Rheumatoid Arthritis with Lung Lesions

Abstract

<b>Introduction:</b> COPD affects large numbers of people of working age. This international study measured the personal, social and economic burden of disease in this population. The age, disease severity, and co-morbidity data are presented according to employment status, to identify the characteristics of individuals across the groups. <b>Method:</b> 2426 respondents from Brazil, China, Germany, Turkey, UK, US were recruited utilising a mixed methods design. Employment status was recorded: currently employed, not working and retired due to COPD. Disease severity was assessed using MRC scores (Mild: 1-2, Mod 3-4, Severe 5). <b>Results:</b> Retirees reported greater disease severity than workers (MRC m: 4.1 v 3.1, p&lt;0.005), more co-morbidities (m: 2.5 v m: 1.1). More retirees reported anxiety and depression. 60% of retirees had mild or moderate disease v 91% in work. 64% (n 284) of early retirees retired over 4 years ago. <b>Conclusions:</b> It is possible that disease severity limits ability to work, however the trigger to retire may also be due to other factors including co-morbidities. Workers registered the lowest prevalence of psychological disorders and it is unclear whether this is due to milder disease, age or employment status. This data suggests employers and occupational health professionals have a key role in keeping people with COPD in active work for longer.