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Burden of reduced work productivity among people with chronic knee pain: a systematic review


Agaliotis, M and Mackey, MG and Jan, S and Fransen, M, Burden of reduced work productivity among people with chronic knee pain: a systematic review, Occupational and Environmental Medicine, 7, (19) pp. 651-659. ISSN 1351-0711 (2014) [Refereed Article]

Copyright Statement

2020 BMJ Publishing Group Ltd. All rights reserved.

DOI: doi:10.1136/oemed-2013-101997


Objective: The aims of this systematic review were to determine the prevalence of reduced work productivity among people with chronic knee pain as well as specifically categorise determinants of work productivity losses into individual, disease and work-related factors, conduct an evaluation of study methodological quality and present a best-evidence synthesis.

Methods: We searched the literature using combinations of key words such as knee pain, knee osteoarthritis, absenteeism (days taken off work) and presenteeism (reduced productivity while at work) for observational studies published in English. Methodological quality appraisal and a best-evidence synthesis were used to pool the study findings.

Results: The studies were conducted exclusively in high income countries of North America, Western Europe and Hong Kong. 17 studies were included in the review, 10 measuring absenteeism and six measuring presenteeism. Of the 10 studies reporting absenteeism, seven found a 12-month absenteeism prevalence ranging from 5% to 22%. Only two studies evaluated presenteeism prevalence and reported a range from 66% to 71%. Using best-evidence synthesis: three high quality cohort studies and three cross-sectional studies provided strong evidence that knee pain or knee osteoarthritis was associated with absenteeism; two high quality crosssectional studies and one cohort study provided limited evidence for an association with presenteeism; one cross-sectional study provided limited evidence for an association among age, high job demands and low coworker support and absenteeism among nurses with knee pain. No studies examined individual or workrelated factors associated with presenteeism.

Conclusions: A number of high quality studies consistently demonstrated that chronic knee pain or knee osteoarthritis is associated with absenteeism. However, data are lacking regarding presenteeism and individual or work-related risk factors for reduced work productivity among older workers with chronic knee pain.

Item Details

Item Type:Refereed Article
Keywords:Osteoarthritis, Knee, Pain, Worker productivity, Absenteeism, Presenteeism, Risk Factors, Systematic Review
Research Division:Biomedical and Clinical Sciences
Research Group:Clinical sciences
Research Field:Rheumatology and arthritis
Objective Division:Health
Objective Group:Clinical health
Objective Field:Clinical health not elsewhere classified
UTAS Author:Agaliotis, M (Dr Maria Agaliotis)
ID Code:136614
Year Published:2014
Web of Science® Times Cited:34
Deposited By:Australian Institute of Health Service Management
Deposited On:2020-01-10
Last Modified:2020-03-30

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