Anti-interleukin-5/anti-interleukin-5 receptor α treatment improves self-reported work productivity in patients with severe eosinophilic asthma: a prospective cohort trial

Background Severe asthma affects the working life of millions of people worldwide. Interleukin (IL)-5/anti-interleukin-5 receptor α (IL-5Rα) antibodies are highly effective in reducing symptoms in patients with severe eosinophilic asthma. We analysed effects of anti-IL-5/anti-IL-5Rα treatment on sel...

Full description

Saved in:
Bibliographic Details
Main Authors: Lina Brinkmann, Jan Fuge, Tobias Welte, Hendrik Suhling, Nora Drick
Format: Article
Language:English
Published: European Respiratory Society 2024-11-01
Series:ERJ Open Research
Online Access:http://openres.ersjournals.com/content/10/6/00374-2024.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841537073157242880
author Lina Brinkmann
Jan Fuge
Tobias Welte
Hendrik Suhling
Nora Drick
author_facet Lina Brinkmann
Jan Fuge
Tobias Welte
Hendrik Suhling
Nora Drick
author_sort Lina Brinkmann
collection DOAJ
description Background Severe asthma affects the working life of millions of people worldwide. Interleukin (IL)-5/anti-interleukin-5 receptor α (IL-5Rα) antibodies are highly effective in reducing symptoms in patients with severe eosinophilic asthma. We analysed effects of anti-IL-5/anti-IL-5Rα treatment on self-reported productivity and absenteeism at work in patients with severe eosinophilic asthma. Methods In this prospective single-centre study, patients with severe eosinophilic asthma received a questionnaire assessing their actual occupational status and the influence asthma has on their work life, productivity and missed days at work prior to initiation of antibody treatment and after 6 and 12 months of therapy. Among others, the Work Productivity and Activity Impairment Questionnaire: Specific Health Problem (WPAI:SHP) was used. Results Out of 54 patients with a median age of 60 years, 27 (50%) were employed. In addition to an increase in asthma control and lung function, self-reported productivity increased significantly with a decrease on the WPAI:SHP from 30% (interquartile range (IQR) 20–50%) to 10% (IQR 0–27.5%) under treatment (p=0.001). Furthermore, self-reported missed days at work were reduced from 2 days·month−1 (IQR 1.75–6 days·month−1) to 0 days·month−1 (IQR 0–2 days·month−1; p=0.067). At baseline 22 employed patients (81%) stated they were affected at work by their asthma. After 12 months of treatment, this number decreased to eight patients (30%; p=0.038). Conclusions This prospective analysis could prove the substantial impact severe asthma has on patients’ working life. Anti-IL-5/anti-IL-5Rα treatment in patients with severe eosinophilic asthma leads to a significant increase in self-reported productivity at work, and after 12 months of treatment patients state substantially fewer negative effects on their working situation.
format Article
id doaj-art-79a2f8bcaaba48beaf0c1a34ef3b3142
institution Kabale University
issn 2312-0541
language English
publishDate 2024-11-01
publisher European Respiratory Society
record_format Article
series ERJ Open Research
spelling doaj-art-79a2f8bcaaba48beaf0c1a34ef3b31422025-01-14T09:50:21ZengEuropean Respiratory SocietyERJ Open Research2312-05412024-11-0110610.1183/23120541.00374-202400374-2024Anti-interleukin-5/anti-interleukin-5 receptor α treatment improves self-reported work productivity in patients with severe eosinophilic asthma: a prospective cohort trialLina Brinkmann0Jan Fuge1Tobias Welte2Hendrik Suhling3Nora Drick4 Department of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany Department of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany Department of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany Department of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany Department of Respiratory Medicine and Infectious Diseases, Hannover Medical School, Hannover, Germany Background Severe asthma affects the working life of millions of people worldwide. Interleukin (IL)-5/anti-interleukin-5 