A retrospective analysis of disability and its related costs among employees with chronic obstructive pulmonary disease

• Published in: Journal of occupational and environmental medicine Vol. 49; no. 1; p. 22
• Main Authors: Darkow, Theodore, Kadlubek, Pamela J, Shah, Hemal, Phillips, Amy L, Marton, Jenö P
• Format: Journal Article
• Language: English
• Published: United States 01.01.2007
• Subjects: Cohort Studies; Comorbidity; Disability Evaluation; Disabled Persons - statistics & numerical data; Employment - economics; Female; Humans; Male; Middle Aged; Multivariate Analysis; Pulmonary Disease, Chronic Obstructive - economics; Pulmonary Disease, Chronic Obstructive - epidemiology; Retrospective Studies; United States; United States
• ISSN: 1076-2752
• DOI: 10.1097/JOM.0b013e31802db55f

The objective of this study was to examine the frequency and cost of disability among actively employed individuals with chronic obstructive pulmonary disease (COPD). The authors conducted a retrospective analysis of disability and claims data. Employees 40 to 63 years old with a diagnosis of COPD between January 1, 2001, and March 31, 2004, were identified, and controls were matched 2:1 to these subjects. Likelihood and cost of disability were compared between cohorts. A total of 2696 controls were matched to 1349 COPD subjects. Mean age was 52 years, and cohorts were approximately 50% male. A significantly (P < 0.0001) greater proportion of COPD subjects used short-term (21.8% vs 7.0%), long-term (2.4% vs 0.4%), or any disability (22.8% vs 7.3%). Associated costs were also higher among COPD subjects (8559 dollars vs 5443 dollars; P = 0.07). Within a population of actively employed individuals 40 to 63 years old, COPD was found to have a substantial impact on the frequency and cost of disability.