University of Manitoba IBD Clinical and Research Centre, Winnipeg, MB, Canada.
Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Inflamm Bowel Dis. 2019 Jan 10;25(2):352-359. doi: 10.1093/ibd/izy236.
One effect of IBD disability is reduced productivity when at work (presenteeism). We explored potential predictors of work presenteeism and compared the predictive ability of the recently developed IBD Disability Index (IBDDI) with 4 other scales in predicting presenteeism.
Participants (aged 18-65 years) were recruited from the University of Manitoba IBD Research Registry. We calculated a presenteeism score (range, 0-24) from the Stanford Presenteeism Scale (SPS), with higher scores representing greater degrees of presenteeism. Using receiver operating characteristic curves and linear regression, we explored associations between presenteeism and the IBDDI, the World Health Organization Disability Assessment Schedule (WHODAS 2.0), the Work and Social Adjustment Scale (WSAS), the Inflammatory Bowel Disease Questionnaire (IBDQ), and the Kessler-6 (K6) distress scale.
Out of 744 respondents working at least half-time (20+ hours/wk), 472 (63%) reported no reduced productivity in the previous 14 days. Reduced productivity was reported for 1-2 days by 131 (18%), for 3-9 days by 119 (16%), and on most days by 22 (3%). When predicting the SPS, similar model fits were found for the IBDDI, WHODAS, WSAS, IBDQ, and K6. Each increase of 10 on the IBDDI score was associated with an increase of 2.19 (95% confidence interval, 2.00-2.37) on the SPS. Each additional year of disease duration was associated with a reduction in SPS score of 0.08 (P < 0.01).
More than one-third of persons with IBD report presenteeism. We found strong associations between presenteeism and disability, lower quality of life, and emotional distress. The IBDDI performs equally as well as the more established scales in predicting presenteeism.
IBD 患者的一个影响是工作时的生产力降低（即出勤）。我们探索了工作出勤的潜在预测因素，并比较了最近开发的 IBD 残疾指数（IBDDI）与其他 4 种量表在预测出勤方面的预测能力。
参与者（年龄 18-65 岁）从马尼托巴大学 IBD 研究注册处招募。我们根据斯坦福出勤量表（SPS）计算了出勤分数（范围 0-24 分），分数越高表示出勤程度越高。使用接收者操作特征曲线和线性回归，我们探讨了出勤与 IBDDI、世界卫生组织残疾评估量表（WHODAS 2.0）、工作和社会适应量表（WSAS）、炎症性肠病问卷（IBDQ）和 Kessler-6（K6）困扰量表之间的关系。
在至少兼职工作（每周 20 小时以上）的 744 名应答者中，有 472 名（63%）报告在过去 14 天内没有生产力降低。131 名（18%）报告减少了 1-2 天的工作时间，119 名（16%）报告减少了 3-9 天的工作时间，22 名（3%）报告大部分时间都在减少工作时间。在预测 SPS 时，IBDDI、WHODAS、WSAS、IBDQ 和 K6 的模型拟合度相似。IBDDI 评分每增加 10 分，SPS 评分就会增加 2.19（95%置信区间，2.00-2.37）。疾病持续时间每增加 1 年，SPS 评分就会降低 0.08（P < 0.01）。
超过三分之一的 IBD 患者报告存在出勤问题。我们发现，出勤与残疾、生活质量下降和情绪困扰之间存在很强的关联。IBDDI 在预测出勤方面的表现与更成熟的量表相当。
