Impact of symptom burden on work performance status in Spanish women diagnosed with endometriosis

Mundo-López, Antonio; Ocón‐Hernández, Olga; Lozano‐Lozano, Mario; San-Sebastián, Ainhoa; Fernández-Lao, Carolina; Galiano‐Castillo, Noelia; Cantarero‐Villanueva, Irene; Arroyo-Morales, Manuel; Artacho‐Cordón, Francisco

doi:10.1016/j.ejogrb.2021.04.008

Cited by 9 publications

(3 citation statements)

References 36 publications

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“…This novel work outcome provides insight into how transplant recipients function at work, what barriers they experience, and how much time they are actually productive in their work time (12). Contrary to our expectations, self-reported work functioning among kidney transplant recipients was good in comparison with our control groups and with other populations, including shift workers; university workers; and patients with musculoskeletal pain, cancer, or endometriosis (13,31,32). This may have been achieved by alterations at work to create a good balance between working capacity and workload.…”

Section: Discussioncontrasting

confidence: 99%

Employment Status and Work Functioning among Kidney Transplant Recipients

Knobbe

Kremer

Abma

et al. 2022

CJASN

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Background and objectivesTo date, employment figures of kidney transplant recipients in Europe are inconsistent. Additionally, little is known about work functioning of employed kidney transplant recipients and work functioning trajectories before and after transplantation.Design, setting, participants, & measurementsData from the ongoing TransplantLines Biobank and Cohort study and from community-dwelling employed adults were used. Health-related work functioning of kidney transplant recipients was assessed with the Work Role Functioning Questionnaire 2.0 and compared with potential kidney donors and community-dwelling employed adults.ResultsWe included 668 kidney transplant recipients of working age (59% men, age 51±11 years) at median 3 (interquartile range, 2–10) years after transplantation, 246 potential kidney donors of working age (43% men, age 53±9 years), and 553 community-dwelling employed adults (70% men, age 45±11 years). The proportion of employed kidney transplant recipients was lower compared with potential kidney donors (56% versus 79%). If employed, the work functioning score of kidney transplant recipients was slightly lower compared with employed potential kidney donors yet higher compared with community-dwelling employed adults (medians 91 [interquartile range, 76–98], 94 [interquartile range, 85–99], and 88 [interquartile range, 79–95], respectively). Backward linear regression analyses revealed that lower educational level, having a kidney from a deceased donor, presence of tingling or numbness of hands or feet, presence of concentration/memory problems, presence of anxiety, and presence of severe fatigue were independently associated with lower work functioning among kidney transplant recipients. Additional subgroup analyses showed that work functioning scores were lower before transplantation than at 12 months after transplantation (83 [interquartile range, 66–93] versus 92 [interquartile range, 88–98], respectively; P=0.002).ConclusionsStable employed kidney transplant recipients report to function well at work. In addition, this study shows that self-reported work functioning is higher after successful kidney transplantation compared with before transplantation.Clinical Trial registry name and registration number:TransplantLines Biobank and Cohort study, NCT03272841PodcastThis article contains a podcast at https://www.asn-online.org/media/podcast/CJASN/2022_09_26_CJN05560522.mp3.

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Section: Discussioncontrasting

confidence: 99%

Employment Status and Work Functioning among Kidney Transplant Recipients

Knobbe

Kremer

Abma

et al. 2022

CJASN

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“…Pain is suggested to underlie the reduced level of physical activity [17,18], and the high prevalence of reported chronic fatigue [18][19][20], as well as the broad burden of disabilities described for some of these affected women [21]. In this regard, it has been published a relevant worse impact on everyday activities [21][22][23], sleep quality [14,17,20], relationship with their partner and reproductive planning [24,25], emotional and mental health [26,27], education [28,29], work productivity [30][31][32][33] or social life [28,29] that, in combination, leads to a significant reduction in health-related quality of life (HRQoL) [14,18,20,24,31,34]. Even more, endometriosis is acknowledged to be a risk factor for gynaecological cancer [4].…”

Section: Introductionmentioning

confidence: 99%

‘Physio-EndEA’ Study: A Randomized, Parallel-Group Controlled Trial to Evaluate the Effect of a Supervised and Adapted Therapeutic Exercise Program to Improve Quality of Life in Symptomatic Women Diagnosed with Endometriosis

