Abstract
Background: Psoriasis negatively impacts patient quality of life; however, the impact on work and productivity is not well known.
Objective: To determine the impact of psoriasis on work and productivity using data from the National Health and Wellness Survey (NHWS).
Methods: Data collected from 40 730 adults who completed the NHWS between 1 May and 30 June 2004, of whom 1127 had psoriasis, were analyzed. Psoriasis patients and a matched cohort of non-psoriasis patients were identified to assess the impact of psoriasis on work and productivity.
Results: Psoriasis patients were more likely to have missed work for health-related reasons (p < 0.05), had significantly more health-related work productivity impairment (p < 0.001), more overall work impairment (p < 0.001), and more impairment in activity other than work (p < 0.001) than non-psoriasis patients.
Conclusions: The results of this large-scale national survey suggest that psoriasis has a significant negative impact on overall work productivity.
References
Greaves MW, Weinstein GD. Treatment of psoriasis. N Engl J Med 1995 Mar; 332 (9): 581–8
National Psoriasis Foundation. About psoriasis: frequently asked questions [online]. Available from URL: http://www.psoriasis.org/about/faq [Accessed 2007 Mar 28]
Feldman SR, Fleischer AB, Reboussin DM, et al. The economic impact of psoriasis increases with psoriasis severity. J Am Acad Dermatol 1997 Oct; 37 (4): 564–9
National Institute of Arthritis and Musculoskeletal and Skin Diseases Data. Health information: health topics [online]. Available from URL: http://www.niams.nih.gov/hi/topics/psoriasis/ffpsoriasis.htm [Accessed 2007 Mar 28]
Consumer Health Sciences. National Health and Wellness Survey [online]. Available from URL: http://www.chsinternational.com [Accessed 2005 Dec 16]
Kimball AB, Jacobson C, Weiss S, et al. The psychosocial burden of psoriasis. Am J Clin Dermatol 2005; 6 (6): 383–92
Langley RG, Krueger GG, Griffiths CE. Psoriasis: epidemiology, clinical features, and quality of life. Ann Rheum Dis 2005 Mar; 64 Suppl. 2: ii 18–23
Krueger G, Koo J, Lebwohl M, et al. The impact of psoriasis on quality of life: results of a 1998 National Psoriasis Foundation patient-membership survey. Arch Dermatol 2001 Mar; 137 (3): 280–4
Finlay AY, Coles EC. The effect of severe psoriasis on the quality of life of 369 patients. Br J Dermatol 1995 Feb; 132 (2): 236–44
Reilly MC, Zbrozek AS, Dukes EM. The validity and reproducibility of a Work Productivity and Activity Impairment instrument. Pharmacoeconomics 1993 Nov; 4 (5): 353–65
Ware JE, Kosinski M, Dewey JE, et al. How to score and interpret single-item health status measures: a manual for users of the SF-8 Health Survey. Lincoln (RI): Quality Metric Incorporated, 2001
Reilly Associates. WPAI scoring [online]. Available from URL: http://www.reillyassociates.net/WPAI_Scoring.html [Accessed 2009 Aug 21]
Rapp SR, Feldman SR, Exum ML, et al. Psoriasis causes as much disability as other major medical diseases. J Am Acad Dermatol 1999 Sep; 41 (3 Pt 1): 401–7
Fortune DG, Richards HL, Main CJ, et al. What patients with psoriasis believe about their condition. J Am Acad Dermatol 1998 Aug; 39 (2 Pt 1): 196–201
Gupta MA, Gupta AK. Psychiatric and psychological co-morbidity in patients with dermatologic disorders: epidemiology and management. Am J Clin Dermatol 2003; 4 (12): 833–42
Gupta MA, Gupta AK. The Psoriasis Life Stress Inventory: a preliminary index of psoriasis-related stress. Acta Derm Venereol 1995 May; 75 (3): 240–3
Gupta MA, Gupta AK, Schork NJ, et al. Depression modulates pruritus perception: a study of pruritus in psoriasis, atopic dermatitis, and chronic idiopathic urticaria. Psychosom Med 1994 Jan-Feb; 56 (1): 36–40
Wahl AK, Gjengedal E, Hanestad BR. The bodily suffering of living with severe psoriasis: in depth interviews with 22 hospitalized patients with psoriasis. Qual Health Res 2002 Feb; 12 (2): 250–61
Pearce DJ, Singh S, Balkrishnan R, et al. The negative impact of psoriasis on the workplace. J Dermatolog Treat 2006 Feb; 17 (1): 24–8
Schmitt JM, Ford DE. Work limitations and productivity loss are associated with health-related quality of life but not with clinical severity in patients with psoriasis. Dermatology 2006 Aug; 213 (2): 102–10
Acknowledgments
This study was sponsored by Centocor Research and Development, Inc., Malvern, PA, USA. The authors would like to thank Kristin Ruley Sharples, PhD and James Barrett of Centocor Ortho Biotech, Inc. for their writing support. Mr Mills is currently an independent consultant and Dr Bala is currently employed by GlaxoSmithKline.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Wu, Y., Mills, D. & Bala, M. Impact of Psoriasis on Patients’ Work and Productivity. AM J Clin Dermatol 10, 407–410 (2009). https://doi.org/10.2165/11310440-000000000-00000
Published:
Issue Date:
DOI: https://doi.org/10.2165/11310440-000000000-00000