Lost Productive Time and Cost Due to Common Pain Conditions in the US Workforce
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TLDR
Pain is an inordinately common and disabling condition in the US workforce and most of the pain-related lost productive time occurs while employees are at work and is in the form of reduced performance.Abstract:
ContextCommon pain conditions appear to have an adverse effect on work, but
no comprehensive estimates exist on the amount of productive time lost in
the US workforce due to pain.ObjectiveTo measure lost productive time (absence and reduced performance due
to common pain conditions) during a 2-week period.Design and SettingCross-sectional study using survey data from the American Productivity
Audit (a telephone survey that uses the Work and Health Interview) of working
adults between August 1, 2001, and July 30, 2002.ParticipantsRandom sample of 28 902 working adults in the United States.Main Outcome MeasuresLost productive time due to common pain conditions (arthritis, back,
headache, and other musculoskeletal) expressed in hours per worker per week
and calculated in US dollars.ResultsThirteen percent of the total workforce experienced a loss in productive
time during a 2-week period due to a common pain condition. Headache was the
most common (5.4%) pain condition resulting in lost productive time. It was
followed by back pain (3.2%), arthritis pain (2.0%), and other musculoskeletal
pain (2.0%). Workers who experienced lost productive time from a pain condition
lost a mean (SE) of 4.6 (0.09) h/wk. Workers who had a headache had a mean
(SE) loss in productive time of 3.5 (0.1) h/wk. Workers who reported arthritis
or back pain had mean (SE) lost productive times of 5.2 (0.25) h/wk. Other
common pain conditions resulted in a mean (SE) loss in productive time of
5.5 (0.22) h/wk. Lost productive time from common pain conditions among active
workers costs an estimated $61.2 billion per year. The majority (76.6%) of
the lost productive time was explained by reduced performance while at work
and not work absence.ConclusionsPain is an inordinately common and disabling condition in the US workforce.
Most of the pain-related lost productive time occurs while employees are at
work and is in the form of reduced performance.read more
Citations
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Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain
Roger Chou,Gilbert J. Fanciullo,Perry G. Fine,Jeremy A Adler,Jane C. Ballantyne,Pamela Stitzlein Davies,Marilee I. Donovan,David A. Fishbain,Kathy M. Foley,Jeffrey Fudin,Aaron M. Gilson,Alexander Kelter,Alexander Mauskop,Patrick G. O'Connor,Steven D. Passik,Gavril W. Pasternak,Russell K. Portenoy,Ben A. Rich,Richard G. Roberts,Knox H. Todd,Christine Miaskowski +20 more
TL;DR: Safe and effective chronic opioid therapy for chronic noncancer pain requires clinical skills and knowledge in both the principles of opioid prescribing and on the assessment and management of risks associated with opioid abuse, addiction, and diversion.
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The economic costs of pain in the United States.
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TL;DR: The prevalence of chronic, impairing LBP has risen significantly in North Carolina, with continuing high levels of disability and health care use, and a substantial portion of the rise in LBP care costs over the past 2 decades may be related to this rising prevalence.
References
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