Morning stiffness and its influence on early retirement in patients with recent onset rheumatoid arthritis
Abstract
Objective To describe the association between morning stiffness (MS) and early retirement in patients with early RA. Methods The study used data from a prospective RA cohort of 916 RA patients with disease duration Results MS was strongly associated with pain and functional capacity and to a lesser degree with joint counts and active phase responses. Severe MS in early disease had a significant impact on early retirement within the following 3 yrs. Of the 389 patients who were Conclusions Severe MS in the early course of the disease has a high impact on RA patients' decision to withdraw from working life. Great attention should be paid to the effective treatment of MS in early RA, to prevent patients from possible untimely decisions that will have long-lasting and costly consequences.
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Morning stiffness assessment is a widely used marker of functional disability in rheumatoid arthritis and reflects disease activity more than traditional markers of inflammation like joint counts.
“This assessment of morning stiffness is a widely used marker of functional disability in RA and reflects disease activity more than do traditional markers of inflammation like joint counts (Westhoff, Buttgereit, Gromnica-Ihle, & Zink, 2008).”
From Mindfulness and cognitive-behavioral interventions for chronic pain: Differential effects on daily pain reactivity and stress reactivity (2015) · cites this paper as Westhoff, Buttgereit, Gromnica-Ihle, & Zink, 2008
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- Authors
- Westhoff, G., Buttgereit, F., Gromnica-Ihle, E., & Zink, A.
- Affiliations
- German Rheumatism Research Centre (DE)
- Venue
- Rheumatology
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-04-25
- Volume
- 47
- Issue
- 7
- Pages
- 980-984
- ISSN
- 1462-0324 (ISSN-L)
- 1462-0332
- OpenAlex
- W2118247049
- Cited by
- 66
- References
- 34
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 5 · 2019: 8 · 2018: 1 · 2017: 4 · 2016: 7 · 2015: 8 · 2014: 4 · 2013: 3 · 2012: 8
- FWCI
- 2.08
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Lara D. Veeken (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Social Sciences › Demography › Retirement, Disability, and Employment
- Health Sciences › Medicine › Hematology › Autoimmune and Inflammatory Disorders Research
- Keywords
- morning stiffness, rheumatoid arthritis, early retirement, work disability, functional capacity, pain, DAS28, recent-onset rheumatoid arthritis, disease activity
- MeSH terms
- Adult, Aged, Arthritis, Rheumatoid, Circadian Rhythm, Female, Humans, Joints, Male, Middle Aged, Pain, Pain Measurement, Prospective Studies, Retirement, Severity of Illness Index, Exercise, Antirheumatic Agents
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