Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA

Background We aimed to explore whether country of residence or specific country characteristics are associated with work outcomes in rheumatoid arthritis (RA). Methods Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Wor...
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Gespeichert in:

Autor*in:	Antje van der Zee-Neuen [verfasserIn] Polina Putrik Sofia Ramiro Andras P Keszei Ihsane Hmamouchi Maxime Dougados Annelies Boonen

Format:	Artikel
Sprache:	Englisch

Erschienen:	2017

Schlagwörter:	Gross Domestic Product--GDP Questionnaires Unemployment Sick leave Validity Chronic illnesses Studies Patients Purchasing power parity Employment Comorbidity Rheumatic diseases Sociodemographics Rheumatoid arthritis Rheumatology Absenteeism Body mass index Trends Productivity

Übergeordnetes Werk:	Enthalten in: Arthritis research & therapy - London : BioMed Central, 2003, 19(2017)
Übergeordnetes Werk:	volume:19 ; year:2017

Links:	Volltext Link aufrufen

DOI / URN:	10.1186/s13075-017-1421-y

Katalog-ID:	OLC1999703839

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520			\|a Background We aimed to explore whether country of residence or specific country characteristics are associated with work outcomes in rheumatoid arthritis (RA). Methods Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions. Results The patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). Patients in Taiwan had the highest odds of presenteeism (OR 13.0 (5.5; 30.9) vs. Venezuela). All country indices except SPE were associated with work outcomes. For example, patients in low-GDP countries had lower odds of employment (OR 0.6 (0.5; 0.8)), higher odds of absenteeism (OR 2.8 (2.0; 4.1)), but lower odds of presenteeism (OR 0.5 (0.4; 0.7)) compared to higher-GDP countries. Conclusion Substantial differences in work outcomes among patients with RA were observed between countries. Lower economic wealth and human development of countries were associated with worse employment and higher absenteeism, but lower presenteeism.
650		4	\|a Gross Domestic Product--GDP
650		4	\|a Questionnaires
650		4	\|a Unemployment
650		4	\|a Sick leave
650		4	\|a Validity
650		4	\|a Chronic illnesses
650		4	\|a Studies
650		4	\|a Patients
650		4	\|a Purchasing power parity
650		4	\|a Employment
650		4	\|a Comorbidity
650		4	\|a Rheumatic diseases
650		4	\|a Sociodemographics
650		4	\|a Rheumatoid arthritis
650		4	\|a Rheumatology
650		4	\|a Absenteeism
650		4	\|a Body mass index
650		4	\|a Trends
650		4	\|a Productivity
700	0		\|a Polina Putrik \|4 oth
700	0		\|a Sofia Ramiro \|4 oth
700	0		\|a Andras P Keszei \|4 oth
700	0		\|a Ihsane Hmamouchi \|4 oth
700	0		\|a Maxime Dougados \|4 oth
700	0		\|a Annelies Boonen \|4 oth
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allfields	10.1186/s13075-017-1421-y doi PQ20171228 (DE-627)OLC1999703839 (DE-599)GBVOLC1999703839 (PRQ)p642-e0e21f1ae84760418da7bf6016deb5d13b5b74890fdec7686808973a25e2fa013 (KEY)0427448220170000019000000000largecountrydifferencesinworkoutcomesinpatientswit DE-627 ger DE-627 rakwb eng 610 DNB Antje van der Zee-Neuen verfasserin aut Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA 2017 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Background We aimed to explore whether country of residence or specific country characteristics are associated with work outcomes in rheumatoid arthritis (RA). Methods Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions. Results The patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). Patients in Taiwan had the highest odds of presenteeism (OR 13.0 (5.5; 30.9) vs. Venezuela). All country indices except SPE were associated with work outcomes. For example, patients in low-GDP countries had lower odds of employment (OR 0.6 (0.5; 0.8)), higher odds of absenteeism (OR 2.8 (2.0; 4.1)), but lower odds of presenteeism (OR 0.5 (0.4; 0.7)) compared to higher-GDP countries. Conclusion Substantial differences in work outcomes among patients with RA were observed between countries. Lower economic wealth and human development of countries were associated with worse employment and higher absenteeism, but lower presenteeism. Gross Domestic Product--GDP Questionnaires Unemployment Sick leave Validity Chronic illnesses Studies Patients Purchasing power parity Employment Comorbidity Rheumatic diseases Sociodemographics Rheumatoid arthritis Rheumatology Absenteeism Body mass index Trends Productivity Polina Putrik oth Sofia Ramiro oth Andras P Keszei oth Ihsane Hmamouchi oth Maxime Dougados oth Annelies Boonen oth Enthalten in Arthritis research & therapy London : BioMed Central, 2003 19(2017) (DE-627)363765530 (DE-600)2107602-9 (DE-576)379407604 1478-6354 nnns volume:19 year:2017 http://dx.doi.org/10.1186/s13075-017-1421-y Volltext https://search.proquest.com/docview/1947770576 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-NED SSG-OLC-PHA SSG-OLC-DE-84 AR 19 2017
