Evidence map›Paper›PMID 27565431›Full record

ArticleRespiratory research2016

The impact of comorbidities on productivity loss in asthma patients.

Solmaz Ehteshami-Afshar, J Mark FitzGerald, Christopher Carlsten, Hamid Tavakoli, Roxanne Rousseau, Wan Cheng Tan, J Douglass Rolf, Mohsen Sadatsafavi

Abstract read
In one paragraph

Article in Respiratory research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Impact of comorbid conditions on asthmatic adults and children.NPJ primary care respiratory medicine · 2020
    Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Solmaz Ehteshami-AfsharExperimental Medicine Program, Department of Medicine, Faculty of Medicine, The University of British Columbia, Vancouver, Canada.
J Mark FitzGeraldDepartment of Medicine, Division of Respiratory Medicine, The University of British Columbia, Vancouver, Canada. Mark.Fitzgerald@vch.ca.
Christopher CarlstenDepartment of Medicine, Division of Respiratory Medicine, The University of British Columbia, Vancouver, Canada.
Hamid TavakoliCentre for Clinical Epidemiology and Evaluation, The University of British Columbia, Vancouver, Canada.
Roxanne RousseauDepartment of Medicine, Division of Respiratory Medicine, The University of British Columbia, Vancouver, Canada.
Wan Cheng TanCentre for Heart Lung Innovation, The University of British Columbia, Vancouver, Canada.
J Douglass RolfKelowna Allergy & Respirology Research, Kelowna, Canada.
Mohsen SadatsafaviDepartment of Medicine, Division of Respiratory Medicine, The University of British Columbia, Vancouver, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealth-related productivity loss is an important, yet overlooked, component of the economic burden of disease in asthma patients of a working age. We aimed at evaluating the effect of comorbidities on productivity loss among adult asthma patients.

methodsIn a random sample of employed adults with asthma, we measured comorbidities using a validated self-administered comorbidity questionnaire (SCQ), as well as productivity loss, including absenteeism and presenteeism, using validated instruments. Productivity loss was measured in 2010 Canadian dollars ($). We used a two-part regression model to estimate the adjusted difference of productivity loss across levels of comorbidity, controlling for potential confounding variables.

results284 adults with the mean age of 47.8 (SD 11.8) were included (68 % women). The mean SCQ score was 2.47 (SD 2.97, range 0-15) and the average productivity loss was $317.5 per week (SD $858.8). One-unit increase in the SCQ score was associated with 14 % (95 % CI 1.02-1.28) increase in the odds of reporting productivity loss, and 9.0 % (95 % CI 1.01-1.18) increase in productivity loss among those reported any loss of productivity. A person with a SCQ score of 15 had almost $1000 per week more productivity loss than a patient with a SCQ of zero.

conclusionsOur study deepens the evidence-base on the burden of asthma, by demonstrating that comorbidities substantially decrease productivity in working asthma patients. Asthma management strategies must be cognizant of the role of comorbidities to properly incorporate the effect of comorbidity and productivity loss in estimating the benefit of disease management strategies.

Indexed as

AbsenteeismEfficiencyPresenteeismSick LeaveAdultAsthmaBritish ColumbiaComorbidityCost of IllnessFemaleHealth StatusHumansLinear ModelsLogistic ModelsMaleMiddle AgedAbsenteeismAsthmaComorbiditiesPresenteeismProductivity loss

Identifiers

PMID27565431
PMCPMC5002149

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.