ECTRIMS eLearning

Employment status in patients with multiple sclerosis: a cross-sectional study in Argentina
Author(s): ,
E. Carnero Contentti
Affiliations:
Neuroimmunology Unit, Department of Neuroscience, Hospital Alemán
,
P.A. Lopez
Affiliations:
Neuroimmunology Unit, Department of Neuroscience, Hospital Alemán
,
J.P. Pettinicchi
Affiliations:
Neuroimmunology Unit, Department of Neuroscience, Hospital Alemán
,
R. Alonso
Affiliations:
Neurology Department, Clínica de Esclerosis Múltiple, Hospital Ramos Mejía
,
O. Garcea
Affiliations:
Neurology Department, Clínica de Esclerosis Múltiple, Hospital Ramos Mejía
,
M.E. Balbuena
Affiliations:
Seccion de Neuroinmunologia y Enfermedades Desmielinizantes, Servicio de Neurología, Hospital de Clínicas José de San Martin, Buenos Aires
,
C. Bortoluzzi
Affiliations:
Neurology Department, Hospital Madariaga de Posadas, Posadas
,
E. Silva
Affiliations:
Neurology Department, Hospital Madariaga de Posadas, Posadas
,
M. Cabrera
Affiliations:
Neurology Department, Hospital Militar Central `Dr. Cosme Argerich`
,
C. Curbelo
Affiliations:
MS Section Hospital Britanico Buenos Aires, Buenos Aires
,
J.P. Hryb
Affiliations:
Servicio de Neurología, Hospital Carlos G. Durand, Buenos AIres
,
J.L. Di Pace
Affiliations:
Servicio de Neurología, Hospital Carlos G. Durand, Buenos AIres
,
M. Perassolo
Affiliations:
Servicio de Neurología, Hospital Carlos G. Durand, Buenos AIres
,
S. Ianardi
Affiliations:
Neurology Department, Hospital Lagomaggiore, Mendoza
,
C. Mainella
Affiliations:
Fundación Rosarina de Neuro-Rehabilitación, Rosario
,
S. Mellinger
Affiliations:
Neurology Department, Hospital San Bernardo, Salta
,
M. Burgos
Affiliations:
Neurology Department, Hospital San Bernardo, Salta
,
D. Dias
Affiliations:
Neurology Department, Hospital San Bernardo, Salta
,
L. Migliacci
Affiliations:
Clínica Pueyrredón, Mar del Plata
,
J.E. Doumic
Affiliations:
Clínica Pueyrredón, Mar del Plata
,
P. Verón
Affiliations:
Clínica Pueyrredón, Mar del Plata
,
F. Pagani Cassara
Affiliations:
Neurology Department, Fundación Favaloro/INECO, Buenos AIres
,
V. Sinay
Affiliations:
Neurology Department, Fundación Favaloro/INECO, Buenos AIres
,
A. Carrá
Affiliations:
MS Section Hospital Britanico Buenos Aires, Buenos Aires
,
M. Qüesta Laudani
Affiliations:
Centro Integral de Enfermedades Neurológicas y Neuroquirúrgicas, Santiago del Estero
,
E. Ruiz Romagnoli
Affiliations:
Clínica Universitaria Reina Fabiola - Hospital Córdoba, Cordoba
,
S. Liwacki
Affiliations:
Clínica Universitaria Reina Fabiola - Hospital Córdoba, Cordoba
,
R. Piedrabuena
Affiliations:
Clínica Universitaria Reina Fabiola - Hospital Córdoba, Cordoba
,
S. Tizio
Affiliations:
Neurology Department, Hospital Italiano y Español de La Plata, La Plata, Argentina
,
V. Tkachuk
Affiliations:
Seccion de Neuroinmunologia y Enfermedades Desmielinizantes, Servicio de Neurología, Hospital de Clínicas José de San Martin, Buenos Aires
Grupo de Trabajo de Investigaciones Colaborativas
Grupo de Trabajo de Investigaciones Colaborativas
Affiliations:
ECTRIMS Learn. Carnero Contentti E. 10/10/18; 229276; EP1438
Dr. Edgar Carnero Contentti
Dr. Edgar Carnero Contentti
Contributions Biography
Abstract

