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The impact of adjusted work conditions and disease-modifying drugs on work ability in multiple sclerosis
Umeå University, Sweden.
Linköpings universitet, Institutionen för medicin och hälsa. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Hjärt- och Medicincentrum, Rehabenheten.
Linköpings universitet, Institutionen för datavetenskap. Linköpings universitet, Tekniska fakulteten.
Umeå University, Sweden.
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2017 (Engelska)Ingår i: Multiple Sclerosis, ISSN 1352-4585, E-ISSN 1477-0970, Vol. 23, nr 8, s. 1137-1147Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background: Multiple sclerosis (MS) is a neurological disorder that causes significantly reduced ability to work, and the Expanded Disability Status Scale (EDSS) is one of the main predictors for reduced work ability. Objectives: To investigate how work requirements, flexible work conditions and disease-modifying drugs (DMDs) influence the work ability in relation to different EDSS grades in two MS populations. Methods: Work ability was studied in two MS populations: one in the southern and one in the northern part of Sweden, both demographically similar. In the latter population, more active work-promoting interventions have been practised and second-generation DMDs have been widely used from the onset of disease for several years. Results: The proportion of MS patients who participated in the workforce or studied was significantly higher in the northern compared with the southern population (pamp;lt;0.001). The employees in the northern population had significantly lower requirements, greater adapted work conditions and were able to work more hours per week. Higher EDSS was associated with lower reduction in number of worked hours per week in the northern population (p=0.042). Conclusion: Our data indicated that treatment strategy and adjusted work conditions have impact on work ability in MS.

Ort, förlag, år, upplaga, sidor
SAGE PUBLICATIONS LTD , 2017. Vol. 23, nr 8, s. 1137-1147
Nyckelord [en]
Multiple sclerosis; disease-modifying drugs; working ability; work requirements; adjusted work conditions; Work Ability Questionnaire - Multiple Sclerosis
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi
Identifikatorer
URN: urn:nbn:se:liu:diva-139263DOI: 10.1177/1352458516671818ISI: 000403588100050PubMedID: 27758955OAI: oai:DiVA.org:liu-139263DiVA, id: diva2:1121163
Anmärkning

Funding Agencies|Norrbacka-Eugenia Foundation; AFA Insurance; Swedish Association of Persons with Neurological Disabilities (Neuroforbundet); Umea University; Vasterbotten County Council on Cooperation in the Field of Medicine, Odontology and Health (ALF)

Tillgänglig från: 2017-07-10 Skapad: 2017-07-10 Senast uppdaterad: 2018-04-16

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Fagerström, MariaDahle, CharlotteVrethem, Magnus
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Institutionen för medicin och hälsaMedicinska fakultetenRehabenhetenInstitutionen för datavetenskapTekniska fakultetenAvdelningen för neuro- och inflammationsvetenskapKlinisk immunologi och transfusionsmedicinNeurologiska kliniken
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Multiple Sclerosis
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi

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