Work loss, healthcare utilization, and costs among US employees with chronic pain.

Background: Chronic pain in the workplace significantly affects individuals who experience a variety of conditions resulting in increased financial burden to their employers. The objective of this study was to determine the economic impact of chronic non-cancer pain by measuring the number and cost...

Descripción completa

Detalles Bibliográficos
Publicado en:Disease Management & Health Outcomes Vol. 13; no. 3; pp. 201 - 209
Autores principales: Pizzi LT, Carter CT, Howell JB, Vallow SM, Crawford AG, Frank ED
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jun2005
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106517162&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 106517162
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        11738790
        C4Y
      jtl: Disease Management & Health Outcomes
      issn: 11738790
      maglogo: N
    pubinfo:
      dt: Jun2005
      vid: 13
      iid: 3
      pid: 87227
      pub: Springer Nature
    artinfo:
      ui:
        106517162
        2009025367
        10.2165/00115677-200513030-00005
        106517162
      ppf: 201
      ppct: 8
      formats:
        fmt:
          @attributes:
            type: P
      tig:
        atl: Work loss, healthcare utilization, and costs among US employees with chronic pain.
      aug:
        au:
          Pizzi LT
          Carter CT
          Howell JB
          Vallow SM
          Crawford AG
          Frank ED
        affil: Associate Director of Research/Fellowship Director, Department of Health Policy, Jefferson Medical College, 1015 Walnut Street, Suite 115, Philadelphia, PA 19107; laura.pizzi@jefferson.edu
      sug:
        subj:
          Absenteeism Evaluation
          Chronic Pain Economics
          Health Resource Utilization Evaluation
          Productivity Evaluation
          Adult
          Chronic Pain Diagnosis
          Chronic Pain Etiology
          Data Analysis Software
          Data Analysis, Statistical
          Descriptive Statistics
          Female
          Funding Source
          Male
          Middle Age
          Retrospective Design
          United States
          World Wide Web
          Human
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Background: Chronic pain in the workplace significantly affects individuals who experience a variety of conditions resulting in increased financial burden to their employers. The objective of this study was to determine the economic impact of chronic non-cancer pain by measuring the number and cost of days missed from work and the amount paid for healthcare related to chronic pain.Methods: Retrospective analysis of a sample of employees from the MEDSTAT Health and Productivity Management database, using absence data and short-term disability claims, as well as inpatient, outpatient, and pharmacy claims. Participants were employees from six large US corporations during 1997-1999 with full-time work status and claims totaling at least 90 days' supply of opioid medication and a medical visit with a diagnosis for a painful condition during the study period. Work loss was estimated by using location-specific wage rates to estimate the value of time missed from work in dollars ($US, 1998 values). Healthcare costs were calculated from the amount paid for the employees' claims for outpatient office visits, hospitalizations, and prescription medications.Results: 2459 employees met the inclusion criteria, of whom 1512 (61.5%) missed 1 days of work during the 3-year study period. The total number of days lost because of both sickness absences and short-term disability claims was 331 242, worth an estimated $US39.4 million in wages during the 3-year period. Combined medical and pharmacy costs were $US4607 per employee per year for pain-related healthcare overall. The estimated total impact of chronic pain for each employer who contributed to the data set was approximately $US2.1 million per employer per year.Discussion: The findings demonstrate that employees with chronic pain experience frequent sickness absences and short-term disability days and consume a considerable amount of healthcare resources. Given the economic impact of chronic pain, employers and managed care organizations should evaluate the potential benefits in productivity resulting from workplace initiatives such as ergonomic modifications, rest breaks, or pain management programs.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N