Boonen A, Chorus A, Miedema H, van der Heijde D, van der Tempel H, van der Linden S
Department of Rheumatology, University Hospital Maastricht, PO Box 5800, 6202 AZ Maastricht, The Netherlands.
Ann Rheum Dis. 2001 Apr;60(4):353-8. doi: 10.1136/ard.60.4.353.
To evaluate employment status, work disability, and work days lost in patients with ankylosing spondylitis (AS).
A questionnaire was sent to 709 patients with AS aged 16-60. The results of 658 of the patients could be analysed.
After adjustment for age, labour force participation was decreased by 15.4% in male patients and 5.2% in female patients compared with the general Dutch population. Work disability (all causes) was 15.7% and 16.9% higher than expected in the general population for male and female patients respectively. In particular, the proportion of those with a partial work disability pension was increased. Patients with a paid job lost 5.0% of work days as the result of having AS, accounting for a mean of 10.1 days of sick leave due to AS per patient per year in addition to the national average of 12.3 unspecified days of sick leave.
This study on work status in AS provides data adjusted for age and sex, and the differences from the reference population were significant. The impact of AS on employment and work disability is considerable. Work status in patients with AS needs more attention as an outcome measure in future research.
评估强直性脊柱炎（AS）患者的就业状况、工作残疾情况及误工天数。
向709例年龄在16至60岁的AS患者发放问卷。对658例患者的结果进行分析。
在对年龄进行调整后，与荷兰普通人群相比，男性患者的劳动力参与率下降了15.4%，女性患者下降了5.2%。男性和女性患者因各种原因导致的工作残疾率分别比普通人群高出15.7%和16.9%。特别是，领取部分工作残疾抚恤金的比例有所增加。有带薪工作的患者因患AS损失了5.0%的工作日，除全国平均每年12.3天的未明确病因病假外，每位患者每年因AS平均病假10.1天。
这项关于AS患者工作状况的研究提供了经年龄和性别调整的数据，与参照人群的差异显著。AS对就业和工作残疾的影响相当大。在未来研究中，AS患者的工作状况作为一项结果指标需要更多关注。
