{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T16:24:45Z","timestamp":1782923085505,"version":"3.54.5"},"reference-count":59,"publisher":"BMJ","issue":"4","funder":[{"name":"Musculoskeletal Australia","award":["#230581862"],"award-info":[{"award-number":["#230581862"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Occup Environ Med"],"accepted":{"date-parts":[[2020,7,31]]},"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this review was to systematically identify, appraise and synthesise evidence on work-related outcomes experienced by younger to middle-aged adults (aged 16\u201350 years) with arthritis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eligible studies were identified in Medline, PsycINFO, Embase and CINAHL in January 2020. Quantitative and qualitative studies containing self-reported data on work-related outcomes on younger\/middle-aged adults with arthritis were included. Quality assessment was undertaken using validated quality appraisal tools from the Joanna Briggs Institute.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty-four studies were identified for inclusion. Work outcomes were organised around five themes: (1) arthritis-related work productivity outcomes, (2) arthritis-related work participation outcomes, (3) other arthritis-related workplace outcomes, (4) barriers to work participation associated with arthritis and (5) enablers to work participation associated with arthritis. Arthritis was associated with work limitations on the Workplace Activity Limitations Scale (average scores ranging from 5.9 (indicating moderate workplace difficulty) to 9.8 (considerable workplace difficulty)), and higher work disability prevalence rates (range: 6%\u201380%) relative to healthy populations. Arthritis was not associated with decreased absenteeism on the Work Productivity and Activity Impairment Questionnaire (mean (SD) 7.9% (14.0%)), indicating low levels of absenteeism, similar to healthy populations. As work outcomes were commonly binary, person-centred (qualitative) perspectives on barriers and enablers augmented the quantitative findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Arthritis is commonly associated with poorer work outcomes for younger\/middle-aged adults relative to healthy populations. Additional research focusing solely on the workplace needs of younger\/middle-aged population groups is required to inform tailored interventions and workplace support initiatives to maximise productive working years.<\/jats:p><\/jats:sec>","DOI":"10.1136\/oemed-2020-106640","type":"journal-article","created":{"date-parts":[[2020,8,26]],"date-time":"2020-08-26T21:21:03Z","timestamp":1598476863000},"page":"225-236","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":18,"title":["Arthritis-related work outcomes experienced by younger to middle-aged adults: a systematic review"],"prefix":"10.1136","volume":"78","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9967-6451","authenticated-orcid":false,"given":"Danielle","family":"Berkovic","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew M","family":"Briggs","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darshini","family":"Ayton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catriona","family":"Parker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilana","family":"Ackerman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,8,26]]},"reference":[{"key":"2024110805101614000_78.4.225.1","unstructured":"Australian Institute of Health and Welfare . Arthritis. Canberra; 2019."},{"key":"2024110805101614000_78.4.225.2","unstructured":"World Health Organization . Musculokeletal conditions; 2019."},{"key":"2024110805101614000_78.4.225.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2014.12.001"},{"key":"2024110805101614000_78.4.225.4","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-188"},{"key":"2024110805101614000_78.4.225.5","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2017.1378387"},{"key":"2024110805101614000_78.4.225.6","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-019-09853-2"},{"key":"2024110805101614000_78.4.225.7","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-5381-1"},{"key":"2024110805101614000_78.4.225.8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014007"},{"key":"2024110805101614000_78.4.225.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2015.06.001"},{"key":"2024110805101614000_78.4.225.10","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2017.1363824"},{"key":"2024110805101614000_78.4.225.11","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2017.7286"},{"key":"2024110805101614000_78.4.225.12","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-012139"},{"key":"2024110805101614000_78.4.225.13","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"2024110805101614000_78.4.225.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.joca.2015.04.008"},{"key":"2024110805101614000_78.4.225.15","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20633"},{"key":"2024110805101614000_78.4.225.16","unstructured":"Johanna Briggs Institute . Critical appraisal tools the University of Adelaide, 2019. Available: https:\/\/joannabriggs.org\/research\/critical-appraisal-tools.html"},{"key":"2024110805101614000_78.4.225.17","unstructured":"The University of Adelaide . JBI: who are we? 2020. Available: https:\/\/joannabriggs.org\/about.html"},{"key":"2024110805101614000_78.4.225.18","doi-asserted-by":"crossref","unstructured":"Lizarondo L , Stern C , Carrier J , et al . Chapter 8: mixed methods systematic reviews JBI, 2019. Available: https:\/\/wiki.joannabriggs.org\/display\/MANUAL\/Chapter+8%3A+Mixed+methods+systematic+reviews","DOI":"10.46658\/JBIRM-19-02"},{"key":"2024110805101614000_78.4.225.19","doi-asserted-by":"crossref","first-page":"201","DOI":"10.1097\/01.XEB.0000511348.97198.8c","article-title":"Narrative synthesis: considerations and challenges","volume":"14","author":"Lisy","year":"2016","journal-title":"Int J Evid Base