Work Loss, Healthcare Utilization, and Costs among US Employees with Chronic Pain

Pizzi, Laura T.; Carter, Chureen T.; Howell, Jamie B.; Vallow, S.; Crawford, Albert; Frank, Evan D.

doi:10.2165/00115677-200513030-00005

Cited by 27 publications

(21 citation statements)

References 25 publications

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“…4,[6][7][8][9] Rates of health service utilization have been determined, [6][7][8]10 but the economic consequences remain unknown because studies have reported rates rather than costs. In the studies that have reported public costs associated with chronic pain, 8,[11][12][13][14] some components of the costs were not included. None of the studies that measured time lost from employment captured the time that patients and family caregivers devoted to receiving and providing care and time they lost from leisure and household work.…”

Section: Résumémentioning

confidence: 99%

See 1 more Smart Citation

The Canadian STOP-PAIN project – Part 2: What is the cost of pain for patients on waitlists of multidisciplinary pain treatment facilities?

Guerriere

Choinière

Dion

et al. 2010

Can J Anesth/J Can Anesth

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Section: Résumémentioning

confidence: 99%

“…None of the studies that measured time lost from employment captured the time that patients and family caregivers devoted to receiving and providing care and time they lost from leisure and household work. 11,12,14 As a result, these studies may have underestimated time costs.…”

Section: Résumémentioning

confidence: 99%

The Canadian STOP-PAIN project – Part 2: What is the cost of pain for patients on waitlists of multidisciplinary pain treatment facilities?

Guerriere

Choinière

Dion

et al. 2010

Can J Anesth/J Can Anesth

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“…Over the years, a consensus has emerged that persistent pain can create beliefs and attitudes that undermine personal autonomy as well as people's sense of control and efficacy across a wide range of everyday activities including vocational pursuits [1,2]. For example, persons who are disabled by acute and chronic pain report more discomfort and distress relative to their employed peers [3], and extended absence due to musculoskeletal and other forms of pain constitutes a major physical and mental health risk as well as an economic drain [4–6].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial and Demographic Correlates of Employment vs Disability Status in a National Community Sample of Adults with Chronic Pain: Toward a Psychology of Pain Presenteeism

Karoly¹,

Ruehlman

Okun

2013

Pain Med

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Background Although chronic pain is a source of work-related disability, relatively little research has addressed the psychological factors that differentiate individuals in chronic pain who leave the workforce from those who remain on the job despite their pain. Objective The present study examined a small set of attitudinal and coping-related factors as potential correlates of pain-related disability versus continued part- or full time employment over and above the role of well-known risk factors. Methods A large sample of adult men and women with chronic pain drawn from across the United States (N= 1293) by means of random digit dialing was subdivided into two groups: working (N = 859) and on disability (N = 434). Both groups were interviewed (by telephone) to complete a set of instruments (called the Profile of Chronic Pain: Extended Assessment [PCP: EA] Battery) measuring pain attitudes and coping methods. Results Logistic regression analysis revealed, as expected, that continued employment status was inversely related to pain severity and work status was positively related to higher education and being Hispanic. After controlling for severity and demographic factors, belief in a medical cure and catastrophizing tendencies were significant inverse predictors and task persistence was a positive predictor of continued employment. Conclusions Results revealed both demographic and attitudinal predictors of continued employment, and highlight the value of harnessing insights from the psychology of work engagement to better understand the processes underlying pain presenteeism. Interventions designed to keep persons with pain in the active work force should build upon and extend the present findings.

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“…Total CNCP expenditures represent more than 3% of Finland’s gross national product15 and US $2.1 million per employer annually (1998 values) in the United States 16. More severe pain disability seems to be associated with higher societal costs.…”

Section: Introductionmentioning

confidence: 99%

Costs of moderate to severe chronic pain in primary care patients – a study of the ACCORD Program

Lalonde¹,

Choinière²,

Martin³

et al. 2014

JPR

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BackgroundThe economic burden of chronic noncancer pain (CNCP) remains insufficiently documented in primary care.PurposeTo evaluate the annual direct health care costs and productivity costs associated with moderate to severe CNCP in primary care patients taking into account their pain disability.Materials and methodsPatients reporting noncancer pain for at least 6 months, at a pain intensity of 4 or more on a 0 (no pain) to 10 (worst possible pain) intensity scale, and at a frequency of at least 2 days a week, were recruited from community pharmacies. Patients’ characteristics, health care utilization, and productivity losses (absenteeism and presenteeism) were documented using administrative databases, pharmacies’ renewal charts, telephone, and self-administered questionnaires. Patients were stratified by tertile of pain disability measured by the Brief Pain Inventory questionnaire.ResultsPatients (number =483) were, on average, 59 years old, mainly women (67.5%), and suffered from CNCP for a mean of 12 years at an average pain intensity of 6.5±1.9. The annual direct health care costs and productivity costs averaged CAD $9,565 (±$13,993) and CAD $7,072 (±$11,716), respectively. The use of complementary health care services accounted for almost 50% of the direct health care costs. The mean adjusted total direct health care costs (considering pain-related hospitalizations only) and productivity costs increased with more pain disability: low disability, CAD $12,118; moderate, CAD $18,278; and severe, CAD $19,216; P=0.001.ConclusionThe economic burden of CNCP is substantial and increases with the level of pain disability, which suggests the need for and potential benefits of improving CNCP management through specific and adapted treatment plans targeting the impact of pain on daily functioning.

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Work Loss, Healthcare Utilization, and Costs among US Employees with Chronic Pain

Cited by 27 publications

References 25 publications

The Canadian STOP-PAIN project – Part 2: What is the cost of pain for patients on waitlists of multidisciplinary pain treatment facilities?

The Canadian STOP-PAIN project – Part 2: What is the cost of pain for patients on waitlists of multidisciplinary pain treatment facilities?

Psychosocial and Demographic Correlates of Employment vs Disability Status in a National Community Sample of Adults with Chronic Pain: Toward a Psychology of Pain Presenteeism

Costs of moderate to severe chronic pain in primary care patients – a study of the ACCORD Program

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Work Loss, Healthcare Utilization, and Costs among US Employees with Chronic Pain

Cited by 27 publications

References 25 publications

The Canadian STOP-PAIN project – Part 2: What is the cost of pain for patients on waitlists of multidisciplinary pain treatment facilities?

The Canadian STOP-PAIN project – Part 2: What is the cost of pain for patients on waitlists of multidisciplinary pain treatment facilities?

Psychosocial and Demographic Correlates of Employment vs Disability Status in a National Community Sample of Adults with Chronic Pain: Toward a Psychology of Pain Presenteeism

Costs of moderate to severe chronic pain in primary care patients &ndash; a study of the ACCORD Program

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Product

Resources

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Costs of moderate to severe chronic pain in primary care patients – a study of the ACCORD Program