Spondyloarthritis & psoriatic arthritis

Improvement in work productivity among psoriatic arthritis patients treated with biologic or targeted synthetic drugs: a systematic literature review and meta-analysis

Arthritis Res TherPublished Systematic review and meta-analysis of randomised trials and observational studies

Authors' conclusion

Substantial improvements across various WPAI domains were noted after 24 weeks of b/tsDMARD treatment, especially in presenteeism, total work productivity, and activity impairment.

Study context

Population
Patients with psoriatic arthritis (PsA) treated with b/tsDMARDs (adalimumab, bimekizumab, guselkumab, ixekizumab, risankizumab, secukinumab or upadacitinib); studies published January 1, 2010-October 22, 2021
Participants
3,741 patients12 studies
Comparison
Work Productivity and Activity Impairment (WPAI) domains at baseline vs ≈24 weeks of b/tsDMARD treatment
Outcome
Overall absolute mean change from baseline in each WPAI domain (absenteeism, presenteeism, total work productivity, activity impairment)
Follow-up
Week 24
Methodological detailsrandom effects meta-analysis of single means, before/after comparison without adjustment for placebo response
  • Random effects meta-analysis of single means
  • Before/after comparison without adjustment for placebo response

Pooled result

As reported in the abstract

Absolute mean improvement from baseline in WPAI domains
Absenteeism, absolute mean improvement
2.4 percentage points (95% CI 0.6, 4.1)
Presenteeism, absolute mean improvement
17.8%p (95% CI 16.2,19.3)
Total work productivity impairment, absolute mean improvement
17.6%p (95% CI 15.9,19.4)
Activity impairment, absolute mean improvement
19.3%p (95% CI 17.6, 21.0)
Total work productivity, mean relative improvement
41%

Further pooled results

Overall mean baseline WPAI scores

Absenteeism
11.4%
Presenteeism
38.7%
Total work productivity impairment
42.7%
Activity impairment
48.9%

Change in work outcomes across b/tsDMARDs

The change in work outcomes in the b/tsDMARDs appeared similar

Original publication

Improvement in work productivity among psoriatic arthritis patients treated with biologic or targeted synthetic drugs: a systematic literature review and meta-analysis. Arthritis Res Ther. Published 15 February 2024. doi:10.1186/s13075-024-03282-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

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