Document Detail

Medical and non-medical direct costs of chronic low back pain in patients consulting primary care physicians in France.
MedLine Citation:
PMID:  19678853     Owner:  NLM     Status:  MEDLINE    
A retrospective, observational, cohort study in primary care. To determine the total direct medical and non-medical cost of chronic low back pain (LBP) in France and its associated factors. Chronic LBP affects 5-10% of the population its burden in France is unknown. Ninety-eight randomly selected general practitioners included 796 adult patients with chronic LBP between October 2001 and December 2002. Direct costs due to physician visits, investigations, medications, hospitalizations, and other medical and non-medical resource use were collected for the 6 months prior to study visit. Costs both reimbursed and not by the French health insurance system were considered. Quality of life (QoL) and disease severity were measured using Short Form (SF)-8 and Roland-Morris disability questionnaire (RMDQ), respectively. Costs were updated to represent 2007 prices. Men represented 50.6% of the 796 patients, mean age was 53 +/- 11.3 years, and the duration of LBP was more than 1 year in 80.9% of patients. The total mean cost per patient over six months was 715.6 euro (95% CI: 644.2-797.8). Of these costs, 22.9% related to care provided by physiotherapists and allied specialists, 19.5% to medications, 17.4% to hospitalizations, 9.6% to investigations, and 12.5% to physician fees. In multivariate analysis, the factors associated with the cost of chronic LBP were disease severity (RMDQ score) and age of the patients. LBP is a disease that is both common and costly.
Fanny Depont; Elke Hunsche; Abdelilah Abouelfath; Thierno Diatta; Isabelle Addra; Angela Grelaud; Rajaa Lagnaoui; Mathieu Molimard; Nicholas Moore
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-08-12
Journal Detail:
Title:  Fundamental & clinical pharmacology     Volume:  24     ISSN:  1472-8206     ISO Abbreviation:  Fundam Clin Pharmacol     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-05-12     Completed Date:  2010-08-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8710411     Medline TA:  Fundam Clin Pharmacol     Country:  England    
Other Details:
Languages:  eng     Pagination:  101-8     Citation Subset:  IM    
Département de Pharmacologie, Université Victor Segalen Bordeaux 2, 33076 Bordeaux, France.
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MeSH Terms
Age Factors
Chronic Disease
Cohort Studies
Cost of Illness*
Data Collection
France / epidemiology
Health Care Costs / statistics & numerical data
Low Back Pain / economics*,  epidemiology,  physiopathology
Middle Aged
Multivariate Analysis
Primary Health Care / economics*
Quality of Life
Retrospective Studies
Severity of Illness Index

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

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