RWD81 Comparing Self-Reported Presenteeism with Objectively Measured Direct and Indirect Costs, Lost Time and Comorbidity Assessments for Employees with Headaches and Migraines

To assess whether self-assessed presenteeism (SAP) for employees with headaches and migraines matches objectively measured absence health care costs comorbidity as by the Charlson Comorbidity Index (CCI). Retrospective analysis of Workpartners RRDb (2012—2019). For each year, who completed Health Productivity Questionnaire [HPQ] or WebMD's SAP survey were checked claims ICD-9/-10 codes within US Agency Healthcare Research Quality’s (AHRQ) "Headache (including migraine)” category. Employees had continuous eligibility calendar year they a included eligible. Analysis focused on # completing survey, condition, cohorts’ medical prescription costs, lost days due to leaves (for sick leave [SL], short- long-term disability [STD, LTD] workers’ compensation [WC]), CCI. Claims start initiated. Headaches >20,000 SAPs an average SAP=14.4% (S.E.=0.1%) which was 101.9% all conditions ranked 97/283 AHRQ categories’ SAP-scores. 228, 207, 108 104 SL, STD, LTD, WC respectively 213, 203, 114, 28, days, respectively. mean CCI score 0.43 (S.E.=0.01, 215); annual [$8214 (S.E.=$136, 228), 42.5% average] [$2575 (S.E.=$78, 173), 58.4% costs; $172 (S.E.=22) 0.70 (S.E. 0.27). The correlation 0.37 0.35 using Pearson Spearmen tests (both P<0.0001). Despite high ranking, compared other conditions, lower direct (medical prescription) costs/days SL STD. results suggest scores are related days.