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Medical and non-medical direct costs of chronic low back pain in patients consulting primary care physicians in France
- Source :
- Fundamentalclinical pharmacology. 24(1)
- Publication Year :
- 2009
-
Abstract
- A retrospective, observational, cohort study in primary care. To determine the total direct medical and non-medical cost of chronic low back pain (LBP) in France and its associated factors. Chronic LBP affects 5-10% of the population its burden in France is unknown. Ninety-eight randomly selected general practitioners included 796 adult patients with chronic LBP between October 2001 and December 2002. Direct costs due to physician visits, investigations, medications, hospitalizations, and other medical and non-medical resource use were collected for the 6 months prior to study visit. Costs both reimbursed and not by the French health insurance system were considered. Quality of life (QoL) and disease severity were measured using Short Form (SF)-8 and Roland-Morris disability questionnaire (RMDQ), respectively. Costs were updated to represent 2007 prices. Men represented 50.6% of the 796 patients, mean age was 53 +/- 11.3 years, and the duration of LBP was more than 1 year in 80.9% of patients. The total mean cost per patient over six months was 715.6 euro (95% CI: 644.2-797.8). Of these costs, 22.9% related to care provided by physiotherapists and allied specialists, 19.5% to medications, 17.4% to hospitalizations, 9.6% to investigations, and 12.5% to physician fees. In multivariate analysis, the factors associated with the cost of chronic LBP were disease severity (RMDQ score) and age of the patients. LBP is a disease that is both common and costly.
- Subjects :
- Adult
Male
medicine.medical_specialty
Population
Severity of Illness Index
Cohort Studies
Indirect costs
Ambulatory care
Quality of life
Cost of Illness
Severity of illness
medicine
Humans
Pharmacology (medical)
education
health care economics and organizations
Retrospective Studies
Pharmacology
education.field_of_study
Primary Health Care
business.industry
Data Collection
Age Factors
Retrospective cohort study
Health Care Costs
Middle Aged
Low back pain
Chronic Disease
Multivariate Analysis
Physical therapy
Quality of Life
Female
France
medicine.symptom
business
Low Back Pain
Cohort study
Subjects
Details
- ISSN :
- 14728206
- Volume :
- 24
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Fundamentalclinical pharmacology
- Accession number :
- edsair.doi.dedup.....4f2001835925e14d53699c86add68042