Evidence map›Paper›PMID 41876158›Full record

Observational studyBMJ open2026

Are the dimensions of positive health associated with work participation and receiving disability benefit? A cross-sectional study in outclinic patients with chronic gastrointestinal disorders.

Anja Lemlijn-Slenter, Luuk van Iperen, Karolina Wijnands, Adrian Masclee, Angelique de Rijk

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Observational
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

5 authors.

Anja Lemlijn-SlenterMaastricht University Care and Public Health Research Institute, Maastricht, The Netherlands a.lemlijn@maastrichtuniversity.nl.ORCID http://orcid.org/0009-0002-2672-1706
Luuk van IperenMaastricht University Care and Public Health Research Institute, Maastricht, The Netherlands.
Karolina WijnandsMaastricht University Care and Public Health Research Institute, Maastricht, The Netherlands.
Adrian MascleeDivision of Gastroenterology - Hepatology, School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University, Maastricht, The Netherlands.
Angelique de RijkMaastricht University Care and Public Health Research Institute, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe work participation (WP) and receiving disability benefit (DB) in persons with chronic gastrointestinal disorders (CGID); to describe associations between the six dimensions of positive health (PH) and WP and DB, respectively; and to assess whether the type of CGID is associated with WP and receiving DB.

designCross-sectional and observational questionnaire study.

settingMaastricht University Medical Centre+ (tertiary care hospital), including regional, supra-regional and national referrals.

participants441 patients of working age (18-66 years) with CGID who visited the outpatient department of the Gastroenterology-Hepatology Clinic between March 2019 and June 2021 (mean±SD age: 45.0±14.7 years, 68.5% women). PRIMARY/SECONDARY OUTCOME MEASURES: Associations of PH dimensions and WP and receiving DB, respectively; association of type of CGID and WP, and receiving DB. The main independent variables (PH dimensions) were bodily functions, mental well-being, meaningfulness, quality of life (QoL), participation and daily functioning.

resultsAmong 441 working-age patients, 49% worked; 20% received DB (40% of non-workers). All PH dimensions related significantly to WP and DB (bivariate level). After adjusting for demographics and CGID type, better general health (dimension QoL) (OR 1.018; 95% CI 1.001 to 1.035, p=0.040) and daily functioning dimension (OR 1.030; 95% CI 1.013 to 1.047, p<0.001) related to higher WP. In the fully adjusted model, daily functioning showed the strongest association with receiving DB. Each one-point increase in Short Form-36 physical functioning was associated with a 2% lower likelihood of receiving DB (OR 0.975; 95% CI 0.959 to 0.992; p=0.004).

conclusionsOf the 441 working-age patients with CGID, only 49% worked; most non-workers did not receive DB. Of the PH dimensions, daily functioning appears most directly related to WP and receiving DB; CGID type had minimal impact.

Indexed as

EmploymentGastrointestinal DiseasesHealth StatusPersons with DisabilitiesQuality of LifeActivities of Daily LivingAdolescentAdultAgedChronic DiseaseCross-Sectional StudiesFemaleHumansMaleMiddle AgedNetherlandsGASTROENTEROLOGYHealth WorkforceHepatobiliary diseaseInflammatory bowel diseaseMotility disorders

Identifiers

PMID41876158
PMCPMC13034367

What OpenQuestion holds

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LicenceCC BY-NC
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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.