The economic impact of chronic pain in adolescence: Methodological considerations and a preliminary costs-of-illness study
The economic impact of chronic pain in adolescence: Methodological considerations and a preliminary costs-of-illness study
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DOI：
10.1016/j.pain.2005.09.028
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发表时间：
2005-12-15
期刊：
影响因子：
7.4
通讯作者：
Jordan, A
中科院分区：
文献类型：
--
作者：
Sleed, M;Eccleston, C;Jordan, A
成年期的慢性疼痛是现代西方社会最昂贵的条件之一。然而，人们对青春期慢性疼痛的代价知之甚少。这项初步研究探讨了收集这一人群的经济相关数据的方法，并估计了英国青少年慢性疼痛的疾病成本。客户服务收据清单专门适用于青少年慢性疼痛患者的父母，以收集经济相关的数据（CSRI-Pain）。该方法与其他广泛使用的方法进行了比较和讨论。将CSRI-Pain发送给52个患有慢性疼痛的青少年家庭，以完成自我报告的回顾性问卷。这些数据与单位成本相联系，以估计每个家庭的总护理费用。青少年慢性疼痛的经济影响被认为是高的。每位经历慢性疼痛的青少年的平均成本约为每年8000磅，包括直接和间接成本。参加专门的疼痛管理单位的青少年，主要是非炎症性疼痛，累积显着更高的成本，比那些参加风湿病门诊，谁主要是炎症诊断。外推的平均总成本估计英国青少年慢性疼痛的患病率数据表明，英国社会的疾病成本约3840磅百万在一年。研究的意义进行了讨论。(c)2005年国际疼痛研究协会。Elsevier B. V.出版，保留所有权利。
Chronic pain in adulthood is one of the most costly conditions in modern western society. However, very little is known about the costs of chronic pain in adolescence. This preliminary study explored methods for collecting economic-related data for this population and estimated the cost-of-illness of adolescent chronic pain in the United Kingdom. The client service receipt inventory was specifically adapted for use with parents of adolescent chronic pain patients to collect economic-related data (CSRI-Pain). This method was compared and discussed in relation to other widely used methods. The CSRI-Pain was sent to 52 families of adolescents with chronic pain to complete as a self-report retrospective questionnaire. These data were linked with unit costs to estimate the total care cost package for each family. The economic impact of adolescent chronic pain was found to be high. The mean cost per adolescent experiencing chronic pain was approximately 8000 pound per year, including direct and indirect costs. The adolescents attending a specialised pain management unit, who had predominantly noninflammatory pain, accrued significantly higher costs, than those attending rheumatology outpatient clinics, who had mostly inflammatory diagnoses. Extrapolating the mean total cost to estimated UK prevalence data of adolescent chronic pain demonstrates a cost-of-illness to UK society of approximately 3840 pound million in one year. The implications of the study are discussed. (c) 2005 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.