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      International Journal of COPD (submit here)

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      The burden of chronic obstructive pulmonary disease among employed adults

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          Abstract

          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.

          Author and article information

          Journal
          Int J Chron Obstruct Pulmon Dis
          Int J Chron Obstruct Pulmon Dis
          International Journal of COPD
          International Journal of Chronic Obstructive Pulmonary Disease
          Dove Medical Press
          1176-9106
          1178-2005
          2012
          2012
          19 March 2012
          : 7
          : 211-219
          Affiliations
          [1 ]Health Sciences Practice, Kantar Health, New York, NY, USA
          [2 ]Pfizer, Inc, New York, NY, USA
          [3 ]Boehringer Ingelheim Pharmaceuticals, Inc, Ridgefield, CT, USA
          Author notes
          Correspondence: Marco DiBonaventura, Health Sciences Practice, Kantar Health, 11 Madison Avenue, 12th Floor, New York, NY 10010, USA, Tel +1 212 706 3988, Fax +1 212 647 7659, Email marco.dibonaventura@ 123456kantarhealth.com
          Article
          copd-7-211
          10.2147/COPD.S29280
          3324999
          22500121
          3d1b95a1-c6e5-4221-b10a-4046985cbd85
          © 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.

          History
          Categories
          Original Research

          Respiratory medicine
          activities of daily living,chronic obstructive pulmonary disease,quality of life,work productivity,health care resource use

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