Association of vocational interventions and work-related factors with disease and work outcomes in people with RMDs: A systematic review

Maud Wieczorek; Suzanne Mm Verstappen; Polina Putrik; James M Gwinnutt; Andra Balanescu; Heike A Bischoff-Ferrari; Annelies Boonen; Giulio Cavalli; Savia de Souza; Annette de Thurah; Thomas E Dorner; Rikke Helene Moe; Javier Rodríguez-Carrio; Lucía Silva-Fernández; Tanja Stamm; Karen Walker-Bone; Joep Welling; Mirjana Zlatković-Švenda; Francis Guillemin

doi:10.1016/j.semarthrit.2022.152135

Association of vocational interventions and work-related factors with disease and work outcomes in people with RMDs: A systematic review

Maud Wieczorek, Suzanne Mm Verstappen^*, Polina Putrik, James M Gwinnutt, Andra Balanescu, Heike A Bischoff-Ferrari, Annelies Boonen, Giulio Cavalli, Savia de Souza, Annette de Thurah, Thomas E Dorner, Rikke Helene Moe, Javier Rodríguez-Carrio, Lucía Silva-Fernández, Tanja Stamm, Karen Walker-Bone, Joep Welling, Mirjana Zlatković-Švenda, Francis Guillemin

^*Corresponding author for this work

Research output: Contribution to journal › (Systematic) Review article › peer-review

Abstract

OBJECTIVE: A EULAR taskforce was convened to develop recommendations for lifestyle behaviours amongst people with rheumatic and musculoskeletal diseases (RMDs). This paper reviews the literature on work-related factors and disease-specific outcomes for people with osteoarthritis, rheumatoid arthritis (RA), systemic lupus erythematosus, axial spondyloarthritis (axSpA), psoriatic arthritis, systemic sclerosis (SSc) and gout.

METHODS: Two separate systematic literature reviews (SLRs) were conducted. The first identified SLRs, published between 01/2013 and 09/2018. The second identified original observational and intervention studies published before 05/2019. Manuscripts were included if they assessed the effects of vocational interventions on disease-specific outcomes (i.e. clinical outcomes, patient-reported outcomes, and work outcomes) or if they assessed the association between work-related factors and these outcomes. Medline, Embase, Cochrane Library of systematic reviews and CENTRAL databases were searched.

RESULTS: Two SLRs were identified including individuals with SSc and inflammatory arthritis. Subsequently, 23 original manuscripts were identified, with most of them (43.5%) including people with RA and no manuscripts on gout. Most observational studies evaluated the association between work-related factors and work outcomes while limited information was available on the impact of work on clinical outcomes. A few studies suggested that physically demanding jobs have a small detrimental effect on radiographic progression in axSpA and PsA. Intervention studies showed beneficial effects of vocational interventions for disease-specific outcomes, but with small effect sizes.

CONCLUSION: Many studies indicated that work participation is not likely to be detrimental and, in some cases, may be beneficial for RMD-specific outcomes and should therefore receive attention within healthcare consultations.

Original language	English
Article number	152135
Number of pages	14
Journal	Seminars in Arthritis and Rheumatism
Volume	58
Early online date	13 Nov 2022
DOIs	https://doi.org/10.1016/j.semarthrit.2022.152135
Publication status	Published - Feb 2023

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10.1016/j.semarthrit.2022.152135

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Wieczorek, M., Verstappen, S. M., Putrik, P., Gwinnutt, J. M., Balanescu, A., Bischoff-Ferrari, H. A., Boonen, A., Cavalli, G., de Souza, S., de Thurah, A., Dorner, T. E., Moe, R. H., Rodríguez-Carrio, J., Silva-Fernández, L., Stamm, T., Walker-Bone, K., Welling, J., Zlatković-Švenda, M., & Guillemin, F. (2023). Association of vocational interventions and work-related factors with disease and work outcomes in people with RMDs: A systematic review. Seminars in Arthritis and Rheumatism, 58, [152135]. https://doi.org/10.1016/j.semarthrit.2022.152135

