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Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: Findings of a UK national survey

Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: Findings of a UK national survey
Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: Findings of a UK national survey

Objective

The aim of this study was to investigate whether foot and lower limb related symptoms were associated with work participation and poor mobility in people with Systemic Lupus Erythematosus (SLE).

Method

A quantitative, cross-sectional, self-reported survey design was utilised. People with SLE from six United Kingdom (UK) treatment centres and a national register were invited to complete a survey about lower limb and foot health, work participation and mobility. Data collected included work status and the prevalence of foot symptoms. The focus of the analyses was to explore potential associations between poor foot health work non-participation.

Results

In total, 182 useable surveys were returned. Seventy-nine respondents reported themselves as employed and 32 reported work non-participation. The remaining were retired due to age or reported work non-participation for other reasons. Work non-participation due to foot symptoms was significantly associated with difficulty walking (p = 0.024), past episodes of foot swelling (p = 0.041), and past episodes of foot ulceration (p = 0.018). There was a significant increase in foot disability scores amongst those not working (mean 18.13, 95% CI: 14.85–21.41) compared to those employed (mean 10.16, 95% CI: 8.11–12.21).

Conclusions

Twenty-nine% of people with SLE reported work non-participation because of lower limb or foot problems. Our results suggest that foot health and mobility may be important contributors to a persons’ ability to remain in work and should be considered as part of a clinical assessment.
1757-1146
Stevens, M.J.
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Walker-Bone, K.
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Culliford, D.J.
25511573-74d3-422a-b0ee-dfe60f80df87
Alcacer-Pitarch, B.
418cf67a-6dee-4cc5-bdae-202eb2032dca
Hopkinson, N.
ca6fcbb9-0039-41d0-a273-99a31cc7c6f3
Teh, L.-S.
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Vital, E.M.
aca2f46f-a608-4132-adf3-e7afd16b3c17
Edwards, C.J.
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Williams, A. E.
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Cherry, L.
95256156-ce8c-4e7c-b04d-b6e459232441
Stevens, M.J.
6ed230b2-7eaa-478b-80f7-ea75234bb76f
Walker-Bone, K.
ad7d1336-ed2c-4f39-ade5-da84eb412109
Culliford, D.J.
25511573-74d3-422a-b0ee-dfe60f80df87
Alcacer-Pitarch, B.
418cf67a-6dee-4cc5-bdae-202eb2032dca
Hopkinson, N.
ca6fcbb9-0039-41d0-a273-99a31cc7c6f3
Teh, L.-S.
c6c19ae8-bbc3-445b-85f4-d2e89cf85430
Vital, E.M.
aca2f46f-a608-4132-adf3-e7afd16b3c17
Edwards, C.J.
dcb27fec-75ea-4575-a844-3588bcf14106
Williams, A. E.
e29154fe-1d58-4482-8a13-1c822a6d390d
Cherry, L.
95256156-ce8c-4e7c-b04d-b6e459232441

Stevens, M.J., Walker-Bone, K., Culliford, D.J., Alcacer-Pitarch, B., Hopkinson, N., Teh, L.-S., Vital, E.M., Edwards, C.J., Williams, A. E. and Cherry, L. (2019) Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: Findings of a UK national survey. Journal of Foot and Ankle Research, 12 (26). (doi:10.1186/s13047-019-0335-0).

Record type: Article

Abstract


Objective

The aim of this study was to investigate whether foot and lower limb related symptoms were associated with work participation and poor mobility in people with Systemic Lupus Erythematosus (SLE).

Method

A quantitative, cross-sectional, self-reported survey design was utilised. People with SLE from six United Kingdom (UK) treatment centres and a national register were invited to complete a survey about lower limb and foot health, work participation and mobility. Data collected included work status and the prevalence of foot symptoms. The focus of the analyses was to explore potential associations between poor foot health work non-participation.

Results

In total, 182 useable surveys were returned. Seventy-nine respondents reported themselves as employed and 32 reported work non-participation. The remaining were retired due to age or reported work non-participation for other reasons. Work non-participation due to foot symptoms was significantly associated with difficulty walking (p = 0.024), past episodes of foot swelling (p = 0.041), and past episodes of foot ulceration (p = 0.018). There was a significant increase in foot disability scores amongst those not working (mean 18.13, 95% CI: 14.85–21.41) compared to those employed (mean 10.16, 95% CI: 8.11–12.21).

Conclusions

Twenty-nine% of people with SLE reported work non-participation because of lower limb or foot problems. Our results suggest that foot health and mobility may be important contributors to a persons’ ability to remain in work and should be considered as part of a clinical assessment.

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More information

Accepted/In Press date: 10 April 2019
e-pub ahead of print date: 29 April 2019

Identifiers

Local EPrints ID: 430766
URI: http://eprints.soton.ac.uk/id/eprint/430766
ISSN: 1757-1146
PURE UUID: 499ae9e0-59ab-44e5-8a20-3048b86745ae
ORCID for M.J. Stevens: ORCID iD orcid.org/0000-0002-6142-5278
ORCID for K. Walker-Bone: ORCID iD orcid.org/0000-0002-5992-1459
ORCID for D.J. Culliford: ORCID iD orcid.org/0000-0003-1663-0253
ORCID for L. Cherry: ORCID iD orcid.org/0000-0002-3165-1004

Catalogue record

Date deposited: 10 May 2019 16:30
Last modified: 22 Nov 2021 03:09

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Contributors

Author: M.J. Stevens ORCID iD
Author: K. Walker-Bone ORCID iD
Author: D.J. Culliford ORCID iD
Author: B. Alcacer-Pitarch
Author: N. Hopkinson
Author: L.-S. Teh
Author: E.M. Vital
Author: C.J. Edwards
Author: A. E. Williams
Author: L. Cherry ORCID iD

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