Abstract: EP1438

Type: Poster Sessions

Abstract Category: Clinical aspects of MS - Economic burden

Introduction: Multiple sclerosis (MS) is associated with both high unemployment rate and burden of disease, especially during critical years of work life. Among 24-80% of MS patients are unemployed and this has been associated with worse quality of life. The aim was to investigate the employment status among patients with MS (PwMS) and to assess factors associated with unemployment.
Methods: A cross-sectional study based on a self-administered questionnaire was carried out from August to December 2017 in Argentina. We included 219 PwMS who were assessed by their employment status. We also evaluated demographic, disease course, disability status, comorbidities, level of education, current treatment, health insurance and burden of MS characteristics, within the last 12 months. These data were compared among PwMS employed vs. unemployed.
Results: Of the 219 PwMS, 185 (84.5%) were employed (full-time: 59%), 34 (15.5%) were currently unemployed and 15 (6.8%) retired by MS. Ages at disease onset, gender, disease duration, disease course, comorbidities, pension for MS disease and both neurological visit and neuro-images frequency in the last year were similar in both groups. Moderate level of disability was significantly associated with unemployment (p = 0.04). In addition, both low level of education and current use of MS medication were significantly associated with unemployment (p = 0.01, p = 0.04, respectively). Twenty-four (71%) PwMS in the unemployed group had certified disability retirement/ disability benefits (p < 0.01) and 14 (41.1%) state-run health coverage. On the employed group, 26 (18%) PwMS had licenses due to MS disease and they also had reduction of both working hours (28%) and salary (18%).
Conclusions: The rate of unemployment in this cohort was 15.5%. In addition, these findings support that PwMS employed have reduction of working hours and salary as well as work licenses and certified disability retirement due to MS disease.
Disclosure: None of the authors has any potential financial conflict of interest related to this poster

Abstract: EP1438

Type: Poster Sessions

Abstract Category: Clinical aspects of MS - Economic burden

Introduction: Multiple sclerosis (MS) is associated with both high unemployment rate and burden of disease, especially during critical years of work life. Among 24-80% of MS patients are unemployed and this has been associated with worse quality of life. The aim was to investigate the employment status among patients with MS (PwMS) and to assess factors associated with unemployment.
Methods: A cross-sectional study based on a self-administered questionnaire was carried out from August to December 2017 in Argentina. We included 219 PwMS who were assessed by their employment status. We also evaluated demographic, disease course, disability status, comorbidities, level of education, current treatment, health insurance and burden of MS characteristics, within the last 12 months. These data were compared among PwMS employed vs. unemployed.
Results: Of the 219 PwMS, 185 (84.5%) were employed (full-time: 59%), 34 (15.5%) were currently unemployed and 15 (6.8%) retired by MS. Ages at disease onset, gender, disease duration, disease course, comorbidities, pension for MS disease and both neurological visit and neuro-images frequency in the last year were similar in both groups. Moderate level of disability was significantly associated with unemployment (p = 0.04). In addition, both low level of education and current use of MS medication were significantly associated with unemployment (p = 0.01, p = 0.04, respectively). Twenty-four (71%) PwMS in the unemployed group had certified disability retirement/ disability benefits (p < 0.01) and 14 (41.1%) state-run health coverage. On the employed group, 26 (18%) PwMS had licenses due to MS disease and they also had reduction of both working hours (28%) and salary (18%).
Conclusions: The rate of unemployment in this cohort was 15.5%. In addition, these findings support that PwMS employed have reduction of working hours and salary as well as work licenses and certified disability retirement due to MS disease.
Disclosure: None of the authors has any potential financial conflict of interest related to this poster

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