| Zdroj: |
Wieczorek, M, Verstappen, S M, Putrik, P, Gwinnutt, J M, Balanescu, A, Bischoff-Ferrari, H A, Boonen, A, Cavalli, G, de Souza, S, de Thurah, A, Dorner, T E, Moe, R H, Rodríguez-Carrio, J, Silva-Fernández, L, Stamm, T, Walker-Bone, K, Welling, J, Zlatković-Švenda, M & Guillemin, F 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, vol. 58, pp. 152135 . https://doi.org/10.1016/j.semarthrit.2022.152135 |
| Popis: |
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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