Systemic autoimmune diseases and work outcomes in Brazil: a scoping review
DOI:
https://doi.org/10.11606/s1518-8787.2022056003918Palavras-chave:
Autoimmune Diseases, Absenteeism, Employee Performance Appraisal, Occupational Health, ReviewResumo
OBJECTIVE To review articles that assessed work-related outcomes such as workability, work productivity, presenteeism, absenteeism, sick leave, return to work, and employment status of Brazilian patients with rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis, Sjögren’s syndrome, and systemic autoimmune myopathies. METHODS This study was conducted in Medline databases (PubMed), SciELO, and Lilacs through a combination of descriptors of interest. Studies published until December 2020 were considered in the search strategy. RESULTS Eight out of 90 articles met the eligibility criteria and were included in this review. The studies are highly heterogeneous. Most of them are cross-sectional, and all of them address rheumatoid arthritis or systemic lupus erythematosus. A common denominator among these studies is the high proportion of patients outside the labor market. CONCLUSIONS In general, the studies show unfavorable labor outcomes and impaired participation in the Brazilian workforce among the samples of patients assessed. There is a need to better understand several topics about Brazilian patients with systemic autoimmune diseases and their work context, as well as to conduct studies focusing on rarer diseases and on the themes of return and reintegration to work.
Referências
Scherlinger M, Mertz P, Sagez F, Meyer A, Felten R, Chatelus E, et al. Worldwide trends in all-cause mortality of auto-immune systemic diseases between 2001 and 2014. Autoimmun Rev. 2020;19(6):102531. https://doi.org/10.1016/j.autrev.2020.102531
Mau W, Listing J, Huscher D, Zeidler H, Zink A. Employment across chronic inflammatory rheumatic diseases and comparison with the general population. J Rheumatol. 2005;32(4):721-8.
Puolakka K, Kautiainen H, Möttönen T, Hannonen P, Hakala M, Korpela M, et al. Predictors of productivity loss in early rheumatoid arthritis: a 5 year follow up study. Ann Rheum Dis. 2005;64(1):130-3. https://doi.org/10.1136/ard.2003.019034
Allaire SH, Anderson JJ, Meenan RF. Reducing work disability associated with rheumatoid arthritis: identification of additional risk factors and persons likely to benefit from intervention. Arthritis Rheum. 1996;9(5):349-57. https://doi.org/10.1002/1529-0131(199610)9:5<349::aid-anr1790090503>3.0.co;2-g
Roelen CAM, Norder G, Koopmans PC, Rhenen W, Klink JJL, Bültmann U. Employees sick-listed with mental disorders: who returns to work and when? J Occup Rehabil. 2012;22(3):409-17. https://doi.org/10.1007/s10926-012-9363-3
Sabariego C, Coenen M, Ito E, Fheodoroff K, Scaratti C, Leonardi M, et al. Effectiveness of integration and re-integration into work strategies for persons with chronic conditions: a systematic review of European strategies. Int J Environ Res Public Health. 2018;15(3):552. https://doi.org/10.3390/ijerph15030552
Jorge LL, Gerard C, Revel M. Evidences of memory dysfunction and maladaptive coping in chronic low back pain and rheumatoid arthritis patients: challenges for rehabilitation. Eur J Phys Rehabil Med. 2009;45(4):469-77.
Nicolau G, Yogui MM, Vallochi TL, Gianini RJ, Laurindo IMM, Novaes GS. Sources of discrepancy in patient and physician global assessments of rheumatoid arthritis disease activity. J Rheumatol. 2004;31(7):1293-6.
