Employees With Fibromyalgia: Medical Comorbidity, Healthcare Costs, and Work Loss
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.
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Patients with fibromyalgia miss more days of work than colleagues without fibromyalgia.
“Patients with fibromyalgia were found to miss more days of work than their colleagues without fibromyalgia.8,9”
From Does work have to be so painful? A review of the literature examining the effects of fibromyalgia on the working experience from the patient perspective (2020) · cites this paper as [9]
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- Authors
- White, L. A., Birnbaum, H. G., Kaltenboeck, A., Tang, J., Mallett, D., & Robinson, R. L.
- Affiliations
- Analysis Group (United States) (US)
- Eli Lilly (United States) (US)
- Corresponding author
- White, Leigh Ann
- Venue
- Journal of Occupational & Environmental Medicine
- Published
- 2008-01
- Volume
- 50
- Issue
- 1
- Pages
- 13-24
- ISSN
- 1076-2752 (ISSN-L)
- OpenAlex
- W2090137489
- Cited by
- 168
- References
- 27
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 5 · 2023: 2 · 2022: 10 · 2021: 6 · 2020: 5 · 2019: 3 · 2018: 5 · 2017: 11 · 2016: 11 · 2015: 14 · 2014: 10 · 2013: 7 · 2012: 15
- FWCI
- 14.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Occupational and Environmental Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Eli Lilly and Company
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- fibromyalgia, osteoarthritis, health care costs, comorbidities, work loss, economic burden, prescription drug use, psychiatric comorbidity, chronic fatigue, pain conditions
- MeSH terms
- Absenteeism, Drug Utilization, Employment, Female, Fibromyalgia, Health Services, Humans, Male, Middle Aged, Osteoarthritis, United States, Comorbidity, Prevalence, Case-Control Studies, Health Care Costs, Employer Health Costs, Cost of Illness
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