Association between presenteeism and health-related quality of life among Japanese adults with chronic lower back pain: a retrospective observational study
Open accessAbstract
OBJECTIVES: This study investigated the relationship between presenteeism and health-related quality of life (HRQoL) among Japanese adults with chronic lower back pain (CLBP). DESIGN: This was a retrospective, cross-sectional study. SETTING: Data were collected via a self-administered online survey of the Japanese adult general population. PARTICIPANTS: The present study used 2014 Japan National Health and Wellness Survey (NHWS) data (n=30 000). Specifically, data were included from NHWS respondents who self-reported being employed in the past week and having experienced LBP in the past month, with these symptoms lasting for at least 3 months (n=239). 84 (35.1%) participants in this study were female. PRIMARY AND SECONDARY OUTCOME MEASURES: Presenteeism and HRQoL were measured using the Work Productivity and Activity Impairment Questionnaire-General Health (categorical (none: 0%, low: 10%-20%, high: ≥30%) and continuous) and Medical Outcomes Study 36-Item Short Form Health Survey, respectively. Covariates included patient demographics, health characteristics, pain characteristics and depression severity (Patient Health Questionnaire). RESULTS: Presenteeism was reported by 77.4% of respondents. High (vs no) presenteeism related to more severe pain in the prior week (4.9±2.2 vs 3.6±2.1, p=0.001) and currently (5.1±2.1 vs 3.9±3.9, p=0.007), more pain sites (1.9±1.6 vs 1.1±1.4, p=0.004) and greater depression severity (7.5±6.5 vs 3.6±3.6, p<0.001). Adjusting for covariates, high (vs no) presenteeism related to lower mental and physical HRQoL. For low versus no presenteeism, significant HRQoL differences were observed in general health (43.0, 95% CI 40.3 to 45.6 vs 46.9, 95% CI 43.9 to 49.8, p=0.015). CONCLUSIONS: Most respondents experienced presenteeism. Those with high or low presenteeism had poorer HRQoL than respondents with no presenteeism. Monitoring presenteeism rates may help identify workers with an unmet need for better CLBP-related pain management.
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Risk of bias was assessed independently by two authors using the revised Cochrane risk of bias tool for randomized trials.
“Risk of bias was assessed independently by 2 authors (A.R.C. and P.L.G.) using the revised Cochrane risk of bias tool for randomized trials.40”
From Productivity outcomes from chronic pain management interventions in the working age population; a systematic review (2024) · cites this paper as [40]
The citation appears to identify the revised Cochrane risk-of-bias tool, but this source is not that tool. Its Abstract (Design) identifies it as a retrospective, cross-sectional study, and its Methods (Statistical methods) describe analyses of presenteeism and health-related quality of life, not an assessment of randomized trials. (LLM, conf=0.86)
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- Authors
- Tsuji, T., Matsudaira, K., Sato, H., Vietri, J., & Jaffe, D. H.
- Affiliations
- Shionogi (Japan) (JP)
- The University of Tokyo (JP)
- Kantar Health (United States) (US)
- Health Outcomes Practice, Kantar Health, Tel Aviv, Israel
- Corresponding author
- Jaffe, Dena H
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2018-06
- Volume
- 8
- Issue
- 6
- Pages
- e021160
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC6042623
- OpenAlex
- W2809748811
- Cited by
- 35
- References
- 36
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 3 · 2023: 4 · 2022: 9 · 2021: 5 · 2020: 4 · 2019: 2 · 2018: 1
- FWCI
- 1.94
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, other-oa)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- Shionogi Ltd
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- presenteeism, health-related quality of life, chronic low back pain, labor productivity, depression, pain intensity, pain sites, mental health, physical health, Japanese adults
- MeSH terms
- Presenteeism, Adolescent, Adult, Cross-Sectional Studies, Female, Health Status, Humans, Japan, Male, Middle Aged, Quality of Life, Regression Analysis, Retrospective Studies, Severity of Illness Index, Comorbidity, Multivariate Analysis, Low Back Pain, Cost of Illness, Young Adult, Self Report, Chronic Pain
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