Sacilotto NC, Giorgi RDN, Vargas-Santos AB, Albuquerque CP, Radominski SC, Pereira IA, et al. Real - rheumatoid arthritis in real life - study cohort: a sociodemographic profile of rheumatoid arthritis in Brazil. Adv Rheumatol. 2020;60:20. https://doi.org/10.1186/s42358-020-0121-5
Xavier RMH, Zerbini CAF, Pollak DF, Morales-Torres JLA, Chalem P, Restrepo JFM, et al. Burden of rheumatoid arthritis on patients’ work productivity and quality of life. Adv Rheumatol. 2019;59:47. https://doi.org/10.1186/s42358-019-0090-8
Gomes RKS, Schreiner LC, Vieira MO, Machado PH, Nobre MRC. Staying in the labor force among patients with rheumatoid arthritis and associated factors in Southern Brazil. Adv Rheumatol. 2018;58(1):14. https://doi.org/10.1186/s42358-018-0009-9
Pinheiro GRC, Khandker RK, Sato R, Rose A, Piercy J. Impact of rheumatoid arthritis on quality of life, work productivity and resource utilisation: an observational, cross-sectional study in Brazil. Clin Exp Rheumatol. 2013;31(3):334-40.
Azevedo ABC, Ferraz MB, Ciconelli RM. Indirect costs of rheumatoid arthritis in Brazil. Value Health. 2008;11(5):869-77. https://doi.org/10.1111/j.1524-4733.2008.00332.x
Louzada P, Souza BDB, Toledo RA, Ciconelli RM. [Descriptive analysis of the demographical and clinical characteristics of the patients with rheumatoid arthritis in the state of São Paulo, Brazil]. Rev Bras Reumatol. 2007;47(2):84-90. Portuguese. https://doi.org/10.1590/s0482-50042007000200002
Teixeira RCA, Borba Neto EF, Christopoulos GB, Sato EI. The influence of income and formal education on damage in Brazilian patients with systemic lupus erythematosus. J Clin Rheumatol. 2017;23(5):246-51. https://doi.org/10.1097/RHU.0000000000000541
Appenzeller S, Cendes F, Costallat LTL. Cognitive impairment and employment status in systemic lupus erythematosus: a prospective longitudinal study. Arthritis Rheum. 2009;61(5):680-7. https://doi.org/10.1002/art.24346
Koopman C, Pelletier KR, Murray JF, Sharda CE, Berger ML, Turpin RS, et al. Stanford Presenteeism Scale: health status and employee productivity. J Occup Environ Med. 2002;44(1):14-20. https://doi.org/10.1097/00043764-200201000-00004
Leggett S, Zee-Neuen A, Boonen A, Beaton DE, Bojinca M, Bosworth A, et al. Test-retest reliability and correlations of 5 global measures addressing at-work productivity loss in patients with rheumatic diseases. J Rheumatol. 2016;43(2):433-9. https://doi.org/10.3899/jrheum.141605
Gignac MAM, Badley EM, Lacaille D, Cott CC, Adam P, Anis AH. Managing arthritis and employment: making arthritis-related work changes as a means of adaptation. Arthritis Rheum. 2004;51(6):909-16. https://doi.org/10.1002/art.20822
Lerner D, Amick BC 3rd, Rogers WH, Malspeis S, Bungay K, Cynn D. The work limitations questionnaire. Med Care. 2001;39(1):72-85. https://doi.org/10.1097/00005650-200101000-00009
Reilly MC, Zbrozek AS, Dukes EM. The validity and reproducibility of a work productivity and activity impairment instrument. Pharmacoeconomics. 1993;4(5):353-65. https://doi.org/10.2165/00019053-199304050-00006
Tang K, Beaton DE, Boonen A, Gignac MAM, Bombardier C. Measures of work disability and productivity: Rheumatoid Arthritis Specific Work Productivity Survey (WPS-RA), Workplace Activity Limitations Scale (WALS), Work Instability Scale for Rheumatoid Arthritis (RA-WIS), Work Limitations Questionnaire (WLQ), and Work Productivity and Activity Impairment Questionnaire (WPAI). Arthritis Care Res (Hoboken). 2011;63 Suppl 11:S337-49. https://doi.org/10.1002/acr.20633
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2022 Rafael Alves Cordeiro, Frida Marina Fischer, Samuel Katsuyuki Shinjo
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Como Citar
Dados de financiamento
-
Fundação de Amparo à Pesquisa do Estado de São Paulo
Números do Financiamento Process 2019/11776-6 -
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Números do Financiamento Process 303379/2018-9 -
Faculdade de Medicina da Universidade de São Paulo