The Impact of Chronic Discogenic Low Back Pain: Costs and Patients' Burden.
The Impact of Chronic Discogenic Low Back Pain: Costs and Patients' Burden.
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DOI：
10.1155/2018/4696180
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发表时间：
2018
影响因子：
2.9
通讯作者：
Dirksen C
中科院分区：
文献类型：
--
作者：
Geurts JW;Willems PC;Kallewaard JW;van Kleef M;Dirksen C
慢性椎间盘源性腰痛（CDP）经常在因背痛而转介到专业疼痛诊所的患者中被诊断出来。本研究的目的是评估CDP对个体患者和社会的影响。 使用一项随机试验中80名患者的基线记录，评估CDP新干预措施的有效性，计算与背痛相关的医疗保健和社会成本。此外，还评估了该疾病对感知疼痛、残疾、健康相关生活质量、生活质量调整生命年（QALY）和QALY损失的影响。 使用摩擦成本方法，我们发现每个CDP患者每年的社会成本为7，911.95欧元，其中51%为医疗保健成本，49%为社会成本。当使用人力资本方法时，总成本为18，940.58欧元，其中22%为医疗保健成本，78%为社会成本。医疗费用主要与疼痛治疗有关。平均疼痛严重程度为6.5（0-10），46%患有剧烈疼痛（≥7/10）。平均身体限制率为43.7; 13.5%的患者非常局限于残疾。与健康人群相比，QALY损失为64%。 这项研究表明，在被转诊到疼痛诊所的CDP患者中，社会成本很高，最常用的医疗资源是疼痛治疗。患者遭受严重疼痛，身体受限，生活质量严重下降。
Chronic discogenic low back pain (CDP) is frequently diagnosed in patients referred to specialized pain clinics for their back pain. The aim of this study is to assess the impact of CDP both on the individual patient and on society. Using the baseline records of 80 patients in a randomized trial assessing the effectiveness of a new intervention for CDP, healthcare and societal costs related to back pain are calculated. Furthermore, the impact of the condition on perceived pain, disability, health-related quality of life, Quality of life Adjusted Life Years (QALY), and QALY loss is assessed. Using the friction costs approach, we found that the annual costs for society are €7,911.95 per CDP patient, 51% healthcare and 49% societal costs. When using the human capital approach, total costs were €18,940.58, 22% healthcare and 78% societal costs. Healthcare costs were mainly related to pain treatment. Mean pain severity was 6.5 (0–10), and 46% suffered from severe pain (≥7/10). Mean physical limitations rate was 43.7; 13.5% of the patients were very limited to disabled. QALY loss compared to a healthy population was 64%. This study shows that in patients with CDP referred to a pain clinic, costs for society are high and the most used healthcare resources are pain therapies. Patients suffer severe pain, are physically limited, and experience a serious loss in quality of life.
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DOI：
10.1586/14737167.5.1.23
发表时间：
2005-02-01
影响因子：
2.3
作者：
Koopmanschap, Marc A
通讯作者：
Koopmanschap, Marc A
影响因子：
2.5
作者：
Geurts JW;Kallewaard JW;Kessels A;Willems PC;van Santbrink H;Dirksen C;van Kleef M
通讯作者：
van Kleef M
影响因子：
--
作者：
Byford, S;Torgerson, DJ;Raftery, J
通讯作者：
Raftery, J
影响因子：
2.6
作者：
COLLINS, CD;STACK, JP;ENNIS, JT
通讯作者：
ENNIS, JT
影响因子：
3.1
作者：
DePalma, Michael J.;Ketchum, Jessica M.;Saullo, Thomas
通讯作者：
Saullo, Thomas