Impact of ankylosing spondylitis on sick leave, presenteeism and unpaid productivity, and estimation of the societal cost

Boonen, Annelies; Brinkhuizen, Tjinta; Landewé, Robert; Heijde, Desirée van der; Severens, Johan L.

doi:10.1136/ard.2009.116764

Cited by 118 publications

(118 citation statements)

References 21 publications

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“…Musculoskeletal conditions are common among workingage adults (1,2); are a leading cause of disability (3), activity limitations (4), and work loss (5)(6)(7)(8)(9); and are associated with a significant burden and cost to the individuals living with these conditions and to society (10)(11)(12). It is critical to find ways to help individuals with musculoskeletal conditions to remain employed, especially as the potential burden of these conditions is expected to increase with the aging of the population in many industrialized nations (13,14).…”

Section: Introductionmentioning

confidence: 99%

Job Accommodations Availability and Utilization Among People With Lupus: An Examination of Workplace Activity Limitations and Work Context Factors

Dhanhani

Gignac

Beaton

et al. 2015

Arthritis Care & Research

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Objective. The aim of this study was to examine the availability of diverse job accommodations (or flexible working arrangements) and to describe their use among people with systemic lupus erythematosus (lupus), as well as to examine factors associated with the use of job accommodations. Methods. A mail survey was sent to adult lupus patients receiving care from a lupus clinic based in Toronto, Canada. The survey assessed demographic information, self-reported disease activity, work history, workplace activity limitations, job strain, and the availability and use of job accommodations. Standard multivariable linear regression analysis was used to examine factors associated with the use of job accommodations. Results. We received 362 responses of 604 mailed surveys (60% response rate). Participants who were employed within the last 5 years, but who were not currently working, were less likely than currently employed participants to report having had job accommodations available to them at their last place of employment. The use of job accommodations was reported by 70% of currently employed respondents and by 72% of those not currently employed. The most common job accommodation used was sick leave days. Factors positively associated with the use of job accommodations among those who were employed included higher levels of education, being diagnosed with fibromyalgia, at least 1 episode of short-term work disability, not belonging to a union, greater workplace activity limitations, and greater job strain. Conclusion. The use of job accommodations among people with lupus is common. Work context factors, such as workplace activity limitations and job strain, are the main factors associated with the use of job accommodations.

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Section: Introductionmentioning

confidence: 99%

Job Accommodations Availability and Utilization Among People With Lupus: An Examination of Workplace Activity Limitations and Work Context Factors

Dhanhani

Gignac

Beaton

et al. 2015

Arthritis Care & Research

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“…Patients with ankylosing spondylitis (AS) are subject to adverse work outcomes, including work disability, sick leave, and presenteeism (i.e., reduced productivity while at work) (1,2). In the prebiologic agent era, the increased risks of work disability in patients with AS compared to the general population were 3.1 and 2.7 times in The Netherlands (n 5 658) and US (n 5 549), respectively.…”

Section: Introductionmentioning

confidence: 99%

“…Patients with AS are also subject to a markedly higher risk and length of sick leave compared to the general popula-tion, according to a study in The Netherlands, France, and Belgium (n 5 113) (5,6). Presenteeism in AS patients has never been compared to the general population, but 53% of the patients (n 5 72) experienced limitations while at work and reported reduced efficiency due to AS (3.3 on a 0-10 scale) (2). The productivity loss at work in AS patients was estimated to be 8.3% (n 5 66) (7) and 18.9% (n 5 315) (8) using the 25-item and 16-item Work Limitations Questionnaires, respectively.…”

Section: Introductionmentioning

confidence: 99%

Longitudinal Analyses of Presenteeism and Its Role as a Predictor of Sick Leave in Patients With Ankylosing Spondylitis

