Work disability and productivity loss in patients with inflammatory bowel diseases in Hungary in the era of biologics

Mandel D. Michael, Anita Bálint, Barbara D. Lovász, László Gulácsi, Bálint Strbák, Petra A. Golovics, Klaudia Farkas, Zsuzsanna Kürti, Blanka K. Szilágyi, Anna Mohás, Tamás Molnár and Péter L. Lakatos ()
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Mandel D. Michael: Semmelweis University
Anita Bálint: University of Szeged
Barbara D. Lovász: Semmelweis University
László Gulácsi: Corvinus University of Budapest
Bálint Strbák: Corvinus University of Budapest
Petra A. Golovics: Semmelweis University
Klaudia Farkas: University of Szeged
Zsuzsanna Kürti: Semmelweis University
Blanka K. Szilágyi: Semmelweis University
Anna Mohás: Semmelweis University
Tamás Molnár: University of Szeged
Péter L. Lakatos: Semmelweis University

The European Journal of Health Economics, 2014, vol. 15, issue 1, No 14, 128 pages

Abstract: Abstract Background and aims To assess work disability (WD) rates in an inflammatory bowel disease (IBD) cohort involving patients with Crohn’s disease (CD) or ulcerative colitis (UC) cohort and to identify possible clinical or demographic factors associated with WD. To our knowledge, this is the first study from Eastern Europe that has estimated indirect costs in IBD. Methods Data from 443 (M/F: 202/241, CD/UC: 260/183, mean age: 35.5 (CD) and 40.5 (UC) years, biological drug exposure 31.2/11.5 %) consecutive patients were included. WD data were collected by questionnaire and the work productivity and activity impairment instrument. Disability pension (DP) rates in the general population were retrieved from public databases. Results The overall DP rate in this IBD population was 32.3 %, with partial disability in 24.2 %. Of all DP events, 88.8 % were directly related to IBD. Overall, full DP was more prevalent in IBD (RR: 1.51, p

Keywords: UC; CD; Work disability; Productivity loss; Anti-TNF; Hungary (search for similar items in EconPapers)
JEL-codes: I19 (search for similar items in EconPapers)
Date: 2014
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DOI: 10.1007/s10198-014-0603-7

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