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Understanding limitations in at-work productivity in patients with active ankylosing spondylitis : the role of work-related contextual factors

(2015) JOURNAL OF RHEUMATOLOGY. 42(1). p.93-100
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Organization
Abstract
Objective: To explore the effect of health-related and contextual factors on presenteeism, absenteeism, and overall work productivity loss in patients with active ankylosing spondylitis (AS). Methods: Consecutive patients with AS starting their first tumor necrosis factor inhibitor and in paid employment were eligible. Patients completed the Work Productivity and Activity Impairment (WPAI) questionnaire for AS to assess presenteeism, absenteeism, and overall work productivity loss in the previous 7 days. In addition, they answered questions about work characteristics (type, characteristics of workplace, satisfaction of contacts with colleagues, and importance of work in life) and health status [Bath AS Functional Index (BASFI), AS Disease Activity Score-C-reactive protein (ASDAS-CRP)]. Physicians assessed the Bath Ankylosing Spondylitis Metrology Index, presence of articular and extraarticular manifestations, comorbidities, and laboratory indicators of inflammation. Stepwise regression models were computed to determine which work-related and health-related factors contributed to WPAI outcomes. Results: The study included 80 patients. The WPAI presenteeism, absenteeism, and overall work productivity loss scores were 49.1%, 30.2%, and 53.1%, respectively. Presenteeism was associated with higher BASFI, female sex, and poor quality of contact with colleagues. Absenteeism was associated with increasing age, current smoking status, higher ASDAS-CRP, and low importance of work for life. Overall work productivity loss was associated with female sex, higher BASFI, past adaptation of job because of illness, number of working hours, and manual profession. Conclusion: Both health-related and contextual factors contribute to work limitations in patients with AS and suggest additional opportunities for improvement by addressing the working environment.
Keywords
ANKYLOSING SPONDYLITIS, WORK, ABSENTEEISM, METROLOGY INDEX, SICK LEAVE, RHEUMATOID-ARTHRITIS, DISABILITY, BATH, IMPACT, PERSPECTIVES, PRESENTEEISM, POPULATION, INFLIXIMAB

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MLA
Boonen, Annelies, Caroline Boone, Adelin Albert, et al. “Understanding Limitations in At-work Productivity in Patients with Active Ankylosing Spondylitis : the Role of Work-related Contextual Factors.” JOURNAL OF RHEUMATOLOGY 42.1 (2015): 93–100. Print.
APA
Boonen, Annelies, Boone, C., Albert, A., & Mielants, H. (2015). Understanding limitations in at-work productivity in patients with active ankylosing spondylitis : the role of work-related contextual factors. JOURNAL OF RHEUMATOLOGY, 42(1), 93–100.
Chicago author-date
Boonen, Annelies, Caroline Boone, Adelin Albert, and Herman Mielants. 2015. “Understanding Limitations in At-work Productivity in Patients with Active Ankylosing Spondylitis : the Role of Work-related Contextual Factors.” Journal of Rheumatology 42 (1): 93–100.
Chicago author-date (all authors)
Boonen, Annelies, Caroline Boone, Adelin Albert, and Herman Mielants. 2015. “Understanding Limitations in At-work Productivity in Patients with Active Ankylosing Spondylitis : the Role of Work-related Contextual Factors.” Journal of Rheumatology 42 (1): 93–100.
Vancouver
1.
Boonen A, Boone C, Albert A, Mielants H. Understanding limitations in at-work productivity in patients with active ankylosing spondylitis : the role of work-related contextual factors. JOURNAL OF RHEUMATOLOGY. 2015;42(1):93–100.
IEEE
[1]
A. Boonen, C. Boone, A. Albert, and H. Mielants, “Understanding limitations in at-work productivity in patients with active ankylosing spondylitis : the role of work-related contextual factors,” JOURNAL OF RHEUMATOLOGY, vol. 42, no. 1, pp. 93–100, 2015.
@article{8569612,
  abstract     = {Objective: To explore the effect of health-related and contextual factors on presenteeism, absenteeism, and overall work productivity loss in patients with active ankylosing spondylitis (AS). 
Methods: Consecutive patients with AS starting their first tumor necrosis factor inhibitor and in paid employment were eligible. Patients completed the Work Productivity and Activity Impairment (WPAI) questionnaire for AS to assess presenteeism, absenteeism, and overall work productivity loss in the previous 7 days. In addition, they answered questions about work characteristics (type, characteristics of workplace, satisfaction of contacts with colleagues, and importance of work in life) and health status [Bath AS Functional Index (BASFI), AS Disease Activity Score-C-reactive protein (ASDAS-CRP)]. Physicians assessed the Bath Ankylosing Spondylitis Metrology Index, presence of articular and extraarticular manifestations, comorbidities, and laboratory indicators of inflammation. Stepwise regression models were computed to determine which work-related and health-related factors contributed to WPAI outcomes. 
Results: The study included 80 patients. The WPAI presenteeism, absenteeism, and overall work productivity loss scores were 49.1%, 30.2%, and 53.1%, respectively. Presenteeism was associated with higher BASFI, female sex, and poor quality of contact with colleagues. Absenteeism was associated with increasing age, current smoking status, higher ASDAS-CRP, and low importance of work for life. Overall work productivity loss was associated with female sex, higher BASFI, past adaptation of job because of illness, number of working hours, and manual profession. 
Conclusion: Both health-related and contextual factors contribute to work limitations in patients with AS and suggest additional opportunities for improvement by addressing the working environment.},
  author       = {Boonen, Annelies and Boone, Caroline and Albert, Adelin and Mielants, Herman},
  issn         = {0315-162X},
  journal      = {JOURNAL OF RHEUMATOLOGY},
  keywords     = {ANKYLOSING SPONDYLITIS,WORK,ABSENTEEISM,METROLOGY INDEX,SICK LEAVE,RHEUMATOID-ARTHRITIS,DISABILITY,BATH,IMPACT,PERSPECTIVES,PRESENTEEISM,POPULATION,INFLIXIMAB},
  language     = {eng},
  number       = {1},
  pages        = {93--100},
  title        = {Understanding limitations in at-work productivity in patients with active ankylosing spondylitis : the role of work-related contextual factors},
  url          = {http://dx.doi.org/10.3899/jrheum.131287},
  volume       = {42},
  year         = {2015},
}

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