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Observational Study
. 2014 Sep;124(9):2007-12.
doi: 10.1002/lary.24630. Epub 2014 Mar 11.

Productivity costs in patients with refractory chronic rhinosinusitis

Luke Rudmik  1 , Timothy L Smith, Rodney J Schlosser, Peter H Hwang, Jess C Mace, Zachary M Soler
Affiliations
Observational Study

Productivity costs in patients with refractory chronic rhinosinusitis

Luke Rudmik et al. Laryngoscope. 2014 Sep.

Abstract

Objectives/hypothesis: Disease-specific reductions in patient productivity can lead to substantial economic losses to society. The purpose of this study was to: 1) define the annual productivity cost for a patient with refractory chronic rhinosinusitis (CRS) and 2) evaluate the relationship between degree of productivity cost and CRS-specific characteristics.

Study design: Prospective, multi-institutional, observational cohort study.

Methods: The human capital approach was used to define productivity costs. Annual absenteeism, presenteeism, and lost leisure time was quantified to define annual lost productive time (LPT). LPT was monetized using the annual daily wage rates obtained from the 2012 U.S. National Census and the 2013 U.S. Department of Labor statistics.

Results: A total of 55 patients with refractory CRS were enrolled. The mean work days lost related to absenteeism and presenteeism were 24.6 and 38.8 days per year, respectively. A total of 21.2 household days were lost per year related to daily sinus care requirements. The overall annual productivity cost was $10,077.07 per patient with refractory CRS. Productivity costs increased with worsening disease-specific QoL (r = 0.440; p = 0.001).

Conclusion: Results from this study have demonstrated that the annual productivity cost associated with refractory CRS is $10,077.07 per patient. This substantial cost to society provides a strong incentive to optimize current treatment protocols and continue evaluating novel clinical interventions to reduce this cost.

Keywords: Chronic rhinosinusitis; absenteeism; cost; economic; indirect cost; presenteeism; productivity; sinusitis.

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Figures

Figure 1
Figure 1
Relationship between disease-specific quality of life and productivity costs
Figure 2
Figure 2
Overall annual societal productivity costs (adjusted for inflation) of four common chronic diseases after taking disease prevalence into account,,
Figure 3
Figure 3
Annual productivity cost per patient (adjusted for inflation) of four common chronic diseases,,
See this image and copyright information in PMC

References

    1. Cisternas MG, Blanc PD, Yen IH, et al. A comprehensive study of the direct and indirect costs of adult asthma. The Journal of allergy and clinical immunology. 2003;111:1212–8. - PubMed
    1. Serrano D, Manack AN, Reed ML, Buse DC, Varon SF, Lipton RB. Cost and predictors of lost productive time in chronic migraine and episodic migraine: results from the American Migraine Prevalence and Prevention (AMPP) Study. Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research. 2013;16:31–8. - PubMed
    1. Munakata J, Hazard E, Serrano D, et al. Economic burden of transformed migraine: results from the American Migraine Prevalence and Prevention (AMPP) Study. Headache. 2009;49:498–508. - PubMed
    1. Economic costs of diabetes in the U.S. in 2012 Diabetes care. 2013;36:1033–46. - PMC - PubMed
    1. Rudmik L, Smith TL. Quality of life in patients with chronic rhinosinusitis. Current allergy and asthma reports. 2011;11:247–52. - PubMed

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