{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T07:02:52Z","timestamp":1760079772167},"reference-count":37,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2014,2,15]],"date-time":"2014-02-15T00:00:00Z","timestamp":1392422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the prevalence of work disability (<jats:styled-content style=\"fixed-case\">WD<\/jats:styled-content>) in <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>gyptian patients with ankylosing spondylitis (<jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content>) and to identify the main factors associated with this.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional survey was conducted among all patients with <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> during an extended outpatient visit in the period between July, 2011 and December, 2012. Demographic data were collected and a physical examination was performed. Multivariate modeling was applied to determine the factors associated with work disability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The questionnaire was completed by 90 patients (85 males; 94.4%). The mean age of the participants was 37.8 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 9.7) years, mean disease duration was 12.1 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 8.9) years, and the mean symptom duration was 15 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 2.9) years. A total of 36 (40%) patients of working age were not working due to <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content>. The factors that associated with work disability, after completing logistic regression models, were older age (odds ratio [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>]\u00a0=\u00a01.8, 95%, confidence interval [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>]\u00a0=\u00a01.04\u20131.17), longer disease duration (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.60, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01.12\u20132.8), increasing diagnostic delay (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.1, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01.0\u20133.4), lower educational level (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a03.5, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01.6\u20136.4), manual profession (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.80, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01.10\u20132.6), living in a rural zone (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a03.14, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01.98\u20135.05), peripheral arthritis (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.04, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01.20\u20133.43) and psychological symptoms (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a02.3, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>\u00a0=\u00a01.9\u20134.6).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The prevalence of <jats:styled-content style=\"fixed-case\">WD<\/jats:styled-content> among <jats:styled-content style=\"fixed-case\">E<\/jats:styled-content>gyptian patients with <jats:styled-content style=\"fixed-case\">AS<\/jats:styled-content> is considerably high. Clinical and psychosocial factors, in particular, appear to be associated with <jats:styled-content style=\"fixed-case\">WD<\/jats:styled-content> and should therefore be prioritized in clinical practice.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.12306","type":"journal-article","created":{"date-parts":[[2014,2,17]],"date-time":"2014-02-17T11:05:37Z","timestamp":1392635137000},"page":"2028-2034","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Prevalence and associated risk factors for work disability in <scp>E<\/scp>gyptian patients with ankylosing spondylitis from one center"],"prefix":"10.1111","volume":"20","author":[{"given":"Amal","family":"Abdul\u2010Sattar","sequence":"first","affiliation":[{"name":"Department of Rheumatology and Rehabilitation Zagazig University Zagazig Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sahar","family":"Abou El 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