Healthcare resource utilisation and economic burden attributable to back pain in primary care: A matched case-control study in the United Kingdom

IF 1.3 Q4 CLINICAL NEUROLOGY British Journal of Pain Pub Date : 2023-10-20 DOI:10.1177/20494637231208364
Dawit T Zemedikun, Jesse Kigozi, Gwenllian Wynne-Jones, Alessandra Guariglia, Krishnarajah Nirantharakumar, Tom Marshall, Tracy Roberts
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Abstract

Objective Incremental healthcare costs attributed to back pain, and characterisation by patient and clinical factors have rarely been documented. This study aimed to assess annual healthcare resource utilisation and costs associated with back pain in primary care. Methods Using the IQVIA Medical Research Data (IMRD), patients with back pain were identified (study period: 01 January 2006 to 31 December 2015) using diagnostic records and analgesics prescriptions ( n = 133,341), and propensity score matched 1:1 to patients without back pain. The annual incremental costs of back pain associated with consultations and prescriptions were estimated and extrapolated to a national level. Sensitivity analysis was conducted by restricting the study population to the most recent diagnosis of back pain. Variations in cost were assessed stratified by gender, age-groups, deprivation, and comorbidity categories. Results The mean age was 57 years, and 62% were females in both the case and control groups. The total incremental healthcare costs associated with back pain was £32.5 million in 2015 (£35.9 million in 2020), with per-patient cost of £244 (£265 in 2020) per year. On a national level, this translated to an estimated £3.2 billion (£3.5 billion in 2020). Eighty percent of the costs were attributed to consultations; and female gender, older age, higher deprivation, and higher comorbidity were all associated with increased mean healthcare costs of patients with back pain. Conclusion Our findings confirm the substantial healthcare costs attributed to back pain, even with primacy care costs only. The data also revealed significant cost variations across socio-demographic and clinical factors.
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初级保健中背痛的医疗资源利用和经济负担:英国的一项匹配病例对照研究
目的:由于背部疼痛而增加的医疗费用,以及患者和临床因素的特征,很少有文献记载。本研究旨在评估初级保健中与背痛相关的年度卫生保健资源利用和成本。方法使用IQVIA医学研究数据(IMRD),根据诊断记录和镇痛药处方(n = 133,341)确定腰痛患者(研究期间:2006年1月1日至2015年12月31日),倾向评分与非腰痛患者1:1匹配。与咨询和处方相关的背部疼痛的年度增量成本被估计和外推到全国水平。通过将研究人群限制为最近诊断的背痛进行敏感性分析。费用的变化按性别、年龄组、贫困和合并症类别分层评估。结果病例组和对照组患者平均年龄为57岁,女性占62%。2015年,与背痛相关的总增量医疗成本为3250万英镑(2020年为3590万英镑),每位患者每年的成本为244英镑(2020年为265英镑)。在全国范围内,这转化为估计32亿英镑(2020年为35亿英镑)。80%的费用用于咨询;女性、年龄较大、更严重的剥夺和更高的合并症都与背部疼痛患者的平均医疗费用增加有关。结论:我们的研究结果证实了大量的医疗保健费用归因于背部疼痛,即使只有初级保健费用。数据还揭示了不同社会人口和临床因素的显著成本差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
British Journal of Pain
British Journal of Pain CLINICAL NEUROLOGY-
CiteScore
3.20
自引率
11.10%
发文量
42
期刊介绍: British Journal of Pain is a peer-reviewed quarterly British journal with an international multidisciplinary Editorial Board. The journal publishes original research and reviews on all major aspects of pain and pain management. Reviews reflect the body of evidence of the topic and are suitable for a multidisciplinary readership. Where empirical evidence is lacking, the reviews reflect the generally held opinions of experts in the field. The Journal has broadened its scope and has become a forum for publishing primary research together with brief reports related to pain and pain interventions. Submissions from all over the world have been published and are welcome. Official journal of the British Pain Society.
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