Costs of back pain in Germany

被引:279
作者
Wenig, Christina M. [1 ,2 ]
Schmidt, Carsten O. [3 ]
Kohlmann, Thomas [3 ]
Schweikert, Bernd
机构
[1] Univ Munich, Munich Sch Management, D-80539 Munich, Germany
[2] Univ Munich, Munich Ctr Hlth Sci, D-80539 Munich, Germany
[3] Ernst Moritz Arndt Univ Greifswald, Inst Community Med, D-17487 Greifswald, Germany
关键词
Back pain; Cost-of-illness; Bottom-up approach; Healthcare utilisation; Burden of disease; OF-ILLNESS; PREVALENCE; PRODUCTIVITY; REHABILITATION; PRESENTEEISM; POPULATION; SEVERITY; BURDEN; SWEDEN; WORK;
D O I
10.1016/j.ejpain.2008.04.005
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
With 12-month prevalence rates of more than 70%, back pain is currently one of the major health problems for German adults and entails major economic consequences. The aim of this study was to estimate back pain-related costs from a societal perspective and to determine the impact of sociodemographic variables on costs. Based on back pain-related survey data of a large German adult sample (9267 respondents, response rate 60%), costs were assessed using a prevalence-based bottom-up approach. Direct costs caused by Utilisation of healthcare services, as well as indirect costs due to back pain-related production losses were considered. All prices are expressed in 2005 Euros. Average total back pain costs per patient were estimated to be (sic)1322 (95% CI [1173-1487]) per year. These costs are split between direct (46%) and indirect (54%) costs. Bivariate analysis showed considerable differences in total costs between the Von Korff back pain grades (GCPS Group I: Mean 414.4, 95% CI [333.2-506.3]; II: 783.6 [574.5-1044.4]: III: 3017.2 [2392.9-3708.6]; IV: 7115.7 [5418.5-9006.5]). Male gender, increasing age, single status, low education, unemployment, and increasing back pain grade had a significant positive impact on the cost magnitude in multivariate analysis. Despite several limitations, this study provides important information concerning the relevance of back pain as a health problem and its socioeconomic consequences. The information may be of value for decision-making and allocation of research fund resources. (C) 2008 European Federation of Chapters of the International Association for the Study of Pain. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:280 / 286
页数:7
相关论文
共 37 条
[1]   Epidemiological features of chronic low-back pain [J].
Andersson, GBJ .
LANCET, 1999, 354 (9178) :581-585
[2]   Sick but yet at work. An empirical study of sickness presenteeism [J].
Aronsson, G ;
Gustafsson, K ;
Dallner, M .
JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2000, 54 (07) :502-509
[3]  
Bolten W, 1998, MED KLIN, V93, P388, DOI 10.1007/BF03044686
[4]   Productivity losses without absence: measurement validation and empirical evidence [J].
Brouwer, WBF ;
Koopmanschap, MA ;
Rutten, FFH .
HEALTH POLICY, 1999, 48 (01) :13-27
[5]   The association of health risks with on-the-job productivity [J].
Burton, WN ;
Chen, CY ;
Conti, DJ ;
Schultz, AB ;
Pransky, G ;
Edington, DW .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 2005, 47 (08) :769-777
[6]  
Deck R, 1993, PSYCHOMED, V5, P164
[7]  
DIEMER W, 1998, CHRONISCHE SCHMERZEN
[8]   Burden of illness of chronic low back pain in Sweden a cross-sectional, retrospective study in primary care setting [J].
Ekman, M ;
Jönhagen, S ;
Hunsche, E ;
Jönsson, L .
SPINE, 2005, 30 (15) :1777-1785
[9]   The economic cost of low back pain in Sweden in 2001 [J].
Ekman, M ;
Johnell, O ;
Lidgren, L .
ACTA ORTHOPAEDICA, 2005, 76 (02) :275-284
[10]   Back pain in primary care: Predictors of high health-care costs [J].
Engel, CC ;
VonKorff, M ;
Katon, WJ .
PAIN, 1996, 65 (2-3) :197-204