4 77 Chronic Achilles Tendinopathy: Impact on Quality of Life and Costs Figure 1. The EQ-5D scores for persons with musculoskeletal diseases per domain. DMC3 study 16 Displayed values are percent with any (moderate and severe) problems (SE). EQ-5D: Euroqol five-item questionnaire for measuring health-related quality of life. General population: EQ-5D score in a large sample of the general population (no target on specific diseases) aged ≥ 25 years (n = 3664), weighted for age and sex in the Dutch population of 1998. DMC3 study: Dutch population-based musculoskeletal complaints and consequenses cohort study. Impact on work Rotator cuff tendinopathy, lateral epicondylar tendinopathy and patellar tendinopathy all negatively impact work productivity and result in increased rates of absence from work.28-32 Work performance in AT patients was frequently decreased because of reduced work productivity. This is similar to research on upper extremity musculoskeletal disorders.33 In patients with lateral epicondylar tendinopathy and rotator cuff tendinopathy, 56% had decreased work productivity while decrease in work productivity due to AT in our study was lower with 38%.31,34 The impact of AT on work productivity is comparable to moderate knee osteoarthritis and patellar tendinopathy (40% and 36% decreased work productivity respectively).31 The majority of the patient population in our study performed sedentary work (68%), which is conceivably less impacted by AT. The impact of AT may thus even be higher in populations with physical work.
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