Association Between Breast Cancer Disease Progression and Workplace Productivity in the United States.
Determine workplace productivity losses attributable to breast cancer progression.



Longitudinal analysis linking 2005 to 2012 medical and pharmacy claims and workplace absence data in the US patients were commercially insured women aged 18 to 64 diagnosed with breast cancer. Productivity was measured as employment status and total quarterly workplace hours missed, and valued using average US wages.



Six thousand four hundred and nine women were included. Breast cancer progression was associated with a lower probability of employment (hazard ratio [HR] = 0.65, P < 0.01) and increased workplace hours missed. The annual value of missed work was $24,166 for non-metastatic and $30,666 for metastatic patients. Thus, progression to metastatic disease is associated with an additional $6500 in lost work time (P < 0.05), or 14% of average US wages.



Breast cancer progression leads to diminished likelihood of employment, increased workplace hours missed, and increased cost burden.
University of California, Los Angeles (Dr Yin); Pfizer, Inc., New York, New York (Dr Horblyuk, Dr Perkins, Mr Smith); Precision Health Economics (Dr Sison, Dr Snider, Dr Wu), Los Angeles, California; and University of Chicago, Chicago, Illinois (Dr Philipson).
Wesley
W
Yin
Ruslan
R
Horblyuk
Julia Jane
JJ
Perkins
Steve
S
Sison
Greg
G
Smith
Julia Thornton
JT
Snider
Yanyu
Y
Wu
Tomas J
TJ
Philipson
D000067575:Administrative Claims, Healthcare; D000293:Adolescent; D000328:Adult; D001943:Breast Neoplasms / Q000191:economics* / Q000473:pathology*; D017281:Cost of Illness; D018450:Disease Progression; D004526:Efficiency; D004651:Employment / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D009362:Neoplasm Metastasis; D018582:Sick Leave / Q000706:statistics & numerical data; D013997:Time Factors; D014481:United States; D017132:Workplace / Q000191:economics / Q000706:statistics & numerical data; D055815:Young Adult