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The impact of adjusted work conditions and disease-modifying drugs on work ability in multiple sclerosis
Umeå University, Sweden.
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Rehabilitation Center.
Linköping University, Department of Computer and Information Science. Linköping University, Faculty of Science & Engineering.
Umeå University, Sweden.
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2017 (English)In: Multiple Sclerosis, ISSN 1352-4585, E-ISSN 1477-0970, Vol. 23, no 8, 1137-1147 p.Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
SAGE PUBLICATIONS LTD , 2017. Vol. 23, no 8, 1137-1147 p.
Keyword [en]
Multiple sclerosis; disease-modifying drugs; working ability; work requirements; adjusted work conditions; Work Ability Questionnaire - Multiple Sclerosis
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:liu:diva-139263DOI: 10.1177/1352458516671818ISI: 000403588100050PubMedID: 27758955OAI: oai:DiVA.org:liu-139263DiVA: diva2:1121163
Note

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)

Available from: 2017-07-10 Created: 2017-07-10 Last updated: 2017-07-10

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Fagerström, MariaWickström, LucasDahle, CharlotteVrethem, Magnus
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Department of Medical and Health SciencesFaculty of Medicine and Health SciencesRehabilitation CenterDepartment of Computer and Information ScienceFaculty of Science & EngineeringDivision of Neuro and Inflammation ScienceDepartment of Clinical Immunology and Transfusion MedicineDepartment of Neurology
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Multiple Sclerosis
Public Health, Global Health, Social Medicine and Epidemiology

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CiteExportLink to record
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Citation style
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