Lost productive time and costs due to diabetes and diabetic neuropathic pain in the US workforce

被引:74
作者
Stewart, Walter F.
Ricci, Judith A.
Chee, Elsbeth
Hirsch, Annemarie G.
Brandenburg, Nancy A.
机构
[1] Geisinger Med Clin, Ctr Hlth Res, Danville, PA 17822 USA
[2] Caremark, Hunt Valley, MD USA
[3] Pfizer Global Pharmaceut, New York, NY USA
关键词
D O I
10.1097/JOM.0b013e318065b83a
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective: Estimate the impact of diabetes and neuropathic pain on the US workforce. Methods: Data on lost productive time (LPT) was collected by telephone interview in a random sample of the US population (N = 36,634). Of 19,075 occupation-eligible working adults included in the analysis, 1003 reported a physician diagnosis of diabetes; 38% of these reported numbness or tingling in feet or hands due to diabetes (symptom group). We compared diabetes respondents with and without symptoms to other respondents for LPT and related cost. Results: Health-related LPT was 18% higher in the symptom (P < 0.05) and 5% higher in the non-symptom (P < 0.05) groups versus for those without diabetes. The symptom, group lost 1.4 hours of work per week more than the non-symptom group (P < 0.05). Conclusions: Workers who have diabetes with neuropathic symptoms lose the equivalent of $3.65 billion/yr in health-related LPT.
引用
收藏
页码:672 / 679
页数:8
相关论文
共 34 条
[1]   The impact of diabetes on adult employment and earnings of Mexican Americans:: Findings from a community based study [J].
Bastida, E ;
Pagán, JA .
HEALTH ECONOMICS, 2002, 11 (05) :403-413
[2]   Alternative valuations of work loss and productivity [J].
Berger, ML ;
Murray, JF ;
Xu, J ;
Pauly, M .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2001, 43 (01) :18-24
[3]   The relationship between health risks and work productivity [J].
Boles, M ;
Pelletier, B ;
Lynch, W .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2004, 46 (07) :737-745
[4]  
Boulton A., 2005, Clinical Diabetes, V23, P9, DOI [10.2337/diaclin.23.1.9, DOI 10.2337/DIACLIN.23.1.9]
[5]  
Brick J M, 1996, Stat Methods Med Res, V5, P215, DOI 10.1177/096228029600500302
[6]  
*CDCP, 1980, DAT COMP DIV DIAB TR
[7]   THE PREVALENCE BY STAGED SEVERITY OF VARIOUS TYPES OF DIABETIC NEUROPATHY, RETINOPATHY, AND NEPHROPATHY IN A POPULATION-BASED COHORT - THE ROCHESTER DIABETIC NEUROPATHY STUDY [J].
DYCK, PJ ;
KRATZ, KM ;
KARNES, JL ;
LITCHY, WJ ;
KLEIN, R ;
PACH, JM ;
WILSON, DM ;
OBRIEN, PC ;
MELTON, LJ .
NEUROLOGY, 1993, 43 (04) :817-824
[8]  
EASTMAN RC, 1995, NIH PUB
[9]   The health and productivity cost burden of the "top 10" physical and mental health conditions affecting six large US employers in 1999 [J].
Goetzel, RZ ;
Hawkins, K ;
Ozminkowski, RJ ;
Wang, SH .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2003, 45 (01) :5-14
[10]  
HOGAN P, 2002, DIABETES CARE, V26, P917