Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Science, Monash University, Melbourne, Australia.
Division of Physical Therapy Education, College of Allied Health Professions, University of Nebraska Medical Center, Omaha, Nebraska.
Neurourol Urodyn. 2018 Nov;37(8):2323-2334. doi: 10.1002/nau.23744. Epub 2018 Jun 28.
The aim of this systematic review and meta-analysis was to determine the impact of lower urinary tract symptoms (LUTS) on work productivity in female workers.
A comprehensive literature search was conducted using eight electronic databases (MEDLINE, PEDro, CINAHL, Cochrane library, EMBASE, PubMed, Scopus, and PsycINFO) to identify articles published before July 2017 that studied the work productivity in female workers with LUTS. Two reviewers independently assessed the quality of studies using the Joanna Briggs Institute. Meta-analyses were performed on studies having measured work productivity between females with and without LUTS, and odds ratios (ORs) or the mean differences were used.
Fourteen articles (n = 48 223 females) were included in the review, and meta-analyses were performed with six of those articles. Lower urinary tract symptoms were significantly associated with work productivity loss (OR = 1.11, 95%CI = 1.06-1.15), presenteeism (OR = 1.10, 95%CI = 1.05-1.14), and activity impairment (OR = 1.11, 95%CI = 1.09-1.14). However, there was no significant difference in the probability of absenteeism between females with and without LUTS (OR = 1.03, 95%CI = 0.94-1.13).
Evidence suggests that female workers with LUTS had significantly greater work productivity impairment compared to those without LUTS.
本系统评价和荟萃分析的目的是确定下尿路症状（LUTS）对女性劳动者工作生产力的影响。
我们使用 8 个电子数据库（MEDLINE、PEDro、CINAHL、Cochrane 图书馆、EMBASE、PubMed、Scopus 和 PsycINFO）进行了全面的文献检索，以确定截至 2017 年 7 月之前研究患有 LUTS 的女性劳动者工作生产力的文章。两名评审员使用 Joanna Briggs 研究所独立评估研究质量。对测量患有和未患有 LUTS 的女性劳动者工作生产力的研究进行了荟萃分析，并使用比值比（OR）或均数差值进行分析。
有 14 篇文章（n=48223 名女性）被纳入综述，其中 6 篇文章进行了荟萃分析。LUTS 与工作生产力损失（OR=1.11，95%CI=1.06-1.15）、现患率（OR=1.10，95%CI=1.05-1.14）和活动障碍（OR=1.11，95%CI=1.09-1.14）显著相关。然而，患有和未患有 LUTS 的女性之间的旷工概率没有显著差异（OR=1.03，95%CI=0.94-1.13）。
有证据表明，患有 LUTS 的女性劳动者的工作生产力受损显著大于未患有 LUTS 的女性劳动者。
