Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA.
Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA.
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DOI：
10.1186/s13075-017-1421-y
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发表时间：
2017-09-29
影响因子：
4.9
通讯作者：
Boonen A
中科院分区：
文献类型：
--
作者：
van der Zee-Neuen A;Putrik P;Ramiro S;Keszei AP;Hmamouchi I;Dougados M;Boonen A
我们的目的是探讨居住国或特定国家的特征是否与类风湿性关节炎（RA）的工作成果相关。使用了参与RA合并症（COMORA）研究的17个国家的数据。工作成果通过工作生产力和活动损害问卷进行衡量，涉及就业（是/否），缺勤（时间百分比; 3类）和出勤率（工作生产力限制的百分比; 4类）。居住国、国内生产总值（GDP）、人类发展指数（HDI）、失业率、社会保障支出（SPE）或世界区域对工作成果的贡献在调整（有序）logistic回归中进行了研究。患者（n = 2395）年龄小于60岁;平均年龄48岁（SD 9.2），1972例（84%）为女性，1065例（45%）为在职。以工作成果最好的国家为参考，摩洛哥患者的就业几率最低（OR 0.2（95% CI 0.1; 0.3）vs.德国），缺勤几率最高（OR 13.2（3.6; 48.3）vs.日本）。台湾患者的出勤率最高（OR 13.0（5.5; 30.9）vs.委内瑞拉）。除SPE外，所有国家指数都与工作成果有关。例如，与高GDP国家相比，低GDP国家的患者就业几率较低（OR 0.6（0.5; 0.8）），缺勤几率较高（OR 2.8（2.0; 4.1）），但出勤几率较低（OR 0.5（0.4; 0.7））。在不同国家间观察到类风湿关节炎患者的工作结果存在显著差异。经济财富和人类发展水平较低的国家，其就业情况较差，缺勤率较高，但出勤率较低。本文的在线版本（doi：10.1186/s13075-017-1421-y）包含补充材料，可供授权用户使用。
We aimed to explore whether country of residence or specific country characteristics are associated with work outcomes in rheumatoid arthritis (RA). Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions. The patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). Patients in Taiwan had the highest odds of presenteeism (OR 13.0 (5.5; 30.9) vs. Venezuela). All country indices except SPE were associated with work outcomes. For example, patients in low-GDP countries had lower odds of employment (OR 0.6 (0.5; 0.8)), higher odds of absenteeism (OR 2.8 (2.0; 4.1)), but lower odds of presenteeism (OR 0.5 (0.4; 0.7)) compared to higher-GDP countries. Substantial differences in work outcomes among patients with RA were observed between countries. Lower economic wealth and human development of countries were associated with worse employment and higher absenteeism, but lower presenteeism. The online version of this article (doi:10.1186/s13075-017-1421-y) contains supplementary material, which is available to authorized users.
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影响因子：
27.4
作者：
Dadoniene, J;Uhlig, T;Kvien, TK
通讯作者：
Kvien, TK
影响因子：
4.7
作者：
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通讯作者：
Michaud, Kaleb
影响因子：
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作者：
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影响因子：
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作者：
Severens, JL;Mulder, J;Verbeek, ALM
通讯作者：
Verbeek, ALM
影响因子：
4.9
作者：
Sokka T;Kautiainen H;Pincus T;Verstappen SM;Aggarwal A;Alten R;Andersone D;Badsha H;Baecklund E;Belmonte M;Craig-Müller J;da Mota LM;Dimic A;Fathi NA;Ferraccioli G;Fukuda W;Géher P;Gogus F;Hajjaj-Hassouni N;Hamoud H;Haugeberg G;Henrohn D;Horslev-Petersen K;Ionescu R;Karateew D;Kuuse R;Laurindo IM;Lazovskis J;Luukkainen R;Mofti A;Murphy E;Nakajima A;Oyoo O;Pandya SC;Pohl C;Predeteanu D;Rexhepi M;Rexhepi S;Sharma B;Shono E;Sibilia J;Sierakowski S;Skopouli FN;Stropuviene S;Toloza S;Valter I;Woolf A;Yamanaka H;QUEST-RA
通讯作者：
QUEST-RA