Original article—alimentary tractFunctional Dyspepsia Impacts Absenteeism and Direct and Indirect Costs
Section snippets
Methods
This retrospective analysis focused on a 4-year study period, from January 1, 2001, through December 31, 2004. Data were extracted from adjudicated health insurance claims within the Human Capital Management Services (HCMS) Research Reference Database containing data on more than 300,000 employees as supplied by multiple, geographically diverse, US-based employers.18, 19, 20, 21 The data contain hours missed from work for employees, payments made to employees (from payroll records and
Descriptive Statistics
A total of 275,875 employees were eligible for inclusion over the selected time frame (Table 1). Overall, the employees with FD were significantly older, more likely to be female, less likely to be white, Hispanic, or work full time. Table 1 also presents demographic comparisons for the PoS sample. Within the employees with PoS data, the employees with FD were significantly more likely to be female or Hispanic, less likely to be white, and less likely to work full time. The 2 cohorts in the
Discussion
FD arguably has not received the public health attention that it deserves. For example, in a recent study of the burden of digestive diseases in the United States by the National Institutes of Health, no data on FD were included.25 Many previous economic analyses have focused on the cost effectiveness of different therapeutic modalities in patients with uninvestigated dyspepsia, not FD.26, 27, 28, 29, 30, 31 In this study, we observed that employees with a diagnosis of FD have higher total
Acknowledgments
The authors would like to thank Stephen George, MS, RPh, Vice President, Conexus Health, and Harold H. Gardner, MD, President of Human Capital Management Services.
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Conflicts of interest The authors disclose the following: Richard Brook, Nathan Kleinman, James Smeeding, and Arthur Melkonian received consulting fees from Conexus Health associated with this research in 2004 and 2005. The remaining authors disclose no conflicts.
Funding Support for this study was provided by Conexus Health, Tampa, FL.