scholarly journals Can We Change Health Care Costs in Patients With Complex Back Pain?

Spine ◽  
2020 ◽  
Vol 45 (20) ◽  
pp. 1443-1450
Author(s):  
Remko Soer ◽  
Michiel F. Reneman ◽  
Jochen O. Mierau ◽  
Henrica R. Schiphorst Preuper ◽  
Patrick Stegeman ◽  
...  
Keyword(s):  
Health Care ◽  
Back Pain ◽  
Health Care Costs ◽  
Care Costs ◽  
Change Health Care

scholarly journals Analgesic Usage for Low Back Pain: Impact on Health Care Costs and Service Use

Spine ◽  
2005 ◽  
Vol 30 (9) ◽  
pp. 1075-1081 ◽  
Author(s):  
Molly T. Vogt ◽  
C Kent Kwoh ◽  
Doris K. Cope ◽  
Thaddeus A. Osial ◽  
Michael Culyba ◽  
...  
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Care Costs ◽  
Service Use ◽  
Low Back ◽  
Care Costs

scholarly journals The impact of specialised treatment of low back pain on health care costs and productivity in a nationwide cohort

2022 ◽  
Vol 43 ◽  
pp. 101247
Author(s):  
Stian Solumsmoen ◽  
Gry Poulsen ◽  
Jakob Kjellberg ◽  
Mads Melbye ◽  
Tina Nørgaard Munch
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Care Costs ◽  
Low Back ◽  
The Impact ◽  
Care Costs

scholarly journals Health Care Costs attributable to Hospital-diagnosed Back Pain: A Longitudinal Register-based Study of the Danish Population

10.36469/9872 ◽  
2014 ◽  
Vol 1 (3) ◽  
pp. 266-275 ◽  
Author(s):  
Rikke Søgaard ◽  
Jan Sørensen
Keyword(s):  
Health Care ◽  
Back Pain ◽  
Health Care Costs ◽  
Reference Values ◽  
Service Use ◽  
Hospital Admissions ◽  
Chronic Back Pain ◽  
Disease Stage ◽  
Absolute Difference ◽  
Care Costs

Background: Back pain is one of most frequent musculoskeletal conditions with enormous impact to health care systems and society. Analytical studies that guide the management of this disease are strongly needed, but there is a lack of cost estimates for the attributable cost of severe or chronic back pain in particular. Objective: The objective of this study was to estimate the health care costs attributable to hospitaldiagnosed back pain across strata of age-, gender- and diagnostic entity. Methods: All adult Danes (N=4.3 million) were included in this longitudinal, controlled register-based study. One-year prevalence was defined according to a previously published and validated algorithm, which was applied to the Danish national patient registry. Data from other relevant health service use registries was appended along with data from the national cause of death registry in order to calculate cost rates per life year (2011 price year). The attributable health care cost was defined as the absolute difference in cost rates between individuals with versus individuals without hospital-diagnosed back pain, whereas the ratio between the two groups was used for the reporting of reference values. Results: The health care costs attributable to hospital-diagnosed back pain were estimated at Danish Crowns (DKK) 22,700 per year for the youngest age strata (16-24 years) and increased up to DKK 72,700 per year for the oldest age strata of males (>85 years). Hospital admissions and outpatient visits accounted for the majority of these costs. The ratio of health care costs for individuals with versus individuals without the condition ranged from less than 1 to almost 6, depending on the type of service use, age and gender. Conclusion: At the disease stage where back pain leads to contact with specialised health care, diseased individuals appear to use on average three times more health care than non-diseased individuals. This study provides detailed reference values, which can be used to inform health economic models.

scholarly journals Can a Back Pain E-mail Discussion Group Improve Health Status and Lower Health Care Costs?

2002 ◽  
Vol 162 (7) ◽  
pp. 792 ◽  
Author(s):  
Kate R. Lorig ◽  
Diana D. Laurent ◽  
Richard A. Deyo ◽  
Margaret E. Marnell ◽  
Marian A. Minor ◽  
...  
Keyword(s):  
Health Care ◽  
Back Pain ◽  
Health Status ◽  
Health Care Costs ◽  
Discussion Group ◽  
Improve Health Status ◽  
Lower Health ◽  
Care Costs ◽  
E Mail ◽  
Improve Health

Long-term back pain after a single-level discectomy for radiculopathy: incidence and health care cost analysis

2010 ◽  
Vol 12 (2) ◽  
pp. 178-182 ◽  
Author(s):  
Scott L. Parker ◽  
Risheng Xu ◽  
Matthew J. McGirt ◽  
Timothy F. Witham ◽  
Donlin M. Long ◽  
...  
Keyword(s):  
Health Care ◽  
Back Pain ◽  
Conservative Treatment ◽  
Health Care Costs ◽  
Lumbar Discectomy ◽  
Single Level ◽  
Mechanical Back Pain ◽  
The Mean ◽  
Mean Cost ◽  
Care Costs

Object The most common spinal procedure performed in the US is lumbar discectomy for disc herniation. Longterm disc degeneration and height loss occur in many patients after lumbar discectomy. The incidence of mechanical back pain following discectomy varies widely in the literature, and its associated health care costs are unknown. The authors set out to determine the incidence of and the health care costs associated with mechanical back pain attributed to segmental degeneration or instability at the level of a prior discectomy performed at their institution. Methods The authors retrospectively reviewed the data for 111 patients who underwent primary, single-level lumbar hemilaminotomy and discectomy for radiculopathy. All diagnostic modalities, conservative therapies, and operative treatments used for the management of postdiscectomy back pain were recorded. Institutional billing and accounting records were reviewed to determine the billed costs of all diagnostic and therapeutic measures. Results At a mean follow-up of 37.3 months after primary discectomy, 75 patients (68%) experienced minimal to no back pain, 26 (23%) had moderate back pain requiring conservative treatment only, and 10 (9%) suffered severe back pain that required a subsequent fusion surgery at the site of the primary discectomy. The mean cost per patient for conservative treatment alone was $4696. The mean cost per patient for operative treatment was $42,554. The estimated cost of treatment for mechanical back pain associated with postoperative same-level degeneration or instability was $493,383 per 100 cases of first-time, single-level lumbar discectomy ($4934 per primary discectomy). Conclusions Postoperative mechanical back pain associated with same-level degeneration is not uncommon in patients undergoing single-level lumbar discectomy and is associated with substantial health care costs.

Back pain in primary care: predictors of high health-care costs

Pain ◽  
1996 ◽  
Vol 65 (2) ◽  
pp. 197-204 ◽  
Author(s):  
Charles C. Engel ◽  
Michael Von Korff ◽  
Wayne J. Katon
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Back Pain ◽  
Health Care Costs ◽  
Care Costs
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