Universidade de Sao Paulo. Faculdade de Medicina. Departamento de Reumatologia. São Paulo, SP, Brasil.
Universidade de Sao Paulo. Faculdade de Saude Publica. Departamento de Saude Ambiental. São Paulo, SP, Brasil.
Rev Saude Publica. 2022 Apr 22;56:24. doi: 10.11606/s1518-8787.2022056003918. eCollection 2022.
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.
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.
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.
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.
回顾评估巴西类风湿关节炎、系统性红斑狼疮、系统性硬皮病、干燥综合征和系统性自身免疫性肌病患者与工作相关的结局（如工作能力、工作生产力、出勤、旷工、病假、重返工作岗位和就业状况）的文献。
本研究在 Medline 数据库（PubMed）、SciELO 和 Lilacs 中进行，采用了感兴趣的描述符组合进行检索。在检索策略中纳入了截至 2020 年 12 月发表的研究。
符合纳入标准并被纳入本综述的文章有 8 篇。这些研究高度异质，大多数为横断面研究，均针对类风湿关节炎或系统性红斑狼疮。这些研究的一个共同点是，劳动力市场之外的患者比例较高。
总体而言，这些研究表明所评估的患者样本的劳动力结局不利，参与巴西劳动力的情况受损。有必要更好地了解巴西系统性自身免疫性疾病患者及其工作环境的几个方面，以及开展关注更罕见疾病以及重返和重新融入工作主题的研究。
