Presented at the American Laryngological Association Meeting, San Diego, California, U.S.A., April 18–19, 2012.
Article first published online: 1 MAY 2012
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 122, Issue 7, pages 1589–1594, July 2012
How to Cite
Cohen, S. M., Kim, J., Roy, N., Asche, C. and Courey, M. (2012), The impact of laryngeal disorders on work-related dysfunction. The Laryngoscope, 122: 1589–1594. doi: 10.1002/lary.23197
This study was funded by the American Academy of Otolaryngology–Head and Neck Surgery. The authors have no other funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 21 JUN 2012
- Article first published online: 1 MAY 2012
- Manuscript Accepted: 14 DEC 2011
- Manuscript Received: 11 NOV 2011
- Work dysfunction;
- short-term disability;
- productivity loss;
- voice disorders;
- laryngeal disorders;
- laryngeal disease;
- Level of Evidence: 2b
To determine the short-term disability (STD) and lost work productivity related to laryngeal disorders.
A retrospective analysis of a national database of work absence and STD claims was performed.
Patients with 12 months of follow-up who had an STD claim specifically linked to a dysphonia diagnosis based on ICD-9 codes were identified during the period of January 1, 2004, to December 31, 2008. Patient age, sex, and diagnosis and the total number of work days absent were determined. Using the mean national hourly wage, productivity losses in terms of lost wages were calculated.
Of the 18,466 unique patients with an STD claim, 386 (2.1%) had an STD claim due to a laryngeal disorder. The mean age was 45.9 years (standard deviation, 9.6) with 53.2% male. The mean number of work days absent was 39.2 days (95% confidence interval: 31.9–46.5). Total STD payments in 2008 dollars were $647,269.30 with a mean per person in 12 months of $3,406.68. Total and mean lost wages in 12 months were $843,198.72 and $4,437.89, respectively. Patients with laryngeal cancer had the most days absent and highest total STD payment.
Laryngeal disorders lead to work-related disability with STD and productivity losses and represent a significant societal burden. Managing work limitations from laryngeal disorders is an important public health goal. Laryngoscope, 2012