Comparison of Health Care Use and Costs in Newly Diagnosed and Established Patients With Fibromyalgia

White, Leigh Ann; Robinson, Rebecca; Yu, Andrew P.; Kaltenboeck, Anna; Samuels, Seth; Mallett, David; Birnbaum, Howard G.

doi:10.1016/j.jpain.2009.03.012

Cited by 38 publications

(69 citation statements)

References 13 publications

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“…Consistent with previously published U.S. studies, 6,12,13 this study demonstrated that fibromyalgia is associated with substantial direct and indirect costs to payers, patients, and society. This study also demonstrated that costs are higher for patients with worse fibromyalgia severity.…”

Section: ■■ Discussionsupporting

confidence: 90%

“…12 In research performed by Robinson et al (2003), patients with fibromyalgia were estimated to have an office service claim 11.9 times per year. 13 Overall, the present study results are consistent with those of other studies that have documented high levels of HRU among patients with fibromyalgia 6,[12][13][14][15] and provide additional detail on how HRU differs across severity level.…”

Section: ■■ Discussionsupporting

confidence: 90%

“…[3][4][5][6] Patients with fibromyalgia report pain, fatigue, sleep disturbance, and substantial limitations in physical function and independent activities of daily living (e.g., shopping, climbing stairs), [7][8][9][10] which may lead to lost productivity in terms of higher absenteeism and…”

Section: What This Study Addsmentioning

confidence: 99%

“…4,7,10 Several previous studies in the United States, including retrospective claims analyses and a prospective survey, have documented direct health care costs among patients with fibromyalgia. 6,[12][13][14][15] The claims analyses captured all-cause medical costs and, thus, may not have captured medical costs directly attributable to fibromyalgia. Also, while these studies captured patient out-of-pocket costs for medical services and prescription medications, they did not capture additional out-of-pocket costs incurred by patients, including costs for professional services to help perform daily activities hindered by fibromyalgia, such as child care, housework, or yard work.…”

mentioning

confidence: 99%

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The Comparative Economic Burden of Mild, Moderate, and Severe Fibromyalgia: Results from a Retrospective Chart Review and Cross-Sectional Survey of Working-Age U.S. Adults

Chandran

Schaefer²,

Ryan³

et al. 2012

JMCP

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Section: ■■ Discussionsupporting

confidence: 90%

Section: ■■ Discussionsupporting

confidence: 90%

Section: What This Study Addsmentioning

confidence: 99%

mentioning

confidence: 99%

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The Comparative Economic Burden of Mild, Moderate, and Severe Fibromyalgia: Results from a Retrospective Chart Review and Cross-Sectional Survey of Working-Age U.S. Adults

Chandran

Schaefer²,

Ryan³

et al. 2012

JMCP

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show abstract

“…Similarly, self-reported chronic conditions would not include undiagnosed conditions that may be associated with frequent visits, and the duration of each condition was not captured, although individuals with recently diagnosed vs stabilized conditions may differ in the amount of resources accessed. 38 A major limitation of this study is the low response rate. While within the range reported by other international population-level surveys of 39,40 a large proportion of questionnnaires were never returned.…”

Section: Discussionmentioning

confidence: 91%

Frequency and characteristics of healthcare visits associated with chronic pain: results from a population-based Canadian study

Mann

Johnson

VanDenKerkhof

2016

Can J Anesth/J Can Anesth

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Purpose This study was designed to investigate the role of chronic pain in healthcare visits. The specific objectives were to document the frequency of healthcare visits and to identify characteristics associated with frequent visits. Methods This is a secondary analysis of data from a Canadian cross-sectional study on chronic pain. One thousand two hundred and ninety-four participants were screened for chronic pain, and 741 reported having ''pain or discomfort that had been experienced either all the time or intermittently for at least three months''. Data regarding sociodemographics, general health, and healthcare visits were also collected. The frequency of healthcare visits was defined as at or above the 90th percentile for the group. Frequency was calculated for each setting, i.e., physicians' offices (C 9), emergency departments (C 1), and other (C 15). Binary logistic regression analyses were conducted to identify factors associated with frequent visits.Results Chronic pain increased the frequency of visits to physicians (odds ratio [OR], 4.7; 95% confidence interval [CI], 2.8 to 7.9), emergency departments (OR, 1.4; 95% CI, 1.0 to 2.0), and ''other'' healthcare professionals (OR, 8.3; 95% CI, 4.5 to 15.5). Having C3 chronic conditions significantly increased the odds of frequent healthcare visits. Conclusion Interventions aimed at reducing healthcare costs for chronic pain should target individuals living with multiple chronic conditions. Research is needed to develop and test interventions that focus on the needs of these groups. Identifying the risk factors for high healthcare use and improving self-management may reduce healthcare visits. RésuméObjectif Cette étude a été conçue afin d'examiner le rô le de la douleur chronique dans les visites aux services de soins de santé. Les objectifs spécifiques de l'étude étaient de documenter la fréquence des visites et de déterminer les caractéristiques associées à des visites fréquentes. Méthode Cette étude est une analyse secondaire de données tirées d'une étude canadienne transversale sur la douleur chronique. Au total, 1094 patients ont été dépistés pour la douleur chronique, et 741 ont rapporté ressentir « des douleurs ou un inconfort perçus de façon continue ou intermittente pendant au moins trois mois ». Les données sociodémographiques ainsi que celles concernant la santé générale et les visites aux services de soins de santé ont également été colligées. La fréquence des visites aux services de soins de santé a été définie comme étant égale ou au-dessus du 90 e percentile pour le groupe et calculée pour chaque type de service, soit les docteurs et spécialistes (C 9), les départements d'urgence (C 1), et

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Epidemiology and economics of chronic and recurrent pain

Turk¹,

Patel²

2022

Clinical Pain Management

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Comparison of Health Care Use and Costs in Newly Diagnosed and Established Patients With Fibromyalgia

Cited by 38 publications

References 13 publications

The Comparative Economic Burden of Mild, Moderate, and Severe Fibromyalgia: Results from a Retrospective Chart Review and Cross-Sectional Survey of Working-Age U.S. Adults

The Comparative Economic Burden of Mild, Moderate, and Severe Fibromyalgia: Results from a Retrospective Chart Review and Cross-Sectional Survey of Working-Age U.S. Adults

Frequency and characteristics of healthcare visits associated with chronic pain: results from a population-based Canadian study

Epidemiology and economics of chronic and recurrent pain

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