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Updated: Jan 24, 2026

Demonstration of Cutaneous Allodynia in Association with Chronic Pelvic Pain
Published on: June 23, 2009
Indirect Economic Impact of Chronic Pain on Education Workers: A Company Perspective
Igor Garcia Barreto1, Katia Nunes Sá
1Universidade Federal do Recôncavo da Bahia, Cruz das Almas, Bahia, Brazil (Mr Garcia Barreto), and Bahiana School of Medicine and Public Health, Salvador, Bahia, Brazil (Mr Garcia Barreto, Dr Nunes Sá).
Objective:
The aim of this study was to estimate indirect cost (IC) related to chronic pain (CP) from an employer's perspective.
Methods:
A cost-of-illness study was performed on active workers and retirees due to CP, between October 2017 and March 2018, in one of the Brazilian public universities. IC was measured as a sum of absenteeism, presenteeism, and disability pensions. The analysis of factors associated with IC was based on Tweedie model.
Results:
CP had an average IC of R$9258.20 [95% confidence interval (95% CI) = 6907.37 to 11,950.17], which generates an impact of 6.42 million (95% CI = 4.37 to 10.99) per year, corresponding to 3.42% (95% CI = 2.33 to 5.85) of the payroll. The position (Measure of 2.00, 95% CI = 1.19 to 3.38) and pain intensity (Measure of 1.15; 95% CI = 1.02 to 1.30) presented independent association.
Conclusion:
CP generates the high levels of IC for the education's employer. There is an urgent need to implement prevention programs aimed at improving CP control in the workplace.
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