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
Issue number	1
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(1), Article 152135. https://doi.org/10.1016/j.semarthrit.2022.152135

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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",

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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, no. 1, 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

IS - 1

M1 - 152135

ER -