Sokka T, Pincus T
Jyvaskyla Central Hospital, Department of Medicine, Finland.
J Rheumatol. 2001 Jul;28(7):1718-22.
Work disability is common in rheumatoid arthritis (RA), and accounts for a large fraction of its costs. People with RA who are work disabled have more joint involvement, radiographic damage, and/or laboratory abnormalities than people who are working. However, analysis of predictive and associative markers in 15 studies of work disability indicate that the demographic variables, such as age, occupation, level of education, and duration of disease, as well as functional status in activities of daily living (ADL) identified on a patient questionnaire, appear to identify work status more than physiological variables. Work disability results from complex interactions of a medical disease, demographic variables, social conditions, and government policies. Some patients with RA are work disabled before they see a rheumatologist. Improved work disability outcomes in RA will require attention to social, economic, and political issues, and wider physician and public education concerning RA, in addition to improved medical management of disease.
工作残疾在类风湿关节炎（RA）中很常见，且占其成本的很大一部分。与仍在工作的类风湿关节炎患者相比，工作残疾的类风湿关节炎患者有更多的关节受累、影像学损伤和/或实验室异常。然而，对15项关于工作残疾的研究中的预测性和关联性标志物进行分析表明，人口统计学变量，如年龄、职业、教育水平和病程，以及通过患者问卷确定的日常生活活动（ADL）功能状态，似乎比生理变量更能确定工作状态。工作残疾是由医学疾病、人口统计学变量、社会状况和政府政策等复杂相互作用导致的。一些类风湿关节炎患者在看风湿病专科医生之前就出现了工作残疾。要改善类风湿关节炎患者的工作残疾状况，除了改善疾病的医疗管理外，还需要关注社会、经济和政治问题，并对医生和公众进行更广泛的关于类风湿关节炎的教育。
