1
|
Lescoat A, Cavalin C, Ehrlich R, Cazalets C, Ballerie A, Belhomme N, Coiffier G, de Saint Riquier M, Rosental PA, Hachulla E, Sobanski V, Jégo P. The nosology of systemic sclerosis: how lessons from the past offer new challenges in reframing an idiopathic rheumatological disorder. THE LANCET. RHEUMATOLOGY 2019; 1:e257-e264. [PMID: 38229382 DOI: 10.1016/s2665-9913(19)30038-4] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Revised: 07/09/2019] [Accepted: 07/10/2019] [Indexed: 11/24/2022]
Abstract
Systemic sclerosis is a rare connective tissue disease characterised by a wide range of clinical manifestations. Compared with previous sets of criteria, the 2013 American College of Rheumatology and European League Against Rheumatism (ACR/EULAR) classification of systemic sclerosis encompasses a broader and more relevant spectrum of the condition. Nonetheless, clinical and prognostic heterogeneity persists among patients fulfilling these criteria. The next task in the classification of systemic sclerosis is the development of new subset criteria that can successfully identify subgroups of patients with distinct prognostic or pathophysiological features. In this Viewpoint we describe the history of systemic sclerosis over the past century with the objective of highlighting the effect of previous nosological debates on efforts to understand and manage this disorder. Rather than seeking to present a systematic review of possible subgrouping for systemic sclerosis in relation to prognosis, we aim to clarify how nosological considerations have influenced our understanding of the cause and prognosis of this so-called idiopathic rheumatological disorder and how aetiological, prognostic, and pathophysiological hypotheses have helped to describe clusters within the disease. By reflecting on past nosological debates and endeavours, we identify challenges for the current initiative to develop a new subgrouping of systemic sclerosis.
Collapse
Affiliation(s)
- Alain Lescoat
- Department of Internal Medicine and Clinical Immunology, Rennes University Hospital, University of Rennes 1, Rennes, France; École des Hautes Études en Santé Publique, Research Institute for Environmental and Occupational Health, French National Institute of Health and Medical Research Unit 1085, Rennes University Hospital, University of Rennes 1, Rennes, France.
| | - Catherine Cavalin
- Interdisciplinary Research Institute for the Social Sciences, Université Paris-Dauphine, Université Paris Sciences et Lettres, Paris, France; Centre for European Studies and Comparative Politics, Sciences Po, Paris, France; Laboratory for Interdisciplinary Evaluation of Public Policies, Sciences Po, Paris, France; The Employment and Labour Research Centre, Noisy-le-Grand, France
| | - Rodney Ehrlich
- Centre for Occupational and Environmental Health Research, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa
| | - Claire Cazalets
- Department of Internal Medicine and Clinical Immunology, Rennes University Hospital, University of Rennes 1, Rennes, France
| | - Alice Ballerie
- Department of Internal Medicine and Clinical Immunology, Rennes University Hospital, University of Rennes 1, Rennes, France; École des Hautes Études en Santé Publique, Research Institute for Environmental and Occupational Health, French National Institute of Health and Medical Research Unit 1085, Rennes University Hospital, University of Rennes 1, Rennes, France
| | - Nicolas Belhomme
- Department of Internal Medicine and Clinical Immunology, Rennes University Hospital, University of Rennes 1, Rennes, France
| | - Guillaume Coiffier
- Department of Rheumatology, Rennes University Hospital, University of Rennes 1, Rennes, France; French National Institute of Health and Medical Research Unit 1241, University of Rennes 1, Rennes, France
| | - Marine de Saint Riquier
- Department of Rheumatology, Rennes University Hospital, University of Rennes 1, Rennes, France
| | | | - Eric Hachulla
- Lille Inflammation Research International Center, University of Lille, Lille, France; French National Institute of Health and Medical Research, University of Lille, Lille, France; Département de Médecine Interne et Immunologie Clinique, Lille University Hospital, Lille, France; Centre National de Référence Maladies Systémiques et Auto-Immunes Rares du Nord et Nord-Ouest de France, Lille, France
| | - Vincent Sobanski
- Lille Inflammation Research International Center, University of Lille, Lille, France; French National Institute of Health and Medical Research, University of Lille, Lille, France; Département de Médecine Interne et Immunologie Clinique, Lille University Hospital, Lille, France; Centre National de Référence Maladies Systémiques et Auto-Immunes Rares du Nord et Nord-Ouest de France, Lille, France
| | - Patrick Jégo
- Department of Internal Medicine and Clinical Immunology, Rennes University Hospital, University of Rennes 1, Rennes, France; École des Hautes Études en Santé Publique, Research Institute for Environmental and Occupational Health, French National Institute of Health and Medical Research Unit 1085, Rennes University Hospital, University of Rennes 1, Rennes, France
| |
Collapse
|
2
|
Vijayasingham L, Mairami FF. Employment of patients with multiple sclerosis: the influence of psychosocial-structural coping and context. Degener Neurol Neuromuscul Dis 2018; 8:15-24. [PMID: 30050385 PMCID: PMC6053901 DOI: 10.2147/dnnd.s131729] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Patients with multiple sclerosis tend to report higher levels of work difficulties and negative outcomes, such as voluntary and involuntary work termination and reduced work participation. In this article, we discuss the complex interactions of disease, personal coping strategies, and social and structural factors that contribute to their work experiences and outcomes. An overview of the coping strategies and actions that leverage personal and context-level factors and dynamics is also provided to support the overall goal of continued work in patients with MS.
