The Economic Cost of Chronic Noncancer Pain in Ireland: Results From the PRIME Study, Part 2
The Economic Cost of Chronic Noncancer Pain in Ireland: Results From the PRIME Study, Part 2
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DOI：
10.1016/j.jpain.2011.10.004
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发表时间：
2012-02-01
期刊：
影响因子：
4
通讯作者：
McGuire, Brian E.
中科院分区：
文献类型：
--
作者：
Raftery, Miriam N.;Ryan, Padhraig;McGuire, Brian E.
为了评估爱尔兰慢性疼痛的经济成本，我们收集了 140 名慢性疼痛患者的信息。回顾性记录 12 个月内因慢性疼痛和以慢性疼痛为特征的医疗状况造成的直接和间接成本。对于所有级别的疼痛，每名慢性疼痛患者的平均费用估计为每年 5,665 美元，平均费用根据疼痛的严重程度而增加。一小部分患者占了大部分费用——最昂贵的前 5% 患者占成本的 26.4%，每个患者的平均费用为 (原文如此)29,936，而最昂贵的 10% 患者占所有费用的 42.8%。 20 岁及以上的个人的总费用估计为每年 53.4 亿美元，即 2008 年爱尔兰 GDP 的 2.86%。那些临床上抑郁评分较高的人的费用是那些得分低于抑郁分数线的人的两倍。爱尔兰的慢性疼痛服务普遍资源不足。通过跨学科疼痛康复计划改善患者的协调和更好的管理至关重要，并且可能提供一种减轻慢性疼痛的巨大经济负担的方法。观点：每名患者的慢性疼痛成本为每年 5,665 美元，外推至 53.4 亿美元或每年 GDP 的 2.86%。那些患有临床显着抑郁症的人的费用是那些没有抑郁症的人的两倍。慢性疼痛的巨大负担凸显了采取具有成本效益的干预措施来减少长期残疾的必要性。 (C) 2012 年，美国疼痛协会
To assess the economic cost of chronic pain in Ireland, information was gathered from 140 people with chronic pain. Direct and indirect costs attributable to chronic pain and medical conditions of which chronic pain was a feature were recorded retrospectively for 12 months. Mean cost per chronic pain patient was estimated at 5,665 per year across all grades of pain, with mean costs increasing according to the severity of pain. A small proportion of patients account for the bulk of costs-the top 5% most expensive patients accounted for 26.4% of costs, with a mean cost per patient of (sic)29,936, and the 10% most expensive patients were responsible for 42.8% of all costs. Total cost for individuals aged 20 and above was estimated at (sic)5.34 billion per year, or 2.86% of Irish GDP in 2008. Those with clinically elevated depression scores had costs that were twice as high as people who scored below the depression cut-off score. Chronic pain services in Ireland are generally underresourced. Improved coordination and better management of patients via interdisciplinary pain rehabilitation program is essential and may offer a means of reducing the sizeable economic burden of chronic pain.Perspective: The cost of chronic pain per patient was (sic)5,665 per year extrapolated to (sic)5.34 billion or 2.86% of GDP per year. Those with clinically significant depression had costs twice as high as those without depression. The significant burden of chronic pain highlights the need for cost effective interventions to reduce long-term disability. (C) 2012 by the American Pain Society