P231 Work productivity loss in perianal crohn's disease

Jlassi, H.(1);Sabbah, M.(1);Bellil, N.(1);Trad, D.(1);Ouakaa, A.(1);Bibani, N.(1);Gargouri, D.(1);

(1)Faculty of Medicine of Tunis, Department of gastroenterology. Habib Thameur Hospital, Tunis, Tunisia


Few data exist on the socio-professional impact in patients with perianal Crohn's disease, probably because the patient-doctor relationship is mainly focused on obtaining clinical, biological and endoscopic remission of the Crohn's disease (CD).
Our study aimed to evaluate the impacts of perianal Crohn's disease on work productivity.


A prospective cross-sectional study including patients with CD followed in the Gastroenterology department between July and August 2020 was performed. Professional impact was assessed using Work Productivity and Activity Impairment questionnaire (WPAI) which is composed of 6 questions evaluating during the last seven days preceding the interview with the patient, the absenteeism, the presenteeism, the total decrease in productivity and the decrease in daily activities for health reasons. The results are multiplied by 100, expressed as a percentage of time lost. A higher percentage indicates greater depreciation and less productivity. Professional impact was compared in patients with perianal Crohn's disease and controls without perianal symptoms.


Thirty two patients were included. The mean age was 38.28 years [18-60] and the sex ratio was 1. Perianal manifestations were observed in 15 patients (44% of cases). Thirteen patients (41%) were in paid employment at the time of inclusion. CD was responsible for an average absenteeism of 30% ± 10.4% [0-80%] of the working time during the last seven days. An average percentage of work impairment defining the presenteeism was noted to be 52% ± 28% [0-80%] of working time. The overall average decline in productivity was estimated at 56% ± 22% [0-97%]. CD was responsible for an average restriction of 45% ± 33% [0-100%] of usual daily activities.

By comparing the professional impact according to the presence or not of anoperineal lesions (APL), an association between the mean rate of activity restriction and the presence of APL (p = 0.04) was objectified. However, no significant association was noted in the other dimensions of the WPAI questionnaire.


According to our study, it appears that Crohn's disease is a source of reduced work productivity especially in case of perianal manifestation. These results should be confirmed by larger studies.