Impact of inflammatory bowel diseases on working life: A French nationwide survey

Berre, Catherine Le; Peyrin–Biroulet, Laurent; Buisson, Anne; Olympie, Alain; Ravel, M H; Bienenfeld, Christina; Gonzalez, Florent

doi:10.1016/j.dld.2019.01.024

Cited by 32 publications

(30 citation statements)

References 40 publications

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“…A mean QWLQ score of 78 (SD 11) was found in our IBD cohort (scale 0–100), which is comparable to the mean QWLQ score of 75 (SD 12) that was observed in cancer survivors returning to work [ 21 ]. The relatively high QWLQ score that we found is in line with results of a French nationwide study that revealed job satisfaction in 76% of IBD patients, despite the fact that 50% of them stated that working with IBD was a problem [ 22 ]. As expected, IBD patients scored the lowest on the subscale “problems due to the health situation” (mean 54, SD 26).…”

Section: Discussionsupporting

confidence: 89%

Impaired Quality of Working Life in Inflammatory Bowel Disease Patients

et al. 2020

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Background Work-related aspects are important determinants of health for inflammatory bowel disease (IBD) patients. Aims We aimed to describe quality of working life (QWL) in IBD patients and to assess variables that are associated with QWL. Methods Employed IBD patients of two tertiary and two secondary referral hospitals were included. QWL (range 0-100) was measured using the Quality of Working Life Questionnaire (QWLQ). Work productivity (WP), fatigue, and health-related quality of life (HRQL) were assessed using the Work Productivity and Activity Impairment questionnaire, Multidimensional Fatigue Inventory, and Short Inflammatory Bowel Disease Questionnaire, respectively. Active disease was defined as a score > 4 for the patient-reported Harvey-Bradshaw index in Crohn's disease (CD) or Simple Clinical Colitis Activity Index in ulcerative colitis patients. Results In total, 510 IBD patients were included (59% female, 53% CD, mean age 43 (SD 12) years). The mean QWLQ score was 78 (SD 11). The lowest subscore (54 (SD 26)) was observed for "problems due to the health situation": 63% reported fatigue-related problems at work, 48% agreed being hampered at work, 46% had limited confidence in their body, and 48% felt insecure about the future due to their health situation. Intermediate/strong associations were found between QWL and fatigue (r = − 0.543, p < 0.001), HRQL (r = 0.527, p < 0.001), WP loss (r = − 0.453, p < 0.001) and disease activity (r = − 0.331, p < 0.001). Independent predictors of impaired QWL in hierarchical regression analyses were fatigue (B = − 0.204, p < 0.001), WP loss (B = − 0.070, p < 0.001), and impaired HRQL (B = 0.248, p = 0.001). Conclusions IBD-related problems at work negatively influence QWL. Fatigue, reduced HRQL, and WP loss were independent predictors of impaired QWL in IBD.

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Section: Discussionsupporting

confidence: 89%

Impaired Quality of Working Life in Inflammatory Bowel Disease Patients

et al. 2020

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“…Fatigue represents an important clinical symptom that is often underrecognized among physicians involved in IBD care. Several studies have revealed that fatigue is highly frequent in IBD [59][60][61][62]. Of note, there is a wellestablished gender-specific difference in terms of fatigue: female subjects tend to have a higher prevalence of fatigue and this finding is reported across all age groups (Swiss IBD cohort study, unpublished data).…”

Section: Psychological Factorsmentioning

confidence: 96%

Gender Differences in Inflammatory Bowel Disease

et al. 2020

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“…Our study found a strong association with the presence of perianal disease (OR = 7.3, 95% CI = 1.24–42.33, P = 0.028), in agreement with Vollebregt et al . [ 23 ] A French web-based cross-sectional study surveyed 1410 patients with IBD about their work status and reported that 80% were actively employed, but half of those considered IBD a barrier to work;[ 24 ] fatigue and diarrhea were the most common restricting symptoms.…”

Section: Discussionmentioning

confidence: 99%

Work and school absenteeism in inflammatory bowel disease patients in Jeddah, Saudi Arabia: A cross sectional study

Mosli

Alamri

Saadah

2021

Saudi J Med Med Sci

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Background: Inflammatory bowel disease (IBD), which can have a considerable effect on quality of life, productivity and performance, is typically diagnosed during periods of life in which patients have academic and career-related responsibilities. Objective: The objective of the study was to determine the effect of IBD symptoms on work and school absenteeism in patients from Saudi Arabia. Patients and Methods: This cross-sectional survey included patients diagnosed with IBD, aged >8–60 years, at King Abdulaziz University Hospital, Jeddah, Saudi Arabia. The validated 32-question IBD quality-of-life questionnaire was used to elicit information regarding quality of life and another 9-question validated questionnaire was used to assess work and school absenteeism. A logistic regression analysis was used to identify possible determinants of absenteeism. Results: A total of 123 IBD patients were included, with a 1:1 male-to-female ratio. The median age at presentation was 26 years (range: 8–59 years), 56.9% had Crohn's disease, and 43.1% had ulcerative colitis. Further, 58 (47.2%) were employed, 49 (39.8%) were students and 16 (13%) were unemployed. Forty-seven (43.9%) participants reported absenteeism: 26 were employees (55.3%) and 21 were students (44.7%). A binary logistic regression analysis identified IBD subtype ( P = 0.006) and the presence of perianal disease ( P = 0.028) as clinical predictors for absenteeism from school or work. A feeling of abdominal pain ( P = 0.015), fatigue ( P = 0.015) and difficulty taking part in social engagements ( P < 0.001) were also significantly associated with absenteeism. Conclusions: A sizeable proportion of the participants reported absenteeism owing to the effects of IBD. IBD subtype, perianal disease, presence of ongoing abdominal pain, fatigue and difficulty in social engagement were strongly associated with nonattendance.

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Impact of inflammatory bowel diseases on working life: A French nationwide survey

Cited by 32 publications

References 40 publications

Impaired Quality of Working Life in Inflammatory Bowel Disease Patients

Impaired Quality of Working Life in Inflammatory Bowel Disease Patients

Gender Differences in Inflammatory Bowel Disease

Work and school absenteeism in inflammatory bowel disease patients in Jeddah, Saudi Arabia: A cross sectional study

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