spelling	10.1186/s13075-017-1421-y doi PQ20171228 (DE-627)OLC1999703839 (DE-599)GBVOLC1999703839 (PRQ)p642-e0e21f1ae84760418da7bf6016deb5d13b5b74890fdec7686808973a25e2fa013 (KEY)0427448220170000019000000000largecountrydifferencesinworkoutcomesinpatientswit DE-627 ger DE-627 rakwb eng 610 DNB Antje van der Zee-Neuen verfasserin aut Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA 2017 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Background We aimed to explore whether country of residence or specific country characteristics are associated with work outcomes in rheumatoid arthritis (RA). Methods Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions. Results The patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). Patients in Taiwan had the highest odds of presenteeism (OR 13.0 (5.5; 30.9) vs. Venezuela). All country indices except SPE were associated with work outcomes. For example, patients in low-GDP countries had lower odds of employment (OR 0.6 (0.5; 0.8)), higher odds of absenteeism (OR 2.8 (2.0; 4.1)), but lower odds of presenteeism (OR 0.5 (0.4; 0.7)) compared to higher-GDP countries. Conclusion Substantial differences in work outcomes among patients with RA were observed between countries. Lower economic wealth and human development of countries were associated with worse employment and higher absenteeism, but lower presenteeism. Gross Domestic Product--GDP Questionnaires Unemployment Sick leave Validity Chronic illnesses Studies Patients Purchasing power parity Employment Comorbidity Rheumatic diseases Sociodemographics Rheumatoid arthritis Rheumatology Absenteeism Body mass index Trends Productivity Polina Putrik oth Sofia Ramiro oth Andras P Keszei oth Ihsane Hmamouchi oth Maxime Dougados oth Annelies Boonen oth Enthalten in Arthritis research & therapy London : BioMed Central, 2003 19(2017) (DE-627)363765530 (DE-600)2107602-9 (DE-576)379407604 1478-6354 nnns volume:19 year:2017 http://dx.doi.org/10.1186/s13075-017-1421-y Volltext https://search.proquest.com/docview/1947770576 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-NED SSG-OLC-PHA SSG-OLC-DE-84 AR 19 2017
allfields_unstemmed	10.1186/s13075-017-1421-y doi PQ20171228 (DE-627)OLC1999703839 (DE-599)GBVOLC1999703839 (PRQ)p642-e0e21f1ae84760418da7bf6016deb5d13b5b74890fdec7686808973a25e2fa013 (KEY)0427448220170000019000000000largecountrydifferencesinworkoutcomesinpatientswit DE-627 ger DE-627 rakwb eng 610 DNB Antje van der Zee-Neuen verfasserin aut Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA 2017 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Background We aimed to explore whether country of residence or specific country characteristics are associated with work outcomes in rheumatoid arthritis (RA). Methods Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions. Results The patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). Patients in Taiwan had the highest odds of presenteeism (OR 13.0 (5.5; 30.9) vs. Venezuela). All country indices except SPE were associated with work outcomes. For example, patients in low-GDP countries had lower odds of employment (OR 0.6 (0.5; 0.8)), higher odds of absenteeism (OR 2.8 (2.0; 4.1)), but lower odds of presenteeism (OR 0.5 (0.4; 0.7)) compared to higher-GDP countries. Conclusion Substantial differences in work outcomes among patients with RA were observed between countries. Lower economic wealth and human development of countries were associated with worse employment and higher absenteeism, but lower presenteeism. Gross Domestic Product--GDP Questionnaires Unemployment Sick leave Validity Chronic illnesses Studies Patients Purchasing power parity Employment Comorbidity Rheumatic diseases Sociodemographics Rheumatoid arthritis Rheumatology Absenteeism Body mass index Trends Productivity Polina Putrik oth Sofia Ramiro oth Andras P Keszei oth Ihsane Hmamouchi oth Maxime Dougados oth Annelies Boonen oth Enthalten in Arthritis research & therapy London : BioMed Central, 2003 19(2017) (DE-627)363765530 (DE-600)2107602-9 (DE-576)379407604 1478-6354 nnns volume:19 year:2017 http://dx.doi.org/10.1186/s13075-017-1421-y Volltext https://search.proquest.com/docview/1947770576 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-NED SSG-OLC-PHA SSG-OLC-DE-84 AR 19 2017
