Productivity costs of rheumatoid arthritis in Germany. Cost composition and prediction of main cost components

Zeitschrift für Rheumatologie
Sonja MerkesdalJ Ruof

Abstract

Identification of predictors for the productivity cost components: (1) sick leave, and (2) work disability in gainfully employed and (3) impaired household productivity in unemployed patients with rheumatoid arthritis (RA) from the societal perspective. Investigation of productivity costs was linked to a multicenter, randomized, controlled trial evaluating the effectiveness of clinical quality management in 338 patients with RA. The productivity losses were assessed according to the German Guidelines on Health Economic Evaluation. By means of multivariate logistic regression analyses, predictors of sick leave, work disability (employed patients, n=96), and for days confined to bed in unemployed patient (n=242) were determined. Mean annual costs of 970 EUR arose per person taking into consideration all patients (453 EUR sick leave, 63 EUR work disability, 454 EUR impaired productivity of unemployed patients). Disease activity, disease severity, and impaired physical function were global predictors for all of the cost components investigated. Sick leave costs were predicted by prior sick leave periods and the vocational status blue collar worker, work disability costs by sociodemographic variables (marital status, schooling), and...Continue Reading

References

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Apr 27, 2002·Zeitschrift für Rheumatologie·S MerkesdalH Zeidler
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Citations

May 25, 2013·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·J FuchsC Scheidt-Nave
Dec 12, 2012·Zeitschrift für Rheumatologie·M Frank, T Mittendorf
Dec 25, 2007·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·J LundkvistG Kobelt
Dec 8, 2005·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·T Mittendorf, J-M Graf von der Schulenburg
Aug 31, 2007·Disability and Rehabilitation·C GobeletM A Chamberlain
Sep 19, 2019·The Journal of Clinical Endocrinology and Metabolism·Lena-Katharina RadermacherGeorge J Kahaly
Jun 24, 2009·Deutsches Ärzteblatt International·Katharina A PontoGeorge J Kahaly

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