Evidence map›Paper›PMID 35303861›Full record

ArticleBMC pulmonary medicine2022

Lower workforce participation is associated with more severe persisting breathlessness.

Joseph Clark, Sungwon Chang, Irina Kinchin, Diana Ferreira, Slavica Kochovska, Deidre Morgan, Leanne M Poulos, Miriam J Johnson, Magnus Ekström, David C Currow

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pulmonary medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 4% of its field
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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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  9. Recognizing and Managing the Burdens ofAmerican journal of respiratory and critical care medicine · 2023
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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

10 authors at 5 institutions in 4 countries.

Joseph ClarkWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Sungwon ChangIMPACCT, Faculty of Health, University of Technology Sydney, Ultimo, NSW, 2007, Australia.
Irina KinchinTrinity College Dublin, the University of Dublin, Dublin, D02 PN40, Ireland.
Diana FerreiraCollege of Medicine and Public Health, Flinders University, Adelaide, SA, 5042, Australia.
Slavica KochovskaIMPACCT, Faculty of Health, University of Technology Sydney, Ultimo, NSW, 2007, Australia.
Deidre MorganResearch Centre for Palliative Care, Death and Dying (RePaDD), Flinders University, Adelaide, SA, 5042, Australia.
Leanne M PoulosAustralian Centre for Airways Disease Monitoring (ACAM), Woolcock Institute of Medical Research, The University of Sydney, Sydney, NSW, Australia.
Miriam J JohnsonWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK.
Magnus EkströmIMPACCT, Faculty of Health, University of Technology Sydney, Ultimo, NSW, 2007, Australia.
David C CurrowWolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, UK. david.currow@uts.edu.au.
University of Technology Sydney · AUFlinders University · AUHull York Medical School · GBTrinity College Dublin · IEUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNot being able to work has negative health, social and financial consequences. Persisting breathlessness is prevalent in working-aged people. Is it associated with lower workforce participation? This study, using the South Australian Health Omnibus, aimed to explore associations between paid workforce participation and persisting breathlessness intensity, and economic impacts on income in people of working age.

methodsThis cross-sectional study conducted face-to-face interviews with a random sample of adults in South Australia (n = 8916). Questions included key demographic data, workforce participation and the presence and intensity of persisting breathlessness. Data from working-aged respondents (20-65 years of age) were standardised to the census for regression analyses. Work was coded to paid full- or part-time work or 'other'. Persisting breathlessness (more than three of the last six months) used the modified Medical Research Council breathlessness scale (aggregated to 0, 1, 2-4). Opportunity cost valuations compared annual income foregone by persisting breathlessness severity.

resultsOf people interviewed, 6,608 were working-aged (49.9% male; 67.5% had post-secondary qualifications; 70.9% were in paid full- or part-time work; and 1.7% had mMRC score 2-4). Workforce participation dropped in working aged people with increasing breathlessness: mMRC 0, 70.6%; mMRC 1, 51.7%; mMRC 2-4, 20.3%. In the regression model, people with the most severe breathlessness were much less likely to work (OR 0.14; 95% CI 0.09, 0.22). Annual income foregone by people with persisting breathlessness was AU$10.7 billion (AU$9.1b for full-time and AU$1.6b for part-time work; range AU$5.9b, AU$49.7b).

conclusionWorsening persisting breathlessness is associated with lower workforce participation with direct financial consequences, greatest for older males.

Indexed as

DyspneaEmploymentAdultAgedAustraliaCross-Sectional StudiesFemaleHumansMaleMiddle AgedWorkforceYoung AdultCross-sectional population surveyIncome foregonePersisting breathlessnessWorkforce participation

Identifiers

PMID35303861
PMCPMC8933889
OpenAlexW4220671997

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.