@article{0269a544952a456cb0acfbd63403e05c,

title = "Association of vocational interventions and work-related factors with disease and work outcomes in people with RMDs: A systematic review",

abstract = "OBJECTIVE: A EULAR taskforce was convened to develop recommendations for lifestyle behaviours amongst people with rheumatic and musculoskeletal diseases (RMDs). This paper reviews the literature on work-related factors and disease-specific outcomes for people with osteoarthritis, rheumatoid arthritis (RA), systemic lupus erythematosus, axial spondyloarthritis (axSpA), psoriatic arthritis, systemic sclerosis (SSc) and gout.METHODS: Two separate systematic literature reviews (SLRs) were conducted. The first identified SLRs, published between 01/2013 and 09/2018. The second identified original observational and intervention studies published before 05/2019. Manuscripts were included if they assessed the effects of vocational interventions on disease-specific outcomes (i.e. clinical outcomes, patient-reported outcomes, and work outcomes) or if they assessed the association between work-related factors and these outcomes. Medline, Embase, Cochrane Library of systematic reviews and CENTRAL databases were searched.RESULTS: Two SLRs were identified including individuals with SSc and inflammatory arthritis. Subsequently, 23 original manuscripts were identified, with most of them (43.5%) including people with RA and no manuscripts on gout. Most observational studies evaluated the association between work-related factors and work outcomes while limited information was available on the impact of work on clinical outcomes. A few studies suggested that physically demanding jobs have a small detrimental effect on radiographic progression in axSpA and PsA. Intervention studies showed beneficial effects of vocational interventions for disease-specific outcomes, but with small effect sizes.CONCLUSION: Many studies indicated that work participation is not likely to be detrimental and, in some cases, may be beneficial for RMD-specific outcomes and should therefore receive attention within healthcare consultations.",

author = "Maud Wieczorek and Verstappen, {Suzanne Mm} and Polina Putrik and Gwinnutt, {James M} and Andra Balanescu and Bischoff-Ferrari, {Heike A} and Annelies Boonen and Giulio Cavalli and {de Souza}, Savia and {de Thurah}, Annette and Dorner, {Thomas E} and Moe, {Rikke Helene} and Javier Rodr{\'i}guez-Carrio and Luc{\'i}a Silva-Fern{\'a}ndez and Tanja Stamm and Karen Walker-Bone and Joep Welling and Mirjana Zlatkovi{\'c}-{\v S}venda and Francis Guillemin",

note = "Copyright {\textcopyright} 2022. Published by Elsevier Inc.",

year = "2023",

month = feb,

doi = "10.1016/j.semarthrit.2022.152135",

language = "English",

volume = "58",

journal = "Seminars in Arthritis and Rheumatism",

issn = "0049-0172",

publisher = "W B Saunders Co-Elsevier Inc",

}

Wieczorek, M, Verstappen, SM, Putrik, P, Gwinnutt, JM, Balanescu, A, Bischoff-Ferrari, HA, Boonen, A, Cavalli, G, de Souza, S, de Thurah, A, Dorner, TE, Moe, RH, Rodríguez-Carrio, J, Silva-Fernández, L, Stamm, T, Walker-Bone, K, Welling, J, Zlatković-Švenda, M & Guillemin, F 2023, 'Association of vocational interventions and work-related factors with disease and work outcomes in people with RMDs: A systematic review', Seminars in Arthritis and Rheumatism, vol. 58, 152135. https://doi.org/10.1016/j.semarthrit.2022.152135

TY - JOUR

T1 - Association of vocational interventions and work-related factors with disease and work outcomes in people with RMDs

