Identifying Unacceptable Work State in Patients with Axial Spondyloarthritis
Author Information
Author(s): Dafne Capelusnik, Sofia Ramiro, Elena Nikiphorou, Walter P. Maksymowych, Marina Nighat Magrey, Helena Marzo-Ortega, Annelies Boonen
Primary Institution: Maastricht University
Hypothesis
To identify threshold values of presenteeism measurement instruments that reflect unacceptable work state in employed r-axSpA patients.
Conclusion
Thresholds of measurement instruments for presenteeism and health status to identify unacceptable work state have been established.
Supporting Evidence
- 15% of patients reported an unacceptable work state.
- Optimal thresholds were established for four presenteeism instruments.
- BASDAI and BASFI performed similarly to the presenteeism instruments.
- Proposed thresholds can predict future adverse work outcomes.
Takeaway
This study found specific scores that show when people with a certain type of arthritis are not doing well at work, helping doctors support them better.
Methodology
Data from the multinational AS-PROSE study was used to calculate thresholds for presenteeism and health outcomes.
Potential Biases
The thresholds were sensitive to educational level and job type, potentially leading to overestimation in certain groups.
Limitations
The thresholds may overestimate unacceptable work state in lower-educated persons and blue-collar workers.
Participant Demographics
72% male, mean age 43 years, 45% on biologic treatment, 79% full-time employment.
Digital Object Identifier (DOI)
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