allfieldsGer	10.1186/s13075-017-1421-y doi PQ20171228 (DE-627)OLC1999703839 (DE-599)GBVOLC1999703839 (PRQ)p642-e0e21f1ae84760418da7bf6016deb5d13b5b74890fdec7686808973a25e2fa013 (KEY)0427448220170000019000000000largecountrydifferencesinworkoutcomesinpatientswit DE-627 ger DE-627 rakwb eng 610 DNB Antje van der Zee-Neuen verfasserin aut Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA 2017 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Background We aimed to explore whether country of residence or specific country characteristics are associated with work outcomes in rheumatoid arthritis (RA). Methods Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions. Results The patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). Patients in Taiwan had the highest odds of presenteeism (OR 13.0 (5.5; 30.9) vs. Venezuela). All country indices except SPE were associated with work outcomes. For example, patients in low-GDP countries had lower odds of employment (OR 0.6 (0.5; 0.8)), higher odds of absenteeism (OR 2.8 (2.0; 4.1)), but lower odds of presenteeism (OR 0.5 (0.4; 0.7)) compared to higher-GDP countries. Conclusion Substantial differences in work outcomes among patients with RA were observed between countries. Lower economic wealth and human development of countries were associated with worse employment and higher absenteeism, but lower presenteeism. Gross Domestic Product--GDP Questionnaires Unemployment Sick leave Validity Chronic illnesses Studies Patients Purchasing power parity Employment Comorbidity Rheumatic diseases Sociodemographics Rheumatoid arthritis Rheumatology Absenteeism Body mass index Trends Productivity Polina Putrik oth Sofia Ramiro oth Andras P Keszei oth Ihsane Hmamouchi oth Maxime Dougados oth Annelies Boonen oth Enthalten in Arthritis research & therapy London : BioMed Central, 2003 19(2017) (DE-627)363765530 (DE-600)2107602-9 (DE-576)379407604 1478-6354 nnns volume:19 year:2017 http://dx.doi.org/10.1186/s13075-017-1421-y Volltext https://search.proquest.com/docview/1947770576 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-NED SSG-OLC-PHA SSG-OLC-DE-84 AR 19 2017
allfieldsSound	10.1186/s13075-017-1421-y doi PQ20171228 (DE-627)OLC1999703839 (DE-599)GBVOLC1999703839 (PRQ)p642-e0e21f1ae84760418da7bf6016deb5d13b5b74890fdec7686808973a25e2fa013 (KEY)0427448220170000019000000000largecountrydifferencesinworkoutcomesinpatientswit DE-627 ger DE-627 rakwb eng 610 DNB Antje van der Zee-Neuen verfasserin aut Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA 2017 Text txt rdacontent ohne Hilfsmittel zu benutzen n rdamedia Band nc rdacarrier Background We aimed to explore whether country of residence or specific country characteristics are associated with work outcomes in rheumatoid arthritis (RA). Methods Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions. Results The patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). Patients in Taiwan had the highest odds of presenteeism (OR 13.0 (5.5; 30.9) vs. Venezuela). All country indices except SPE were associated with work outcomes. For example, patients in low-GDP countries had lower odds of employment (OR 0.6 (0.5; 0.8)), higher odds of absenteeism (OR 2.8 (2.0; 4.1)), but lower odds of presenteeism (OR 0.5 (0.4; 0.7)) compared to higher-GDP countries. Conclusion Substantial differences in work outcomes among patients with RA were observed between countries. Lower economic wealth and human development of countries were associated with worse employment and higher absenteeism, but lower presenteeism. Gross Domestic Product--GDP Questionnaires Unemployment Sick leave Validity Chronic illnesses Studies Patients Purchasing power parity Employment Comorbidity Rheumatic diseases Sociodemographics Rheumatoid arthritis Rheumatology Absenteeism Body mass index Trends Productivity Polina Putrik oth Sofia Ramiro oth Andras P Keszei oth Ihsane Hmamouchi oth Maxime Dougados oth Annelies Boonen oth Enthalten in Arthritis research & therapy London : BioMed Central, 2003 19(2017) (DE-627)363765530 (DE-600)2107602-9 (DE-576)379407604 1478-6354 nnns volume:19 year:2017 http://dx.doi.org/10.1186/s13075-017-1421-y Volltext https://search.proquest.com/docview/1947770576 GBV_USEFLAG_A SYSFLAG_A GBV_OLC SSG-OLC-NED SSG-OLC-PHA SSG-OLC-DE-84 AR 19 2017
