title: Factors associated with temporary work disability in patients with fibromyalgia.
abstract: 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.
authors.affiliation: Unidad de Reumatología, Instituto Provincial de Rehabilitación, Hospital General Universitario Gregorio Marañón, Francisco Silvela 40, 28028 Madrid, Spain. javierrivera@ser.es
authors.forename: J
authors.initials: J
authors.lastname: Rivera
authors.forename: J
authors.initials: J
authors.lastname: Esteve-Vives
authors.forename: M A
authors.initials: MA
authors.lastname: Vallejo
authors.forename: J
authors.initials: J
authors.lastname: Rejas
mesh_terms: D015331:Cohort Studies; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D004651:Employment; D005260:Female; D005356:Fibromyalgia / Q000191:economics / Q000503:physiopathology*; D017048:Health Care Costs; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D018582:Sick Leave; D013997:Time Factors; D014938:Work Capacity Evaluation
references.citation: J Rheumatol. 1999 Apr;26(4):885-9
references.pmid: 10229411
references.citation: J Rheumatol. 2003 Sep;30(9):2045-53
references.pmid: 12966614
references.citation: J Rheumatol. 1997 Jun;24(6):1171-8
references.pmid: 9195528
references.citation: Arthritis Rheum. 1990 Feb;33(2):160-72
references.pmid: 2306288
references.citation: Arthritis Rheum. 2008 Dec 15;59(12):1735-41
references.pmid: 19035427
references.citation: Clin Exp Rheumatol. 2009 Sep-Oct;27(5 Suppl 56):S39-45
references.pmid: 20074438
references.citation: J Rheumatol. 2003 Jun;30(6):1318-25
references.pmid: 12784409
references.citation: Arthritis Rheum. 2008 Apr 15;59(4):489-96
references.pmid: 18383421
references.citation: J Rehabil Med. 2009 Jan;41(1):66-72
references.pmid: 19197572
references.citation: J Rheumatol. 2000 May;27(5):1271-6
references.pmid: 10813300
references.citation: Rheumatol Int. 2009 Aug;29(10):1151-60
references.pmid: 19096850
references.citation: Ann Rheum Dis. 2005 Mar;64(3):396-402
references.pmid: 15271773
references.citation: J Rheumatol. 2004 Jul;31(7):1391-8
references.pmid: 15229962
references.citation: Arthritis Res Ther. 2009;11(2):R54
references.pmid: 19366441
references.citation: J Occup Environ Med. 2008 Jan;50(1):13-24
references.pmid: 18188077
references.citation: J Rheumatol. 2001 Dec;28(12):2711-9
references.pmid: 11764222
references.citation: J Rheumatol. 1993 Mar;20(3):475-9
references.pmid: 8478854
references.citation: Ann Rheum Dis. 2007 Jan;66(1):65-9
references.pmid: 16793839