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Work Capacity and Productivity Costs in Early Rheumatoid Arthritis

Work Capacity and Productivity Costs in Early Rheumatoid Arthritis

A Five-year Prospective Study
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The Finnish Rheumatoid Arthritis Combination-Therapy Trial performed from 1993 to 2000 investigated the efficacy of a combination of three disease-modifying antirheumatic drugs (DMARDs) compared to a single DMARD. Patients with recent-onset active RA were randomized to the two treatment arms for 2 years, after which drug-treatment strategy became unrestricted. At baseline, 162 patients were available for work. After a 5-year follow-up, objective data on sick leave and retirement were gathered from social insurance registers,. The cumulative number of days off work was calculated. The patients who received the combination treatment incurred less RA-related work absence than those who received a single DMARD, on average 78 and 128 work disability days per year, respectively. Early treatment response had a strong impact on maintenance of work capacity. None of the patients in remission at 6 months became permanently work disabled over the 5-year follow-up, whereas 56% of the patients without 20% improvement at 6 months ended on a permanent RA- related disability pension. The monetary value of lost productivity in 5 years was 2801 and 74537, respectively.

Produktdetails

Autor: Kari Puolakka
ISBN-13: 9783639130164
ISBN: 3639130162
Einband: Paperback
Seiten: 132
Gewicht: 213 g
Format: 220x150x8 mm
Sprache: Englisch
Autor: Kari Puolakka
Kari Puolakka, MD, PhD, is the chief of department of rheumatology at Lappeenranta Central Hospital, Lappeenranta, Finland. Dr Puolakka's research interests include early rheumatoid arthritis and socioeconomic outcomes of patients with rheumatic diseases.

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Autor: Kari Puolakka
ISBN-13:: 9783639130164
ISBN: 3639130162
Verlag: VDM Verlag
Gewicht: 213g
Seiten: 132
Sprache: Englisch
Sonstiges: Taschenbuch, 220x150x8 mm