Loss of Productivity (LoP) and Quality of Life (QoL) of Highly Consultative Migraine Patients in Colombia

Author(s)

Arciniegas J1, Bolaños-López J2, Reyes Sanchez JM3, Bello C2, Gonzalez FJ2, Perez LE2, Garcia M3, Mesa A4, Gomez D2
1Pfizer SAS, Bogotá, CUN, Colombia, 2Centro de Biociencias Sura, Medellín, Antioquia, Colombia, 3Pfizer SAS, Bogota, CUN, Colombia, 4Pfizer SAS, Bogota, Colombia

OBJECTIVES: To estimate the LoP costs and QoL associated with highly consultative migraine adult patients in an HMO in Colombia

METHODS: This is a cross-sectional study that integrated data from electronic health records and a probabilistic telephone survey of highly consultative migraine patients’ who received medical attention with an HMO in Colombia. High consultation is defined as two or more migraine-related diagnoses (ICD-10th code: G43) visits to health services in 2022. To estimate the loss of productivity the HALT-90 index was used and to measure the QoL the WHOQoL-BREF was applied. The sampling method corresponded to one-stage probability sampling without replacement. The exchange rate used was COP 3,845.22= 1 USD. The cost of LoP was estimated multiplying the absenteeism and preseentism days per the daily income.

RESULTS: The expanded results represent a total of 3,762 highly consultative migraine adult patients at the HMO which derived from the 504 random sample. Most highly consultative migraine adult patients were female (89.9%, CI95% 87.2%- 92.5%), middle-aged (37.7 years, CI95% 36.6-38.9), and 60.3% were workers.

The HALT-90 index showed that 40.5% were grade IV or had severe impact (CI95% 36.2%-44.8%). In average the labor absenteeism was 2.7 days (CI95% 2.2-3.2) per person per quarter and labor presenteeism was 8.7 days (CI95% 7.5-9.9) representing about 12.1% of the 72 working days. This LoP represents an indirect cost 103.6 USD (CI95% 85.6-121.6) per quarter per person.

The QoL perception were in average 49.1 out of 100 (CI95% 47.4-50.8) for the overall score. The main domains related to this Qol were the physical domain 51.4 (CI95% 50.0-52.9), and the social relationships’ domain 55.7 (CI95% 53.9-57.5).

CONCLUSIONS: Most highly consultative migraine adult patients at the HMO were middle aged female workers. This population is associated to severe headache impact, with substantial incidence on productivity losses and quality of life.

Conference/Value in Health Info

2024-11, ISPOR Europe 2024, Barcelona, Spain

Value in Health, Volume 27, Issue 12, S2 (December 2024)

Code

PCR30

Topic

Economic Evaluation, Methodological & Statistical Research, Patient-Centered Research, Real World Data & Information Systems

Topic Subcategory

Health & Insurance Records Systems, Patient-reported Outcomes & Quality of Life Outcomes, Survey Methods, Work & Home Productivity - Indirect Costs

Disease

Neurological Disorders, No Additional Disease & Conditions/Specialized Treatment Areas

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