在高使用者中,治疗慢性腰痛的医疗保健资源利用率
Elayna P Kirsch1, Lexie Z Yang2, Hui-Jie Lee2
1Department of Neurosurgery, Duke University Medical Center, 200 Trent Drive, Blue Zone Durham, NC 27710, USA.
The spine journal : official journal of the North American Spine Society
|December 11, 2023
概括
慢性腰部疼痛 (CLBP) 的高医疗费用在很大一部分患者中持续数年. 早期识别这些高使用者对于管理CLBP的经济负担至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 流行病学 流行病学
- 疼痛管理 疼痛管理
背景情况:
- 慢性腰部疼痛 (CLBP) 是致病的主要原因之一,也是医疗保健成本的重要驱动因素.
- 关于非手术性CLBP患者的长期医疗资源利用情况的研究有限,特别是那些成本高的患者.
研究的目的:
- 为了识别具有高冲击力学,CLBP.患者.
- 量化他们相关的健康资源利用和相关的患者特征.
- 假设顶级四分之一的医疗保健用户会随着时间的推移维持高成本.
主要方法:
- 对IBM MarketScan研究数据库 (2009-2019) 的回顾性分析.
- 确定的美国成年人患有CLBP (2010-2014),不包括癌症,脊柱手术,怀孕或炎症状况.
- 分析了5年成本和治疗利用率 (药物/非药物),确定了高利用率 (在1-2年内最高四分之一成本).
主要成果:
- 在16,917名CLBP患者中,有4,229名患者是高使用者 (>1年平均成本为7,112美元,>2年平均成本为11,989美元).
- 42%的高使用者在2-5年内保持在最高四分之一,而5年平均成本为43,818美元.
- 与糖尿病相关的高长期成本,更多的门诊访问,药物处方和更少的成像.
结论:
- 这项研究确定了一组非手术性CLBP患者的队列,这些患者持续高昂的医疗费用长达5年.
- 门诊服务占了大部分成本.
- 需要进一步研究包括症状严重程度,以充分了解CLBP的经济影响.
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