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Cited 136 time in webofscience Cited 154 time in scopus
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Functional Dyspepsia Impacts Absenteeism and Direct and Indirect Costs

Authors
Brook, Richard A.Kleinman, Nathan L.Choung, Rok SeonMelkonian, Arthur K.Smeeding, James E.Talley, Nicholas J.
Issue Date
Jun-2010
Publisher
ELSEVIER SCIENCE INC
Keywords
Functional Dyspepsia; Costs; Absenteeism; Productivity; Cost Analysis
Citation
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY, v.8, no.6, pp 498 - 503
Pages
6
Indexed
SCIE
SCOPUS
Journal Title
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
Volume
8
Number
6
Start Page
498
End Page
503
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/35411
DOI
10.1016/j.cgh.2010.03.003
ISSN
1542-3565
1542-7714
Abstract
Background & Aims Functional dyspepsia (FD) is a common morbid condition but data are limited on the direct and indirect costs for employees with FD or on its impact on productivity. Few data on absenteeism and no objective information are available. This study aimed to assess the impact of FD on costs and effects on absenteeism and work output (productivity). Methods We performed a retrospective analysis of payroll data and adjudicated health insurance medical and prescription claims collected over a 4-year study period (January 1, 2001 to December 31, 2004) from more than 300,000 employees. Data from employees with and without (controls) FD were compared using 2-part regression techniques. Outcome measures included medical (total and by place of service) and prescription costs, absenteeism, and objectively measured productivity output. Results Employees with FD (N = 1669) had greater average annual medical and prescription drug costs and indirect costs (owing to sick leave and short- and long-term disability absences) than controls (N = 274,206). Compared with controls, the FD employees incurred costs that were $5138 greater and had greater costs for each place of service (all P < .0001). The employees with FD had an additional 0.83 absence days per year and produced 12% fewer units per hour than controls (both P < .05). Conclusions Employees with FD have greater costs at all places of service and lower productivity than employees without FD.
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