Productivity costs in patients with refractory chronic rhinosinusitis

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

Research output: Contribution to journalArticle

85 Citations (Scopus)

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. Level of Evidence N/A.

Original languageEnglish (US)
Pages (from-to)2007-2012
Number of pages6
JournalLaryngoscope
Volume124
Issue number9
DOIs
StatePublished - 2014

Fingerprint

Efficiency
Costs and Cost Analysis
Absenteeism
Economics
Salaries and Fringe Benefits
Leisure Activities
Censuses
Clinical Protocols
Observational Studies
Motivation
Cohort Studies
Prospective Studies
Presenteeism

Keywords

  • absenteeism
  • Chronic rhinosinusitis
  • cost
  • economic
  • indirect cost
  • presenteeism
  • productivity
  • sinusitis

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Rudmik, L., Smith, T., Schlosser, R. J., Hwang, P. H., Mace, J. C., & Soler, Z. M. (2014). Productivity costs in patients with refractory chronic rhinosinusitis. Laryngoscope, 124(9), 2007-2012. https://doi.org/10.1002/lary.24630

Productivity costs in patients with refractory chronic rhinosinusitis. / Rudmik, Luke; Smith, Timothy; Schlosser, Rodney J.; Hwang, Peter H.; Mace, Jess C.; Soler, Zachary M.

In: Laryngoscope, Vol. 124, No. 9, 2014, p. 2007-2012.

Research output: Contribution to journalArticle

Rudmik, L, Smith, T, Schlosser, RJ, Hwang, PH, Mace, JC & Soler, ZM 2014, 'Productivity costs in patients with refractory chronic rhinosinusitis', Laryngoscope, vol. 124, no. 9, pp. 2007-2012. https://doi.org/10.1002/lary.24630
Rudmik, Luke ; Smith, Timothy ; Schlosser, Rodney J. ; Hwang, Peter H. ; Mace, Jess C. ; Soler, Zachary M. / Productivity costs in patients with refractory chronic rhinosinusitis. In: Laryngoscope. 2014 ; Vol. 124, No. 9. pp. 2007-2012.
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