{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T09:45:28Z","timestamp":1780739128219,"version":"3.54.1"},"reference-count":26,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T00:00:00Z","timestamp":1737763200000},"content-version":"unspecified","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"GSK"},{"DOI":"10.13039\/100004325","name":"AstraZeneca","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004325","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014841","name":"Medac","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014841","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Actelion","award":["2007-2010"],"award-info":[{"award-number":["2007-2010"]}]},{"name":"Abbott"},{"name":"the Working Group of Regional Cooperative Rheumatology Centers, the German Society for Rheumatology"},{"DOI":"10.13039\/100006483","name":"AbbVie","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006483","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Working Group of Corporate Members of the German Society for Rheumatology"},{"DOI":"10.13039\/100011110","name":"UCB","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011110","id-type":"DOI","asserted-by":"publisher"}]},{"name":"MSD","award":["2007-2023"],"award-info":[{"award-number":["2007-2023"]}]},{"name":"BMS","award":["2007-2023"],"award-info":[{"award-number":["2007-2023"]}]},{"name":"Gilead"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["RMD Open"],"accepted":{"date-parts":[[2025,1,6]]},"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To analyse work participation among patients with inflammatory rheumatic musculoskeletal diseases (iRMDs), namely rheumatoid arthritis (RA), axial spondyloarthritis (axSpA), psoriatic arthritis (PsA), systemic lupus erythematosus (SLE), systemic sclerosis (SSc) and ANCA-associated vasculitis (AAV).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A cross-sectional sample of 16\u2009421 patients from the National Database of the German Collaborative Arthritis Centers, aged &lt;65 years were analysed. For each diagnosis, yearly rates of absenteeism, employment and disability pensions were analysed from 2010 to 2022. Population data were used to calculate standardised employment ratios (SERs), adjusted for age, sex, federal state and vocational qualification. The analysis was additionally stratified by sex, adjusting for other factors.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Over the observed time span, large employment increases were found across all diagnoses, namely in RA (54%\u201368%), PsA (58%\u201372%), SSc (47%\u201366%), AAV (43%\u201361%), SLE (48%\u201360%) and axSpA (65%\u201373%). SERs were for RA 0.88 (95% CI 0.86 to 0.90), axSpA (0.88 (0.84 to 0.91)), PsA (0.88 (0.85 to 0.91)), SSc (0.83 (0.75 to 0.91)), SLE (0.76 (0.72 to 0.80)) and AAV (0.73 (0.63 to 0.83)). In RA, axSpA, PsA and AAV, SERs were higher in men while in SLE and SSc men had lower SER. Median of yearly absenteeism due to the disease decreased by 5 (RA), 1 (axSpA), 6 (PsA), 11 (SLE), 4 (SSc) and 10 days (AAV) in the time span. Except for SSc, the proportion of disability pension receivers decreased for all diagnoses.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Since 2010, work participation has improved for patients with iRMDs, as reflected in higher employment, reduced absenteeism and less disability retirement. However, patients have not reached population employment rates.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/rmdopen-2024-004980","type":"journal-article","created":{"date-parts":[[2025,1,25]],"date-time":"2025-01-25T06:40:18Z","timestamp":1737787218000},"page":"e004980","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Trends in work participation among patients with inflammatory rheumatic musculoskeletal diseases (iRMDs): Data from the German National Database (2010\u20132022)"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8726-3293","authenticated-orcid":false,"given":"Carlo","family":"Veltri","sequence":"first","affiliation":[{"name":"Epidemiology and Health Services Research, German Rheumatology Research Center, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0886-0294","authenticated-orcid":false,"given":"Katinka","family":"Albrecht","sequence":"additional","affiliation":[{"name":"Epidemiology and Health Services Research, German Rheumatology Research Center, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5668-4497","authenticated-orcid":false,"given":"Uta","family":"Kiltz","sequence":"additional","affiliation":[{"name":"Ruhr University Bochum, Bochum, Germany"},{"name":"Rheumazentrum Ruhrgebiet, Herne, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"Meyer-Olson","sequence":"additional","affiliation":[{"name":"Rheumatologie & Immunologie, Medizinische Hochschule Hannover, Hannover, Germany"},{"name":"Rheumatologie, m&i Fachklinik Bad Pyrmont, Bad Pyrmont, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanna","family":"Sp\u00e4thling","sequence":"additional","affiliation":[{"name":"Rheumatology Practice, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6233-022X","authenticated-orcid":false,"given":"Anja","family":"Strangfeld","sequence":"additional","affiliation":[{"name":"Epidemiology and Health Services Research, German Rheumatology Research Center, Berlin, Germany"},{"name":"Charite - Universitatsmedizin Berlin Medizinische Klinik mit Schwerpunkt Rheumatologie und Klinische Immunologie, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1655-0595","authenticated-orcid":false,"given":"Katja","family":"Thiele","sequence":"additional","affiliation":[{"name":"Epidemiology and Health Services Research, German Rheumatology Research Center, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3923-2728","authenticated-orcid":false,"given":"Johanna","family":"Callhoff","sequence":"additional","affiliation":[{"name":"Epidemiology and Health Services Research, German Rheumatology Research Center, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,1,25]]},"reference":[{"key":"2025090312581990000_11.1.e004980.1","doi-asserted-by":"publisher","DOI":"10.1136\/ard-2022-222678"},{"key":"2025090312581990000_11.1.e004980.2","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2021-222020"},{"key":"2025090312581990000_11.1.e004980.3","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2019-216243"},{"key":"2025090312581990000_11.1.e004980.4","doi-asserted-by":"crossref","DOI":"10.1186\/s41927-023-00365-4","article-title":"Employment of patients with rheumatoid arthritis - a systematic review and meta-analysis","volume":"7","author":"Kirkeskov","year":"2023","journal-title":"BMC Rheumatol"},{"key":"2025090312581990000_11.1.e004980.5","doi-asserted-by":"crossref","DOI":"10.1136\/rmdopen-2023-003468","article-title":"Work productivity in patients with axial spondyloarthritis initiating biological or targeted synthetic disease-modifying antirheumatic drugs: a systematic literature review and meta-analysis","volume":"9","author":"Rudwaleit","year":"2023","journal-title":"RMD Open"},{"key":"2025090312581990000_11.1.e004980.6","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.170874"},{"key":"2025090312581990000_11.1.e004980.7","doi-asserted-by":"crossref","DOI":"10.1186\/s13075-024-03282-0","article-title":"Improvement in work productivity among psoriatic arthritis patients treated with biologic or targeted synthetic drugs: a systematic literature review and meta-analysis","volume":"26","author":"Gossec","year":"2024","journal-title":"Arthritis Res Ther"},{"key":"2025090312581990000_11.1.e004980.8","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-023-05508-x"},{"key":"2025090312581990000_11.1.e004980.9","first-page":"83","article-title":"Trends in employment and hospitalisation in patients with Sj\u00f6gren\u2019s syndrome 1996-2016: results from the German National database","volume":"37 Suppl 118","author":"Callhoff","year":"2019","journal-title":"Clin Exp Rheumatol"},{"key":"2025090312581990000_11.1.e004980.10","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(23)00457-9"},{"key":"2025090312581990000_11.1.e004980.11","doi-asserted-by":"crossref","DOI":"10.1186\/s13075-017-1421-y","article-title":"Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA","volume":"19","author":"van der Zee-Neuen","year":"2017","journal-title":"Arthritis Res Ther"},{"key":"2025090312581990000_11.1.e004980.12","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2019-215294"},{"key":"2025090312581990000_11.1.e004980.13","first-page":"721","article-title":"Employment across chronic inflammatory rheumatic diseases and comparison with the general population","volume":"32","author":"Mau","year":"2005","journal-title":"J Rheumatol"},{"key":"2025090312581990000_11.1.e004980.14","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2009.122101"},{"key":"2025090312581990000_11.1.e004980.15","doi-asserted-by":"publisher","DOI":"10.1007\/s00393-013-1205-y"},{"key":"2025090312581990000_11.1.e004980.16","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keac529"},{"key":"2025090312581990000_11.1.e004980.17","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24575"},{"key":"2025090312581990000_11.1.e004980.18","doi-asserted-by":"crossref","DOI":"10.1136\/rmdopen-2022-002342","article-title":"Is the Rheumatoid Arthritis Impact of Disease (RAID) score a meaningful instrument for other inflammatory rheumatic diseases? 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