Document Detail


Direct medical costs in patients with fibromyalgia: Cost of illness and impact of a brief multidisciplinary treatment program.
MedLine Citation:
PMID:  20975520     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To compare the direct medical costs of clinically diagnosed patients with fibromyalgia with the medical costs of matched controls during a 4-yr period and to assess the impact of a fibromyalgia treatment program on healthcare utilization and associated medical costs.
DESIGN: A retrospective comparison of economic outcomes in 87 patients who participated in a fibromyalgia treatment program between 2001 and 2004 and who were local residents for the entire 4-yr period spanning their participation in the program, with age and sex-matched controls. Costs for the 2 yrs before and 2 yrs after program participation were also compared.
RESULTS: Four-year medical costs for controls were $7774 compared with $15,759 for those with fibromyalgia. There was no significant change in direct costs after participation in a brief fibromyalgia treatment program. Those with increased symptom severity averaged $2034 higher direct medical costs during the 4-yr period.
CONCLUSIONS: Patients with clinically diagnosed fibromyalgia incur direct medical costs about twice that of their matched controls. This increased cost is related to the severity of their symptoms as measured by the Fibromyalgia Impact Questionnaire and was not impacted by participation in a brief cognitive behaviorally based fibromyalgia treatment program.
Authors:
Jeffrey M Thompson; Connie A Luedtke; Terry H Oh; Nilay D Shah; Kirsten Hall Long; Susan King; Megan Branda; Randy Swanson
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of physical medicine & rehabilitation / Association of Academic Physiatrists     Volume:  90     ISSN:  1537-7385     ISO Abbreviation:  Am J Phys Med Rehabil     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-04     Completed Date:  2011-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8803677     Medline TA:  Am J Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  40-6     Citation Subset:  AIM; IM    
Affiliation:
Department of Physical Medicine and Rehabilitation, Mayo Clinic College of Medicine, Rochester, Minnesota 55905, USA.
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care / economics
Case-Control Studies
Cost of Illness*
Databases as Topic
Female
Fibromyalgia / diagnosis,  economics*,  therapy
Hospitalization / economics
Humans
Male
Middle Aged
Minnesota
Occupational Therapy
Patient Care Team
Patient Education as Topic
Physical Therapy Modalities
Retrospective Studies
Self Care
Severity of Illness Index

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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