Health Care Resource Utilization and Medical Costs of Spinal Cord Injury With Neuropathic Pain in a Commercially Insured Population in the United States
机构:
Icahn Sch Med Mt Sinai, New York, NY 10029 USATruven Hlth Analyt, Bethesda, MD USA
Bryce, Thomas N.
[4
]
Nieshoff, Edward C.
论文数: 0引用数: 0
h-index: 0
机构:
Rehabil Inst Michigan, Detroit, MI USATruven Hlth Analyt, Bethesda, MD USA
Nieshoff, Edward C.
[5
]
机构:
[1] Truven Hlth Analyt, Bethesda, MD USA
[2] Pfizer Inc, New York, NY USA
[3] Pfizer Inc, Groton, CT 06340 USA
[4] Icahn Sch Med Mt Sinai, New York, NY 10029 USA
[5] Rehabil Inst Michigan, Detroit, MI USA
来源:
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
|
2014年
/
95卷
/
12期
关键词:
Burden of illness;
Health expenditures;
Neuropathic pain;
Rehabilitation;
Spinal cord injuries;
Utilization;
PHARMACOLOGICAL MANAGEMENT;
PROPENSITY SCORE;
EPIDEMIOLOGY;
FUTURE;
D O I:
10.1016/j.apmr.2014.07.416
中图分类号:
R49 [康复医学];
学科分类号:
100215 ;
摘要:
Objective: To evaluate health care resource use, costs, and cost drivers among patients with neuropathic pain (NeP) after spinal cord injury (SCI) in a commercially insured population. Design: Retrospective longitudinal cohort study comparing SCI patients with and without NeP. Setting: Truven Health MarketScan commercial claims database from 2005 through 2012. Participants: Commercially insured SCI patients with NeP (n=3524) propensity score matched to SCI patients without NeP (n=3524). Interventions: Not applicable. Main Outcomes Measures: Health care resource utilization and expenditures for the 12 months after NeP onset (index event; identified through International Classification of Diseases, 9th Revision, Clinical Modification diagnosis 338.0x or use of NeP-specific antiepileptic drugs or NeP-specific antidepressants) in patients with SCI compared with matched patients without NeP. Results: Utilization over 12 months postindex among patients with SCI-associated NeP was higher than among SCI-only patients for inpatient admissions (27.4% vs 22.1%), emergency department visits (36.7% vs 26.4%), and office visits per patient (mean +/- SD: 13.0 +/- 9.5 vs 9.5 +/- 8.3); all P values were <.001. All-cause expenditures showed adjusted incremental costs of $22,545 (95% confidence interval, $19,010 $26,168) per patient with SCI-associated NeP during the 12-month postindex period. Conclusions: Patients with evidence of NeP secondary to SCI have significantly higher health care utilization and total costs compared with SCI patients without evidence of NeP. Factors contributing to NeP in patients with SCI need to be clinically assessed to determine the optimal approach for treating these individuals. (C) 2014 by the American Congress of Rehabilitation Medicine
机构:
Mt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Bryce, T. N.
;
Biering-Sorensen, F.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Copenhagen, Rigshosp, Clin Spinal Cord Injuries, Ctr Neurosci,Fac Hlth Sci, DK-2100 Copenhagen, DenmarkMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Biering-Sorensen, F.
;
Finnerup, N. B.
论文数: 0引用数: 0
h-index: 0
机构:
Aarhus Univ Hosp, Danish Pain Res Ctr, DK-8000 Aarhus, DenmarkMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Finnerup, N. B.
;
Cardenas, D. D.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Miami, Jackson Mem Hosp, Dept Rehabil Med, Miami Project Cure Paralysis, Miami, FL 33136 USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Cardenas, D. D.
;
Defrin, R.
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Dept Phys Therapy, Sch Allied Hlth Profess, IL-69978 Tel Aviv, IsraelMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Defrin, R.
;
Lundeberg, T.
论文数: 0引用数: 0
h-index: 0
机构:
Danderyd Hosp, Rehabil Med Univ Clin, Stockholm, SwedenMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Lundeberg, T.
;
Norrbrink, C.
