Impact of Rhinitis on Work Productivity: A Systematic Review

File Description SizeFormat 
Ms-INPRACTICE-D-17-00072-R2.docxAccepted version780.76 kBMicrosoft WordDownload
Ms-INPRACTICE-D-17-00072-R2-Online Repository-Text Tables Vinnikov and Blanc.docxSupporting information160.52 kBMicrosoft WordDownload
Ms-INPRACTICE-D-17-00072-R2-Online Repository-Figure 1.pptxAccepted version42.23 kBUnknownDownload
Title: Impact of Rhinitis on Work Productivity: A Systematic Review
Author(s): Vandenplas, O
Vinnikov, D
Blanc, PD
Agache, I
Bachert, C
Bewick, M
Cardell, L-O
Cullinan, P
Demoly, P
Descatha, A
Fonseca, J
Haahtela, T
Hellings, PW
Jamart, J
Jantunen, J
Kalayci, O
Price, D
Samolinski, B
Sastre, J
Tian, L
Valero, AL
Zhang, X
Bousquet, J
Item Type: Journal Article
Abstract: Background Allergic rhinitis (AR) is increasingly acknowledged as having a substantial socioeconomic impact associated with impaired work productivity, although available information remains fragmented. Objective This systematic review summarizes recently available information to provide a quantitative estimate of the burden of AR on work productivity including lost work time (ie, absenteeism) and reduced performance while working (ie, presenteeism). Methods A Medline search retrieved original studies from 2005 to 2015 pertaining to the impact of AR on work productivity. A pooled analysis of results was carried out with studies reporting data collected through the validated Work Productivity and Activity Impairment (WPAI) questionnaire. Results The search identified 19 observational surveys and 9 interventional studies. Six studies reported economic evaluations. Pooled analysis of WPAI-based studies found an estimated 3.6% (95% confidence interval [CI], 2.4; 4.8%) missed work time and 35.9% (95% CI, 29.7; 42.1%) had impairment in at-work performance due to AR. Economic evaluations indicated that indirect costs associated with lost work productivity are the principal contributor to the total AR costs and result mainly from impaired presenteeism. The severity of AR symptoms was the most consistent disease-related factor associated with a greater impact of AR on work productivity, although ocular symptoms and sleep disturbances may independently affect work productivity. Overall, the pharmacologic treatment of AR showed a beneficial effect on work productivity. Conclusions This systematic review provides summary estimates of the magnitude of work productivity impairment due to AR and identifies its main determinant factors. This information may help guide both clinicians and health policy makers.
Publication Date: 1-Jul-2018
Date of Acceptance: 6-Sep-2017
URI: http://hdl.handle.net/10044/1/62758
DOI: https://dx.doi.org/10.1016/j.jaip.2017.09.002
ISSN: 2213-2198
Publisher: ELSEVIER SCIENCE BV
Start Page: 1274
End Page: 1286.e9
Journal / Book Title: JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY-IN PRACTICE
Volume: 6
Issue: 4
Copyright Statement: © 2017 American Academy of Allergy, Asthma & Immunology. This manuscript is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/
Keywords: Science & Technology
Life Sciences & Biomedicine
Allergy
Immunology
Absenteeism
Rhinitis
Work productivity
Presenteeism
SEASONAL ALLERGIC RHINITIS
QUALITY-OF-LIFE
HEALTH CONDITIONS
UNITED-STATES
RESOURCE UTILIZATION
COST-EFFECTIVENESS
NASAL CONGESTION
CONTROLLED-TRIAL
ECONOMIC BURDEN
OCULAR SYMPTOMS
Absenteeism
Allergy
Presenteeism
Rhinitis
Work productivity
Science & Technology
Life Sciences & Biomedicine
Allergy
Immunology
Absenteeism
Rhinitis
Work productivity
Presenteeism
SEASONAL ALLERGIC RHINITIS
QUALITY-OF-LIFE
HEALTH CONDITIONS
UNITED-STATES
RESOURCE UTILIZATION
COST-EFFECTIVENESS
NASAL CONGESTION
CONTROLLED-TRIAL
ECONOMIC BURDEN
OCULAR SYMPTOMS
Publication Status: Published
Online Publication Date: 2017-10-07
Appears in Collections:National Heart and Lung Institute
Faculty of Medicine



Items in Spiral are protected by copyright, with all rights reserved, unless otherwise indicated.

Creative Commons