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  • Manual jobs increase the risk of patients with ankylosing spondylitis withdrawing from the labour force, also when adjusted for job related withdrawal in the general population

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Manual jobs increase the risk of patients with ankylosing spondylitis withdrawing from the labour force, also when adjusted for job related withdrawal in the general population
  1. A Boonen1,
  2. A Chorus2,
  3. R Landewé1,3,
  4. D van der Heijde1,4,
  5. H Miedema5,
  6. H van der Tempel6,
  7. Sj van der Linden1
  1. 1Department of Internal Medicine, Division of Rheumatology, University Hospital Maastricht, The Netherlands
  2. 2Division of Public Health, TNO Prevention and Health, Leiden, The Netherlands
  3. 3Atrium Medical Centre, Heerlen, The Netherlands
  4. 4Limburg University Centre, Diepenbeek, Belgium
  5. 5Netherlands Expert Centre for Workrelated Musculoskeletal Disorders, University Hospital Dijkzigt and Erasmus University Rotterdam, The Netherlands
  6. 6Maasland Ziekenhuis Sittard, The Netherlands
  1. Correspondence to:
    Dr A Boonen, Department of Internal Medicine, Division of Rheumatology, University Hospital Maastricht, PO Box 5800, 6202 AZ Maastricht, The Netherlands;
    aboo{at}sint.azm.nl

https://doi.org/10.1136/ard.61.7.658

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    In 1997 we studied labour force participation among 658 Dutch patients with ankylosing spondylitis (AS).1 In those who had a paid job before onset of disease (n=529), age and sex adjusted withdrawal rate was 3.0 times (95% CI 2.5 to 3.6) higher than expected in the general Dutch population.2 Within patients with AS, those with a manual job had a 2.3 (95% CI 1.5 to 3.4) times increased risk of withdrawal compared with those with a non-manual job after correction for age at onset of disease, gender, educational level, and coping strategies.2 However, the question remained …

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