T2 - A systematic review

AU - Wieczorek, Maud

AU - Verstappen, Suzanne Mm

AU - Putrik, Polina

AU - Gwinnutt, James M

AU - Balanescu, Andra

AU - Bischoff-Ferrari, Heike A

AU - Boonen, Annelies

AU - Cavalli, Giulio

AU - de Souza, Savia

AU - de Thurah, Annette

AU - Dorner, Thomas E

AU - Moe, Rikke Helene

AU - Rodríguez-Carrio, Javier

AU - Silva-Fernández, Lucía

AU - Stamm, Tanja

AU - Walker-Bone, Karen

AU - Welling, Joep

AU - Zlatković-Švenda, Mirjana

AU - Guillemin, Francis

PY - 2023/2

Y1 - 2023/2

N2 - OBJECTIVE: A EULAR taskforce was convened to develop recommendations for lifestyle behaviours amongst people with rheumatic and musculoskeletal diseases (RMDs). This paper reviews the literature on work-related factors and disease-specific outcomes for people with osteoarthritis, rheumatoid arthritis (RA), systemic lupus erythematosus, axial spondyloarthritis (axSpA), psoriatic arthritis, systemic sclerosis (SSc) and gout.METHODS: Two separate systematic literature reviews (SLRs) were conducted. The first identified SLRs, published between 01/2013 and 09/2018. The second identified original observational and intervention studies published before 05/2019. Manuscripts were included if they assessed the effects of vocational interventions on disease-specific outcomes (i.e. clinical outcomes, patient-reported outcomes, and work outcomes) or if they assessed the association between work-related factors and these outcomes. Medline, Embase, Cochrane Library of systematic reviews and CENTRAL databases were searched.RESULTS: Two SLRs were identified including individuals with SSc and inflammatory arthritis. Subsequently, 23 original manuscripts were identified, with most of them (43.5%) including people with RA and no manuscripts on gout. Most observational studies evaluated the association between work-related factors and work outcomes while limited information was available on the impact of work on clinical outcomes. A few studies suggested that physically demanding jobs have a small detrimental effect on radiographic progression in axSpA and PsA. Intervention studies showed beneficial effects of vocational interventions for disease-specific outcomes, but with small effect sizes.CONCLUSION: Many studies indicated that work participation is not likely to be detrimental and, in some cases, may be beneficial for RMD-specific outcomes and should therefore receive attention within healthcare consultations.

AB - OBJECTIVE: A EULAR taskforce was convened to develop recommendations for lifestyle behaviours amongst people with rheumatic and musculoskeletal diseases (RMDs). This paper reviews the literature on work-related factors and disease-specific outcomes for people with osteoarthritis, rheumatoid arthritis (RA), systemic lupus erythematosus, axial spondyloarthritis (axSpA), psoriatic arthritis, systemic sclerosis (SSc) and gout.METHODS: Two separate systematic literature reviews (SLRs) were conducted. The first identified SLRs, published between 01/2013 and 09/2018. The second identified original observational and intervention studies published before 05/2019. Manuscripts were included if they assessed the effects of vocational interventions on disease-specific outcomes (i.e. clinical outcomes, patient-reported outcomes, and work outcomes) or if they assessed the association between work-related factors and these outcomes. Medline, Embase, Cochrane Library of systematic reviews and CENTRAL databases were searched.RESULTS: Two SLRs were identified including individuals with SSc and inflammatory arthritis. Subsequently, 23 original manuscripts were identified, with most of them (43.5%) including people with RA and no manuscripts on gout. Most observational studies evaluated the association between work-related factors and work outcomes while limited information was available on the impact of work on clinical outcomes. A few studies suggested that physically demanding jobs have a small detrimental effect on radiographic progression in axSpA and PsA. Intervention studies showed beneficial effects of vocational interventions for disease-specific outcomes, but with small effect sizes.CONCLUSION: Many studies indicated that work participation is not likely to be detrimental and, in some cases, may be beneficial for RMD-specific outcomes and should therefore receive attention within healthcare consultations.

U2 - 10.1016/j.semarthrit.2022.152135

DO - 10.1016/j.semarthrit.2022.152135

M3 - (Systematic) Review article

C2 - 36434893

SN - 0049-0172

VL - 58

JO - Seminars in Arthritis and Rheumatism

JF - Seminars in Arthritis and Rheumatism

M1 - 152135

ER -