Healthc"},{"key":"2024110805101614000_78.4.225.20","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-012-9384-y"},{"key":"2024110805101614000_78.4.225.21","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2005.048439"},{"key":"2024110805101614000_78.4.225.22","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-012-2395-3"},{"key":"2024110805101614000_78.4.225.23","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2012-201472"},{"key":"2024110805101614000_78.4.225.24","first-page":"1010","article-title":"How large are the productivity losses in contemporary patients with RA","volume":"70","author":"Neovius","year":"2011","journal-title":"and how soon in relation to diagnosis do they develop? Ann Rheum Dis"},{"key":"2024110805101614000_78.4.225.25","doi-asserted-by":"publisher","DOI":"10.1002\/art.24213"},{"key":"2024110805101614000_78.4.225.26","doi-asserted-by":"publisher","DOI":"10.1136\/ard.60.11.1033"},{"key":"2024110805101614000_78.4.225.27","doi-asserted-by":"publisher","DOI":"10.1177\/0961203309345784"},{"key":"2024110805101614000_78.4.225.28","doi-asserted-by":"publisher","DOI":"10.1080\/09638280600948193"},{"key":"2024110805101614000_78.4.225.29","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22601"},{"key":"2024110805101614000_78.4.225.30","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.140419"},{"key":"2024110805101614000_78.4.225.31","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23175"},{"key":"2024110805101614000_78.4.225.32","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e3181ec7ac4"},{"key":"2024110805101614000_78.4.225.33","doi-asserted-by":"publisher","DOI":"10.1002\/art.24427"},{"key":"2024110805101614000_78.4.225.34","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2013.863390"},{"key":"2024110805101614000_78.4.225.35","doi-asserted-by":"publisher","DOI":"10.1002\/msc.224"},{"key":"2024110805101614000_78.4.225.36","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1155"},{"key":"2024110805101614000_78.4.225.37","doi-asserted-by":"publisher","DOI":"10.1186\/s13075-016-1162-3"},{"key":"2024110805101614000_78.4.225.38","doi-asserted-by":"crossref","DOI":"10.1093\/rap\/rkz046","article-title":"Work productivity loss among rheumatoid arthritis patients in India: a qualitative study","volume":"3","author":"Jain","year":"2019","journal-title":"Rheumatol Adv Pract"},{"key":"2024110805101614000_78.4.225.39","doi-asserted-by":"publisher","DOI":"10.1080\/14397595.2017.1361893"},{"key":"2024110805101614000_78.4.225.40","doi-asserted-by":"publisher","DOI":"10.1002\/art.20415"},{"key":"2024110805101614000_78.4.225.41","doi-asserted-by":"crossref","first-page":"683","DOI":"10.1002\/acr.20112","article-title":"Work participation and health status in early osteoarthritis of the hip and\/or knee: a comparison between the cohort hip and cohort knee and the osteoarthritis initiative","volume":"62","author":"Bieleman","year":"2010","journal-title":"Arthritis Care Res"},{"key":"2024110805101614000_78.4.225.42","doi-asserted-by":"publisher","DOI":"10.1136\/ard.60.4.353"},{"key":"2024110805101614000_78.4.225.43","doi-asserted-by":"publisher","DOI":"10.1136\/ard.59.7.549"},{"key":"2024110805101614000_78.4.225.44","doi-asserted-by":"publisher","DOI":"10.1136\/ard.60.11.1025"},{"key":"2024110805101614000_78.4.225.45","doi-asserted-by":"publisher","DOI":"10.1080\/03009740802400594"},{"key":"2024110805101614000_78.4.225.46","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2008.092049"},{"key":"2024110805101614000_78.4.225.47","doi-asserted-by":"publisher","DOI":"10.3233\/WOR-121542"},{"key":"2024110805101614000_78.4.225.48","doi-asserted-by":"publisher","DOI":"10.1080\/10376178.2016.1157028"},{"key":"2024110805101614000_78.4.225.49","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2017.1323018"},{"key":"2024110805101614000_78.4.225.50","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2016.1258436"},{"key":"2024110805101614000_78.4.225.51","doi-asserted-by":"publisher","DOI":"10.1177\/17423953060020020601"},{"key":"2024110805101614000_78.4.225.52","first-page":"165","article-title":"\"Half the Man I Was\": Exploring Accounts of Emasculation and Estrangement amongst British Men Living with Systemic Lupus Erythematosus","volume":"15","author":"Pendeke","year":"2016","journal-title":"International Journal of Men\"s Health"},{"key":"2024110805101614000_78.4.225.53","doi-asserted-by":"publisher","DOI":"10.1002\/art.22622"},{"key":"2024110805101614000_78.4.225.54","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-015-0562-x"},{"key":"2024110805101614000_78.4.225.55","first-page":"47","article-title":"Participation in paid and unpaid work by adults with rheumatoid arthritis","volume":"31","author":"Backman","year":"2004","journal-title":"J Rheumatol"},{"key":"2024110805101614000_78.4.225.56","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20456"},{"key":"2024110805101614000_78.4.225.57","doi-asserted-by":"publisher","DOI":"10.1002\/art.24889"},{"key":"2024110805101614000_78.4.225.58","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckp085"},{"key":"2024110805101614000_78.4.225.59","doi-asserted-by":"crossref","unstructured":"Sharma S , Blyth FM , Mishra SR , et al . Health system strengthening is needed to respond to the burden of pain in low- and middle-income countries and to support healthy ageing. J Glob Health 2019;9.doi:10.7189\/jogh.09.020317","DOI":"10.7189\/jogh.09.020317"}],"container-title":["Occupational and Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/oemed-2020-106640","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T13:10:48Z","timestamp":1731071448000},"score":1,"resource":{"primary":{"URL":"https:\/\/oem.bmj.com\/lookup\/doi\/10.1136\/oemed-2020-106640"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,26]]},"references-count":59,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,3,12]]},"published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1136\/oemed-2020-106640"],"URL":"https:\/\/doi.org\/10.1136\/oemed-2020-106640","relation":{},"ISSN":["1351-0711","1470-7926"],"issn-type":[{"value":"1351-0711","type":"print"},{"value":"1470-7926","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,26]]}}}