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Predictors of Presenteeism and Activity Impairment Outside Work in Patients with Spondyloarthritis

Haglund, Emma LU ; Petersson, Ingemar LU ; Bremander, Ann LU and Bergman, Stefan LU (2015) In Journal of Occupational Rehabilitation 25(2). p.288-295
Abstract
Purposes To assess predictors of presenteeism (reduced productivity at work) and activity impairment outside work in patients with spondyloarthritis (SpA). Methods Multivariate logistic regression analysis was used to study predictors of presenteeism and activity impairment in 1,253 patients with SpA based on a 2.5 year follow-up questionnaire. The Work Productivity and Activity Impairment (WPAI) questionnaire was used as main outcome. Age, gender, lifestyle factors, subgroups, disease duration, and different patient reported outcome measures (PROMs) were studied as possible predictors. The association between presenteeism and WPAI activity impairment outside work was assessed. Results Out of 1,253 patients, 757 reported being in work and... (More)
Purposes To assess predictors of presenteeism (reduced productivity at work) and activity impairment outside work in patients with spondyloarthritis (SpA). Methods Multivariate logistic regression analysis was used to study predictors of presenteeism and activity impairment in 1,253 patients with SpA based on a 2.5 year follow-up questionnaire. The Work Productivity and Activity Impairment (WPAI) questionnaire was used as main outcome. Age, gender, lifestyle factors, subgroups, disease duration, and different patient reported outcome measures (PROMs) were studied as possible predictors. The association between presenteeism and WPAI activity impairment outside work was assessed. Results Out of 1,253 patients, 757 reported being in work and of these 720 responded to the WPAI questionnaire. The mean (confidence interval, CI) reported presenteeism was 25 % (23-27 %) and mean activity impairment 33 % (31-35 %) (0-100 %, 0 = no reduction). Significant predictors of presenteeism and activity impairment at follow-up (controlled for gender, age, spondyloarthritis subgroups and presenteeism at baseline) were presenteeism at baseline, poor quality of life, worse disease activity, decreased physical function, lower self-efficacy pain and symptom, higher scores of anxiety, depression, smoking and low education level, and for activity impairment also female sex. There was a strong association between presenteeism and activity impairment outside work (OR 16.7; 95 % CI 11.6-24.3; p < 0.001). Conclusions Presenteeism and activity impairment were not only predicted by presenteeism at baseline, but also by several PROMs commonly used in clinical rheumatology practice. Impaired activity outside work could indicate problems also at work suggesting why both areas need to be addressed in the clinical situation. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Activity impairment, Ankylosing spondylitis, Predictors, Presenteeism, Spondyloarthritis, Work productivity
in
Journal of Occupational Rehabilitation
volume
25
issue
2
pages
288 - 295
publisher
Springer
external identifiers
  • wos:000354718500004
  • scopus:84929409334
ISSN
1053-0487
DOI
10.1007/s10926-014-9537-2
language
English
LU publication?
yes
id
c7981451-8031-434f-9244-7e0791f08077 (old id 7411589)
date added to LUP
2015-07-03 07:03:36
date last changed
2017-08-06 03:58:16
@article{c7981451-8031-434f-9244-7e0791f08077,
  abstract     = {Purposes To assess predictors of presenteeism (reduced productivity at work) and activity impairment outside work in patients with spondyloarthritis (SpA). Methods Multivariate logistic regression analysis was used to study predictors of presenteeism and activity impairment in 1,253 patients with SpA based on a 2.5 year follow-up questionnaire. The Work Productivity and Activity Impairment (WPAI) questionnaire was used as main outcome. Age, gender, lifestyle factors, subgroups, disease duration, and different patient reported outcome measures (PROMs) were studied as possible predictors. The association between presenteeism and WPAI activity impairment outside work was assessed. Results Out of 1,253 patients, 757 reported being in work and of these 720 responded to the WPAI questionnaire. The mean (confidence interval, CI) reported presenteeism was 25 % (23-27 %) and mean activity impairment 33 % (31-35 %) (0-100 %, 0 = no reduction). Significant predictors of presenteeism and activity impairment at follow-up (controlled for gender, age, spondyloarthritis subgroups and presenteeism at baseline) were presenteeism at baseline, poor quality of life, worse disease activity, decreased physical function, lower self-efficacy pain and symptom, higher scores of anxiety, depression, smoking and low education level, and for activity impairment also female sex. There was a strong association between presenteeism and activity impairment outside work (OR 16.7; 95 % CI 11.6-24.3; p &lt; 0.001). Conclusions Presenteeism and activity impairment were not only predicted by presenteeism at baseline, but also by several PROMs commonly used in clinical rheumatology practice. Impaired activity outside work could indicate problems also at work suggesting why both areas need to be addressed in the clinical situation.},
  author       = {Haglund, Emma and Petersson, Ingemar and Bremander, Ann and Bergman, Stefan},
  issn         = {1053-0487},
  keyword      = {Activity impairment,Ankylosing spondylitis,Predictors,Presenteeism,Spondyloarthritis,Work productivity},
  language     = {eng},
  number       = {2},
  pages        = {288--295},
  publisher    = {Springer},
  series       = {Journal of Occupational Rehabilitation},
  title        = {Predictors of Presenteeism and Activity Impairment Outside Work in Patients with Spondyloarthritis},
  url          = {http://dx.doi.org/10.1007/s10926-014-9537-2},
  volume       = {25},
  year         = {2015},
}