Document Detail

The Canadian STOP-PAIN project - Part 2: What is the cost of pain for patients on waitlists of multidisciplinary pain treatment facilities?
MedLine Citation:
PMID:  20414821     Owner:  NLM     Status:  MEDLINE    
PURPOSE: The Canadian STOP-PAIN Project was designed to document the human and economic burden of chronic pain in individuals on waitlists of Multidisciplinary Pain Treatment Facilities (MPTF). This paper describes the societal costs of their pain. METHODS: A subgroup of 370 patients was selected randomly from The Canadian STOP-PAIN Project. Participants completed a self-administered costing tool (the Ambulatory and Home Care Record) on a daily basis for three months. They provided information about publicly financed resources, such as health care professional consultations and diagnostic tests as well as privately financed costs, including out-of-pocket expenditures and time devoted to seeking, receiving, and providing care. To determine the cost of care, resources were valued using various costing methods, and multivariate linear regression was used to predict total cost. RESULTS: Overall, the median monthly cost of care was $1,462 (CDN) per study participant. Ninety-five percent of the total expenditures were privately financed. The final regression model consisted of the following determinants: educational level, employment status, province, pain duration, depression, and health-related quality of life. This model accounted for 35% of the variance in total expenditure (P < 0.001). CONCLUSION: The economic burden of chronic pain is substantial in patients on waitlists of MPTFs. Consequently, it is essential to consider this burden when making decisions regarding resource allocation and waitlist assignment for a MPTF. Resource allocation decision-making should include the economic implications of having patients wait for an assessment and for care.
Denise N Guerriere; Manon Choinière; Dominique Dion; Philip Peng; Emma Stafford-Coyte; Brandon Zagorski; Robert Banner; Pamela M Barton; Aline Boulanger; Alexander J Clark; Allan S Gordon; Marie-Claude Guertin; Howard M Intrater; Sandra M Lefort; Mary E Lynch; Dwight E Moulin; May Ong-Lam; Mélanie Racine; Saifee Rashiq; Yoram Shir; Paul Taenzer; Mark Ware
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-04-23
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  57     ISSN:  1496-8975     ISO Abbreviation:  Can J Anaesth     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-05-10     Completed Date:  2010-08-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  United States    
Other Details:
Languages:  eng     Pagination:  549-58     Citation Subset:  IM    
Department of Health Policy, Management and Evaluation, University of Toronto, ON, Canada.
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MeSH Terms
Aged, 80 and over
Chronic Disease
Cost of Illness*
Costs and Cost Analysis
Linear Models
Middle Aged
Multivariate Analysis
Pain / economics*,  therapy
Pain Clinics / statistics & numerical data
Prospective Studies
Quality of Life
Time Factors
Waiting Lists*
Young Adult
Grant Support
DOP 68175//Canadian Institutes of Health Research
Comment In:
Can J Anaesth. 2010 Jun;57(6):530-8   [PMID:  20411445 ]

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