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Risk of work loss due to illness or disability in patients with osteoarthritis: a population-based cohort study
- Source :
- Rheumatology. 55:861-868
- Publication Year :
- 2016
- Publisher :
- Oxford University Press (OUP), 2016.
-
Abstract
- OBJECTIVES To estimate the risk of work loss due to illness or disability in a cohort of employed persons with OA compared with matched non-OA individuals. METHODS We performed a population-based cohort analysis using the last six cycles of the Canadian longitudinal National Population Health Survey from 2000 to 2010. OA cases and up to four age- and sex-matched non-OA individuals were selected. Discrete time hazard regression models were used to estimate the hazard of work loss due to illness or disability. To analyse the effect of a self-reported OA measure on the outcome, we performed a sensitivity analyses for case selection. RESULTS From 7273 employed individuals between the ages of 20 and 70 years in the National Population Health Survey, 659 OA cases were selected and matched to 2144 non-OA individuals. The proportion of OA cases who experienced work loss due to illness or disability during the follow-up period was 12.6%, compared with 9.3% for non-OA individuals (P < 0.001). OA cases had a 90% [hazard ratio (HR) 1.90 (95% CI 1.36, 3.23)] higher hazard of work loss due to illness or disability compared with their matched non-OA individuals after adjusting for sociodemographic, health and work-related status. The adjusted HRs were 1.61 (95% CI 1.13, 2.30) and 2.04 (95% CI 1.74, 4.75) for females and males, respectively. CONCLUSION OA is independently associated with an increased risk of work loss due to illness or disability. Given the high prevalence of OA in the population of working age, future research may wish to investigate ways to improve occupational participation among OA patients.
- Subjects :
- Adult
Male
Canada
medicine.medical_specialty
Population
Population health
Risk Assessment
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Cost of Illness
Rheumatology
Osteoarthritis
Epidemiology
medicine
Humans
Disabled Persons
Pharmacology (medical)
030212 general & internal medicine
education
030203 arthritis & rheumatology
education.field_of_study
business.industry
Hazard ratio
Middle Aged
Prognosis
Health Surveys
Socioeconomic Factors
Unemployment
Workforce
Cohort
Physical therapy
Female
business
Risk assessment
Follow-Up Studies
Cohort study
Demography
Subjects
Details
- ISSN :
- 14620332 and 14620324
- Volume :
- 55
- Database :
- OpenAIRE
- Journal :
- Rheumatology
- Accession number :
- edsair.doi.dedup.....6cd7ffd36a7beb98469ec15d04ee8980