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Work productivity in Behçet syndrome
Nergis Serin1, Yesim Ozguler1,2, Sinem Nihal Esatoglu1,2
1Division of Rheumatology, Department of Internal Medicine, Cerrahpaşa Medical School, Istanbul University-Cerrahpaşa, Istanbul, Türkiye.
EULAR Rheumatology Open
|August 1, 2026
Summary
Work productivity is frequently impaired in Behçet syndrome (BS) patients, with significant absenteeism and presenteeism. This impairment is linked to major organ involvement and disease activity, impacting quality of life.
Area of Science:
- Rheumatology
- Occupational Health
- Vasculitis Research
Background:
- Behçet syndrome (BS) is a multisystem vasculitis predominantly affecting young adults.
- Understanding the impact of BS on work productivity and stability is crucial for patient management.
Purpose of the Study:
- To evaluate work productivity and stability in patients with Behçet syndrome.
- To compare work productivity in BS patients with those suffering from ankylosing spondylitis (AS) and healthy controls (HCs).
Main Methods:
- A cross-sectional study involving 125 BS patients, 30 AS patients, and 30 HCs.
- Work productivity and stability assessed using the Work Productivity and Activity Impairment Questionnaire (WPAI), Work Productivity Survey (WPS), and Work Instability Scale (WIS).
- Exploration of associations between work productivity and demographic/disease features, including organ involvement and quality of life.
Main Results:
- 42% of BS patients reported absenteeism and 48% reported presenteeism.
- Work productivity and stability scores were significantly impaired in BS and AS patients compared to HCs.
- Ocular, vascular, and nervous system involvement, disease activity, and lower quality of life scores correlated with impaired work productivity.
Conclusions:
- Impaired work productivity is common in Behçet syndrome patients.
- Major organ involvement, disease activity, and reduced quality of life are associated with work productivity deficits.
- Work productivity should be considered in clinical trial assessments for Behçet syndrome.