Tran‐Duy

Nguyen

Thijs

et al. 2015

Arthritis Care & Research

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Objective. To investigate, in a cohort of patients with ankylosing spondylitis (AS) adequately treated with infliximab, changes over time in presenteeism and the role of presenteeism relative to that of the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) and the Bath Ankylosing Spondylitis Functional Index (BASFI) in predicting sick leave. Methods. Data were analyzed from 71 patients with paid work and taking a stable dose of infliximab participating in a 96-week study with 5 assessment points. Covariates included presenteeism, sick leave, time, sex, age, BASDAI, BASFI, Bath Ankylosing Spondylitis Metrology Index, and part-or full-time work. Presenteeism represented the AS impact on productivity (by visual analog scale, range 0-10, where 10 5 completely unproductive). Sick leave represented the number of days absent from work due to AS in the last 6 months. A linear mixed-effects model for presenteeism, and hurdle and zero-inflated count models for sick leave were explored. Results. Mean 6 SD presenteeism ranged from 2.2 6 2.2 to 3.8 6 7.8, and sick leave occurred in 8-17% of the patients during the 6-month period. Presenteeism positively correlated with BASDAI and BASFI, but was not significantly influenced by time. The chance of incurring sick leave was affected by presenteeism but not by BASDAI and BASFI. Conditional on being absent from work, the effect of presenteeism on the length of sick leave (in days) was much stronger than BASDAI and BASFI. For presenteeism ‡5, an increase of 1 unit in presenteeism yielded an increase by 36-40% (or 2-12 days) in the length of sick leave during the following 6 months. Conclusion. Presenteeism, even measured by a simple visual analog scale, was an important factor to explain future sick leave.

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“…The limitations in physical and social functioning lead to employment and household work disability and this causes increase in healthcare and non-healthcare expenditure and loss of income (8)(9)(10). In a previous study, the average annual healthcare and non-healthcare expenditure was found to be €431 per patient and the average loss of annual income was found to be €1371 per patient in Netherlands, France, and Belgium (8).…”

Section: Introductionmentioning

confidence: 99%

“…The cross-cultural adaptation was a practical way of adapting an instrument to another language and basically the initial step before validation studies. The health and labour questionnaire (HLQ) was relatively frequently used instrument in especially rheumatic disease research studies, although it was a non-disease-specific general questionnaire (9,11,16,17). The HLQ has some advantages that it is suitable for self-assessment and furthermore, the modular structure of the questionnaire enables the omission of questions, which are not applicable to the study population (17).…”

Section: Introductionmentioning

confidence: 99%

Sağlık ve İşgücü Sorgulama Formu: Ankilozan Spondilit için Türkçe Adaptasyonu

Çakar¹,

Özcan²,

Şen³

et al. 2012

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after the harmonization step. The translations generally found to be understandable to the participants. Some modifications and additional explanations for some terms in the questions 1, 2, 3, 15, 16 and 17 were required during the pilot testing. Furthermore, the response choices about the education system for the 3 rd question of the appendix were adapted to the national system. Conclusion: The Turkish adaptation of the HLQ was performed successfully and found to be understandable to the pilot group and the expert group. It was considered that the Turkish version of the HLQ would encourage further researches about productivity loss related to many chronic health problems. Turk J Phys Med Re hab 2012;58:204-11. Key Words: Health and labour questionnaire; labour force; productivity; work; ankylosing spondylitis Özet Amaç: Bu çalışmanın amacı Sağlık ve İşgücü Sorgulama Formunun (SİSF) Türkçe'ye adaptasyonunu gerçekleştirmektir. Gereç ve Yöntem: Kültürel adaptasyon, Uluslararası Farmakoekonomi ve Sonuç Araştırma Derneği kılavuzuna göre sırasıyla hazırlık, ileri çeviri, uzlaşma, geri çeviri, geri çevirinin gözden geçirilmesi, uyum sağlama, bilişsel sorgulama (deneme uygulaması), bilişsel sorgulama sonuçlarının gözden geçirilmesi, düzeltme ve sonuçlandırma basamakları takip edilerek yapılmıştır. Deneme uygulaması gönüllü 20 ankilozan spondilit hastası ile yapılmıştır. Bulgular: Uyum sağlama basamağından sonra deneme uygulaması için üzerinde fikir birliği sağlanan taslak hazırlandı. Çeviri katılımcılar tarafından genel olarak anlaşılır bulundu. Deneme uygulaması esnasında 1, 2, 3, 15, 16 ve 17. sorulardaki bazı terimler için küçük değişikliklere ve ilave açıklamalara ihtiyaç duyuldu. Bununla birlikte sorgulama formunun ek bölümündeki 3. soruda geçen eğitim düzeyi ile ilgili seçenek ulusal sisteme uyarlandı.

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Impact of ankylosing spondylitis on sick leave, presenteeism and unpaid productivity, and estimation of the societal cost

Cited by 118 publications

References 21 publications

Job Accommodations Availability and Utilization Among People With Lupus: An Examination of Workplace Activity Limitations and Work Context Factors

Job Accommodations Availability and Utilization Among People With Lupus: An Examination of Workplace Activity Limitations and Work Context Factors

Longitudinal Analyses of Presenteeism and Its Role as a Predictor of Sick Leave in Patients With Ankylosing Spondylitis

Sağlık ve İşgücü Sorgulama Formu: Ankilozan Spondilit için Türkçe Adaptasyonu

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