Supplementary Material for: Accommodations and Adaptations to Overcome Workplace Disability in Inflammatory Bowel Disease Patients: A Systematic Review

<b><i>Background:</i></b> Inflammatory bowel diseases (IBD) are chronic, incurable diseases which are often characterized by unpredictable flares and troubling symptoms which can interfere with a patient’s ability to work. Accommodations in the workplace can help persons with IBD to cope with their illness and work effectively. We systematically reviewed all studies regarding workplace disability in IBD patients. <b><i>Summary:</i></b> Systematic searches were undertaken on February 5 and March 5, 2018, for the following databases: PubMed, MEDLINE (Ovid), Cochrane Central Register of Controlled Trials, and CINAHL, for studies that addressed workplace needs, accommodations and adaptations using survey tools. Of 430 studies screened, 54 met initial eligibility criteria and then 6 studies were ultimately included, with a total of 7,700 participants. Five studies were quantitative, and 1 study was qualitative. Common themes were the importance of reasonable adjustments and accommodations in the workplace, mixed with the finding that a significant proportion reported that they had some difficulty arranging accommodations. Adaptations most required were access to a toilet or toilet breaks and time to go to medical appointments. <b><i>Key Messages:</i></b> People with IBD often need accommodations, but many do not ask or have difficulty arranging it. Better resources are needed to inform people with IBD about the possibilities for workplace accommodations and practical strategies to request them.

<b><i>研究背景：</i></b> 炎症性肠病（Inflammatory Bowel Diseases, IBD）属于慢性且无法治愈的疾病，常以难以预料的急性发作与令人困扰的症状为特征，上述症状会干扰患者的工作能力。职场便利措施可帮助IBD患者应对疾病、高效开展工作。本研究针对IBD患者的职场工作障碍相关研究开展了系统综述。<b><i>综述结果：</i></b> 本研究于2018年2月5日与3月5日，针对PubMed、MEDLINE (Ovid)、科克伦对照试验中央注册库（Cochrane Central Register of Controlled Trials）以及护理及相关健康文献累积索引（CINAHL）四大数据库开展系统检索，筛选采用调查工具探讨IBD患者职场需求、便利措施及适配方案的相关研究。初筛的430项研究中，54项符合初步纳入标准，最终纳入6项研究，累计纳入7700名受试者。其中5项为定量研究，1项为定性研究。研究核心主题凸显了职场合理便利与调整措施的重要性，同时有相当比例的受访者表示，在安排相关便利措施时存在一定困难。最受亟需的适配方案为使用卫生间的权限、如厕休息时间以及前往就医的时间安排。<b><i>核心结论：</i></b> IBD患者通常需要职场便利措施，但多数患者并未主动申请，或在安排相关措施时遭遇困难。亟需完善相关资源，以向IBD患者科普职场便利措施的可行性，以及申请此类措施的实操策略。