Productivity loss and indirect costs associated with cardiovascular events and related clinical procedures.
Productivity loss and indirect costs associated with cardiovascular events and related clinical procedures.
复制标题
DOI：
10.1186/s12913-015-0925-x
复制
发表时间：
2015-06-25
影响因子：
2.8
通讯作者：
Cong Z
中科院分区：
文献类型：
--
作者：
Song X;Quek RG;Gandra SR;Cappell KA;Fowler R;Cong Z
心血管疾病和急性心血管事件的高急性成本是公认的，特别是在直接医疗成本方面。与工作生产力损失相关的成本已被广泛描述，但对高心血管风险患者的工作场所缺勤或短期残疾成本知之甚少。本研究的目的是量化工作场所缺勤（WA）和短期残疾（STD）的时间和成本与心血管事件和相关的临床程序（CVERP）在美国雇员的高心血管风险。来自Truven Health MarketScan®研究数据库的医疗、WA和/或STD数据用于选择2002 - 2011年期间患有高脂血症的18 - 64岁全职员工。创建了两个队列（有和无CVERP），并筛选了医疗、药物、WA和STD合格性。使用倾向评分匹配将CVERP队列与非CVERP队列进行匹配。计算了有和无CVERP患者的工作损失小时数和间接成本，并按CVERP类型进行了分类。工资是基于2013年美国劳工统计局的年龄，性别和地理区域调整工资率。共有5，808例符合WA条件的CVERP患者、21，006例符合STD条件的CVERP患者和3，362例符合WA和STD条件的CVERP患者与无CVERP患者匹配良好，创建了3个CVERP患者队列和3个无CVERP患者队列。各队列的人口统计学特征相似（平均年龄52.2 - 53.1岁，男性81.3 - 86.8%）。在第一个月的随访中，与没有CVERP的患者相比，CVERP患者有更多的WA/STD相关小时损失（WA合格：23.4小时以上，STD合格：51.7小时以上，WA和STD合格：56.3小时以上）（p <0.001）。相应的成本分别为683美元、895美元和1,119美元（p <0.001）。随着随访时间的延长，差异缩小。在随访的第一个月和第一年，与其他CVERP患者相比，冠状动脉旁路移植术患者经历了最高的WA/STD相关小时损失和费用。CVERP与大量工作损失和间接成本有关。预防或减少CVERP可能会为雇主节省与WA和STD相关的成本。本文的在线版本（doi：10.1186/s12913 - 015 - 0925-x）包含补充材料，可供授权用户使用。
The high acute costs of cardiovascular disease and acute cardiovascular events are well established, particularly in terms of direct medical costs. The costs associated with lost work productivity have been described in a broad sense, but little is known about workplace absenteeism or short term disability costs among high cardiovascular risk patients. The objective of this study was to quantify workplace absenteeism (WA) and short-term disability (STD) hours and costs associated with cardiovascular events and related clinical procedures (CVERP) in United States employees with high cardiovascular risk. Medical, WA and/or STD data from the Truven Health MarketScan® Research Databases were used to select full-time employees aged 18–64 with hyperlipidemia during 2002–2011. Two cohorts (with and without CVERP) were created and screened for medical, drug, WA, and STD eligibility. The CVERP cohort was matched with a non-CVERP cohort using propensity score matching. Work loss hours and indirect costs were calculated for patients with and without CVERP and by CVERP type. Wages were based on the 2013 age-, gender-, and geographic region-adjusted wage rate from the United States Bureau of Labor Statistics. A total of 5,808 WA-eligible, 21,006 STD-eligible, and 3,362 combined WA and STD eligible patients with CVERP were well matched to patients without CVERP, creating three cohorts of patients with CVERP and three cohorts of patients without CVERP. Demographics were similar across cohorts (mean age 52.2-53.1 years, male 81.3-86.8 %). During the first month of follow-up, patients with CVERP had more WA/STD-related hours lost compared with patients without CVERP (WA-eligible: 23.4 more hours, STD-eligible: 51.7 more hours, WA and STD-eligible: 56.3 more hours) (p < 0.001). Corresponding costs were $683, $895, and $1,119 higher, respectively (p < 0.001). Differences narrowed with longer follow-up. In the first month and year of follow-up, patients with coronary artery bypass graft experienced the highest WA/STD-related hours lost and costs compared with patients with other CVERP. CVERP were associated with substantial work loss and indirect costs. Prevention or reduction of CVERP could result in WA and STD-related cost savings for employers. The online version of this article (doi:10.1186/s12913-015-0925-x) contains supplementary material, which is available to authorized users.
登录
查看更多内容
影响因子：
2
作者：
Austin, Peter C.
通讯作者：
Austin, Peter C.
影响因子：
2.7
作者：
Anderson, DR;Whitmer, RW;Serxner, S
通讯作者：
Serxner, S
影响因子：
7.2
作者：
DEYO, RA;CHERKIN, DC;CIOL, MA
通讯作者：
CIOL, MA
DOI：
10.1161/circoutcomes.110.957613
发表时间：
2010-09-01
影响因子：
6.9
作者：
Bernheim, Susannah M.;Grady, Jacqueline N.;Krumholz, Harlan M.
通讯作者：
Krumholz, Harlan M.
影响因子：
2.1
作者：
Chapman, Richard H.;Liu, Larry Z.;Straka, Robert J.
通讯作者：
Straka, Robert J.