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Cosatti MA, Muñoz S, Alba P, Helling CA, Roverano S, Sarano J, Malm-Green S, Danielsen M, Medina Bornachera D, Alvarez A, Eimon A, Pendón G, Mayer M, Marin J, Catoggio C, Pisoni CN. Multicenter study to assess presenteeism in systemic lupus erythematosus and its relationship with clinical and sociodemographic features. Lupus 2017; 27:33-39. [PMID: 28385125 DOI: 10.1177/0961203317701843] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Objective The aim of this study was to measure presenteeism (productivity impairment while the patient is at work) and the related risk factors in patients with systemic lupus erythematosus (SLE) from Argentina. Methods A total of 130 consecutive (1997 American College of Rheumatology (ACR) criteria) working patients with SLE were assessed using a standardized data collection form. Sociodemographic, disease and work-related variables were collected. The Work Productivity and Activity Impairment (WPAI) questionnaire was performed. Results Overall, 130 patients were included in the analysis; 91% were women, and the mean age was 39 years (range 19-77). A total of 43% were White, 43% Mestizo and 13% Amerindian. Overall, 38% were single and 38% were married. A total of 75% had more than 12 years of formal education. The median disease duration was 7 years (interquartile range 25-75 (IQR) 4-13). Median Systemic Lupus Erythematosus Disease Activity Index (SLEDAI) score was 0 (IQR 0-2), and median Systemic Lupus International Collaborating Clinics/ACR Damage Index (SLICC-SDI) score was 0 (IQR 0-1). Lupus quality of life (LupusQoL) domains scores were: physical health 87 (IQR 70-96), emotional health 78 (IQR 54-91), burden to others 75 (IQR 50-92), intimate relationships 87 (IQR 50-100), and body image 85 (IQR 70-100). Absenteeism was 8%, presenteeism was 19%, and overall work impairment (absenteeism + presenteeism) was 26%. In the multiple regression analysis, considering presenteeism as dependent variable, (adjusting by age, disease duration, >12 years of education, Non-white race, Visual Analogue Scale (VAS) pain, VAS fatigue, SLICC-SDI, LupusQoL, physical and emotional domains), we found that SLICC-SDI (odds ratio (OR) 1.68, confidence interval (CI) 1-2.7) and Non-white race (OR 3.27, CI 1.04-10) were related to presenteeism and >12 years of education (OR 0.30, CI 0.09-0.98) and higher scores of LupusQoL emotional health domain (OR 0.95, CI 0.92-0.98) were protective. Conclusions organ damage and Non-white race were significantly associated with presenteeism while >12 years of education and higher scores of LupusQoL emotional health domain were protective.
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Affiliation(s)
- M A Cosatti
- 1 Rheumatology and Immunology Unit, Centro de Educación Médica e Investigaciones Clínicas Norberto Quirno (CEMIC), Galvan 4102, Buenos Aires, Argentina
| | - S Muñoz
- 2 Medicina Interna, Hospital Fernández, Argentina
| | - P Alba
- 3 Rheumatology, Hospital Córdoba, Argentina
| | - C A Helling
- 4 Rheumatology, Organizacion Médica de Investigacion (OMI), Argentina
| | - S Roverano
- 5 Rheumatology, Hospital JM Cullen, Argentina
| | - J Sarano
- 6 Immunology, Instituto de Investigaciones Médicas Alfredo Lanari, Argentina
| | - S Malm-Green
- 7 Rheumatology, Hospital General de Agudos Bernardino Rivadavia, Argentina
| | - M Danielsen
- 8 Rheumatology, Hospital Regional Ramon Carrillo Santiago del Estero, Argentina
| | | | - A Alvarez
- 9 Rheumatology, Hospital Penna, Argentina
| | - A Eimon
- 1 Rheumatology and Immunology Unit, Centro de Educación Médica e Investigaciones Clínicas Norberto Quirno (CEMIC), Galvan 4102, Buenos Aires, Argentina
| | - G Pendón
- 10 Hospital Ricardo Gutiérrez, La Plata, Argentina
| | - M Mayer
- 11 Rheumatology, Hospital Británico de Buenos Aires, Argentina
| | - J Marin
- 12 Rheumatology, Hospital Italiano de Buenos Aires, Argentina
| | - C Catoggio
- 1 Rheumatology and Immunology Unit, Centro de Educación Médica e Investigaciones Clínicas Norberto Quirno (CEMIC), Galvan 4102, Buenos Aires, Argentina
| | - C N Pisoni
- 1 Rheumatology and Immunology Unit, Centro de Educación Médica e Investigaciones Clínicas Norberto Quirno (CEMIC), Galvan 4102, Buenos Aires, Argentina
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Catoggio C, Alvarez-Uría A, Fernandez PL, Cervera R, Espinosa G. Catastrophic antiphospholipid syndrome triggered by fulminant disseminated herpes simplex infection in a patient with systemic lupus erythematosus. Lupus 2012; 21:1359-61. [DOI: 10.1177/0961203312458841] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Infections are considered one of the most common causes of morbidity and mortality in patients with systemic lupus erythematosus (SLE), and occasionally can trigger a catastrophic antiphospholipid syndrome (APS). We describe a 22-year-old SLE patient with lupus nephritis under immunosuppressant therapy and asymptomatic carrier of antiphospholipid antibodies, who was admitted with tonsillitis and acute hepatitis, developing multiorgan failure in a few hours. Postmortem examination revealed hepatic necrosis, tonsillitis, pharyngitis and uterine cervicitis caused by herpes simplex virus (HSV) together with microthrombosis in lungs and glomerular arterioles, suggesting the diagnosis of fulminant HSV disseminated infection and catastrophic APS.
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Affiliation(s)
- C Catoggio
- Department of Autoimmune Diseases, Hospital Clínic, Barcelona, Spain
| | - A Alvarez-Uría
- Department of Autoimmune Diseases, Hospital Clínic, Barcelona, Spain
| | - PL Fernandez
- Department of Pathology, Hospital Clínic, Barcelona, Spain
| | - R Cervera
- Department of Autoimmune Diseases, Hospital Clínic, Barcelona, Spain
| | - G Espinosa
- Department of Autoimmune Diseases, Hospital Clínic, Barcelona, Spain
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