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Rheumatoid arthritis and work

Loss of work due to rheumatic and musculoskeletal diseases (RMDs), including rheumatoid arthritis (RA), causes a major socioeconomic burden to society. In Europe, RMDs affect more than 4 million people with an estimated societal cost of 0.5–2% of the gross domestic product. The peak age of onset for both men and women is before the age of ~65 years, typically the age of retirement in most countries meaning most people who develop RA are of working age at diagnosis. For many people work is important, improving self-esteem and self-worth, and contributing to financial independence. This chapter will review the impact, including economic aspects, of RA on work, personal and environmental factors associated with work outcomes, and management of problems at work or work loss.