IBD-related work disability in the community: Prevalence, severity and predictive factors. A cross-sectional study.
OBJECTIVE
Data on the prevalence of work disability in patients with inflammatory bowel disease (IBD) are heterogeneous. As most studies have been performed in selected, often severe, IBD patients, the true prevalence of disability in the community remains controversial. The aim of this cross-sectional study was to evaluate the prevalence and severity of disability and its predictive factors in a community-based IBD population.


METHODS
Patients recorded in the community-based IBD register at the Hospital Universitario de Burgos were contacted. After informed consent they completed a set of questionnaires including demographic, clinical, disability and quality of life data. The statistical study was performed using SPSS 21.


RESULTS
A total of 293 patients were included - 151 Crohn's disease (CD), 142 ulcerative colitis (UC), 137 female, mean age: 45 ± 11 years, mean time since diagnosis: 10.6 ± 11 years. Twelve patients (4.1%) had a work-disability pension. In addition, 93 (32%) of all patients had an officially recognized disability degree, which was generally moderate (n = 73, 25%) or severe (N = 16, 5%). Age, time since IBD diagnosis, CD, perianal disease, incontinence, active disease, the need for anti-TNF or psychological treatment, previous surgeries and the number of diagnostic tests and medical visits in the previous year were predictors of disability. Major predictors of qualifying for a disability pension were age, IBD activity, incontinence, need for biological drugs and ostomy.


CONCLUSIONS
Mild to moderate work disability is frequent in IBD. However, only a minority of patients develop severe disability qualifying them for a pension.
Servicio de Aparato Digestivo, Complejo Asistencial de Burgos, Spain.
Alexis
A
Ramos
Servei Aparell Digestiu, Corporació Sanitària Universitària Parc Taulí, Sabadell, Spain ; Departament de Medicina, Universitat Autònoma de Barcelona, Spain ; CIBERehd, Instituto de Salud Carlos III, Spain.
Xavier
X
Calvet
Servicio de Aparato Digestivo, Complejo Asistencial de Burgos, Spain.
Beatriz
B
Sicilia
Servei Aparell Digestiu, Corporació Sanitària Universitària Parc Taulí, Sabadell, Spain ; Departament de Medicina, Universitat Autònoma de Barcelona, Spain ; CIBERehd, Instituto de Salud Carlos III, Spain.
Mercedes
M
Vergara
Servei Aparell Digestiu, Corporació Sanitària Universitària Parc Taulí, Sabadell, Spain ; Departament de Medicina, Universitat Autònoma de Barcelona, Spain ; CIBERehd, Instituto de Salud Carlos III, Spain.
Ariadna
A
Figuerola
Fundació Universitària del Bages, Universitat Autònoma de Barcelona, Spain.
Jaume
J
Motos
Servicio de Aparato Digestivo, Complejo Asistencial de Burgos, Spain.
Adoración
A
Sastre
Servei Aparell Digestiu, Corporació Sanitària Universitària Parc Taulí, Sabadell, Spain ; Departament de Medicina, Universitat Autònoma de Barcelona, Spain ; CIBERehd, Instituto de Salud Carlos III, Spain.
Albert
A
Villoria
CIBERehd, Instituto de Salud Carlos III, Spain ; Servicio de Aparato Digestivo, Hospital Clínico Universitario de Zaragoza, Spain.
Fernando
F
Gomollón
Crohn's disease; Disability; inflammatory bowel disease; ulcerative colitis