Annual indirect costs secondary to headache disability in Brazil.

Autor: Oliveira AB; Hospital Israelita Albert Einstein, São Paulo, Brazil.; Instituto de Psiquiatria, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil., Queiroz LP; Universidade Federal de Santa Catarina, Florianópolis, Brazil., Sampaio Rocha-Filho P; Departamento de Neuropsiquiatria, Universidade Federal de Pernambuco (UFPE), Recife, Brazil.; Clínica de Cefaleias, Hospital Universitário Oswaldo Cruz, Universidade de Pernambuco (UPE), Recife, Brazil., Sarmento EM; Centro Universitário de Volta Redonda - UniFOA, Volta Redonda, Brazil.; Santa Casa de Misericórdia de Barra Mansa, Barra Mansa, Brazil., Peres MF; Hospital Israelita Albert Einstein, São Paulo, Brazil.; Instituto de Psiquiatria, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Cephalalgia : an international journal of headache [Cephalalgia] 2020 May; Vol. 40 (6), pp. 597-605. Date of Electronic Publication: 2019 Nov 22.
DOI: 10.1177/0333102419889357
Abstrakt: Background: Disability imposed by headache disorders constitutes an expressive economic burden, mostly from indirect costs due to absenteeism and presenteeism.
Objective: To estimate indirect costs from absenteeism and presenteeism due to headache disorders in Brazil.
Methods: In a secondary, descriptive analysis of two nationwide databases, we estimated indirect costs based on headache-related disability and socioeconomic data.
Results: In the first database analyzed (n = 3838), 12.8% of the employed population with headache disorders missed at least 1 day of work in the last 3 months (mean, 95% CI = 4.2 days [3.7-4.6]). Based on the prevalence of headache disorders, days lost due to headaches and income data, R$ 40.4 billion (Int$ 20 billion) are lost due to headache-related absenteeism annually. For presenteeism, 26.2% of the employed population with headache disorders worked at least 1 day in the last 3 months with 50% reduced productivity (mean, 95% CI = 5.7 days [5.3-6.2]), amounting to R$ 27.3 billion (Int$ 13.5 billion) of financial loss annually. In the other database analysed (n = 205,546), 14,052 (6.8%) respondents missed work/school or household duties in the past 2 weeks due to some disease. Of these, 4.7% attributed their days lost to headaches disorders in the economically active population, which ranked 4th as main cause of days lost due to disease, among 23 common diseases.
Conclusions: The economic burden of headache disorders in Brazil, mostly due to migraine (55.4%), may cost up to R$ 67.6 billion (Int$ 33.5 billion) annually, and headache disorders represent a leading cause of absenteeism due to disease.
Databáze: MEDLINE
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