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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 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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Metadata
- 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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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