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伏硫西汀治疗的重度抑郁症患者工作场所生产力提高对加拿大经济的影响。

Canadian economic impact of improved workplace productivity in patients with major depressive disorder treated with vortioxetine.

作者信息

Lachaine Jean, Beauchemin Catherine, Bibeau Joëlle, Patenaude Julie, Chokka Pratap, Proulx Jean, Bougie Joanna

机构信息

Faculté de pharmacie, Université de Montréal, Montreal, Quebec, Canada.

PeriPharm Inc., Montreal, Quebec, Canada.

出版信息

CNS Spectr. 2020 Jun;25(3):372-379. doi: 10.1017/S1092852919000853. Epub 2019 May 23.

Abstract

OBJECTIVE

The AtWoRC study is an interventional, open-label Canadian study that demonstrated significant improvements in cognitive function and workplace productivity in patients with major depressive disorder (MDD) treated with vortioxetine for a current major depressive episode. The objective of the present analysis was to assess the Canadian economic impact of improved workplace productivity based on the AtWoRC study results.

METHODS

The economic impact of improved productivity in patients with MDD treated with vortioxetine was assessed over a 52-week period considering productivity loss due to absenteeism and presenteeism using the standard human capital approach and an employer's perspective. Absenteeism was measured with the Work Productivity and Activity Impairment questionnaire; and presenteeism with the Work Limitation Questionnaire. Productivity gains following treatment initiation with vortioxetine were estimated using the difference from baseline.

RESULTS

In the AtWoRC study, patients at baseline reportedly missed, in the past 7 days, an average of 8.1 h due to absenteeism and 3.0 h due to presenteeism. Following 52 weeks of treatment with vortioxetine, patients reportedly missed an average of 4.9 h due to absenteeism and 2.0 h due to presenteeism. This improved workplace productivity translated into savings of C$110.64 for 1 week of work following 52 weeks of treatment. The cumulative 52-week economic impact showed potential savings of C$4,550 when factoring in the cost of therapy.

CONCLUSION

This study suggested that workplace productivity gain due to an improvement in symptoms of MDD following treatment with vortioxetine will lead to substantial cost savings for the Canadian economy.

摘要

目的

AtWoRC研究是一项加拿大的开放性干预性研究,该研究表明,使用伏硫西汀治疗当前重度抑郁发作的重度抑郁症(MDD)患者,其认知功能和工作场所生产力有显著改善。本分析的目的是根据AtWoRC研究结果评估改善工作场所生产力对加拿大产生的经济影响。

方法

采用标准人力资本方法并从雇主角度出发,在52周的时间内评估了伏硫西汀治疗的MDD患者生产力提高所产生的经济影响,其中考虑了旷工和出勤主义导致的生产力损失。旷工情况通过工作生产力和活动损害问卷进行测量;出勤主义则通过工作限制问卷进行测量。使用与基线的差值估算开始使用伏硫西汀治疗后生产力的提高情况。

结果

在AtWoRC研究中,据报告,基线时患者在过去7天中因旷工平均缺勤8.1小时,因出勤主义平均缺勤3.0小时。在接受伏硫西汀治疗52周后,据报告患者因旷工平均缺勤4.9小时,因出勤主义平均缺勤2.0小时。工作场所生产力的这种提高转化为治疗52周后一周工作时间节省110.64加元。考虑到治疗成本,52周的累积经济影响显示潜在节省4550加元。

结论

本研究表明,伏硫西汀治疗后MDD症状改善所带来的工作场所生产力提高将为加拿大经济带来大量成本节省。

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