receptor α (IL-5Rα) antibodies are highly effective in reducing symptoms in patients with severe eosinophilic asthma. We analysed effects of anti-IL-5/anti-IL-5Rα treatment on self-reported productivity and absenteeism at work in patients with severe eosinophilic asthma. Methods In this prospective single-centre study, patients with severe eosinophilic asthma received a questionnaire assessing their actual occupational status and the influence asthma has on their work life, productivity and missed days at work prior to initiation of antibody treatment and after 6 and 12 months of therapy. Among others, the Work Productivity and Activity Impairment Questionnaire: Specific Health Problem (WPAI:SHP) was used. Results Out of 54 patients with a median age of 60 years, 27 (50%) were employed. In addition to an increase in asthma control and lung function, self-reported productivity increased significantly with a decrease on the WPAI:SHP from 30% (interquartile range (IQR) 20–50%) to 10% (IQR 0–27.5%) under treatment (p=0.001). Furthermore, self-reported missed days at work were reduced from 2 days·month−1 (IQR 1.75–6 days·month−1) to 0 days·month−1 (IQR 0–2 days·month−1; p=0.067). At baseline 22 employed patients (81%) stated they were affected at work by their asthma. After 12 months of treatment, this number decreased to eight patients (30%; p=0.038). Conclusions This prospective analysis could prove the substantial impact severe asthma has on patients’ working life. Anti-IL-5/anti-IL-5Rα treatment in patients with severe eosinophilic asthma leads to a significant increase in self-reported productivity at work, and after 12 months of treatment patients state substantially fewer negative effects on their working situation.http://openres.ersjournals.com/content/10/6/00374-2024.full
spellingShingle Lina Brinkmann
Jan Fuge
Tobias Welte
Hendrik Suhling
Nora Drick
Anti-interleukin-5/anti-interleukin-5 receptor α treatment improves self-reported work productivity in patients with severe eosinophilic asthma: a prospective cohort trial
ERJ Open Research
title Anti-interleukin-5/anti-interleukin-5 receptor α treatment improves self-reported work productivity in patients with severe eosinophilic asthma: a prospective cohort trial
title_full Anti-interleukin-5/anti-interleukin-5 receptor α treatment improves self-reported work productivity in patients with severe eosinophilic asthma: a prospective cohort trial
title_fullStr Anti-interleukin-5/anti-interleukin-5 receptor α treatment improves self-reported work productivity in patients with severe eosinophilic asthma: a prospective cohort trial
title_full_unstemmed Anti-interleukin-5/anti-interleukin-5 receptor α treatment improves self-reported work productivity in patients with severe eosinophilic asthma: a prospective cohort trial
title_short Anti-interleukin-5/anti-interleukin-5 receptor α treatment improves self-reported work productivity in patients with severe eosinophilic asthma: a prospective cohort trial
title_sort anti interleukin 5 anti interleukin 5 receptor α treatment improves self reported work productivity in patients with severe eosinophilic asthma a prospective cohort trial
url http://openres.ersjournals.com/content/10/6/00374-2024.full
work_keys_str_mv AT linabrinkmann antiinterleukin5antiinterleukin5receptoratreatmentimprovesselfreportedworkproductivityinpatientswithsevereeosinophilicasthmaaprospectivecohorttrial
AT janfuge antiinterleukin5antiinterleukin5receptoratreatmentimprovesselfreportedworkproductivityinpatientswithsevereeosinophilicasthmaaprospectivecohorttrial
AT tobiaswelte antiinterleukin5antiinterleukin5receptoratreatmentimprovesselfreportedworkproductivityinpatientswithsevereeosinophilicasthmaaprospectivecohorttrial
AT hendriksuhling antiinterleukin5antiinterleukin5receptoratreatmentimprovesselfreportedworkproductivityinpatientswithsevereeosinophilicasthmaaprospectivecohorttrial
AT noradrick antiinterleukin5antiinterleukin5receptoratreatmentimprovesselfreportedworkproductivityinpatientswithsevereeosinophilicasthmaaprospectivecohorttrial