Objectives Assess the presenteeism and the work disability in the patients with chronic neck pain, and identify its determinants.
Methods Cross-sectionalstudy is conducted among active patients, older than 18 years and followed for common chronic neck pain over 3 months, recruited at the consultation of Rheumatology. Socio demographic, clinical and paraclinical parameters related to patients and disease were collected. Pain, functional gene and handicap were explored by visual analogue scales (VAS). Functional disability was assessed by the scale of Copenhagen (French versionvalidated). Anxiety and depression was assessed by Hospital Anxiety and Depression scale (HAD) (Arabic version validated).The presenteeism was evaluated by the number of the days of presence, thedays of absenceand the inefficiency at work. The productivity at work was perceived by the visual analog scaleand two specific questionnaires: the Work limitation Questionnaire (WLQ) and the Stanford presenteeism scale (SPS-6). A descriptive statistical analysis and a linear regression were performed to determine the factors influencing the quality of work.
Results 65 chronic neck pain patients were included. The average age of patients was 50±11.6 years, with a female predominance (80%). The median evolution of the neck pain was 36 months (12-48 month). The median of the working days per week was 5 days (3-5 days). During the 4 weeks prior to inclusion in the study, the average number of the presence was 14±5.4 days. The average number of the absence was 3 days (2-5). The average number of the work inefficiencywas 4 days [2-7].The average of labor productivity was 41±18. The mean total score ofwork disability (WLQ) was 75.6±10. A low level of presenteeism was observed with an average score of 6-SPS 12.8±3.6. In univariate analysis, both WLQ scores and SPS-6, respectively, havea relationship statistically significant with the VAS pain, VAS functional gene, VAS handicap and total score of Copenhagen (with p<0.05 for all). After multivariate analysis, the inability to work (WLQ) was positively associated with functional disability (p=0.000, B =0.486, 95% CI [0.601, 1.910]). The presenteeism (SPS-6) was negatively associated with functional disability (SPS-6) (p=0.05, B = -0.206, 95% CI [-0.286, -0.052])
Conclusions This study suggests that patients with neck pain have awork disability and low level of presenteeism, which were mainly due to their functional disability.
Disclosure of Interest : None declared
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