Association of vocational interventions and work-related factors with disease and work outcomes in people with RMDs: A systematic review
Association of vocational interventions and work-related factors with disease and work outcomes in people with RMDs: A systematic review
OBJECTIVE: A EULAR taskforce was convened to develop recommendations for lifestyle behaviours amongst people with rheumatic and musculoskeletal diseases (RMDs). This paper reviews the literature on work-related factors and disease-specific outcomes for people with osteoarthritis, rheumatoid arthritis (RA), systemic lupus erythematosus, axial spondyloarthritis (axSpA), psoriatic arthritis, systemic sclerosis (SSc) and gout.
METHODS: Two separate systematic literature reviews (SLRs) were conducted. The first identified SLRs, published between 01/2013 and 09/2018. The second identified original observational and intervention studies published before 05/2019. Manuscripts were included if they assessed the effects of vocational interventions on disease-specific outcomes (i.e. clinical outcomes, patient-reported outcomes, and work outcomes) or if they assessed the association between work-related factors and these outcomes. Medline, Embase, Cochrane Library of systematic reviews and CENTRAL databases were searched.
RESULTS: Two SLRs were identified including individuals with SSc and inflammatory arthritis. Subsequently, 23 original manuscripts were identified, with most of them (43.5%) including people with RA and no manuscripts on gout. Most observational studies evaluated the association between work-related factors and work outcomes while limited information was available on the impact of work on clinical outcomes. A few studies suggested that physically demanding jobs have a small detrimental effect on radiographic progression in axSpA and PsA. Intervention studies showed beneficial effects of vocational interventions for disease-specific outcomes, but with small effect sizes.
CONCLUSION: Many studies indicated that work participation is not likely to be detrimental and, in some cases, may be beneficial for RMD-specific outcomes and should therefore receive attention within healthcare consultations.
Wieczorek, Maud
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Verstappen, Suzanne Mm
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Putrik, Polina
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Gwinnutt, James M.
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Balanescu, Andra
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Bischoff-Ferrari, Heike A
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Boonen, Annelies
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Cavalli, Giulio
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de Souza, Savia
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de Thurah, Annette
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Dorner, Thomas E
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Moe, Rikke Helene
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Rodríguez-Carrio, Javier
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Silva-Fernández, Lucía
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Stamm, Tanja
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Walker-Bone, Karen
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Welling, Joep
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Zlatković-Švenda, Mirjana
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Guillemin, Francis
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23 November 2022
Wieczorek, Maud
379ccb7c-5c40-499e-b6f2-f07474a005d3
Verstappen, Suzanne Mm
34d9aaa3-c50d-4a7f-8d81-b3d61e66f393
Putrik, Polina
1d018d5d-b4ec-4d72-be2f-e144e0d049f9
Gwinnutt, James M.
a3eb718a-3353-42ca-822b-44cb2d72eb07
Balanescu, Andra
220fdc50-488b-44eb-9e59-823d14fe468e
Bischoff-Ferrari, Heike A
40d4ee09-1a63-4f01-ad1a-834a6d300944
Boonen, Annelies
c32bd0a4-48b2-45f9-9ab3-5ff0074b7f32
Cavalli, Giulio
85f0c380-ae3e-44c5-86a6-c6b47b8e8eb0
de Souza, Savia
ee3dac02-60eb-4921-8e23-56cbc4536836
de Thurah, Annette
5567de8a-2222-4f8a-82c4-513b5b336858
Dorner, Thomas E
509d83a8-0085-48d7-8feb-0e4ca958e817
Moe, Rikke Helene
a6c376ee-7324-4c1c-a11e-7fb1bb0545d5
Rodríguez-Carrio, Javier
87062857-217b-4326-9ee5-705182585606
Silva-Fernández, Lucía
ce2d12a0-8404-4602-91cd-c5b1515e048c
Stamm, Tanja
abe85120-cb3d-4b86-8e65-ad91c602445c
Walker-Bone, Karen
ad7d1336-ed2c-4f39-ade5-da84eb412109
Welling, Joep
d797f0a8-bd7c-452f-9ecc-55cc86adcbd7
Zlatković-Švenda, Mirjana
05dbc366-c5be-49ad-b263-3209eb94ca33
Guillemin, Francis
0eaea9cf-697a-44c0-a658-b82854c9efc9
Wieczorek, Maud, Verstappen, Suzanne Mm, Putrik, Polina, Gwinnutt, James M., Balanescu, Andra, Bischoff-Ferrari, Heike A, Boonen, Annelies, Cavalli, Giulio, de Souza, Savia, de Thurah, Annette, Dorner, Thomas E, Moe, Rikke Helene, Rodríguez-Carrio, Javier, Silva-Fernández, Lucía, Stamm, Tanja, Walker-Bone, Karen, Welling, Joep, Zlatković-Švenda, Mirjana and Guillemin, Francis
(2022)
Association of vocational interventions and work-related factors with disease and work outcomes in people with RMDs: A systematic review.