language	English
source	Enthalten in Arthritis research & therapy 19(2017) volume:19 year:2017
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topic_facet	Gross Domestic Product--GDP Questionnaires Unemployment Sick leave Validity Chronic illnesses Studies Patients Purchasing power parity Employment Comorbidity Rheumatic diseases Sociodemographics Rheumatoid arthritis Rheumatology Absenteeism Body mass index Trends Productivity
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authorswithroles_txt_mv	Antje van der Zee-Neuen @@aut@@ Polina Putrik @@oth@@ Sofia Ramiro @@oth@@ Andras P Keszei @@oth@@ Ihsane Hmamouchi @@oth@@ Maxime Dougados @@oth@@ Annelies Boonen @@oth@@
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Methods Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions. Results The patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). Patients in Taiwan had the highest odds of presenteeism (OR 13.0 (5.5; 30.9) vs. Venezuela). All country indices except SPE were associated with work outcomes. For example, patients in low-GDP countries had lower odds of employment (OR 0.6 (0.5; 0.8)), higher odds of absenteeism (OR 2.8 (2.0; 4.1)), but lower odds of presenteeism (OR 0.5 (0.4; 0.7)) compared to higher-GDP countries. Conclusion Substantial differences in work outcomes among patients with RA were observed between countries. 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author	Antje van der Zee-Neuen
spellingShingle	Antje van der Zee-Neuen ddc 610 misc Gross Domestic Product--GDP misc Questionnaires misc Unemployment misc Sick leave misc Validity misc Chronic illnesses misc Studies misc Patients misc Purchasing power parity misc Employment misc Comorbidity misc Rheumatic diseases misc Sociodemographics misc Rheumatoid arthritis misc Rheumatology misc Absenteeism misc Body mass index misc Trends misc Productivity Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA
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topic_title	610 DNB Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA Gross Domestic Product--GDP Questionnaires Unemployment Sick leave Validity Chronic illnesses Studies Patients Purchasing power parity Employment Comorbidity Rheumatic diseases Sociodemographics Rheumatoid arthritis Rheumatology Absenteeism Body mass index Trends Productivity
topic	ddc 610 misc Gross Domestic Product--GDP misc Questionnaires misc Unemployment misc Sick leave misc Validity misc Chronic illnesses misc Studies misc Patients misc Purchasing power parity misc Employment misc Comorbidity misc Rheumatic diseases misc Sociodemographics misc Rheumatoid arthritis misc Rheumatology misc Absenteeism misc Body mass index misc Trends misc Productivity
topic_unstemmed	ddc 610 misc Gross Domestic Product--GDP misc Questionnaires misc Unemployment misc Sick leave misc Validity misc Chronic illnesses misc Studies misc Patients misc Purchasing power parity misc Employment misc Comorbidity misc Rheumatic diseases misc Sociodemographics misc Rheumatoid arthritis misc Rheumatology misc Absenteeism misc Body mass index misc Trends misc Productivity
topic_browse	ddc 610 misc Gross Domestic Product--GDP misc Questionnaires misc Unemployment misc Sick leave misc Validity misc Chronic illnesses misc Studies misc Patients misc Purchasing power parity misc Employment misc Comorbidity misc Rheumatic diseases misc Sociodemographics misc Rheumatoid arthritis misc Rheumatology misc Absenteeism misc Body mass index misc Trends misc Productivity
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title	Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA
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title_full	Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA
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title_sort	large country differences in work outcomes in patients with ra - an analysis in the multinational study comora
