Lost Productive Time and Costs Due to Diabetes and Diabetic Neuropathic Pain in the US Workforce

@article{Stewart2007LostPT,
  title={Lost Productive Time and Costs Due to Diabetes and Diabetic Neuropathic Pain in the US Workforce},
  author={Walter F. Stewart and Judith A. Ricci and Elsbeth Chee and Annemarie G. Hirsch and Nancy A. Brandenburg},
  journal={Journal of Occupational and Environmental Medicine},
  year={2007},
  volume={49},
  pages={672-679}
}
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… 
A longitudinal assessment of painful diabetic peripheral neuropathy on health status, productivity, and health care utilization and cost.
TLDR
A significantly worse trajectory of quality of life outcomes over time and long-term increased total costs for pDPN patients relative to non-pDPN diabetes patients and controls are indicated.
Painful Diabetic Peripheral Neuropathy: Results of a Survey Characterizing the Perspectives and Misperceptions of Patients and Healthcare Practitioners
TLDR
An online survey of patients with type 1 or 2 diabetes mellitus who reported experiencing any symptoms consistent with diabetic peripheral neuropathy and HCPs who treat diabetes found substantial clinical misperceptions regarding the cause and management of pDPN.
Evaluation of healthcare resource utilization and costs in employees with pain associated with diabetic peripheral neuropathy treated with pregabalin or duloxetine
TLDR
There were no significant pre-to-post differences between pregabalin and duloxetine treatment groups in pDPN-related analgesic medication use, or pDPn-attributable, all-cause, and indirect expenditures.
Epidemiology and Scope of Impact of Painful Diabetic Neuropathy
TLDR
The associated declines in productivity, employment, and quality of life coupled with the increased morbidity and mortality in people with painful DPN highlight a major public health problem across the USA and the globe.
Impact of Diabetes and Disease Duration on Work Status Among U.S. Older Adults
TLDR
Diabetes increased risk of exiting the workforce due to disability, and mean disease duration was associated with changes, and Disease management and workplace interventions may enable older adults to continue being productive should they choose to remain in the workforce.
Comorbidities, healthcare service utilization and costs for patients identified with painful DPN in a managed-care setting
TLDR
The presence of pDPN in patients with diabetes was associated with significantly greater comorbidity, greater healthcare service utilization, and higher costs, including twice as many limb infections and nearly ten-fold greater limb amputations.
Duloxetine compliance and its association with healthcare costs among patients with diabetic peripheral neuropathic pain
TLDR
DPNP patients with a higher ADD of duloxetine over a 1-year follow-up period were more compliant with the therapy, and were associated with lower healthcare costs.
Perspectives on the impact of painful diabetic peripheral neuropathy in a multicultural population
TLDR
Multicultural patients reported differences in p DPN symptoms and pain relative to Caucasians, and fewer received a pDPN diagnosis, suggesting a need to broaden pDPn educational initiatives to improve patient-HCP dialogue and encourage discussion of pDPNs symptoms and their impact in a multicultural setting.
Perceptions of Painful Diabetic Peripheral Neuropathy in South-East Asia: Results from Patient and Physician Surveys
TLDR
Important differences between physician and patient perceptions of pDPN are highlighted, which may impact on its diagnosis and treatment.
...
...

References

SHOWING 1-10 OF 41 REFERENCES
Lost productive time and cost due to common pain conditions in the US workforce.
TLDR
Pain is an inordinately common and disabling condition in the US workforce and most of the pain-related lost productive time occurs while employees are at work and is in the form of reduced performance.
Reductions in individual work productivity associated with type 2 diabetes mellitus
TLDR
People with type 2 diabetes appear to experience incremental decrements in work performance that may affect their current and future health and performance, and lower incomes of participants with diabetes suggest that both people with diabetes and their employers bear the cost of any work efficiency losses.
Cost of lost productive work time among US workers with depression.
TLDR
The combined LPT burden among those with depression and the low level of treatment suggests that there may be cost-effective opportunities for improving depression-related outcomes in the US workforce.
Productivity losses associated with diabetes in the US.
TLDR
The findings have implications for the cost-effectiveness of diabetes control; the presence of complicating factors is the single most important predictive factor in lost productivity costs attributable to diabetes, and thus the avoidance or retardation of complications will have an impact on indirect health-related costs.
Employment Problems and Diabetes
TLDR
People with diabetes are more likely to experience problems in obtaining employment and staying employed than people without diabetes.
Work disability and diabetes.
TLDR
Work disability is significantly higher for individuals with diabetes than for those without diabetes at all ages, and results in a significant decrease in earnings, and a disproportionate burden of work disability is borne by older individuals and women with diabetes.
Impact of diabetes on employment and income in Manitoba, Canada.
TLDR
Complications of diabetes and the absence of the disease affect the ability to earn income in Manitoba, Canada, and this effect was not identified in the aboriginal population of the province.
Psychic and socioeconomic consequences with diabetes compared to other chronic conditions
TLDR
The results show that more diabetic respondents had psychic symptoms and long-standing psychiatric disorders than the healthy respondents, with otherwise no differences compared to the other chronic conditions.
The impact of diabetes on workforce participation: results from a national household sample.
TLDR
How diabetes-associated mortality, disability, early retirement, and work absenteeism impacts workforce participation and the economic impact of diabetes-related losses in productivity in the U.S. population of adults born between 1931 and 1941 is investigated.
Costs of Temporary and Permanent Disability Induced by Diabetes
TLDR
The results suggest that diabetic individuals without complications incur few additional costs compared with nondiabetic individuals, however, once complications appear, the indirect costs are very high, suggesting that secondary preventions of the diabetic complications might be an optimal approach for reducing the health-care burden of diabetes.
...
...