PMID- 28385125
OWN - NLM
STAT- MEDLINE
DCOM- 20180725
LR  - 20180725
IS  - 1477-0962 (Electronic)
IS  - 0961-2033 (Linking)
VI  - 27
IP  - 1
DP  - 2018 Jan
TI  - Multicenter study to assess presenteeism in systemic lupus erythematosus and its 
      relationship with clinical and sociodemographic features.
PG  - 33-39
LID - 10.1177/0961203317701843 [doi]
AB  - Objective The aim of this study was to measure presenteeism (productivity 
      impairment while the patient is at work) and the related risk factors in patients 
      with systemic lupus erythematosus (SLE) from Argentina. Methods A total of 130 
      consecutive (1997 American College of Rheumatology (ACR) criteria) working 
      patients with SLE were assessed using a standardized data collection form. 
      Sociodemographic, disease and work-related variables were collected. The Work 
      Productivity and Activity Impairment (WPAI) questionnaire was performed. Results 
      Overall, 130 patients were included in the analysis; 91% were women, and the mean 
      age was 39 years (range 19-77). A total of 43% were White, 43% Mestizo and 13% 
      Amerindian. Overall, 38% were single and 38% were married. A total of 75% had 
      more than 12 years of formal education. The median disease duration was 7 years 
      (interquartile range 25-75 (IQR) 4-13). Median Systemic Lupus Erythematosus 
      Disease Activity Index (SLEDAI) score was 0 (IQR 0-2), and median Systemic Lupus 
      International Collaborating Clinics/ACR Damage Index (SLICC-SDI) score was 0 (IQR 
      0-1). Lupus quality of life (LupusQoL) domains scores were: physical health 87 
      (IQR 70-96), emotional health 78 (IQR 54-91), burden to others 75 (IQR 50-92), 
      intimate relationships 87 (IQR 50-100), and body image 85 (IQR 70-100). 
      Absenteeism was 8%, presenteeism was 19%, and overall work impairment 
      (absenteeism + presenteeism) was 26%. In the multiple regression analysis, 
      considering presenteeism as dependent variable, (adjusting by age, disease 
      duration, >12 years of education, Non-white race, Visual Analogue Scale (VAS) 
      pain, VAS fatigue, SLICC-SDI, LupusQoL, physical and emotional domains), we found 
      that SLICC-SDI (odds ratio (OR) 1.68, confidence interval (CI) 1-2.7) and 
      Non-white race (OR 3.27, CI 1.04-10) were related to presenteeism and >12 years 
      of education (OR 0.30, CI 0.09-0.98) and higher scores of LupusQoL emotional 
      health domain (OR 0.95, CI 0.92-0.98) were protective. Conclusions organ damage 
      and Non-white race were significantly associated with presenteeism while >12 
      years of education and higher scores of LupusQoL emotional health domain were 
      protective.
FAU - Cosatti, M A
AU  - Cosatti MA
AD  - 1 Rheumatology and Immunology Unit, Centro de Educacion Medica e Investigaciones 
      Clinicas Norberto Quirno (CEMIC), Galvan 4102, Buenos Aires, Argentina.
FAU - Munoz, S
AU  - Munoz S
AD  - 2 Medicina Interna, Hospital Fernandez, Argentina.
FAU - Alba, P
AU  - Alba P
AD  - 3 Rheumatology, Hospital Cordoba, Argentina.
FAU - Helling, C A
AU  - Helling CA
AD  - 4 Rheumatology, Organizacion Medica de Investigacion (OMI), Argentina.
FAU - Roverano, S
AU  - Roverano S
AD  - 5 Rheumatology, Hospital JM Cullen, Argentina.
FAU - Sarano, J
AU  - Sarano J
AD  - 6 Immunology, Instituto de Investigaciones Medicas Alfredo Lanari, Argentina.
FAU - Malm-Green, S
AU  - Malm-Green S
AD  - 7 Rheumatology, Hospital General de Agudos Bernardino Rivadavia, Argentina.
FAU - Danielsen, M
AU  - Danielsen M
AD  - 8 Rheumatology, Hospital Regional Ramon Carrillo Santiago del Estero, Argentina.
FAU - Medina Bornachera, D
AU  - Medina Bornachera D
AD  - 9 Rheumatology, Hospital Penna, Argentina.
FAU - Alvarez, A
AU  - Alvarez A
AD  - 9 Rheumatology, Hospital Penna, Argentina.
FAU - Eimon, A
AU  - Eimon A
AD  - 1 Rheumatology and Immunology Unit, Centro de Educacion Medica e Investigaciones 
      Clinicas Norberto Quirno (CEMIC), Galvan 4102, Buenos Aires, Argentina.
FAU - Pendon, G
AU  - Pendon G
AD  - 10 Hospital Ricardo Gutierrez, La Plata, Argentina.
FAU - Mayer, M
AU  - Mayer M
AD  - 11 Rheumatology, Hospital Britanico de Buenos Aires, Argentina.
FAU - Marin, J
AU  - Marin J
AD  - 12 Rheumatology, Hospital Italiano de Buenos Aires, Argentina.
FAU - Catoggio, C
AU  - Catoggio C
AD  - 1 Rheumatology and Immunology Unit, Centro de Educacion Medica e Investigaciones 
      Clinicas Norberto Quirno (CEMIC), Galvan 4102, Buenos Aires, Argentina.
FAU - Pisoni, C N
AU  - Pisoni CN
AD  - 1 Rheumatology and Immunology Unit, Centro de Educacion Medica e Investigaciones 
      Clinicas Norberto Quirno (CEMIC), Galvan 4102, Buenos Aires, Argentina.
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Observational Study
DEP - 20170406
PL  - England
TA  - Lupus
JT  - Lupus
JID - 9204265
SB  - IM
MH  - Adult
MH  - Aged
MH  - Argentina/epidemiology
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Lupus Erythematosus, Systemic/epidemiology/*psychology
MH  - Male
MH  - Middle Aged
MH  - Work Performance/*statistics & numerical data
MH  - Young Adult
OTO - NOTNLM
OT  - Systemic lupus erythematosus
OT  - presenteeism; work
EDAT- 2017/04/08 06:00
MHDA- 2018/07/26 06:00
CRDT- 2017/04/08 06:00
PHST- 2017/04/08 06:00 [pubmed]
PHST- 2018/07/26 06:00 [medline]
PHST- 2017/04/08 06:00 [entrez]
AID - 10.1177/0961203317701843 [doi]
PST - ppublish
SO  - Lupus. 2018 Jan;27(1):33-39. doi: 10.1177/0961203317701843. Epub 2017 Apr 6.