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A Systematic Review of Job Loss Prevention Interventions for Persons with Inflammatory Arthritis

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Abstract

Purpose To present an overview of the evidence of the effect of job loss prevention interventions, aiming to improve work ability and decrease absenteeism and/or job loss in persons with inflammatory arthritis (IA). Method A systematic literature search in the databases PubMed, EMBASE, CINAHL, PsycINFO and the Cochrane Library was conducted. A search strategy used in a review from 2014 was copied and additional keywords were added with no time restriction. The Cochrane Risk of Bias Tool (RoB 1) was used for quality assessment and the overall quality of each study was determined using predetermined cut-off criteria, categorising studies to be of good-, acceptable- or low quality. Results were summarised narratively. Results Six randomised controlled trials (published in seven articles) were included, one of good quality and five of acceptable quality. One study identified significant improvements in work ability, while three found no significant difference between groups. One study identified significant difference in absenteeism, while two studies identified no difference between the intervention and control groups. Two studies identified significant reduction in job loss, while two studies identified no group difference. The inconsistent results may be due to heterogeneity in interventions and outcome measures used, and the results should therefore be interpreted with caution. Conclusion The results indicate that job loss prevention interventions may have an effect on work ability, absenteeism and in particular job loss among persons with IA. Further good-quality studies regarding job loss prevention interventions for people with IA are still recommended.

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Author information

Authors and Affiliations

  1. Department of Regional Health Research, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark

    Christina Merete Tvede Madsen & Jette Primdahl

  2. Department of Public Health, University of Southern Denmark Mark, J.B. Winsløws Vej 9B, 5000, Odense C, Denmark

    Sara Kjær Bisgaard, Jeanette Reffstrup Christensen & Cecilie von Bülow

  3. Danish Hospital for Rheumatic Diseases, University Hospital of Southern Denmark, Engelshøjgade 9A, 6400, Sønderborg, Denmark

    Jette Primdahl

  4. Hospital of Southern Jutland, University Hospital of Southern Denmark, Kresten Philipsens Vej 15, 6200, Aabenraa, Denmark

    Jette Primdahl

  5. The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Nordre Fasanvej 57, 2000, Frederiksberg, Denmark

    Cecilie von Bülow

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  1. Christina Merete Tvede Madsen
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Correspondence to Christina Merete Tvede Madsen.

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In this review no participants or sensitive personal information is included and thus no consent or ethical approval were relevant.

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Appendix 1: PubMed Search Strategy

Appendix 1: PubMed Search Strategy

Date of final search: 11.02.21.

ID

Search

Hits

#1

rheumatic diseases [MeSH Terms] OR Arthritis [MeSH Terms]

291,679

#2

arthritis[Text Word] OR 'rheumatic disease*'OR 'rheumatic disorder*'[Text Word] OR 'rheumatic condition*'[Text Word]

227,278

#3

Spondylitis [MeSH] OR Spondylarthritis [MeSH] OR Ankylosis [MeSH] OR “Ankylosing spondyl*” [Text Word] OR Spondyloarthritis [Text Word] OR Bechterew [Text Word]

43,573

#4

#1 OR #2 OR #3

360,198

#5

'Rehabilitation, Vocational' OR 'Occupational Health' OR 'Occupational Health Services OR 'workers’ compensation' OR 'Social Participation' OR 'Occupational medicine' OR employment OR unemployment OR 'disability evaluation'[MeSH Terms]

474,623

#6

'return to work'[Text Word] OR 'sick leave'[Text Word] OR absenteeism[Text Word] OR presenteeism[Text Word] OR retirement[Text Word] OR employment[Text Word] OR 'sickness absence'[Text Word] OR 'disabled persons'[Text Word] OR 'social participation'[Text Word] OR job[Text Word] OR work[Text Word] OR works*[Text Word] OR worka*[Text Word] OR worke*[Text Word] OR workg*[Text Word] OR worki*[Text Word] OR workl*[Text Word] OR workp*[Text Word] OR ergonomic[Text Word] OR vocational[Text Word] OR occupation*[Text Word] OR employee[Text Word] OR employer[Text Word] OR unemployment[Text Word] OR 'disability evaluation'[Text Word]

2,010,901

#7

#5 OR #6

2,104,075

#8

“Clinical Trials as Topic”[Mesh] OR “Double-Blind Method”[Mesh] OR “Single-Blind Method”[Mesh] OR “drug therapy”[Subheading] OR “Research Design”[Mesh] OR “Placebos”[Mesh] OR “Random Allocation”[Mesh] OR “Randomized Controlled Trials as Topic”[Mesh] OR “Double-Blind Method”[Mesh] OR “Randomized Controlled Trial” [Publication Type] OR “Practice Guideline”[Publication Type] OR “Clinical Trial”[Publication Type] OR “Controlled Clinical Trial”[Publication Type] OR single blind[Title/Abstract] OR single blinded[Title/Abstract] OR single masked[Title/Abstract] OR double blind[Title/Abstract] OR double blinded[Title/Abstract] OR double masked[Title/Abstract] OR triple blind[Title/Abstract] OR triple blinded[Title/Abstract] OR triple masked[Title/Abstract] OR double-blind* OR random allocation[Title/Abstract] OR random allocations[Title/Abstract] OR random allocated[Title/Abstract] OR randomly allocated[Title/Abstract] OR clinical trial[Title/Abstract] OR clinical trials[Title/Abstract] OR placebo*[Title/Abstract] OR random* OR trial*[Title/Abstract] NOT case report[Title/Abstract] OR letter[Publication Type] OR historical article[Publication Type] OR “review of reported cases” OR multicase review[Publication Type]

5,506,860

#9

#4 AND #7 AND #8

6,044

#10

#4 AND #7 AND #8 Filters: Clinical Trial

1,330

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Madsen, C.M.T., Bisgaard, S.K., Primdahl, J. et al. A Systematic Review of Job Loss Prevention Interventions for Persons with Inflammatory Arthritis. J Occup Rehabil 31, 866–885 (2021). https://doi.org/10.1007/s10926-021-09972-9

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