患有纤维肌痛的员工：合并症、医疗费用及工作损失。

Employees with fibromyalgia: medical comorbidity, healthcare costs, and work loss.

作者信息

White Leigh Ann, Birnbaum Howard G, Kaltenboeck Anna, Tang Jackson, Mallett David, Robinson Rebecca L

机构信息

Analysis Group, Inc., 111 Huntington Avenue, Boston, MA 02199, USA.

出版信息

J Occup Environ Med. 2008 Jan;50(1):13-24. doi: 10.1097/JOM.0b013e31815cff4b.

DOI:10.1097/JOM.0b013e31815cff4b

PMID:18188077

Abstract

OBJECTIVES

To compare 2005 health care resources among matched samples of employees with fibromyalgia (FM), osteoarthritis (OA), and controls.

METHODS

Using a claims database of privately insured individuals, FM and OA samples were derived from those with two or more disease-specific claims in 1999 to 2005 (> or =1 in 2002 to 2005).

RESULTS

Total costs for employees with FM ($10,199) approached OA costs ($10,861, P = 0.3758) and were significantly higher than controls ($5274, P < 0.0001). Cost components varied across disease-specific samples (direct medical: FM $7286 vs OA $8325, P < 0.0287; pharmacy: FM $1630 vs OA $1341; indirect: FM $2913 vs OA $2537, P < 0.0001). Employees with FM had more claims than OA for psychiatric diagnoses, chronic fatigue, and most pain conditions. Use of multiple prescription drug classes was common in both samples.

CONCLUSIONS

FM imposes significant economic burden. Work loss contributes substantially to the impact.

摘要

目的

比较2005年纤维肌痛（FM）、骨关节炎（OA）患者及对照匹配样本中的医疗保健资源。

方法

利用一个私人保险个体的理赔数据库，FM和OA样本来自于1999年至2005年有两项或更多特定疾病理赔记录的个体（2002年至2005年中≥1项）。

结果

FM患者的总费用（10,199美元）接近OA患者的费用（10,861美元，P = 0.3758），且显著高于对照组（5274美元，P < 0.0001）。各特定疾病样本的费用构成有所不同（直接医疗费用：FM为7286美元，OA为8325美元，P < 0.0287；药房费用：FM为1630美元，OA为1341美元；间接费用：FM为2913美元，OA为2537美元，P < 0.0001）。FM患者在精神疾病诊断、慢性疲劳及大多数疼痛状况方面的理赔记录比OA患者更多。两个样本中使用多种处方药类别的情况都很常见。