Personal and Societal Impact of Low Back Pain

被引:105
作者
Dutmer, Alisa L. [1 ]
Preuper, Henrica R. Schiphorst [1 ,2 ]
Soer, Remko [2 ,3 ]
Brouwer, Sandra [4 ]
Bultmann, Ute [4 ]
Dijkstra, Pieter U. [1 ,5 ]
Coppes, Maarten H. [2 ,6 ]
Stegeman, Patrick [2 ]
Buskens, Erik [7 ]
van Asselt, Antoinette D., I [7 ]
Wolff, Andre P. [2 ,8 ]
Reneman, Michiel F. [1 ]
机构
[1] Univ Groningen, Univ Med Ctr Groningen, Dept Rehabil, Groningen, Netherlands
[2] Univ Groningen, Univ Med Ctr Groningen, Groningen Spine Ctr, Groningen, Netherlands
[3] Sax Univ Appl Sci, Expertise Ctr Hlth & Movement, Enschede, Netherlands
[4] Univ Groningen, Univ Med Ctr Groningen, Dept Hlth Sci Community & Occupat Med, Groningen, Netherlands
[5] Univ Groningen, Univ Med Ctr Groningen, Dept Oral & Maxillofacial Surg, Groningen, Netherlands
[6] Univ Groningen, Univ Med Ctr Groningen, Dept Neurosurg, Groningen, Netherlands
[7] Univ Groningen, Univ Med Ctr Groningen, Dept Epidemiol, Groningen, Netherlands
[8] Univ Groningen, Univ Med Ctr Groningen, Pain Ctr, Dept Anaes Thesiol, Groningen, Netherlands
关键词
chronic pain; multidisciplinary care; tertiary care; questionnaire; self-report; functioning; disability; quality of life; work ability; productivity loss; healthcare costs; health economics; WORK ABILITY INDEX; DISABILITY INDEX; HEALTH; COSTS; IMPLEMENTATION; QUESTIONNAIRE; EUROQOL; VERSION; EQ-5D; RISK;
D O I
10.1097/BRS.0000000000003174
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Study Design. Cross-sectional study. Objective. The aim of this study was to study the personal and societal impact of low back pain (LBP) in patients admitted to a multidisciplinary spine center. Summary of Background Data. The socioeconomic burden of 113P is very high. A minority of patients visit secondary or tertiary care because of severe and long-lasting complaints. This subgroup may account for a major part of disability and costs, yet could potentially gain most from treatment. Currently, little is known about the personal and societal burden in patients with chronic complex LBP visiting secondary/tertiary care. Methods. Baseline data were acquired through patient-reported questionnaires and health insurance claims. Primary outcomes were LBP impact (Impact Stratification, range 8-50), functioning (Pain Disability Index, PDI; 0-70), quality of life (EuroQol-5D, EQ5D; -0.33 to 1.00), work ability (Work Ability Score, WAS; 0 10), work participation, productivity costs (Productivity Cost Questionnaire), and healthcare costs 1 year before baseline. Healthcare costs were compared with matched primary and secondary care LBP samples. Descriptive and inferential statistics were applied. Results. In total, 1502 patients (age 46.3 +/- 12.8 years, 57% female) were included. Impact Stratification was 35.2 +/- 7.5 with severe impact (>= 35) for 58% of patients. PDI was 38.2 +/- 14.1, EQ5D 0.39 (interquartile range, IQR: 0.17-0.72); WAS 4.0 (IQR: 1.0-6.0) and 17% were permanently work-disabled. Mean total health care costs ((sic)4875, 95% confidence interval [CI]: 4309-5498) were higher compared to the matched primary care sample (n =4995) ((sic)2365, 95% CI: 2219-2526, P < 0.001), and similar to the matched secondary care sample (n -4993) ((sic)4379, 95% CI: 4180-4590). Productivity loss was estimated at (sic)4315 per patient (95% CI: 3898 4688) during 6 months. Conclusion. In patients seeking multidisciplinary spine care, the personal and societal impact of LBP is very high. Specifically, quality of life and work ability are poor and health care costs are twice as high compared to patients seeking primary LBP care.
引用
收藏
页码:E1443 / E1451
页数:9
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