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Stockholm, SwedenMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Norrbrink, C.
;
Richards, J. S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alabama Birmingham, Dept Phys Med & Rehabil, Birmingham, AL USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Richards, J. S.
;
Siddall, P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sydney, Pain Management Res Inst, Royal N Shore Hosp, Sydney, NSW 2006, AustraliaMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Siddall, P.
;
Stripling, T.
论文数: 0引用数: 0
h-index: 0
机构:Mt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Stripling, T.
;
Treede, R-D
论文数: 0引用数: 0
h-index: 0
机构:
Univ Heidelberg, Med Fak Mannheim, D-6800 Mannheim, GermanyMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Treede, R-D
;
Waxman, S. G.
论文数: 0引用数: 0
h-index: 0
机构:
Yale Univ, Sch Med, Dept Neurol, New Haven, CT 06510 USA
VA Connecticut Healthcare, West Haven, CT USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Waxman, S. G.
;
Widerstrom-Noga, E.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Miami, Miami Vet Adm Med Ctr, Miami Project Cure Paralysis, Miami, FL USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Widerstrom-Noga, E.
;
Yezierski, R. P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Florida, Coll Dent, Dept Orthodont, Comprehens Ctr Pain Res, Gainesville, FL USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Yezierski, R. P.
;
Dijkers, M.
论文数: 0引用数: 0
h-index: 0
机构:
Mt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
机构:
Mt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Bryce, T. N.
;
Biering-Sorensen, F.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Copenhagen, Rigshosp, Clin Spinal Cord Injuries, Ctr Neurosci,Fac Hlth Sci, DK-2100 Copenhagen, DenmarkMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Biering-Sorensen, F.
;
Finnerup, N. B.
论文数: 0引用数: 0
h-index: 0
机构:
Aarhus Univ Hosp, Danish Pain Res Ctr, DK-8000 Aarhus, DenmarkMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Finnerup, N. B.
;
Cardenas, D. D.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Miami, Jackson Mem Hosp, Dept Rehabil Med, Miami Project Cure Paralysis, Miami, FL 33136 USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Cardenas, D. D.
;
Defrin, R.
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Dept Phys Therapy, Sch Allied Hlth Profess, IL-69978 Tel Aviv, IsraelMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Defrin, R.
;
Lundeberg, T.
论文数: 0引用数: 0
h-index: 0
机构:
Danderyd Hosp, Rehabil Med Univ Clin, Stockholm, SwedenMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Lundeberg, T.
;
Norrbrink, C.
论文数: 0引用数: 0
h-index: 0
机构:
Karolinska Inst, Danderyd Hosp, Dept Clin Sci, Stockholm, SwedenMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Norrbrink, C.
;
Richards, J. S.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Alabama Birmingham, Dept Phys Med & Rehabil, Birmingham, AL USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Richards, J. S.
;
Siddall, P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sydney, Pain Management Res Inst, Royal N Shore Hosp, Sydney, NSW 2006, AustraliaMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Siddall, P.
;
Stripling, T.
论文数: 0引用数: 0
h-index: 0
机构:Mt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Stripling, T.
;
Treede, R-D
论文数: 0引用数: 0
h-index: 0
机构:
Univ Heidelberg, Med Fak Mannheim, D-6800 Mannheim, GermanyMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Treede, R-D
;
Waxman, S. G.
论文数: 0引用数: 0
h-index: 0
机构:
Yale Univ, Sch Med, Dept Neurol, New Haven, CT 06510 USA
VA Connecticut Healthcare, West Haven, CT USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Waxman, S. G.
;
Widerstrom-Noga, E.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Miami, Miami Vet Adm Med Ctr, Miami Project Cure Paralysis, Miami, FL USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Widerstrom-Noga, E.
;
Yezierski, R. P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Florida, Coll Dent, Dept Orthodont, Comprehens Ctr Pain Res, Gainesville, FL USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA
Yezierski, R. P.
;
Dijkers, M.
论文数: 0引用数: 0
h-index: 0
机构:
Mt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USAMt Sinai Sch Med, Dept Rehabil Med, New York, NY 10029 USA