Work ability and quality of working life in atopic dermatitis patients treated with dupilumab.


Journal

The Journal of dermatology
ISSN: 1346-8138
Titre abrégé: J Dermatol
Pays: England
ID NLM: 7600545

Informations de publication

Date de publication:
Sep 2021
Historique:
revised: 09 04 2021
received: 05 03 2021
accepted: 12 04 2021
pubmed: 21 5 2021
medline: 4 9 2021
entrez: 20 5 2021
Statut: ppublish

Résumé

Atopic dermatitis is associated with work productivity loss. Little is known about how patients perceive their work ability and quality of working life, and how this is affected by treatment. Our primary objective was to investigate work ability and quality of working life at baseline and during treatment in the long term. A registry-embedded prospective observational cohort study was conducted consisting of patients with atopic dermatitis starting dupilumab in routine clinical care. The instruments used were the Work Ability Index (WAI; questions 1, 2, and 3) and the Quality of Working Life Questionnaire (QWLQ). Ninety-three patients were included of whom 72 were (self-)employed (77%). From baseline to 48 weeks, the mean WAI-1 score (general work ability, range 0-10) improved from 6.8 (±2.0) to 7.9 (±1.3), WAI-2 (physical work ability, range 1-5) from 3.7 (±0.9) to 4.3 (±0.7), and WAI-3 (mental/emotional work ability, range 1-5) from 3.4 (±0.9) to 3.9 (±0.8) (p = 0.001, p = 0.005, p < 0.001, respectively). The mean QWLQ total score improved from 74.0 (±9.1) to 77.5 (±9.6) and subscale "Problems due to health situation" improved from 37.4 (±22.3) to 61.5 (±23.1) (range 0-100; p = 0.032, p < 0.001, respectively). In conclusion, patients with moderate-to-severe atopic dermatitis starting dupilumab report decreased work ability and quality of working life, mainly due to health-related problems. Significant improvement of work ability and quality of working life is observed with dupilumab treatment.

Identifiants

pubmed: 34013539
doi: 10.1111/1346-8138.15939
pmc: PMC8453967
doi:

Substances chimiques

Antibodies, Monoclonal, Humanized 0
dupilumab 420K487FSG

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

1305-1314

Subventions

Organisme : ZonMw
ID : 80-84800-98-34005
Pays : Netherlands

Informations de copyright

© 2021 The Authors. The Journal of Dermatology published by John Wiley & Sons Australia, Ltd on behalf of Japanese Dermatological Association.

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Auteurs

Angela L Bosma (AL)

Department of Dermatology, Amsterdam Public Health Research Institute, Amsterdam Institute for Infection and Immunity, University of Amsterdam, Amsterdam UMC, Location Academic Medical Center, Amsterdam, The Netherlands.

Wouter Ouwerkerk (W)

Department of Dermatology, Amsterdam Public Health Research Institute, Amsterdam Institute for Infection and Immunity, University of Amsterdam, Amsterdam UMC, Location Academic Medical Center, Amsterdam, The Netherlands.
National Heart Centre Singapore, Singapore.

Merve Günal (M)

Department of Dermatology, Amsterdam Public Health Research Institute, Amsterdam Institute for Infection and Immunity, University of Amsterdam, Amsterdam UMC, Location Academic Medical Center, Amsterdam, The Netherlands.

Ariënna M Hyseni (AM)

Department of Dermatology, Amsterdam Public Health Research Institute, Amsterdam Institute for Infection and Immunity, University of Amsterdam, Amsterdam UMC, Location Academic Medical Center, Amsterdam, The Netherlands.

Bernd W M Arents (BWM)

Dutch Association for People with Atopic Dermatitis, Nijkerk, The Netherlands.

Louise A A Gerbens (LAA)

Department of Dermatology, Amsterdam Public Health Research Institute, Amsterdam Institute for Infection and Immunity, University of Amsterdam, Amsterdam UMC, Location Academic Medical Center, Amsterdam, The Netherlands.

Maritza A Middelkamp-Hup (MA)

Department of Dermatology, Amsterdam Public Health Research Institute, Amsterdam Institute for Infection and Immunity, University of Amsterdam, Amsterdam UMC, Location Academic Medical Center, Amsterdam, The Netherlands.

Angela G E M de Boer (AGEM)

Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, University of Amsterdam, Amsterdam UMC, Location Academic Medical Center, Amsterdam, The Netherlands.

Phyllis I Spuls (PI)

Department of Dermatology, Amsterdam Public Health Research Institute, Amsterdam Institute for Infection and Immunity, University of Amsterdam, Amsterdam UMC, Location Academic Medical Center, Amsterdam, The Netherlands.

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