We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editor's Correspondence |

Productivity Loss Due to Irritable Bowel Syndrome—Reply

Howard Birnbaum, PhD; Stephanie Leong, MPP; Crystal Thibeault, BA; Rym Ben-Hamadi, MS; Paul Greenberg, MS; Victoria Barghout, MSPH; Feride Frech, MPH; Joshua Ofman, MD, MSHS
Arch Intern Med. 2003;163(18):2249-2250. doi:10.1001/archinte.163.18.2249-a.
Text Size: A A A
Published online


In reply

The thoughtful observations by Dr Gandjour regarding issues in measuring productivity loss and its relevance to employers underscore the difficulties in quantifying this concept and making it meaningful for subsequent action. Using employer payments for days absent from work as one part of measuring productivity has the advantage of allowing for comparisons between direct and indirect costs in terms of dollars that are not present for other potentially important consequences of illness and its treatment (eg, quality of life and activities of daily living). In additional, research elsewhere found that actual productivity reductions are much larger than absenteeism of employees with IBS.1 These results likely are dependent on the job- and occupation-specific context. Several observations may clarify why this approach has value to employers, specifically in the context of IBS, a highly prevalent, disruptive, and costly condition.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
PubMed Articles

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Irritable Bowel Syndrome

The Rational Clinical Examination: Evidence-Based Clinical Diagnosis
Make the Diagnosis: Irritable Bowel Syndrome