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Backache- its nature, incidence and cost.

H C Pheasant

    The Western Journal of Medicine
    |April 1, 1977
    PubMed
    Summary

    In 1974, California hospitals saw over 72,000 backache admissions. Discogenic disease was common, with surgery costing more than medical care, totaling $1.38 billion nationally.

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    Area of Science:

    • Health Economics
    • Spine Surgery
    • Epidemiology

    Background:

    • Backache is a significant cause of hospital admissions.
    • Discogenic disease is a frequent diagnosis among patients hospitalized for back pain.
    • Understanding the economic burden of backache is crucial for healthcare planning.

    Purpose of the Study:

    • To determine the national cost of hospitalizations for backache in 1974.
    • To compare the costs of surgical versus medical treatment for backache.
    • To assess the economic impact of discogenic disease-related hospitalizations.

    Main Methods:

    • Retrospective analysis of hospital admission data from California in 1974.
    • Inclusion of 72,645 patients admitted for backache.
    • Calculation of hospital and physician-related service costs for surgical and medical treatments.

    Main Results:

    • 50% of backache admissions had diagnoses compatible with discogenic disease.
    • Surgical treatment was performed in 27% of hospitalized patients.
    • Surgical treatment costs exceeded medical treatment costs, contributing significantly to the overall economic burden.

    Conclusions:

    • The national cost for inpatient backache care in 1974 was an estimated $1.38 billion.
    • Surgical interventions represent a substantial component of the economic burden associated with backache.
    • Further research should consider outpatient costs and lost income for a comprehensive economic assessment.

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