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Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0000000000000085
Original Articles

Economic Burden of Urge Urinary Incontinence in the Workplace

Kleinman, Nathan L. PhD; Chen, Chieh-I MPH; Atkinson, Amy MS; Odell, Kevin PharmD; Zou, Kelly H. PhD

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Objective: Quantify incremental employee medical, pharmacy, sick leave, short- and long-term disability, and workers' compensation costs, absence days, and turnover associated with urge urinary incontinence (UUI) in employees.

Methods: This retrospective 2001–2011 database comparison of employees with UUI versus those without UUI (controls) included employees aged 18.5 to 64.0 years at index, with 6-month preindex and 12-month postindex health plan enrollment. Logistic and generalized linear models measured postindex costs, absences, and turnover.

Results: The study included 1448 employees with UUI and 337,796 controls. Employees with UUI had statistically significantly higher medical (131% higher), pharmacy (52%), sick leave (30%), and short-term disability (74%) costs and more sick leave (22%) and short-term disability (99%) days than controls (all P < 0.02).

Conclusions: Employees with UUI had 117% greater medical and pharmacy costs, 47% greater total absence costs, and 63% more absence days than employees without UUI.

Copyright © 2014 by the American College of Occupational and Environmental Medicine


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