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3 results on '"Verkleij H"'

1. Working status among Dutch patients with rheumatoid arthritis: work disability and working conditions.

Author

Verstappen SM, Boonen A, Bijlsma JW, Buskens E, Verkleij H, Schenk Y, van Albada-Kuipers GA, Hofman DM, and Jacobson JW

Subjects
Arthritis, Rheumatoid diagnosis, Arthritis, Rheumatoid rehabilitation, Female, Humans, Male, Middle Aged, Netherlands epidemiology, Occupational Diseases diagnosis, Occupational Diseases rehabilitation, Rehabilitation, Vocational, Sex Distribution, Survival Analysis, Arthritis, Rheumatoid epidemiology, Disability Evaluation, Employment statistics & numerical data, Occupational Diseases epidemiology
Abstract

Objectives: To assess work disability and variables associated with work disability among Dutch patients with rheumatoid arthritis (RA)., Methods: A questionnaire on working status was filled out by 296 patients of working age. Employment and work disability rates adjusted for age and sex from the Dutch population were determined using indirect standardization. Cox proportional hazard analysis was used to assess baseline predictors of work disability in a subgroup of patients (n = 195)., Results: After a mean disease duration of 4.3 yr, patients had a 0.78 (95% CI 0.67-0.88) chance of being employed and a 2.14 (95% CI 1.75-2.54) risk of being work disabled when compared with the Dutch population. Functional disability and job type at the start of the disease were predictors of future work disability. In total, 48 (37%) currently employed patients had changed their working conditions, of which reduced working hours (46%), reduced pacing of work (42%) and help from colleagues (49%) were the most important alterations. Of the 60 work disabled patients without a paid job, only 11 patients (18%) would be willing to work again., Conclusion: This study shows that the adjusted employment rates were lower and that work disability rates were higher in patients with RA when compared with the general Dutch population. In addition, a substantial number of employed patients had to change their working conditions due to RA. Only a minority of work disabled RA patients was willing to return to the paid labour force.

Published
2005
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3. Productivity costs among patients with rheumatoid arthritis: the influence of methods and sources to value loss of productivity

Author

Verstappen, S, Boonen, A, Verkleij, H, Bijlsma, J, Buskens, E, Jacobs, J, and on, b

Subjects
Adult, Employment, Male, medicine.medical_specialty, media_common.quotation_subject, Immunology, Wage, Efficiency, Sensitivity and Specificity, Severity of Illness Index, Human capital, General Biochemistry, Genetics and Molecular Biology, Arthritis, Rheumatoid, Disability Evaluation, Agricultural science, Cost of Illness, Rheumatology, Added value, Humans, Immunology and Allergy, Medicine, Production (economics), Productivity, health care economics and organizations, Aged, Netherlands, media_common, business.industry, Reproducibility of Results, Middle Aged, Extended Report, Value (economics), Sick leave, Costs and Cost Analysis, Physical therapy, Population study, Female, Sick Leave, business
Abstract

Objective: To assess productivity costs incurred by rheumatoid arthritis, comprising paid as well as household productivity costs, from a societal perspective, using different methods. Methods: A questionnaire on productivity, including items of the Health and Labour Questionnaire, was completed by 576 patients with rheumatoid arthritis (mean disease duration seven years). The friction cost (FC) method using the gross national wage per hour was applied to estimate paid productivity, and the market equivalent was used to value loss of household productivity. Sensitivity analyses to estimate paid productivity costs among patients of working age included the human capital (HC) method and an alternative source, namely the "added value", to value loss of paid productivity. Results: In the total study population, mean (SD) annual costs from loss of paid productivity according to the FC method were estimated to be €278 (€1559) and mean annual household productivity costs were €2045 (€3882). When using the HC method, mean annual costs increased to an average of €4434 (€9957). When using the added value of production, average FC costs increased from €455 to €540 among patients of working age. Conclusions: Costs from loss of household productivity in rheumatoid arthritis were seven times higher than costs from loss of paid productivity, assessed by the FC method. The high paid productivity costs when using the HC method reflect the high work disability rate in rheumatoid arthritis. As the method of measuring and source of valuing productivity loss has an important influence on the costs, a consensus to standardise these issues is desirable.

Published
2005

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