The Economic Costs of Pain in the United States
The Economic Costs of Pain in the United States
复制标题
DOI：
10.1016/j.jpain.2012.03.009
复制
发表时间：
2012-08-01
期刊：
影响因子：
4
通讯作者：
Richard, Patrick
中科院分区：
文献类型：
--
作者：
Gaskin, Darrell J.;Richard, Patrick
2008年，根据医疗支出小组调查（MEPS），美国约有1亿成年人受到慢性疼痛的影响，包括关节疼痛或关节炎。疼痛对国家来说是昂贵的，因为它需要药物治疗，并使其他疾病的治疗复杂化。此外，疼痛会降低员工的工作效率。使用2008年的MEPS，我们估计了1)美国医疗保健费用中疼痛所占的比例；2)与较低的工人生产率相关的疼痛的年度成本。我们发现，以2010年的美元计算，总成本在5600亿美元到6350亿美元之间。疼痛造成的额外医疗费用从261亿美元到3000亿美元不等。这意味着，与没有疼痛的人每年约4 250美元的基数相比，每人每年的医疗保健费用增加了261美元至300美元。疼痛造成的生产力损失从299亿美元到3350亿美元不等。我们发现，疼痛的年度成本高于心脏病（3090亿美元）、癌症（2430亿美元）和糖尿病（1880亿美元）的年度成本。我们的估计是保守的，因为它们不包括与疗养院居民、儿童、军事人员和被监禁者的疼痛相关的费用。观点：这项研究估计，全国的疼痛成本从5600亿美元到6350亿美元不等，比国家优先健康状况的成本还要高。由于疼痛对社会的经济影响，国家应该投资于研究、教育和培训，以倡导成功的治疗、管理和预防疼痛。(C) 2012年由美国疼痛学会出版
In 2008, according to the Medical Expenditure Panel Survey (MEPS), about 100 million adults in the United States were affected by chronic pain, including joint pain or arthritis. Pain is costly to the nation because it requires medical treatment and complicates treatment for other ailments. Also, pain lowers worker productivity. Using the 2008 MEPS, we estimated 1) the portion of total U.S. health care costs attributable to pain; and 2) the annual costs of pain associated with lower worker productivity. We found that the total costs ranged from $560 to $635 billion in 2010 dollars. The additional health care costs due to pain ranged from $261 to $300 billion. This represents an increase in annual per person health care costs ranging from $261 to $300 compared to a base of about $4,250 for persons without pain. The value of lost productivity due to pain ranged from $299 to $335 billion. We found that the annual cost of pain was greater than the annual costs of heart disease ($309 billion), cancer ($243 billion), and diabetes ($188 billion). Our estimates are conservative because they do not include costs associated with pain for nursing home residents, children, military personnel, and persons who are incarcerated.Perspective: This study estimates that the national cost of pain ranges from $560 to $635 billion, larger than the cost of the nation's priority health conditions. Because of its economic toll on society, the nation should invest in research, education, and training to advocate the successful treatment, management, and prevention of pain. (C) 2012 by the American Pain Society