The Productivity Burden of Diabetes at a Population Level

Diabetes Care
Dianna J MaglianoDanny Liew

Abstract

Recent studies suggest that diabetes may impact work productivity. In the current study, we sought to estimate the lifetime and population impact of diabetes on productivity using the novel measure of "productivity-adjusted life years" (PALYs). Using age-specific mortality rates and a productivity index attributable to diabetes (akin to the quality of life index, but which adjusts for reduction in productivity) and life table modeling, we estimated years of life and PALYs lost to diabetes among Australians with diabetes currently aged 20-65 years, with follow-up until 69 years. Life tables were first constructed for the cohort with diabetes and then repeated for the same cohort but with the assumption that they no longer had diabetes. The "nondiabetic" cohort had lower mortality rates and improved productivity. The differences in total years of life lived and PALYs lived between the two cohorts reflected the impact of diabetes. Overall, diabetes reduced total years of life lived by the cohort by 190,219 years or almost 3%. Diabetes reduced PALYs by 11.6% and 10.5% among men and women, respectively. For both sexes, the impact of diabetes on productivity was lowest in those aged 65-69 years and highest in those 20-24 years. Among...Continue Reading

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Citations

Jul 18, 2018·Tobacco Control·Alice J OwenDanny Liew
Jan 6, 2019·Tobacco Control·Qian Ying TanDanny Liew
Apr 24, 2020·Diabetes Care·Gilad TwigAmir Tirosh
Apr 22, 2018·Diabetes Care·Matthew C Riddle, William H Herman
Apr 29, 2019·Diabetologia·Thomas R HirdDanny Liew
Jul 3, 2020·International Journal of Environmental Research and Public Health·Si SiIan Li
Feb 26, 2019·Hypertension·Thomas R HirdZanfina Ademi
Feb 6, 2020·Applied Health Economics and Health Policy·Thanpisit OunsirithupsakulNathorn Chaiyakunapruk
Jun 14, 2020·BMJ Global Health·Afsana AfrozBaki Billah
Oct 8, 2020·Headache·Susan TuElla Zomer
Oct 20, 2020·The Journal of Clinical Endocrinology and Metabolism·Aya BardugoGilad Twig
Sep 17, 2020·Neurology·Emma FosterZanfina Ademi
Jan 12, 2021·PharmacoEconomics·Zanfina AdemiDanny Liew
Jan 23, 2021·PLoS Neglected Tropical Diseases·Ajaree RayanakornLearn-Han Lee
Feb 25, 2021·European Journal of Preventive Cardiology·Zaid I Almarzooq
Feb 25, 2021·European Journal of Preventive Cardiology·Feby SaviraElla Zomer
Mar 11, 2021·Journal of the American Society of Nephrology : JASN·Feby SaviraElla Zomer
Apr 19, 2021·Resuscitation·Elizabeth D ParatzAndre La Gerche
Jun 26, 2021·Applied Health Economics and Health Policy·Ella ZomerZanfina Ademi
Jun 29, 2021·Frontiers in Pediatrics·Scott T Chiesa, M Loredana Marcovecchio
Aug 28, 2021·Hypertension Research : Official Journal of the Japanese Society of Hypertension·Eri AsakuraElla Zomer
Oct 23, 2021·Diabetes Care·Khyati K BankerElla Zomer

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