Productivity costs decrease after endoscopic sinus surgery for refractory chronic rhinosinusitis

Luke Rudmik, Timothy Smith, Jess C. Mace, Rodney J. Schlosser, Peter H. Hwang, Zachary M. Soler

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

Objectives/Hypothesis: The primary objective of this pilot study was to define the change in productivity costs following endoscopic sinus surgery (ESS) for chronic rhinosinusitis (CRS). Secondary objectives were to identify CRS-related characteristics that may influence the degree of productivity improvement after ESS. 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 were quantified to define annual lost productive time (LPT). LPT was monetized using the annual daily wage rates obtained from the 2012 US Census and the 2013 US Department of Labor statistics. Results: Twenty-seven patients with refractory CRS who underwent ESS were followed for a mean of 15 months (range, 8-25 months). Following ESS, there were improvements in annual absenteeism (22 days reduced to 3 days), annual presenteeism (41 days reduced to 19 days), and annual household days lost (12 days reduced to 6 days). Overall, the preoperative productivity costs were reduced after ESS ($9,190 vs. $3,373, respectively; P <.001). Conclusions: Daily productivity is negatively impacted by the presence of CRS. The outcomes from this study provide the first insights into the reduced productivity costs associated with receiving ESS for refractory CRS. Future studies with larger sample sizes will need to validate the results from this pilot study.

Original languageEnglish (US)
JournalLaryngoscope
DOIs
StateAccepted/In press - 2015

Fingerprint

Efficiency
Costs and Cost Analysis
Absenteeism
Salaries and Fringe Benefits
Leisure Activities
Censuses
Sample Size
Observational Studies
Cohort Studies
Economics
Outcome Assessment (Health Care)
Prospective Studies
Presenteeism

Keywords

  • Absenteeism
  • Chronic rhinosinusitis
  • Cost
  • Economic
  • Indirect cost
  • Presenteeism
  • Productivity
  • Sinus surgery
  • Sinusitis

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Productivity costs decrease after endoscopic sinus surgery for refractory chronic rhinosinusitis. / Rudmik, Luke; Smith, Timothy; Mace, Jess C.; Schlosser, Rodney J.; Hwang, Peter H.; Soler, Zachary M.

In: Laryngoscope, 2015.

Research output: Contribution to journalArticle

Rudmik, Luke ; Smith, Timothy ; Mace, Jess C. ; Schlosser, Rodney J. ; Hwang, Peter H. ; Soler, Zachary M. / Productivity costs decrease after endoscopic sinus surgery for refractory chronic rhinosinusitis. In: Laryngoscope. 2015.
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