Laeora Berkson, MD, Michael Starr, MD, Michel Gagné, MD, Michael Stein, MD, Harb Kang, MD, Morton Kapusta, MD, François Couture, MD, Mary-Ann Fitzcharles, MD, Bruce Garfield, MD, Henri A. Ménard, MD, Christian Pineau, MD, Andrzej Gutkowski, MD, Jan Schulz, MD; Division of Rheumatology, Sir Mortimer B. Davis – Jewish General Hospital. Michel Zummer, MD, Jean-Pierre Mathieu, MD, Suzanne Mercille, MD, Sophie Ligier, MD, Jiri Krasny, MD, Carole Bertrand, MD, Sai Yan Yuen, MD; Division of Rheumatology, McGill University, Montreal, Quebec, Canada; Service de rhumatologie, Hôpital Maisonneuve-Rosemont, Montreal, Quebec, Canada.
Work instability and financial loss in early inflammatory arthritis
Article first published online: 22 OCT 2012
© 2012 The Authors International Journal of Rheumatic Diseases © 2012 Asia Pacific League of Associations for Rheumatology and Wiley Publishing Asia Pty Ltd
International Journal of Rheumatic Diseases
Volume 15, Issue 6, pages 546–553, December 2012
How to Cite
Looper, K. J., Mustafa, S. S., Zelkowitz, P., Purden, M. and Baron, M. (2012), Work instability and financial loss in early inflammatory arthritis. International Journal of Rheumatic Diseases, 15: 546–553. doi: 10.1111/1756-185X.12009
- Issue published online: 18 DEC 2012
- Article first published online: 22 OCT 2012
- Fonds de la recherché en santé du Québec
- financial loss;
- inflammatory arthritis;
- physical functioning;
- work instability
Inflammatory arthritis is associated with a high degree of work instability and financial burden. In this study, we examine the extent of work instability and financial loss as well as their association with disease characteristics during the first 18 months of inflammatory arthritis.
One hundred and four patients in the early phase (more than 6 weeks, < 18 months) of inflammatory arthritis were recruited from a larger early inflammatory arthritis registry. Questionnaires recorded sociodemographic data and disease characteristics, including pain assessed using the Short Form McGill Pain Questionnaire (MPQ) and physical functioning measured with the Medical Outcomes Study Short Form 36 (SF-36) physical functioning score. The Rheumatoid Arthritis Work Instability Scale (RA-WIS) was used to measure patient-perceived functioning in the workplace and the Financial Loss Questionnaire (FLQ) measured the impact on family finances.
Participants' mean age was 56 years, 70.2% were female and 49.0% were working. Average yearly household income was < 60 000 Canadian dollars (CAD) for 38.5% of the sample. Of our working patients, 43% had a medium or high risk of work loss as measured by the RA-WIS and 35% reported a financial loss. On multivariate analysis, MPQ and SF-36 contributed to the dependent variable work instability, while age and SF-36 contributed to financial loss.
This study identifies pain and physical dysfunction as potential modifiable risk factors for negative socioeconomic repercussions of illness in early inflammatory arthritis.