The impact of CFS-ME on employment and productivity in the UK: a cross-sectional study based on the CFS-ME national outcomes databaseReport as inadecuate




The impact of CFS-ME on employment and productivity in the UK: a cross-sectional study based on the CFS-ME national outcomes database - Download this document for free, or read online. Document in PDF available to download.

BMC Health Services Research

, 11:217

Utilization, expenditure, economics and financing systems

Abstract

BackgroundFew studies have investigated factors associated with discontinuation of employment in patients with CFS-ME or quantified its impact on productivity.

MethodsWe used patient-level data from five NHS CFS-ME services during the period 01-04-2006-31-03-2010 collated in the UK CFS-ME National Outcomes Database. We used logistic regression to identify factors associated with discontinuation of employment. We estimated UK-wide productivity costs using patient-level data on duration of illness before assessment by a CFS-ME service, duration of unemployment, age, sex and numbers of patients, in conjunction with Office for National Statistics income and population data.

ResultsData were available for 2,170 patients, of whom 1,669 76.9% were women. Current employment status was recorded for 1,991 patients 91.8%, of whom 811 patients 40.7% were currently employed and 998 50.1% had discontinued their employment -because of fatigue-related symptoms-. Older age, male sex, disability, fatigue, pain, and duration of illness were associated with cessation of employment. In a multivariable model, age, male sex, and disability remained as independent predictors. Total productivity costs among the 2,170 patients due to discontinuation of employment in the years preceding assessment by a specialist CFS-ME service median duration of illness = 36 months were £49.2 million. Our sample was equivalent to 4,424 UK adults accessing specialist services each year, representing productivity costs to the UK economy of £102.2 million. Sensitivity analyses suggested a range between £75.5-£128.9 million.

ConclusionsCFS-ME incurs huge productivity costs amongst the small fraction of adults with CFS-ME who access specialist services.

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Author: Simon M Collin - Esther Crawley - Margaret T May - Jonathan AC Sterne - William Hollingworth - UK CFS-ME National Outcomes

Source: https://link.springer.com/







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