Unidad de Reumatología, Instituto Provincial de Rehabilitación, Hospital General Universitario Gregorio Marañón, Francisco Silvela 40, 28028 Madrid, Spain.
Rheumatol Int. 2011 Nov;31(11):1471-7. doi: 10.1007/s00296-010-1523-1. Epub 2010 May 16.
Temporary work disability (TWD) is more common in patients with fibromyalgia (FM) than among the rest of the workers. To describe the differences between patients who take sick leave (TWD group) and those who continue to work regularly (control group). To determine what factors are associated with TWD. Multicentre, cross-sectional study with a cohort of patients with FM seen in rheumatology clinics throughout Spain. The following information was recorded: demographic data, clinical manifestations, comorbidities, health self-perception, emotional issues, functional capacity, physical function tests, utilization of healthcare resources, TWD during the past 12 months, and quitting paid employment due to the disease. Descriptive statistics was used to compare variables between the TWD group and the control group. A logistic regression analysis was done to determine which factors are associated with TWD. The study cohort was composed of 301 patients with FM (women: 96.7%) with a mean age of 48.7 ± 8.5 years and a disease duration of 11.5 ± 9.1 years. There were 56.8% active workers, of whom 67.8% had had some TWD. The mean TWD length was 44 ± 69.6 days/year. TWD correlated significantly with sedentary work, clinical manifestations, comorbidities, self-perceived health, poor functional capacity, physical function, and healthcare resource utilization. The factors independently associated with TWD are sedentary work, more clinical manifestations, fatigue, and poor flexibility. Of the cases of people who quit their jobs, 66.9% were associated with FM. TWD in patients with FM is associated with sedentary work, a worse clinical situation, and worse functional capacity.
临时工作残疾（TWD）在纤维肌痛（FM）患者中比在其他工人中更为常见。描述请病假的患者（TWD 组）和继续正常工作的患者（对照组）之间的差异。确定与 TWD 相关的因素。多中心、横断面研究，对西班牙各地风湿病诊所就诊的纤维肌痛患者进行队列研究。记录以下信息：人口统计学数据、临床表现、合并症、健康自我感知、情绪问题、功能能力、身体功能测试、医疗资源利用、过去 12 个月的 TWD 以及因疾病而停止有偿就业。使用描述性统计比较 TWD 组和对照组之间的变量。进行逻辑回归分析以确定与 TWD 相关的因素。该研究队列由 301 名纤维肌痛患者（女性：96.7%）组成，平均年龄为 48.7±8.5 岁，疾病持续时间为 11.5±9.1 年。有 56.8%的活跃工人，其中 67.8%有过 TWD。TWD 的平均长度为 44±69.6 天/年。TWD 与久坐工作、临床表现、合并症、自我感知健康、功能能力差、身体功能和医疗资源利用显著相关。与 TWD 独立相关的因素是久坐工作、更多的临床表现、疲劳和柔韧性差。失业的病例中，66.9%与 FM 有关。纤维肌痛患者的 TWD 与久坐工作、更差的临床情况和更差的功能能力有关。
