Systemic autoimmune diseases and work outcomes in Brazil: a scoping review

Rev Saude Publica. 2022 Apr 22:56:24. doi: 10.11606/s1518-8787.2022056003918. eCollection 2022.

Abstract

Objective: To review articles that assessed work-related outcomes such as workability, work productivity, presenteeism, absenteeism, sick leave, return to work, and employment status of Brazilian patients with rheumatoid arthritis, systemic lupus erythematosus, systemic sclerosis, Sjögren's syndrome, and systemic autoimmune myopathies.

Methods: This study was conducted in Medline databases (PubMed), SciELO, and Lilacs through a combination of descriptors of interest. Studies published until December 2020 were considered in the search strategy.

Results: Eight out of 90 articles met the eligibility criteria and were included in this review. The studies are highly heterogeneous. Most of them are cross-sectional, and all of them address rheumatoid arthritis or systemic lupus erythematosus. A common denominator among these studies is the high proportion of patients outside the labor market.

Conclusions: In general, the studies show unfavorable labor outcomes and impaired participation in the Brazilian workforce among the samples of patients assessed. There is a need to better understand several topics about Brazilian patients with systemic autoimmune diseases and their work context, as well as to conduct studies focusing on rarer diseases and on the themes of return and reintegration to work.

Publication types

  • Review

MeSH terms

  • Arthritis, Rheumatoid*
  • Autoimmune Diseases*
  • Brazil / epidemiology
  • Cross-Sectional Studies
  • Humans
  • Lupus Erythematosus, Systemic*

Grants and funding

Funding: Fundação de Amparo à Pesquisa do Estado de São Paulo (Fapesp – Process 2019/11776-6). Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq – Process 303379/2018-9). Faculdade de Medicina da Universidade de São Paulo to S.K.S.