to identify all non-retired, 18 to 64-year-old incident SLE patients between 2000 and 2007. Sick benefits and WD pensions and the causes for them were monitored until the end of 2008. A total of 446 working-aged, incident SLE patients available for work force (mean age 42 ± 13 years, 89% females) were found. During the follow-up (median 5.3 years), WD pension was granted to 27 patients. The most common cause was SLE itself (14 patients, 52%), with cumulative incidence of 3.4% (95% CI 1.9 to 5.8) in 5 years and 5.0% (95% CI 3.0 to 8.5) in 8 years, followed by musculoskeletal and psychiatric causes. The age- and sex- adjusted incidence ratio for WD pension in SLE patients due to any cause was 5.4 (95% CI 3.7 to 7.9) compared to the Finnish population. The mean number of WD days was 32 (95% CI 28 to 35) per patient-year among all SLE patients during the follow-up. The study concludes that SLE patients have an increased risk for WD already in early course of the disease.

journal_name

Clin Rheumatol

journal_title

Clinical rheumatology

authors

Elfving P,Puolakka K,Rantalaiho V,Kautiainen H,Virta LJ,Kaipiainen-Seppänen O

doi

10.1007/s10067-018-4066-6

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

1413-1416

issue

5

eissn

0770-3198

issn

1434-9949

pii

10.1007/s10067-018-4066-6

journal_volume

37

pub_type

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