Background Spondylarthritis (Spa) is a chronic inflammatory disease affecting axial skeleton, occurring in young and active patients and often condition their professional prospects.
Objectives To describe the social and occupational characteristics of patients affected by Spa, to estimate the impact of the disease on their professional activity and to determine factors exposing to elevated risk of premature withdrawal from the labor force.
Methods We had performed a cross-sectional study of 70 patients with Spa recruited during 4 months at the Department of Rheumatology, felling the criteria of AMOR. Demographic, social and professional characteristics were determinate and some disease-specific instruments: BASDAI, BASFI, BASMI, BASG-s, BASRI, lesquene index were performed
Results It is about 51 men and 19 women, the average age is 40.61 years. The mean disease duration is 10,75 years. Sixty percent of patients live in urban zone and 17% have an educational level superior to 13 years. The mean score of BASFI is 44.79, the mean score of BASDAI is 45.56, the mean score of BASG-s is 55.64, the mean score of BASMI is of 4.76, the mean score of BASRI is 4,43. Among these patients 82% are eligible to a professional activity (aged between 22 and 65 years and having ended their studies or vocational training). The global unemployment rate is 43%, that’s attributed to the disease is 69%. For the specific disease indexes, high risk of withdrawal is positively correlated with pain-VAS(p=0,005), fatigue-VAS(0,021), the BASFI(0,004), the BASG-s(p=0,016), the BASMI(P=0,001), the BASRI(p=0,001) and Lesquene index(p=0,001). the off work during the last three months is positively correlated to the fatigue(p=0,009)and the BASFI(p=0,009).
Conclusions Several factors are identified to be associated to a high risk of premature working withdrawal in patients affected by Spa. Prevention of this risk needs an early diagnosis and treatment of the disease, a vocational guidance, and work preliminary training.
Disclosure of Interest None Declared