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The burden of chronic obstructive pulmonary disease among employed adults

OBJECTIVE: To examine quality of life, work productivity, and health care resource use among employed adults ages 40–64 years with chronic obstructive pulmonary disease (COPD) in the United States. METHODS: Data from the 2009 National Health and Wellness Survey were used. All employed adults ages 40...

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Autores principales: DiBonaventura, Marco daCosta, Paulose-Ram, Ryne, Su, Jun, McDonald, Margaret, Zou, Kelly H, Wagner, Jan-Samuel, Shah, Hemal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3324999/
https://www.ncbi.nlm.nih.gov/pubmed/22500121
http://dx.doi.org/10.2147/COPD.S29280
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author DiBonaventura, Marco daCosta
Paulose-Ram, Ryne
Su, Jun
McDonald, Margaret
Zou, Kelly H
Wagner, Jan-Samuel
Shah, Hemal
author_facet DiBonaventura, Marco daCosta
Paulose-Ram, Ryne
Su, Jun
McDonald, Margaret
Zou, Kelly H
Wagner, Jan-Samuel
Shah, Hemal
author_sort DiBonaventura, Marco daCosta
collection PubMed
description OBJECTIVE: To examine quality of life, work productivity, and health care resource use among employed adults ages 40–64 years with chronic obstructive pulmonary disease (COPD) in the United States. METHODS: Data from the 2009 National Health and Wellness Survey were used. All employed adults ages 40–64 years with or without a self-reported diagnosis of COPD were included in the study. Impact on quality of life (using the mental and physical component summary scores and health utilities from the Short Form-12v2), work productivity and activity impairment (using the Work Productivity and Activity Impairment questionnaire), and resource use were analyzed using regression modeling. RESULTS: There were 1112 employed adults with COPD versus 18,912 employed adults without COPD. After adjusting for demographics and patient characteristics, adults with COPD reported significantly lower mean levels of mental component summary (46.8 vs 48.5), physical component summary (45.6 vs 49.2), and health utilities (0.71 vs 0.75) than adults without COPD. Workers with COPD reported significantly greater presenteeism (18.9% vs 14.3%), overall work impairment (20.5% vs 16.3%), and impairment in daily activities (23.5% vs 17.9%) than adults without COPD. Employed adults with COPD also reported more mean emergency room visits (0.21 vs 0.12) and more mean hospitalizations (0.10 vs 0.06) in the previous 6 months than employed adults without COPD. All of the above differences were significant at two-sided P < 0.05. CONCLUSION: After adjusting for various confounders, employed adults with COPD reported significantly lower quality of life and work productivity, and increased health care resource utilization than employed adults without COPD. These results highlight the substantial impact and burden of COPD in the United States workforce.
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spelling pubmed-33249992012-04-12 The burden of chronic obstructive pulmonary disease among employed adults DiBonaventura, Marco daCosta Paulose-Ram, Ryne Su, Jun McDonald, Margaret Zou, Kelly H Wagner, Jan-Samuel Shah, Hemal Int J Chron Obstruct Pulmon Dis Original Research OBJECTIVE: To examine quality of life, work productivity, and health care resource use among employed adults ages 40–64 years with chronic obstructive pulmonary disease (COPD) in the United States. METHODS: Data from the 2009 National Health and Wellness Survey were used. All employed adults ages 40–64 years with or without a self-reported diagnosis of COPD were included in the study. Impact on quality of life (using the mental and physical component summary scores and health utilities from the Short Form-12v2), work productivity and activity impairment (using the Work Productivity and Activity Impairment questionnaire), and resource use were analyzed using regression modeling. RESULTS: There were 1112 employed adults with COPD versus 18,912 employed adults without COPD. After adjusting for demographics and patient characteristics, adults with COPD reported significantly lower mean levels of mental component summary (46.8 vs 48.5), physical component summary (45.6 vs 49.2), and health utilities (0.71 vs 0.75) than adults without COPD. Workers with COPD reported significantly greater presenteeism (18.9% vs 14.3%), overall work impairment (20.5% vs 16.3%), and impairment in daily activities (23.5% vs 17.9%) than adults without COPD. Employed adults with COPD also reported more mean emergency room visits (0.21 vs 0.12) and more mean hospitalizations (0.10 vs 0.06) in the previous 6 months than employed adults without COPD. All of the above differences were significant at two-sided P < 0.05. CONCLUSION: After adjusting for various confounders, employed adults with COPD reported significantly lower quality of life and work productivity, and increased health care resource utilization than employed adults without COPD. These results highlight the substantial impact and burden of COPD in the United States workforce. Dove Medical Press 2012 2012-03-19 /pmc/articles/PMC3324999/ /pubmed/22500121 http://dx.doi.org/10.2147/COPD.S29280 Text en © 2012 DiBonaventura et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited.
spellingShingle Original Research
DiBonaventura, Marco daCosta
Paulose-Ram, Ryne
Su, Jun
McDonald, Margaret
Zou, Kelly H
Wagner, Jan-Samuel
Shah, Hemal
The burden of chronic obstructive pulmonary disease among employed adults
title The burden of chronic obstructive pulmonary disease among employed adults
title_full The burden of chronic obstructive pulmonary disease among employed adults
title_fullStr The burden of chronic obstructive pulmonary disease among employed adults
title_full_unstemmed The burden of chronic obstructive pulmonary disease among employed adults
title_short The burden of chronic obstructive pulmonary disease among employed adults
title_sort burden of chronic obstructive pulmonary disease among employed adults
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3324999/
https://www.ncbi.nlm.nih.gov/pubmed/22500121
http://dx.doi.org/10.2147/COPD.S29280
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