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… 
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92 Citations
Highly Influential Citations
3
Background Citations
26
Methods Citations
1
Results Citations
3

92 Citations

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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.
Healthcare utilization and costs in diabetes relative to the clinical spectrum of painful diabetic peripheral neuropathy.
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.
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