Quantifying the Incremental and Aggregate Cost of Missed Workdays in Adults with Diabetes. J Gen Intern Med 2015 Dec;30(12):1773-9
Date
05/20/2015Pubmed ID
25986134Pubmed Central ID
PMC4636550DOI
10.1007/s11606-015-3338-yScopus ID
2-s2.0-84946498095 (requires institutional sign-in at Scopus site) 14 CitationsAbstract
OBJECTIVE: Although the national cost of missed workdays associated with diabetes has been estimated previously, we use the most recent available national data and methodology to update the individual and national estimates for the U.S population.
METHODS: We identified 14,429 employed individuals ≥ 18 years of age in 2011 Medical Expenditure Panel Survey (MEPS) data. Diabetes and missed workdays were based on self-report, and cost was based on multiplying the daily wage rate for each individual by the number of missed days. Adjusted total national burden of missed workdays associated with diabetes was calculated using a novel two-part model to simultaneously estimate the association of diabetes with the number and cost of missed workdays.
RESULTS: The unadjusted annual mean 2011 cost of missed workdays was $277 (95 % CI 177.0-378.0) for individuals with diabetes relative to $160 (95 % CI $130-$189) for those without. The incremental cost of missed workdays associated with diabetes was $120 (95 % CI $30.7-$209.1). Based on the US population in 2011, the unadjusted national burden of missed workdays associated with diabetes was estimated to be $2.7 billion, while the fully adjusted incremental national burden was estimated to be $1.1 billion.
CONCLUSIONS: We provide more precise estimates of the cost burden of diabetes due to missed workdays on the U.S population. The high incremental and total cost burden of missed workdays among Americans with diabetes suggests the need for interventions to improve diabetes care management among employed individuals.
Author List
Bishu KG, Gebregziabher M, Dismuke CE, Egede LEAuthor
Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AbsenteeismAdolescent
Adult
Age Distribution
Aged
Aged, 80 and over
Comorbidity
Cost of Illness
Diabetes Mellitus
Female
Humans
Male
Middle Aged
Models, Econometric
Socioeconomic Factors
United States
Young Adult