Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: findings of a UK national survey

M. J. Stevens; K. Walker-Bone; D. J. Culliford; B. Alcacer-Pitarch; A. Blake; N. Hopkinson; L. S. Teh; E. M. Vital; C. J. Edwards; A. E. Williams; L. Cherry

doi:10.1186/s13047-019-0335-0

Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: findings of a UK national survey

M. J. Stevens, K. Walker-Bone, D. J. Culliford, B. Alcacer-Pitarch, A. Blake, N. Hopkinson, L. S. Teh, E. M. Vital, C. J. Edwards, A. E. Williams, L. Cherry

Applied Health Sciences

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Abstract

Objective: The aim of this study was to investigate whether foot and lower limb related symptoms were associated with work participation and poor mobility in people with Systemic Lupus Erythematosus (SLE). Method: A quantitative, cross-sectional, self-reported survey design was utilised. People with SLE from six United Kingdom (UK) treatment centres and a national register were invited to complete a survey about lower limb and foot health, work participation and mobility. Data collected included work status and the prevalence of foot symptoms. The focus of the analyses was to explore potential associations between poor foot health work non-participation. Results: In total, 182 useable surveys were returned. Seventy-nine respondents reported themselves as employed and 32 reported work non-participation. The remaining were retired due to age or reported work non-participation for other reasons. Work non-participation due to foot symptoms was significantly associated with difficulty walking (p = 0.024), past episodes of foot swelling (p = 0.041), and past episodes of foot ulceration (p = 0.018). There was a significant increase in foot disability scores amongst those not working (mean 18.13, 95% CI: 14.85-21.41) compared to those employed (mean 10.16, 95% CI: 8.11-12.21). Conclusions: Twenty-nine% of people with SLE reported work non-participation because of lower limb or foot problems. Our results suggest that foot health and mobility may be important contributors to a persons' ability to remain in work and should be considered as part of a clinical assessment.

Original language	English
Article number	26
Number of pages	5
Journal	Journal of Foot and Ankle Research
Volume	12
Early online date	11 Apr 2019
DOIs	https://doi.org/10.1186/s13047-019-0335-0
Publication status	Published - 29 Apr 2019

Bibliographical note

Acknowledgments
We thank Kevin Kennard and Helen Bifield as patient partners and the
Logres Trust who provided funding for this study. The publication plan was agreed with the trustees of the Logres Trust. The research is supported by the National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Unit. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.

Funding
Drs L Cherry and A Williams received a grant to undertake this work from the Logres Trust, a UK charity that funds research into Rheumatic diseases. Dr. L Cherry was supported in her role by a UK National Institute for Health Research Clinical Lecturer Fellowship.

Stevens, M.J., Walker-Bone, K., Culliford, D.J. et al. Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: findings of a UK national survey. J Foot Ankle Res 12, 26 (2019). https://doi.org/10.1186/s13047-019-0335-0

Data Availability Statement

The survey can be made available upon request.

Keywords

Systemic lupus erythematosus
Foot
Mobility
Work
Employment
Survey

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https://www.ncbi.nlm.nih.gov/pubmed/31164925

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Stevens, M. J., Walker-Bone, K., Culliford, D. J., Alcacer-Pitarch, B., Blake, A., Hopkinson, N., Teh, L. S., Vital, E. M., Edwards, C. J., Williams, A. E., & Cherry, L. (2019). Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: findings of a UK national survey. Journal of Foot and Ankle Research, 12, Article 26. https://doi.org/10.1186/s13047-019-0335-0

Stevens, MJ, Walker-Bone, K, Culliford, DJ, Alcacer-Pitarch, B, Blake, A, Hopkinson, N, Teh, LS, Vital, EM, Edwards, CJ, Williams, AE & Cherry, L 2019, 'Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: findings of a UK national survey', Journal of Foot and Ankle Research, vol. 12, 26. https://doi.org/10.1186/s13047-019-0335-0

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abstract = "Objective: The aim of this study was to investigate whether foot and lower limb related symptoms were associated with work participation and poor mobility in people with Systemic Lupus Erythematosus (SLE). Method: A quantitative, cross-sectional, self-reported survey design was utilised. People with SLE from six United Kingdom (UK) treatment centres and a national register were invited to complete a survey about lower limb and foot health, work participation and mobility. Data collected included work status and the prevalence of foot symptoms. The focus of the analyses was to explore potential associations between poor foot health work non-participation. Results: In total, 182 useable surveys were returned. Seventy-nine respondents reported themselves as employed and 32 reported work non-participation. The remaining were retired due to age or reported work non-participation for other reasons. Work non-participation due to foot symptoms was significantly associated with difficulty walking (p = 0.024), past episodes of foot swelling (p = 0.041), and past episodes of foot ulceration (p = 0.018). There was a significant increase in foot disability scores amongst those not working (mean 18.13, 95% CI: 14.85-21.41) compared to those employed (mean 10.16, 95% CI: 8.11-12.21). Conclusions: Twenty-nine% of people with SLE reported work non-participation because of lower limb or foot problems. Our results suggest that foot health and mobility may be important contributors to a persons' ability to remain in work and should be considered as part of a clinical assessment.",

