Unacceptable Work State in Rheumatoid Arthritis: Establishment of Thresholds for Presenteeism and Clinical Measurement Instruments
Authors' conclusion
The final thresholds to assess unacceptable presenteeism for axSpA were also chosen as most accurate for use in RA. In addition, accurate thresholds of pain reflecting unacceptable work state are available.
Study context
- Population
- Employed patients with rheumatoid arthritis (RA) in the multinational RA-PROSE study
- Participants
- 104 employed patients
- Outcome
- Thresholds of presenteeism instruments and pain reflecting unacceptable work state
- Follow-up
- Baseline
Methodological detailsRA-PROSE, ROC-based threshold derivation, 12-month follow-up
- RA-PROSE
- ROC-based threshold derivation
- 12-month follow-up
Performance
As reported in the abstract
Optimal thresholds for unacceptable work state
- Unacceptable work state (patient-considered)
- 15%
- Thresholds developed in RA: good performance vs external criterion
- AUC > 0.75
- Quantity and Quality (QQ) method threshold performance
- AUC 0.62
- WPAI-presenteeism
- ≥ 40
- QQ method
- < 97
- Workplace Activity Limitations Scale
- ≥ 0.75
- 25-item Work Limitations Questionnaire with modified physical demands scale
- ≥ 29
- Pain intensity
- ≥ 4
Further findings
Prediction of adverse work outcomes (AWO) · 12 months
- Unacceptable work state patients with ≥1 AWO
- 7 (7%)
- Pain and WPAI performed best in predicting AWO
Original publication
Unacceptable Work State in Rheumatoid Arthritis: Establishment of Thresholds for Presenteeism and Clinical Measurement Instruments. J Rheumatol. Published 1 February 2025. doi:10.
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