Impact of Dry Eye Disease on Work Productivity, and Patients' Satisfaction With Over-the-Counter Dry Eye Treatments
Impact of Dry Eye Disease on Work Productivity, and Patients' Satisfaction With Over-the-Counter Dry Eye Treatments
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DOI：
10.1167/iovs.16-19419
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发表时间：
2016-06-01
影响因子：
4.4
通讯作者：
Patel, Vaishali
中科院分区：
文献类型：
--
作者：
Nichols, Kelly K.;Bacharach, Jason;Patel, Vaishali
目的。为了评估干眼病对非工作相关活动的工作效率和表现的影响，以及患者对非处方药(OTC)干眼治疗的满意度。方法：在这项在美国10家验光/眼科诊所进行的前瞻性、非干预性、横断面研究中，158名对处方药物天真的有症状的干眼患者接受了标准的干眼诊断测试，并完成了工作效率和活动障碍(WPAI)和眼表疾病指数(OSDI)问卷。结果：平均而言，干眼导致工作时间减少0.36%(类似于7天内5分钟)，工作表现(出席率)、工作效率和非工作相关活动的损害程度类似于30%。出勤率和生产力损害评分与OSDI总分(r=0.55)和症状领域评分(r=0.50)显著相关，而与干眼临床体征无相关性。活动障碍评分与OSDI总分(r=0.61)和症状域(r=0.53)得分的相关性比与临床体征(r=3)的相关性更强。结论干眼可以忽略不计的旷工，但显著降低工作和非工作相关的表现。工作表现受损与干眼症状的关系比与临床体征的关系更密切。患者对OTC干眼症药物的看法往往比他们对症状缓解的看法更积极。
PURPOSE. To assess the effect of dry eye disease on work productivity and performance of non-work-related activities, and patients' satisfaction with over-the-counter (OTC) dry eye treatments.METHODS. In this prospective, noninterventional, cross-sectional study, conducted at 10 U.S. optometry/ophthalmology practices, 158 symptomatic dry eye patients naive to prescription medication underwent standard dry eye diagnostic tests and completed Work Productivity and Activity Impairment (WPAI) and Ocular Surface Disease Index (OSDI) questionnaires. Use of OTC dry eye medication, and satisfaction with OTC medication and symptom relief were also assessed.RESULTS. On average, dry eye resulted in loss of 0.36% of work time (similar to 5 minutes over 7 days) and similar to 30% impairment of workplace performance (presenteeism), work productivity, and non-job-related activities. Presenteeism and productivity impairment scores showed significant correlation with OSDI total (r = 0.55) and symptom domain (r = 0.50) scores, but not with dry eye clinical signs. Activity impairment score showed stronger correlation with OSDI total (r = 0.61) and symptom domain (r = 0.53) scores than with clinical signs (r = 3 vs. less than or similar to 2 times daily).CONCLUSION. Dry eye causes negligible absenteeism, but markedly reduces workplace and non-job-related performances. Impairment of work performance is more closely linked to dry eye symptoms than to clinical signs. Patients' perceptions of OTC dry eye medication tend to be more positive than their perceptions of symptom relief.