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Pain, facts and money Lieven Annemans Ghent University - - PowerPoint PPT Presentation
Pain, facts and money Lieven Annemans Ghent University - - PowerPoint PPT Presentation
Pain, facts and money Lieven Annemans Ghent University Lieven.Annemans@UGent.be Content 1. Some preliminary terminology 2. What we know about the burden of chronic pain 3. Something to think about Burden of
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Burden of Chronic pain
Economic Burden to the health care sector Economic Burden to society (= incl. indirect costs related to absenteeism & presenteeism) Health burden to patients (QoL, ADL)
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“cost of illness”
- Incidence based:
cost of a disease as from diagnosis until resolution of the problem or death
- Prevalence based:
- cost per year for an average patient or
for all patients together
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- 1. Cost to treat the disease or cost of
care in patients with the disease?
- 2. Possible Study Perspectives
Interpretation of cost
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Content
1. Some preliminary terminology 2. What we know about the burden of chronic pain 3. Something to think about
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- 1. Medical cost is > 4 fold
compared to matched controls
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Management of chronic pain
Drugs
NSAIDS, analgesics, opioids, muscle relaxants, antidepressants, anti- epileptics, … Different routes of administration
Physiotherapy (massage, electrotherapy, manual therapy, exercise programs, …) Psychotherapy, CBT Interventions (denervation, neurostimulation, neuromodulation,…) Surgery (spinal fusion, …) ….
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Inadequate pain control
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Non adherence more expensive
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- 155; 5%
203; 7% 126; 4% 2627; 84% public payer
- ut of pocket
private insurance lost time
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- 2. Time related costs are much
higher than direct medical costs
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Switzerland Bachman 2009
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Absence from work
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27*"&&&"*$+*"&8.
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