忽视的反复性腰部疼痛的经济分析:三年后期的观察性研究
Jarosław Szyszka1, Jakub Matuska2,3, Bartosz Grzegorz Szyszka4
1Department of Orthopaedic Surgery, Opolskie Center of Rehabilitation, Korfantow, Poland.
Journal of pain research
|January 13, 2025
概括
复发性腰痛 (LBP) 导致每次访问的医疗费用高于非复发性腰痛,特别是在住院护理的男性和物理治疗的女性中. 了解这些经济影响对于医疗保健管理至关重要.
科学领域:
- 疼痛医学 医学 疼痛医学
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 最近的疼痛重新定义强调了以前被忽视的反复出现的腰部疼痛 (LBP).
- 了解重复性LBP的经济负担对于医疗保健规划至关重要.
研究的目的:
- 为了比较LBP和经常性LBP的每次访问成本.
- 分析性别和医疗服务类型对这些成本的影响.
- 估计经常性LBP的近似年度成本.
主要方法:
- 来自波兰国家卫生基金和奥波尔斯基康复中心的LBP数据 (ICD-10代码) 的分析.
- 根据新的慢性疼痛定义,基于复发的LBP病例的分类.
主要成果:
- 在22.78%的患者中确认了LBP的复发,其中女性占59.72%.
- 复发性LBP每次访问的平均成本高于LBP,除了物理治疗.
- 男性的住院费用更高,而女性则在LBP和LBP复发时使用了更多的物理治疗服务.
结论:
- 复发性LBP占LBP总直接成本的5%,每次访问成本高于非复发性LBP (不包括物理治疗).
- 性别显著影响每次访问的成本,在住院住院和物理治疗利用方面有明显的模式.
- 波兰LBP相关医疗服务的平均年度成本估计为243,861,639.9欧元.
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