{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T23:55:24Z","timestamp":1784159724219,"version":"3.55.0"},"reference-count":51,"publisher":"BMJ","issue":"1","license":[{"start":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T00:00:00Z","timestamp":1774310400000},"content-version":"unspecified","delay-in-days":82,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100018592","name":"Celltrion","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100018592","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100005614","name":"Biogen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005614","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100004336","name":"Novartis","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004336","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Lilly"},{"DOI":"10.13039\/100015756","name":"Janssen-Cilag","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100015756","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100006483","name":"AbbVie","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006483","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100011110","name":"UCB","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011110","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"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["RMD Open"],"accepted":{"date-parts":[[2026,2,19]]},"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess the frequency and extent of work ability impairment and explore differences in its degree in relation to sociodemographic, clinical and patient-reported factors in patients with axial spondyloarthritis (axSpA) and psoriatic arthritis (PsA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional analysis used data from the prospective RABBIT-SpA cohort, including patients aged 18\u201365 years with physician-confirmed axSpA or PsA. Work ability was assessed in both the axSpA and PsA cohorts using the Work Ability Index (WAI; 7\u201349 points, higher scores=better\u2009work ability), categorised as good\/excellent (\u226537) or moderate\/poor (\u226436) according to validated cut-offs. Patients were grouped as employed with good\/excellent WAI, employed with moderate\/poor WAI or non-employed. Descriptive analyses were conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>2655 patients were analysed (axSpA: 1366; PsA: 1276). In the axSpA cohort, 80% were employed, with 70% reporting moderate\/poor WAI (mean 31.6, SD: 7.6). Among patients with PsA, 69% were employed, of whom 71% reported moderate\/poor WAI (mean 31.4, SD: 8.1).<\/jats:p>\n                    <jats:p>For both the axSpA and PsA cohorts, compared with individuals with good\/excellent WAI, those who were non-employed or had moderate\/poor WAI were more often female, older, obese, smokers and had fewer years of education.<\/jats:p>\n                    <jats:p>Individuals with lower inflammatory markers, fewer comorbidities and lower disease activity were mainly in the good\/excellent WAI group, while non-employed individuals showed the poorest clinical and patient-reported factors, followed by those with moderate\/poor WAI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Around 25% of patients of working age with axSpA and PsA were non-employed and two-thirds of employed patients reported moderate\/poor work ability. The results underline the importance of enhanced focus on occupational health in rheumatology to identify at-risk patients early.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/rmdopen-2025-006338","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T15:33:30Z","timestamp":1774366410000},"page":"e006338","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Severe impairments in work ability among patients with axSpA and PsA: results from the RABBIT-SpA Register"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0426-0312","authenticated-orcid":false,"given":"Stephanie","family":"Lembke","sequence":"first","affiliation":[{"name":"German Rheumatology Research Center, Programme Area Epidemiology and Health Services Research, Register Research in Rheumatology, 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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2069-2190","authenticated-orcid":false,"given":"Anja","family":"Wei\u00df","sequence":"additional","affiliation":[{"name":"German Rheumatology Research Center, Programme Area Epidemiology and Health Services Research, Register Research in Rheumatology, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kirsten","family":"Karberg","sequence":"additional","affiliation":[{"name":"Private Rheumatology Practice, Berlin, 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