The economic costs of chronic pain among a cohort of treatment-seeking adolescents in the United States.
The economic costs of chronic pain among a cohort of treatment-seeking adolescents in the United States.
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DOI：
10.1016/j.jpain.2014.06.002
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发表时间：
2014-09
期刊：
影响因子：
4
通讯作者：
Palermo, Tonya M.
中科院分区：
文献类型：
--
作者：
Groenewald, Cornelius B.;Essner, Bonnie S.;Wright, Davene;Fesinmeyer, Megan D.;Palermo, Tonya M.
本研究的目的是评估接受跨学科疼痛治疗的青少年慢性疼痛的经济成本。信息收集自149名青少年（10-17岁）在美国跨学科疼痛诊所进行评估和治疗。父母完成了家庭经济属性的验证措施，客户服务收据清单，报告卫生服务的使用和生产力损失，由于他们的孩子的慢性疼痛回顾性超过12个月。医疗保健成本的计算方法是将报告的利用率估计值乘以2010年医疗支出小组调查的单位就诊成本。每名参与者的估计平均成本和中位数分别为11，787美元和6，770美元。费用集中在一小部分参与者中，费用最高的5%患者占总费用的30%，而费用较低的75%参与者仅占费用的34%。在美国，患有中度至重度慢性疼痛的青少年的社会总成本推断为每年195亿美元。儿童慢性疼痛的成本给家庭和社会带来了巨大的经济负担。未来的研究应集中在预测增加卫生服务的使用和成本在青少年慢性疼痛。这项疾病成本研究全面估计了寻求治疗的青少年队列中慢性疼痛的经济成本。成本的主要驱动因素是直接医疗成本，其次是生产力损失。由于其经济影响，政策制定者应该投入资源预防，诊断和治疗慢性儿科疼痛。
The aim of this study was to assess the economic cost of chronic pain among adolescents receiving interdisciplinary pain treatment. Information was gathered from 149 adolescents (ages 10-17) presenting for evaluation and treatment at interdisciplinary pain clinics in the United States. Parents completed a validated measure of family economic attributes, the Client Service Receipt Inventory, to report on health service use and productivity losses due to their child's chronic pain retrospectively over 12 months. Health care costs were calculated by multiplying reported utilization estimates by unit visit costs from the 2010 Medical Expenditure Panel Survey. The estimated mean and median costs per participant were $11,787 and $6,770 respectively. Costs were concentrated in a small group of participants, the top 5 % of those patients incurring the highest costs accounted for 30 % of total costs while the lower 75 % of participants accounted for only 34 % of costs. Total costs to society for adolescents with moderate to severe chronic pain were extrapolated to $19.5 billion annually in the U.S. The cost of childhood chronic pain presents a substantial economic burden to families and society. Future research should focus on predictors of increased health services use and costs in adolescents with chronic pain. This cost of illness study comprehensively estimates the economic costs of chronic pain in a cohort of treatment-seeking adolescents. The primary driver of costs was direct medical costs followed by productivity losses. Because of its economic impact, policy makers should invest resources in the prevention, diagnosis, and treatment of chronic pediatric pain.
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