Article2011

Productivity loss due to absenteeism and presenteeism by different instruments in patients with RA and subjects without RA

Louise M. A. Braakman‐Jansen · Erik Taal · Ina H. Kuper · M.A.F.J. van de Laar

94 citations0/0 files storedLara D. Veeken

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Health Systems, Economic Evaluations, Quality of Life Rheumatoid Arthritis Research and Therapies Workplace Health and Well-being

Abstract

OBJECTIVES: To explore the impact of at-work productivity loss on the total productivity cost by different instruments in patients recently diagnosed with RA and controls without RA. METHODS: Cross-sectional data were collected from outpatients with RA between December 2007 and February 2008. The control group was formed by subjects without RA matched on age and gender. Absenteeism and presenteeism were estimated by the Quantity and Quality (QQ) Questionnaire, Work Productivity and Activity Impairment Questionnaire General Health V2.0 (WPAI-GH) and Health and Labor Questionnaire (HLQ) questionnaires. Differences between groups were tested by Mann-Whitney U-test. Costs were valued by the human capital approach. RESULTS: Data were available from 62 patients with a paid job and 61 controls. QQ- and WPAI-GH scores of presenteeism were moderately correlated (r = 0.61) while the HLQ presenteeism score correlated poorly with the other instruments (r = 0.34). The contribution of presenteeism on total productivity costs was estimated at ∼70% in the RA group. The mean costs per person per week due to presenteeism varied between €79 and €318 per week in the RA group, dependent on the instrument used. The costs due to presenteeism were about two to four times higher in the RA group compared with the control group. CONCLUSION: This study indicates that the impact of presenteeism on the total productivity costs in patients with RA is high. However, work productivity in individuals without RA was not optimal either, which implies a risk of overestimation of cost when a normal score is not taken into account. Finally, different presenteeism instruments lead to different results.

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References

1980Measurement of patient outcome in arthritis 1993The Validity and Reproducibility of a Work Productivity and Activity Impairment Instrument 2002Standardisation of Costs 2007A review of methods to measure health-related productivity loss.1996Labor and Health Status in Economic Evaluation of Health Care: The Health and Labor Questionnaire 2004A Review of Health-Related Workplace Productivity Loss Instruments 2005PRODISQ: a modular questionnaire on productivity and disease for economic evaluation studies 2007Worker productivity outcome measures in arthritis.

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