Salinas-Asensio

Ocón‐Hernández

Mundo-López³

et al. 2022

IJERPH

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Aim: The ‘Physio-EndEA’ study aims to explore the potential benefits of a therapeutic exercise program (focused on lumbopelvic stabilization and tolerance to exertion) on the health-related quality of life (HRQoL) of symptomatic endometriosis women. Design: The present study will use a parallel-group randomized controlled trial design. Methods: A total of 22 symptomatic endometriosis women will be randomized 1:1 to the Physio-EndEA or usual care groups. The ‘Physio-EndEA’ program will consist of a one-week lumbopelvic stabilization learning phase followed by an eight-week phase of stretching, aerobic and resistance exercises focused on the lumbopelvic area that will be sequentially instructed and supervised by a trained physiotherapist (with volume and intensity progression) and adapted daily to the potential of each participant. The primary outcome measure is HRQoL. The secondary outcome measures included clinician-reported outcomes (pressure pain thresholds, muscle thickness and strength, flexibility, body balance and cardiorespiratory fitness) and patient-reported outcomes (pain intensity, physical fitness, chronic fatigue, sexual function, gastrointestinal function and sleep quality). Discussion: Findings of this study will help to identify cost-effective non-pharmacological options (such as this exercise-based intervention) that may contribute to the improvement of HRQoL in symptomatic endometriosis women.

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“… 1 , 2 It is thus imperative to consider the social, occupational, and economic impact of endometriosis. 3 , 4 Despite the known burden of endometriosis, accurate estimates of prevalence and incidence rates (IRs) are lacking in many countries, including Spain. 5 A systematic review and meta-analysis which considered endometriosis diagnoses based on self-reported data, surgery, and imaging showed that the prevalence and IRs of endometriosis vary depending on the study design.…”

Section: Introductionmentioning

confidence: 99%

Endometriosis prevalence and incidence trends in a large population-based study in Catalonia (Spain) from 2009 to 2018

Medina-Perucha

Pistillo

Raventós

et al. 2022

Womens Health (Lond Engl)

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Objective: Endometriosis greatly impacts women’s health and quality of life. However, research on the prevalence and incidence of endometriosis remains inconclusive. This study assesses time trends in the prevalence and incidence of endometriosis diagnoses in Catalonia (Spain) from 2009 to 2018, considering differences by age and socioeconomic status. Methods: Population-based cohort study using data from the Information System for Research in Primary Care (SIDIAP) database. Data were included from over 2.4 million women aged 15–55 years between 1 January 2006 and 31 December 2018. Results: A total of 2,337,717 women were selected as the incident population; 0.7% had an endometriosis diagnosis. Median (interquartile range) age at diagnosis was 37 (32–43) years. Most women were European (92.3%) and lived in urban areas (73.6%). Overall prevalence of endometriosis consistently increased during the 2009–2018 period, and it was 1.24% in 2018. Trends were the highest for women with less socioeconomic deprivation and for the 35–44 years age group. Median incidence rates were 94.9 (92.6–102.9) per 100,000 women-years, being the highest in women aged 35–44 years throughout the whole study period. Overall, incidence increased between 2015 and 2017, and plateaued or decreased in 2018. Incidence rates in women from the most deprived and rural areas were lower, although incidence time trends by socioeconomic status were unclear. Conclusion: Healthcare services and public health strategies need to be strengthened to ensure timely endometriosis diagnosis and treatment. Special attention should be given to the most affected populations and the social inequities of health.

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Impact of symptom burden on work performance status in Spanish women diagnosed with endometriosis

Cited by 9 publications

References 36 publications

Employment Status and Work Functioning among Kidney Transplant Recipients

Employment Status and Work Functioning among Kidney Transplant Recipients

‘Physio-EndEA’ Study: A Randomized, Parallel-Group Controlled Trial to Evaluate the Effect of a Supervised and Adapted Therapeutic Exercise Program to Improve Quality of Life in Symptomatic Women Diagnosed with Endometriosis

Endometriosis prevalence and incidence trends in a large population-based study in Catalonia (Spain) from 2009 to 2018

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