Seminars in Arthritis and Rheumatism, 58, [152135].
(doi:10.1016/j.semarthrit.2022.152135).
Abstract
OBJECTIVE: A EULAR taskforce was convened to develop recommendations for lifestyle behaviours amongst people with rheumatic and musculoskeletal diseases (RMDs). This paper reviews the literature on work-related factors and disease-specific outcomes for people with osteoarthritis, rheumatoid arthritis (RA), systemic lupus erythematosus, axial spondyloarthritis (axSpA), psoriatic arthritis, systemic sclerosis (SSc) and gout.
METHODS: Two separate systematic literature reviews (SLRs) were conducted. The first identified SLRs, published between 01/2013 and 09/2018. The second identified original observational and intervention studies published before 05/2019. Manuscripts were included if they assessed the effects of vocational interventions on disease-specific outcomes (i.e. clinical outcomes, patient-reported outcomes, and work outcomes) or if they assessed the association between work-related factors and these outcomes. Medline, Embase, Cochrane Library of systematic reviews and CENTRAL databases were searched.
RESULTS: Two SLRs were identified including individuals with SSc and inflammatory arthritis. Subsequently, 23 original manuscripts were identified, with most of them (43.5%) including people with RA and no manuscripts on gout. Most observational studies evaluated the association between work-related factors and work outcomes while limited information was available on the impact of work on clinical outcomes. A few studies suggested that physically demanding jobs have a small detrimental effect on radiographic progression in axSpA and PsA. Intervention studies showed beneficial effects of vocational interventions for disease-specific outcomes, but with small effect sizes.
CONCLUSION: Many studies indicated that work participation is not likely to be detrimental and, in some cases, may be beneficial for RMD-specific outcomes and should therefore receive attention within healthcare consultations.
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e-pub ahead of print date: 13 November 2022
Published date: 23 November 2022
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Copyright © 2022. Published by Elsevier Inc.
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Local EPrints ID: 474567
URI: http://eprints.soton.ac.uk/id/eprint/474567
ISSN: 0049-0172
PURE UUID: 4fd200cc-08c7-41ff-b64b-c213cfa03f7b
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Date deposited: 27 Feb 2023 17:34
Last modified: 17 Mar 2024 02:50
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Contributors
Author:
Maud Wieczorek
Author:
Suzanne Mm Verstappen
Author:
Polina Putrik
Author:
James M. Gwinnutt
Author:
Andra Balanescu
Author:
Heike A Bischoff-Ferrari
Author:
Annelies Boonen
Author:
Giulio Cavalli
Author:
Savia de Souza
Author:
Annette de Thurah
Author:
Thomas E Dorner
Author:
Rikke Helene Moe
Author:
Javier Rodríguez-Carrio
Author:
Lucía Silva-Fernández
Author:
Tanja Stamm
Author:
Joep Welling
Author:
Mirjana Zlatković-Švenda
Author:
Francis Guillemin
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