Collapse
Affiliation(s)
- Lavanya Vijayasingham
- Jeffrey Cheah School of Medicine, Monash University Malaysia, Bandar Sunway, Malaysia, .,Multiple Sclerosis Society of Malaysia, Petaling Jaya, Malaysia,
| | - Fatima Fanna Mairami
- Jeffrey Cheah School of Medicine, Monash University Malaysia, Bandar Sunway, Malaysia,
| |
Collapse
|
3
|
Vijayasingham L, Jogulu U, Allotey P. Challenges for accessing and financing high-cost medicines in multipayer systems: case studies of multiple sclerosis in Malaysia. CRITICAL PUBLIC HEALTH 2017. [DOI: 10.1080/09581596.2017.1403011] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Lavanya Vijayasingham
- Jeffrey Cheah School of Medicine, Monash University Malaysia, Bandar Sunway, Malaysia
| | - Uma Jogulu
- School of Law and Business, Edith Cowan University, Joondalup, Australia
| | - Pascale Allotey
- Jeffrey Cheah School of Medicine, Monash University Malaysia, Bandar Sunway, Malaysia
- International Institute for Global Health (IIGH), United Nations University (UNU), Federal Territory of Kuala Lumpur, Malaysia
| |
Collapse
|
4
|
Vijayasingham L, Jogulu U, Allotey P. Work Change in Multiple Sclerosis as Motivated by the Pursuit of Illness-Work-Life Balance: A Qualitative Study. Mult Scler Int 2017; 2017:8010912. [PMID: 29348937 PMCID: PMC5733836 DOI: 10.1155/2017/8010912] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2017] [Accepted: 10/24/2017] [Indexed: 11/17/2022] Open
Abstract
Individuals with multiple sclerosis have a tendency to make early decisions for work change, even in reversible, episodic, or mild disease stages. To better understand how a multiple sclerosis (MS) diagnosis influences perceptions of work and motivations for work changes, we conducted a hermeneutic phenomenology study to explore the work lives of ten individuals with MS in Malaysia. The interpretive analysis and cumulative narratives depict an overarching change in their concept of ideal work and life aspirations and how participants make preemptive work changes to manage illness-work-life futures in subjectively meaningful ways. Discussions on their integrated pursuit of finding dynamic and subjective illness-work-life balance include reconciling the problem of hard work and stress on disease activity and progress, making positive lifestyle changes as health management behaviour, and the motivational influence of their own life and family roles: the consideration of their spouses, parents, and children. At an action level, work change was seen as moral and necessary for the management of illness futures. Our findings contribute insights on how individual perceptions and holistic life management decisions contribute to on-going and disrupted work trajectories, which can inform practice and policy on early interventions to support continued employment.
Collapse
Affiliation(s)
- Lavanya Vijayasingham
- Jeffrey Cheah School of Medicine, Monash University Malaysia, Jalan Lagoon Selatan, Bandar Sunway, Malaysia
- Multiple Sclerosis Society Malaysia, Unit 4-14, 4th Floor, Building Information Centre, Jalan 243, 46100 Petaling Jaya, Malaysia
| | - Uma Jogulu
- School of Business and Law, Edith Cowan University, Joondalup Drive, Joondalup, WA, Australia
| | - Pascale Allotey
- United Nations University-International Institute for Global Health (UNU-IIGH) Building, UKM Medical Centre, Jalan Yaacob Latif, 56000 Kuala Lumpur, Malaysia
| |
Collapse
|