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author = "Stevens, {M. J.} and K. Walker-Bone and Culliford, {D. J.} and B. Alcacer-Pitarch and A. Blake and N. Hopkinson and Teh, {L. S.} and Vital, {E. M.} and Edwards, {C. J.} and Williams, {A. E.} and L. Cherry",

note = "Acknowledgments We thank Kevin Kennard and Helen Bifield as patient partners and the Logres Trust who provided funding for this study. The publication plan was agreed with the trustees of the Logres Trust. The research is supported by the National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Unit. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. Funding Drs L Cherry and A Williams received a grant to undertake this work from the Logres Trust, a UK charity that funds research into Rheumatic diseases. Dr. L Cherry was supported in her role by a UK National Institute for Health Research Clinical Lecturer Fellowship. Stevens, M.J., Walker-Bone, K., Culliford, D.J. et al. Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: findings of a UK national survey. J Foot Ankle Res 12, 26 (2019). https://doi.org/10.1186/s13047-019-0335-0",

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T1 - Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: findings of a UK national survey

AU - Stevens, M. J.

AU - Walker-Bone, K.

AU - Culliford, D. J.

AU - Alcacer-Pitarch, B.

AU - Blake, A.

AU - Hopkinson, N.

AU - Teh, L. S.

AU - Vital, E. M.

AU - Edwards, C. J.

AU - Williams, A. E.

AU - Cherry, L.

N1 - Acknowledgments We thank Kevin Kennard and Helen Bifield as patient partners and the Logres Trust who provided funding for this study. The publication plan was agreed with the trustees of the Logres Trust. The research is supported by the National Institute for Health Research (NIHR) Leeds Musculoskeletal Biomedical Research Unit. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health. Funding Drs L Cherry and A Williams received a grant to undertake this work from the Logres Trust, a UK charity that funds research into Rheumatic diseases. Dr. L Cherry was supported in her role by a UK National Institute for Health Research Clinical Lecturer Fellowship. Stevens, M.J., Walker-Bone, K., Culliford, D.J. et al. Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: findings of a UK national survey. J Foot Ankle Res 12, 26 (2019). https://doi.org/10.1186/s13047-019-0335-0

PY - 2019/4/29

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N2 - Objective: The aim of this study was to investigate whether foot and lower limb related symptoms were associated with work participation and poor mobility in people with Systemic Lupus Erythematosus (SLE). Method: A quantitative, cross-sectional, self-reported survey design was utilised. People with SLE from six United Kingdom (UK) treatment centres and a national register were invited to complete a survey about lower limb and foot health, work participation and mobility. Data collected included work status and the prevalence of foot symptoms. The focus of the analyses was to explore potential associations between poor foot health work non-participation. Results: In total, 182 useable surveys were returned. Seventy-nine respondents reported themselves as employed and 32 reported work non-participation. The remaining were retired due to age or reported work non-participation for other reasons. Work non-participation due to foot symptoms was significantly associated with difficulty walking (p = 0.024), past episodes of foot swelling (p = 0.041), and past episodes of foot ulceration (p = 0.018). There was a significant increase in foot disability scores amongst those not working (mean 18.13, 95% CI: 14.85-21.41) compared to those employed (mean 10.16, 95% CI: 8.11-12.21). Conclusions: Twenty-nine% of people with SLE reported work non-participation because of lower limb or foot problems. Our results suggest that foot health and mobility may be important contributors to a persons' ability to remain in work and should be considered as part of a clinical assessment.

AB - Objective: The aim of this study was to investigate whether foot and lower limb related symptoms were associated with work participation and poor mobility in people with Systemic Lupus Erythematosus (SLE). Method: A quantitative, cross-sectional, self-reported survey design was utilised. People with SLE from six United Kingdom (UK) treatment centres and a national register were invited to complete a survey about lower limb and foot health, work participation and mobility. Data collected included work status and the prevalence of foot symptoms. The focus of the analyses was to explore potential associations between poor foot health work non-participation. Results: In total, 182 useable surveys were returned. Seventy-nine respondents reported themselves as employed and 32 reported work non-participation. The remaining were retired due to age or reported work non-participation for other reasons. Work non-participation due to foot symptoms was significantly associated with difficulty walking (p = 0.024), past episodes of foot swelling (p = 0.041), and past episodes of foot ulceration (p = 0.018). There was a significant increase in foot disability scores amongst those not working (mean 18.13, 95% CI: 14.85-21.41) compared to those employed (mean 10.16, 95% CI: 8.11-12.21). Conclusions: Twenty-nine% of people with SLE reported work non-participation because of lower limb or foot problems. Our results suggest that foot health and mobility may be important contributors to a persons' ability to remain in work and should be considered as part of a clinical assessment.

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KW - Foot

KW - Mobility

KW - Work

KW - Employment

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DO - 10.1186/s13047-019-0335-0

M3 - Article

SN - 1757-1146

VL - 12

JO - Journal of Foot and Ankle Research

JF - Journal of Foot and Ankle Research

M1 - 26

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Work participation, mobility and foot symptoms in people with systemic lupus erythematosus: findings of a UK national survey

Abstract

Bibliographical note

Data Availability Statement

Keywords

Access to Document

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Cite this