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Work productivity in a population-based cohort of patients with spondyloarthritis
Spenshult Research and Development Center, Spenshult, Oskarström, Sweden.ORCID iD: 0000-0002-1445-5247
Halmstad University, School of Business, Engineering and Science, Biological and Environmental Systems (BLESS), Biomechanics and Biomedicine. Spenshult Research and Development Center, Spenshult, Oskarström, Sweden.ORCID iD: 0000-0002-8081-579X
Spenshult Research and Development Center, Spenshult, Oskarström, Sweden.
Department of Clinical Sciences, Malmö, Section of Rheumatology, Lund University, Lund, Sweden.
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2013 (English)In: Rheumatology, ISSN 1462-0324, E-ISSN 1462-0332, Vol. 52, no 9, p. 1708-14Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To assess work productivity and associated factors in patients with SpA.

METHODS: This cross-sectional postal survey included 1773 patients with SpA identified in a regional health care register. Items on presenteeism (reduced productivity at work, 0-100%, 0 = no reduction) were answered by 1447 individuals. Absenteeism was defined as register-based sick leave using data from a national register. Disease duration, disease activity (BASDAI), physical function (BASFI), health-related quality of life (EQ-5D), anxiety (HAD-a), depression (HAD-d), self-efficacy [Arthritis Self-efficacy Scale (ASES) pain and symptom], physical activity and education were also measured.

RESULTS: Forty-five per cent reported reduced productivity at work with a mean reduction of 20% (95% CI 18, 21) and women reported a higher mean reduction than men (mean 23% vs 17%, P < 0.001). Worse quality of life, disease activity, physical function and anxiety all correlated with reduced productivity (r = 0.52-0.66, P < 0.001), while sick leave did not. Worse outcomes on the EQ-5D (β-est -9.6, P < 0.001), BASDAI (β-est 7.8, P < 0.001), BASFI (β-est 7.3, P < 0.001), ASES pain (β-est -0.5, P < 0.001) and HAD-d (β-est 3.4, P < 0.001) were associated with reduced productivity at work in patients with SpA regardless of age, gender and disease subgroup. ASES symptoms, HAD-a and education level <12 years were associated with reduced productivity but were not significant in all strata for age, gender and disease subgroup.

CONCLUSION: Work productivity was reduced in patients with SpA and more so in women. Worse quality of life, disease activity, physical function, self-efficacy and depression were all associated with reduced productivity at work in patients with SpA.

© The Author 2013. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved.

Place, publisher, year, edition, pages
Oxford: Oxford University Press, 2013. Vol. 52, no 9, p. 1708-14
Keywords [en]
spondyloarthritis, work productivity, presenteeism, absenteeism, patient-reported outcomes
National Category
General Practice
Identifiers
URN: urn:nbn:se:hh:diva-24165DOI: 10.1093/rheumatology/ket217ISI: 000323348000027PubMedID: 23804223Scopus ID: 2-s2.0-84883010473OAI: oai:DiVA.org:hh-24165DiVA, id: diva2:679116
Note

Article number: ket217. This study was supported by unrestricted grants from the Faculty of Medicine, Lund University, Lund, Sweden, Region Skåne, Sweden, the Swedish Social Insurance Agency, the Swedish Rheumatism Association, the Stig Thunes Foundation, Sweden and the Norrbacka-Eugenia Foundation, Sweden.

Available from: 2013-12-13 Created: 2013-12-13 Last updated: 2018-03-22Bibliographically approved

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Haglund, EmmaBremander, AnnBergman, Stefan

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