Impact of atrial fibrillation on productivity in working-age patients: an analysis of Swiss-AF prospective cohort study data.

IF 2.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Helena Aebersold, Fabienne Foster-Witassek, Sina Amberg, Miquel Serra-Burriel, Giorgio Moschovitis, Raffaele Zannoni, Stefanie Aeschbacher, Giulio Conte, Jürg H Beer, Eva Blozik, Leo H Bonati, David Conen, Stefan Felder, Moa L Haller, Philipp Krisai, Michael Kühne, Rebecca E Paladini, Tobias Reichlin, Nicolas Rodondi, Christian Sticherling, Thomas Szucs, Yuki Tomonaga, Stefan Osswald, Matthias Schwenkglenks
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引用次数: 0

Abstract

Aims: We aimed to explore atrial fibrillation (AF)-induced productivity losses in working-age atrial fibrillation patients and to estimate atrial fibrillation-related indirect costs.

Methods: Between 2014 and 2017, the Swiss Atrial Fibrillation prospective cohort study (Swiss-AF) enrolled 217 working-age patients with documented atrial fibrillation. Self-reported changes in professional activity and the reasons thereof were descriptively analysed over 8 years of follow-up or until patients reached the retirement age. Results were put into perspective, and indirect costs were planned to be estimated, through comparison with a general population-based, age-, sex- and year-matched comparison sample from the Swiss labour force survey (SLFS).

Results: Of 217 analysed Swiss-AF patients, 14.7% reported a professional activity change (9.2% stop, 5.5% reduction) due to atrial fibrillation before the end of observation. Of those working at enrolment (n = 157), 3.8% had a subsequent professional activity change due to atrial fibrillation, 11.6% due to other reasons. Patients were more likely to report an impact of atrial fibrillation on professional activity if they had had atrial fibrillation longer and were closer to the retirement age. Slightly fewer Swiss-AF patients were employed (75%) than in the comparison sample (77%). For those working however, the degree of employment was higher (88% vs 83%). Lack of differences between the Swiss-AF patients and the comparison sample indicated no relevant indirect costs of atrial fibrillation due to lost productivity.

Conclusion: Only a minority of atrial fibrillation patients reported a negative impact of atrial fibrillation on their professional activity. Professional activity changes due to other reasons were reported more frequently. Compared with the general population, atrial fibrillation did not cause distinct differences.

房颤对工作年龄患者生产能力的影响:瑞士房颤前瞻性队列研究数据分析
目的:我们旨在探讨心房颤动(AF)引起的工作年龄心房颤动患者的生产力损失,并估计心房颤动相关的间接成本。方法:2014年至2017年,瑞士房颤前瞻性队列研究(Swiss- af)纳入了217名有房颤记录的工作年龄患者。在8年的随访期间或直到患者达到退休年龄之前,对自我报告的职业活动变化及其原因进行描述性分析。通过与来自瑞士劳动力调查(SLFS)的一般人群、年龄、性别和年份匹配的比较样本进行比较,对结果进行了透视,并计划估计间接成本。结果:在分析的217例瑞士房颤患者中,14.7%的患者在观察结束前因房颤发生了专业活动改变(9.2%停止,5.5%减少)。在入组时仍在工作的患者中(n = 157), 3.8%的患者因房颤而改变了职业活动,11.6%的患者因其他原因改变了职业活动。如果患者患房颤的时间较长且接近退休年龄,则更有可能报告房颤对职业活动的影响。瑞士房颤患者(75%)比比较样本(77%)略少。然而,对于那些有工作的人来说,就业率更高(88%对83%)。瑞士房颤患者与比较样本之间缺乏差异,表明由于生产力损失而导致的房颤没有相关的间接成本。结论:只有少数心房颤动患者报告心房颤动对其职业活动有负面影响。其他原因导致的专业活动变化更为频繁。与一般人群相比,心房颤动无明显差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Swiss medical weekly
Swiss medical weekly 医学-医学:内科
CiteScore
5.00
自引率
0.00%
发文量
0
审稿时长
3-8 weeks
期刊介绍: The Swiss Medical Weekly accepts for consideration original and review articles from all fields of medicine. The quality of SMW publications is guaranteed by a consistent policy of rigorous single-blind peer review. All editorial decisions are made by research-active academics.
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