title_auth	Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA
abstract	Background We aimed to explore whether country of residence or specific country characteristics are associated with work outcomes in rheumatoid arthritis (RA). Methods Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions. Results The patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). Patients in Taiwan had the highest odds of presenteeism (OR 13.0 (5.5; 30.9) vs. Venezuela). All country indices except SPE were associated with work outcomes. For example, patients in low-GDP countries had lower odds of employment (OR 0.6 (0.5; 0.8)), higher odds of absenteeism (OR 2.8 (2.0; 4.1)), but lower odds of presenteeism (OR 0.5 (0.4; 0.7)) compared to higher-GDP countries. Conclusion Substantial differences in work outcomes among patients with RA were observed between countries. Lower economic wealth and human development of countries were associated with worse employment and higher absenteeism, but lower presenteeism.
abstractGer	Background We aimed to explore whether country of residence or specific country characteristics are associated with work outcomes in rheumatoid arthritis (RA). Methods Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions. Results The patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). Patients in Taiwan had the highest odds of presenteeism (OR 13.0 (5.5; 30.9) vs. Venezuela). All country indices except SPE were associated with work outcomes. For example, patients in low-GDP countries had lower odds of employment (OR 0.6 (0.5; 0.8)), higher odds of absenteeism (OR 2.8 (2.0; 4.1)), but lower odds of presenteeism (OR 0.5 (0.4; 0.7)) compared to higher-GDP countries. Conclusion Substantial differences in work outcomes among patients with RA were observed between countries. Lower economic wealth and human development of countries were associated with worse employment and higher absenteeism, but lower presenteeism.
abstract_unstemmed	Background We aimed to explore whether country of residence or specific country characteristics are associated with work outcomes in rheumatoid arthritis (RA). Methods Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions. Results The patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). Patients in Taiwan had the highest odds of presenteeism (OR 13.0 (5.5; 30.9) vs. Venezuela). All country indices except SPE were associated with work outcomes. For example, patients in low-GDP countries had lower odds of employment (OR 0.6 (0.5; 0.8)), higher odds of absenteeism (OR 2.8 (2.0; 4.1)), but lower odds of presenteeism (OR 0.5 (0.4; 0.7)) compared to higher-GDP countries. Conclusion Substantial differences in work outcomes among patients with RA were observed between countries. Lower economic wealth and human development of countries were associated with worse employment and higher absenteeism, but lower presenteeism.
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title_short	Large country differences in work outcomes in patients with RA - an analysis in the multinational study COMORA
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author2	Polina Putrik Sofia Ramiro Andras P Keszei Ihsane Hmamouchi Maxime Dougados Annelies Boonen
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Methods Data from the 17 countries participating in the Comorbidities in RA (COMORA) study were used. Work outcomes were measured by the Work Productivity and Activity Impairment Questionnaire, addressing employment (yes/no), absenteeism (percentage of time; 3 categories) and presenteeism (percentage of at-work productivity restrictions; 4 categories). Contribution of country of residence, gross domestic product (GDP), Human Development Index (HDI), unemployment rate, social protection expenditures (SPE) or world region to work outcomes was investigated in adjusted (ordered) logistic regressions. Results The patients (n = 2395) were younger than 60 years; mean age 48 (SD 9.2) years, 1972 (84%) female and 1065 (45%) employed. Large country differences were found. Taking the country with the best work outcome as reference, Moroccan patients had the lowest odds of being employed (OR 0.2 (95% CI 0.1; 0.3) vs. Germany) and highest odds of absenteeism (OR 13.2 (3.6; 48.3) vs. Japan). 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