Economic burden of work injuries and diseases: a framework and application in five European Union countries

Tompa, Emile; Mofidi, Amirabbas; van den Heuvel, Swenneke; van Bree, Thijmen; Michaelsen, Frithjof; Jung, Young; Porsch, Lukas; van Emmerik, Martijn

doi:10.1186/s12889-020-10050-7

BMC Public Health

Table 4 Lower and upper bounds of inputs for sensitivity analysis of economic burden of work injuries and diseases^a

From: Economic burden of work injuries and diseases: a framework and application in five European Union countries

Scenarios		Finland	Germany	The Netherlands	Italy	Poland
Work diseases incidence^b	Fatal^j	115;629	2343;13,923	525;3261	1255;10,526	135;4663
	Non-fatal^j	1776;67,797	36,202;1,088,793	8073;220,368	19,314;638,448	2351;454,090
	GDP (%)	0.92;2.88	1.18;3.52	1.02;3.48	4.53;6.34	5.78;10.18
	GDP change (%)	−68.2;0	−66.5;0	−70.7;0	−28.6;0	−43.2;0
Work injuries incidence with workday lost^c	Non-fatal (adjustment ratio)	69,748;76,088 (1.1;1.2)	1,274,751;1,390,638 (1.1;1.2)	109,867;119,855 (1.1;1.2)	983,714;1,531,192 (2.9;4.5)	545,300;848,783 (6.2;9.6)
	GDP (%)	2.96;3.03	3.62;3.71	3.55;3.63	5.40;7.29	8.95;11.41
	GDP change (%)	+ 2.57;+ 5.14	+ 2.72;+ 5.44	+ 2.27;+ 4.55	−14.95;+ 14.89	−12.13;+ 12.08
Work injuries incidence without workday lost^d	Non-fatal	0;97,933	0;1,031,806	0;88,928	0;50,538	0;9363
	GDP (%)	2.88;2.89	3.52;3.52	3.48;3.48	6.34;6.35	10.18;10.18
	GDP change (%)	0;+ 0.26	0;+ 0.03	0;+ 0.04	0;+ 0.02	0;+ 0.02
Monetary value of a QALY^e	Euro	27,397;61,644	27,397;61,644	27,397;61,644	27,397;61,644	27,397;61,644
	GDP (%)	2.69;3.17	3.24;3.94	3.22;3.85	5.59;7.48	8.45;12.77
	GDP change (%)	−6.60;+ 9.90	−7.95;+ 11.93	−7.22;+ 10.84	−11.89;+ 17.83	−16.99;+ 25.48
Healthcare costs^f	Range	−0.8;0.8	−0.8;0.8	−0.8;0.8	−0.8;0.8	−0.8;0.8
	GDP (%)	2.79;2.98	3.29;3.75	3.29;3.65	6.03;6.65	10.01;10.34
	GDP change (%)	−3.34;+ 2.28	−6.58;+ 6.45	−5.23;+ 5.13	−4.97;+ 4.87	−1.64;+ 1.61
Earnings losses of permanent disability^g	Percent	33;38	33;38	33;38	33;38	33;38
	GDP (%)	2.82;2.99	3.46;3.63	3.41;3.60	6.22;6.58	10.00;10.52
	GDP change (%)	−2.00;+ 3.72	−1.61;+ 3.01	−1.89;+ 3.53	−1.96;+ 3.65	−1.78;+ 3.31
Informal caregiving time of diseases with permanent disability^h	Days	183;550	183;550	183;550	183;550	183;550
	GDP (%)	2.88;2.90	3.52;3.55	3.47;3.52	6.34;6.38	10.18;10.25
	GDP change (%)	−0.02;+ 0.67	−0.02;+ 0.85	−0.03;+ 1.29	−0.01;+ 0.52	−0.01;+ 0.72
Informal caregiving time of injuries with permanent disabilityⁱ	Days	183;550	183;550	183;550	183;550	183;550
	GDP (%)	2.88;2.89	3.52;3.53	3.47;3.49	6.34;6.41	10.17;10.23
	GDP change (%)	−0.02;+ 0.16	−0.02;+ 0.19	−0.06;+ 0.46	−0.14;+ 1.07	−0.06;+ 0.45

^aall monetary values are in 2015 Euros, ^blower and higher incidence of fatal and non-fatal work diseases (adjustment for underreporting), ^clower and higher incidence of non-fatal work injuries with more than 3 workdays lost (adjustment for underreporting), ^dadd healthcare costs of non-fatal work injuries with no workday lost, ^elower and higher monetary values of a quality-adjusted life years, ^flower and higher range of healthcare costs for injuries and diseases, ^glower and higher range for earnings losses of cases with permanent disability, ^hlower and higher range for informal caregiving time for work diseases with permanent disability, ⁱlower and higher range for informal caregiving time for work injuries with permanent disability, ^jlower bound includes compensated case and higher bound includes compensated case plus specific types of diseases that estimated through attributable fractions approach (same as the baseline)

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