Study Sample
(n=463)
Age at index date (years), mean [median] 45.9 [47.0]
18-24 years, n (%) 8 (1.7)
25-40 years, n (%) 102 (22.1)
41-64 years, n (%) 352 (76.2)
Female, n (%) 155 (33.5)
US region, n (%)
South 201 (43.5)
Northeast 141 (30.5)
Midwest 68 (14.7)
West 50 (10.8)
Unknown 2 (0.4)
Type of healthcare plan, n (%)
Preferred provider organization 220 (47.6)
Point-of-service 140 (30.3)
Othera 102 (22.1)
Year of index date, n (%)
2000-2005 189 (40.9)
2006-2010 208 (45.0)
2011-2016 65 (14.1)
Annual employee earnings at the index date (2018 US$), mean [median] 69 907 [55 668]
Employer industry, n (%)
Transportation 198 (42.9)
Manufacturing 107 (23.2)
Technology 47 (10.2)
Telecommunications 25 (5.4)
Energy/utility 22 (4.8)
Healthcare 15 (3.2)
Government/religion/education services 5 (1.1)
Financial services/insurance 4 (0.9)
Retail/consumer goods 4 (0.9)
Food/beverage 2 (0.4)
Other service 33 (7.1)
Charlson Comorbidity Index,b mean±SD 0.3±0.7
0, n (%) 383 (82.9)
1, n (%) 44 (9.5)
≥2, n (%) 35 (7.6)
Comorbidities with prevalence ≥1%,b n (%)
Hypertension 114 (24.7)
Depression 40 (8.7)
Hypothyroidism 32 (6.9)
Chronic pulmonary disease 32 (6.9)
Diabetes without chronic complication 23 (5.0)
Any malignancy (including blood, excluding skin) 17 (3.7)
Valvular disease 17 (3.7)
Cardiac arrhythmias 14 (3.0)
Fluid and electrolyte disorders 12 (2.6)
Obesity 11 (2.4)
Rheumatic disease 11 (2.4)
Cerebrovascular disease 7 (1.5)
Deficiency anemia 7 (1.5)
Mild liver disease 7 (1.5)
Renal disease 7 (1.5)
Congestive heart failure 5 (1.1)
Diabetes with chronic complication 5 (1.1)
Drug abuse 5 (1.1)
Peripheral vascular disease 5 (1.1)
Patients with joint surgery in the baseline year,c n (%) 38 (8)