Ellenberger D, Parciak T, Brola W, Hillert J, Middleton R, Stahmann A, Thalheim C, Flachenecker P. Comparison of employment among people with Multiple Sclerosis across Europe.
Mult Scler J Exp Transl Clin 2022;
8:20552173221090653. [PMID:
35496757 PMCID:
PMC9052831 DOI:
10.1177/20552173221090653]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Revised: 02/11/2022] [Accepted: 03/08/2022] [Indexed: 12/02/2022] Open
Abstract
Background
People with Multiple Sclerosis (PwMS) suffer from an increased risk of
unemployment during the course of the disease. In recent years progress has
been made in increasing the time until patients have to leave the workforce
permanently. Such a retirement is often associated with MS but the driving
factors including disability progression, support measures at the workplace,
and societal aspects are not yet fully understood.
Methods
We consolidated data from four European MS databases from Germany, Poland,
Sweden, and the United Kingdom, which were able to provide data on working
status, disability progression and quality of life in accordance with the
data harmonization framework of the EUReMS (European Registry in Multiple
Sclerosis) project.
Results
Factors strongly associated with unemployment are disability progression, low
quality of life and being close to the statutory retirement age. Overall,
highest employment rate (77%) and lowest effects of gender and disease
duration were found in Sweden.
Conclusions
We found remarkable differences between the European registers and the
countries studied, which may indicate inequalities at European level.
Furthermore, our findings suggest that it is feasible and useful to combine
data from different MS registers in Europe, albeit the data structures are
heterogeneous.
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