Universidade Federal do Recôncavo da Bahia, Cruz das Almas, Bahia, Brazil (Mr Garcia Barreto), and Bahiana School of Medicine and Public Health, Salvador, Bahia, Brazil (Mr Garcia Barreto, Dr Nunes Sá).
J Occup Environ Med. 2019 Aug;61(8):e322-e328. doi: 10.1097/JOM.0000000000001627.
The aim of this study was to estimate indirect cost (IC) related to chronic pain (CP) from an employer's perspective.
A cost-of-illness study was performed on active workers and retirees due to CP, between October 2017 and March 2018, in one of the Brazilian public universities. IC was measured as a sum of absenteeism, presenteeism, and disability pensions. The analysis of factors associated with IC was based on Tweedie model.
CP had an average IC of R$9258.20 [95% confidence interval (95% CI) = 6907.37 to 11,950.17], which generates an impact of 6.42 million (95% CI = 4.37 to 10.99) per year, corresponding to 3.42% (95% CI = 2.33 to 5.85) of the payroll. The position (Measure of 2.00, 95% CI = 1.19 to 3.38) and pain intensity (Measure of 1.15; 95% CI = 1.02 to 1.30) presented independent association.
CP generates the high levels of IC for the education's employer. There is an urgent need to implement prevention programs aimed at improving CP control in the workplace.
本研究旨在从雇主角度评估与慢性疼痛（CP）相关的间接成本（IC）。
2017 年 10 月至 2018 年 3 月，在巴西一所公立大学中对因 CP 而处于工作状态的劳动者和退休人员进行了一项疾病成本研究。IC 以旷工、在职病假和残疾抚恤金的总和来衡量。基于 Tweedie 模型分析与 IC 相关的因素。
CP 的平均 IC 为 9258.20 雷亚尔（95%置信区间（95%CI）=6907.37 至 11950.17），每年造成的影响为 642 万雷亚尔（95%CI=437 万至 1099 万），占薪酬的 3.42%（95%CI=2.33%至 5.85%）。职位（衡量值 2.00，95%CI=1.19 至 3.38）和疼痛强度（衡量值 1.15；95%CI=1.02 至 1.30）与 IC 呈独立相关。
CP 给教育部门雇主带来了高昂的 IC 成本。迫切需要实施预防计划，以改善工作场所 CP 的控制。
