The Impact of Crohnʼs Disease on Workforce Participation and Productivity in the Workplace and Household
Notice bibliographique
Résumé
Purpose: Crohn's disease (CD) is associated with debilitating clinical symptoms and an important quality of life burden. This analysis focuses on the impact of CD on productivity, which can aid our understanding of the impact of CD on patients and its societal cost. Methods: CD patients (pts) (≥18 years) completed a Web-based questionnaire containing items regarding demographics, disease and treatment history, the short form of the Inflammatory Bowel Disease Questionnaire (SIBDQ) and the Health Related Productivity Questionnaire (HRPQ). The HRPQ contains 9 items on the influence of CD on key productivity measures: workforce participation (unemployed, under-employed), absenteeism (missed work days) and presenteeism (reduced work output during hours [hrs] worked). Results: A total of 326 pts completed the survey (70% female, mean age = 46). The majority of pts rated the severity of their current CD as moderate (46.9%; mild = 34.4%; severe = 18.7%). U.S. residents comprised 84.0% of the sample with Canada, Australia and the U.K. accounting for 8.0%, 2.1% and 2.1%, respectively and the remaining 3.8% of respondents coming from 9 other countries. Among the 305 respondents < 65 years, 57% reported they were currently employed full-time, 16% reported part-time employment and the remaining 27% reported that they were not employed. Approximately 38% of pts indicated that CD had at some point kept them from being employed or had forced them to work part-time when they wanted to work full-time. Among the employed, 23.8% of the scheduled work hrs were lost due to CD with 14.6% due to presenteeism and 9.2% to absenteeism. The planned hrs of household work were more affected by CD than the scheduled hrs of employed work, with 38.0% of these hrs lost due to CD. The workforce participation and percentage of hrs of productivity lost at employed and household work of women were substantially above those of their male counterparts (range 170%-185%). Current employment status was significantly associated with CD severity. Pts with poorer quality of life, as measured by the SIBDQ, had significantly greater levels of absenteeism, presenteeism and total lost productivity (p <.001). The SIBDQ item dealing with feelings of fatigue was the most consistently significant predictor of productivity losses. Conclusions: CD was found to significantly influence each of the key productivity measures investigated. Treatments that effectively control the symptoms of CD and have minimal side-effects may have a significant impact on the indirect (productivity) costs associated with CD.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,005 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,000 | 0,001 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,004 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».