Health Benefit Costs and Absenteeism Among Employed Patients With Acromegaly
| Autor: | Kevin C J Yuen, Ian A Beren, John D Whalen, Richard A. Brook, Kathryn A. Munoz, Antonio Ribeiro-Oliveira, Nicholas J. Rohrbacker |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism 030209 endocrinology & metabolism Workers' compensation 03 medical and health sciences Indirect costs 0302 clinical medicine Endocrinology Cost of Illness Internal medicine Acromegaly Health care Absenteeism medicine Humans 030212 general & internal medicine Retrospective Studies business.industry Incidence (epidemiology) Health Care Costs medicine.disease United States Cohort Sick leave Sick Leave business |
| Zdroj: | Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists. 27(10) |
| ISSN: | 1530-891X |
| Popis: | OBJECTIVE Acromegaly is associated with increased morbidity and mortality. Limited data are available on these patients' utilization and costs of health care. This study assessed the impact of acromegaly on employees' health benefit (direct and indirect) costs and absenteeism. METHODS A retrospective analysis was conducted of drug and medical claims and employer data (from January 2010 to April 2019) of patients with an acromegaly diagnosis and matched controls from a U.S. employee database. Patient claims were tracked for 12 months postdiagnosis (or matched) date. Outcomes were analyzed using separate 2-part regression models, controlling for clinical, demographic, and job-related variables. RESULTS Forty-seven patients with acromegaly and 940 controls were identified. Cohorts were similar in most demographic and job-related variables. Patients with acromegaly had a significantly higher Charlson comorbidity index score and higher incidence of claims for several comorbidities. Acromegaly drugs represented 16.3% of the acromegaly cohort's total costs. Total health benefit costs were $54 821 higher (P < .05) for patients compared with controls, with direct costs representing 79.8% of the difference. Total indirect costs were higher for patients with acromegaly, with short-term and long-term disability comprising most of the difference between the acromegaly and control groups. Patients with acromegaly had significantly more short-term disability days than controls, but total sick days were similar for the 2 groups. CONCLUSION The presence of acromegaly was associated with increased direct and indirect employee health benefit costs and increased work absenteeism. |
| Databáze: | OpenAIRE |
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