JOMPAC
Journal of Medicine and Palliative Care

Journal of Medicine and Palliative Care (JOMPAC) is an open access scientific journal with independent, unbiased, and double-blind review under international guidelines. The purpose of JOMPAC is to contribute to the literature by publishing articles on health sciences and medicine.

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Original Article
Work disability and factors associated with work productivity loss in ankylosing spondylitis
Abstract
Objective: To assess the rate of employment and factors associated with work productivity loss in Ankylosing spondylitis (AS). Material and Method: This study was designed as a cross-sectional study that included 70 patients with AS. Fatigue, morning stiffness, and pain were assessed on a visual analogue scale (V AS). Disease activity, physical function, quality of life, anxiety and depression were assessed using the Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Ankylosing Spondylitis Quality of Life (ASQoL), and Hospital Anxiety and Depression Scale (HAD), respectively. We used the Work Productivity and Activity Impairment Questionnaire (WPAI) to determine the impact of AS on work productivity. The clinical and demographic characteristics of working and not working patients were compared. Factors associated with absenteeism and presenteeism were assessed using univariable logistic and linear regression analysis, respectively. Results: Mean age of 70 patients (24 women, 46 men) with AS was 42.96 ± 7.83 years. The percentages of working patients was 65.7%. The percentages of presenteeism and absenteeism were 60.21% and 37%, respectively. The clinical and demographic characteristics of working and not working patients were not different (p>0.05). Absenteeism was associated with low educational level (odds ratio [OR]=7.636; 95% confidence interval [CI]=1.782-32.723; p=0.006), morning stiffness (OR=1.545; 95% CI=1.118-2.134; p=0.008), BASDAI (OR=1.645; 95% CI=1.088-2.489; p=0.018), and ASQoL (OR=1.392; 95% CI=1.094- 1.772; p=0.007). In the linear regression model, BASDAI (ß=8.394; 95% CI=5.570-11.217; p<0.001), fatigue (ß=6.656; 95% CI=3.015-10.298; p=0.001), pain (ß=6.011; 95% CI=2.669-9.352; p=0.001), morning stiffness (ß=6.108; 95% CI=3.949-8.268; p<0.001), BASFI (ß=5.703; 95% CI=2.701-8.705; p< 0.001), ASQoL (ß=3.209; 95% CI=1.781-4.637; p<0.001), and HAD-A (ß=2.095; 95% CI=0.243-3.947; p=0.027) were significantly associated with presenteeism. Conclusion: The percentage of absenteeism and presenteeism were high in working AS patients. Absenteeism was associated with low educational level, morning stiffness, and disease activity. Presenteeism was associated with patient-reported outcomes, including fatigue, pain, morning stiffness, function, anxiety, quality of life, and disease activity.

Keywords : Ankylosing spondylitis, absenteeism, presenteeism, patient-reported outcomes

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Article available in :
Volume 3, Issue 3, 2022
Page : 195-199
https://doi.org/10.47582/jompac.1146348
Article Information
Submitted : 21 Tem 2022
Accepted : 28 Ağu 2022
Corresponding Author :

Didem Erdem Gürsoy: Prof. Dr Cemil Taşcıoğlu City Hospital, Rheumatology Clinic, İstanbul, Turkey

[email protected]
Citation : Erdem Gürsoy D, Duruöz MT. Work disability and factors associated with work productivity loss in ankylosing spondylitis. J Med Palliat Care 2022; 3(3): 195-199.

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