1. POS0026 LOSS OF PRODUCTIVITY IN MILD, MODERATE, AND SEVERE FIBROMYALGIA FEMALE WORKERS: CROSS-SECTIONAL STUDY
- Author
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F. Salaffi, M. Di Carlo, S. Farah, C. Mariani, S. Fulginei, G. P. Martino, and P. Sarzi-Puttini
- Subjects
Rheumatology ,Immunology ,Immunology and Allergy ,General Biochemistry, Genetics and Molecular Biology - Abstract
BackgroundPatients suffering from FM are challenged by symptoms such as chronic pain, fatigue, sleep disturbance and emotional distress. These symptoms lead to a physical capacity impairment, and FM patients report consequences on their activities of daily life and difficulties in fulfilling their work roles, resulting in reduced work capacity, presenteeism (coming to work despite health or personal issues, often resulting in a loss of productivity), absenteeism, and inability to work. Changes in ability to work are crucial to comprehend since they provide a more objective sign of function than other self-reported measures.ObjectivesTo assess (a) the impacts of fibromyalgia (FM) symptoms on patients’ ability to work and (b) the relationship between FM severity level and lost productivity from the perspective of patients.MethodsFM female patients were retrospectively evaluated for this cross-sectional study. FM severity was determined using the revised Fibromyalgia Impact Questionnaire (FIQR). Work Productivity and Activity Impairment-Fibromyalgia (WPAI-FM) was used to evaluate patients’ employment status. Differences across FM severity states were evaluated using the one-way analysis of variance (ANOVA) and chi-square or Fisher’s exact test. The Pearson’s r test was performed for the correlation analysis.ResultsThe study included 209 subjects, 64 (30.6%) had mild, 64 (30.6%) had moderate, and 81 (38.8%) had severe FM; 57.9% were working full-time, and 42.1% were working part-time. According to WPAI-FM the work productivity and activity impairment resulted: absenteeism 7.03%; presenteeism 44.35%; activity impairment 47.24%; overall work productivity loss 58.23%. Disease severity was associated with decreased work productivity. Presenteeism, overall work productivity loss, and activity impairment demonstrated significant correlations with FIQR and PainDETECT Questionnaire.ConclusionFM severity is associated to a reduced job productivity. Early identification and treatment of FM may provide a window of opportunity for job preservation.References[1]Salaffi F, Mozzani F, Draghessi A et al (2016) Identifying the symptom and functional domains in patients with fibromyalgia: results of a cross-sectional Internet-based survey in Italy. J Pain Res 9:279-86.[2]Al-Allaf AW (2007) Work disability and health system utilization in patients with fibromyalgia syndrome. J Clin Rheumatol 13:199-201.[3]Mukhida K, Carroll W, Arseneault R (2020) Does work have to be so painful? A review of the literature examining the effects of fibromyalgia on the working experience from the patient perspective. Can J Pain 4:268-86.Figure 1.WPAI-FM scores (A, absenteeism; B, presenteeism; C, activity impairment; D, work productivity loss) across FM severity states.Disclosure of InterestsNone declared
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- 2022