Taams, R. (2018) Uveitis en Arbeid : Gezondheidseconomische studie naar een Maatschappelijk en Medisch-Oogheelkundig Probleem. thesis, Medicine.
Full text available on request.Abstract
Background: Patients with uveitis from the ophthalmology department of the UMCG complained of work force absence and productivity loss due to their eye disease. In The Netherlands increasing importance is given to labor participation of the disabled. The visually impaired form an important group. Objective: The degree of labor participation and loss of productivity due to their illness was assesed in UMCG patients with non-infectious uveitis (NIU) by means of a questionnaire study. Productivity loss can consist of absenteeism, presenteeism (productivity losses that arise when an employee goes to work with illness), and a decrease in unpaid work. The identification of disease-related variables can lead to the appointment of focus points for treatment, with the final goal of better patient loadability and employability in Dutch society. Method: A modified version of the NL-iPCQ questionnaire was sent to 330 patients with NIU. They were questioned about productivity losses, the extent and whether patients considered their eye disease or treatment as an important cause of productivity loss. Results: 170 returned questionnaires were recorded in a database. Absenteeism was higher in the NIU population than in the matched CBS-population. The difference, however, was small. The number of patients with a paid job was comparable to the matched CBS-population. Uveitis of the posterior segment caused more productivity loss. Ocular comorbidities involving the macula significantly increased the risk. Patients with disease activity had more productivity loss due to ophthalmic complaints. Conclusion: Alertness on macular involvement is important; also by the peripheral ophthalmologist, in order to refer patients in time and to make better use of existing treatments. These findings give an indication that there is a need for improved (pharmacotherapeutic) interventions, focused on the posterior segment, in particular the retina.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Los, Dr. L.I. oogarts and Hoogslag, Drs. M.F. oogarts and Stage Wetenschap afdeling Oogheelkunde Universitair Medisch |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:38 |
| Last Modified: | 25 Jun 2020 10:38 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/33 |
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