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자료유형
학술저널
저자정보
배상철 (한양대학교) Jin-Hye Cha (Pfizer Pharmaceuticals Korea Limited Seoul) Jung-Yoon Choe (Daegu Catholic University Medical Center) Sung Jae Choi (Korea University Ansan Hospital Ansan) 조수경 (한양대학교) 정원태 (동아대학교) Chung-Il Joung (Konyang University Hospital Daejeon) Young Ok Jung (Hallym University Kangnam Sacred Heart Hospital) 강영모 (경북대학교) Dong-Wook Kim (Inje University Busan Paik Hospital Busan) Jinseok Kim (Jeju National University Hospital) Young-Joo Kim (Pfizer Pharmaceuticals Korea Limited Seoul) Choong-Ki Lee (Yeongnam University Hospital Daegu) Hye-Soon Lee (Hangyang University Guri Hospital Guri) Jisoo Lee (Ewha Womans University Mokdong Hospital) Sang Heon Lee (Konkuk University Hospital) Sang-Hoon Lee (Kyung Hee University Hospital at Gangdong Seoul) Shin-Seok Lee (Department of Rheumatology Chonnam National University Hospital) Yeon-Ah Lee (Kyung Hee University Hospital Seoul) Seong-Su Nah (Soonchunhyang University Cheonan Hospital Cheonan) Seung Cheol Shim (Chungnam National University Hospital Daejeon) Gwan-Gyu Song (Korea University Guro Hospital Seoul) 서창희 (아주대학교) Soyoung Won (Hanyang University Hospital for Rheumatic Diseases) Wan-Hee Yoo (Chonbuk National University Hospital Jeonju) Bo Young Yoon (Inje University Ilsan Paik Hospital Goyang Korea)
저널정보
대한류마티스학회 대한류마티스학회지 대한류마티스학회지 제25권 제2호
발행연도
2018.1
수록면
122 - 130 (9page)

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Objective. Productivity loss was compared by 3-stage of disease activity and associations between higher disease activity and high productivity loss were identified. Methods. Data were extracted from Rheumatoid Arthritis (RA) Patient-reported Outcomes Research, which enrolled 2,000 RA patients (>20-year) on disease-modifying-antirheumatic-drugs (DMARDs) (≥6-month) from December 2012 to June 2013. This included 1,457 RA patients with the disease activity score (DAS-28-ESR) in their medical charts. Productivity loss in time and indirect cost was estimated using The World Health Organization Health and Work Performance Questionnaire (HPQ). Baseline characteristics and productivity loss outcomes were compared according to DAS-28-ESR groups. Results. 84.4% were females, 54.2% had low DAS-28-ESR (<3.2), and 38.2% and 7.6% had moderate (3.2∼5.1) and high DAS-28-ESR (>5.1). Patients with moderate to high DAS-28-ESR had higher lost productivity time (LPT) and monthly costs of LPT than those with low DAS-28-ESR (time in hours: 110.0±58.4 vs. 132.4±57.2 vs. 71.5±52.0, p<0.0001; monthly costs of LPT in 1,000 Korean won: 1,097±607 vs. 1,302±554 vs. 741±531, p<0.0001). Multiple regression analyses revealed significant associations with high LPT in high (adjusted odds ratio [OR]=3.87, 95% confidence interval [CI]: 2.18∼6.87) and moderate DAS-28-ESR (adjusted OR=1.88, 95% CI: 1.41∼2.52) compared to low DAS-28-ESR. In addition, positive associations with high monthly costs of LPT were observed in high (adjusted OR=3.45, 95% CI: 1.98∼5.99) and moderate DAS-28-ESR (adjusted OR=1.93, 95% CI: 1.43∼2.54) compared to low DAS-28-ESR. Conclusion. Timely therapeutic strategies should be taken into consideration given that the RA patients with moderate to high DAS-28-ESR showed strong associations with high productivity loss for effective management of RA.

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