Cost of low back pain: results from a national register study in Sweden

Olafsson, G.; Jonsson, Emma; Fritzell, Peter; Hägg, Olle; Borgström, Fredrik

doi:10.1007/s00586-018-5742-6

Cited by 91 publications

(79 citation statements)

References 10 publications

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“…We found a total expense of around US$ 2.2 billion for patients with LBP in Brazil (annual expending of around US$ 500 million). This finding is consistent with previous research from other countries, showing high healthcare and lost productivity costs among individuals with LBP [6,10,15,33,34]. For instance, the lost productivity costs related to disability due to chronic spine pain in Portugal in 2010 was approximately € 739 million, mostly in individuals aged between 50 to 59 years [7].…”

Section: Discussionsupporting

confidence: 91%

“…For instance, the lost productivity costs related to disability due to chronic spine pain in Portugal in 2010 was approximately € 739 million, mostly in individuals aged between 50 to 59 years [7]. Additionally, in 2011, the mean cost per episode/patient with LBP in Sweden was estimated in € 2,753; totaling € 739 million annually, and 66% were attributed to lost productivity costs [15]. In addition, the trend from 2012 to 2016 showed slight reductions in healthcare costs but increases in lost productivity costs.…”

Section: Discussionmentioning

confidence: 99%

“…Recently, researchers have highlighted the importance of monitoring and understanding the healthcare spending associated with LBP in order to optimize the use of scarce resources and to adopt evidence-based interventions [13,14]. This is essential as a basis for the development of future cost-saving cost-effective intervention strategies [1,15].…”

Section: Introductionmentioning

confidence: 99%

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Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016

et al. 2020

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Background Low Back Pain (LBP) is associated with an increase in disability-adjusted life years, and increased risk of disability retirement and greater absenteeism in Brazil. Hence, evidence on healthcare and lost productivity costs due to LBP is of utmost importance to inform decision-makers. Methods Cost-of-illness study with top-down approach, and societal perspective. We extracted data from National databases, considering the period 2012-2016. Outpatient expenses included clinical, surgical, diagnosis, orthosis/prosthetics, and complementary actions. Inpatient care expenses included hospital and professional services, intensive care unit, and companion stay. For productivity losses, duration of work absence and associated information (workrelated and non-work-related; value of the sickness absence benefit; age; gender; and economic activity) were analyzed. Lost productivity costs were calculated multiplying the absence from work (days) by the daily-benefit. Results The societal costs amounted to US$ 2.2 billion, and productivity losses represented 79% of the costs. Total healthcare expenses were estimated to US$ 460 million. We found more than 880,000 diagnostic images. Individuals with LBP were in total 59 million days absent from work between 2012-2016. The mean lost days absent from work per person, for each

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016

et al. 2020

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“…The direct cost EUR 4,282 can be compared with data published by the Swedish Association of Local Authorities and Regions, wherein they reported an annual healthcare direct cost of EUR 1,951 for an average female Swede. Our total annual cost of EUR 8,768/woman can also be compared with other recent Swedish studies reporting annual costs in other benign persistent conditions: annual total cost of migraine was EUR 10,790 (EUR rate 2013) per patient [22], annual total cost of Irritable bowel syndrome with predominant constipation was EUR 12,873 (EUR rate 2019) per patient [23], and mean total cost of low back pain was EUR 2,753 (EUR rate 2016) per episode [24].…”

Section: Discussionmentioning

confidence: 96%

Healthcare Consumption and Cost Estimates Concerning Swedish Women with Endometriosis

Grundström

Spagnoli

Lövqvist

et al. 2020

Gynecol Obstet Invest

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Introduction: Endometriosis is known for its substantial effect on women’s wellbeing and quality of life. In order to evaluate disease burden, treatments and health services, assessments of healthcare consumption and cost estimates are necessary. Objectives: The aim of this study was to estimate healthcare consumption and annual cost per woman with endometriosis in Sweden and to examine healthcare consumption and costs in different age groups. Methods: A questionnaire was distributed to 400 members of the Endometriosis Association and to 400 randomly selected women with surgically confirmed endometriosis. Official statistics were obtained via correspondence, publications, and database searches. Results: Analysis of the 431 returned questionnaires showed that women under 30 years utilized more inpatient and outpatient care than older women. The mean annual cost among all women was EUR 8,768/woman. The direct healthcare cost of managing the disease was EUR 4,282, while the indirect cost was EUR 4,486. Absence from work was reported by 32% of the women, while 36% reported reduced time at work because of endometriosis. Conclusion: Our results confirm the substantial negative effect of endometriosis upon women’s lives and their relatively high healthcare consumption.

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“…While we measured only productivity loss costs in this study, not medication, nor healthcare costs, it is known that approximately 84% of the total costs for back pain are attributed to productivity losses. 17 In a recent cost-of-illness study of individuals with low back pain in the Västra Götaland region in Sweden, 35 the mean cost per individuals following one episode of low back pain was €2753.…”

Section: Discussionmentioning

confidence: 99%

Productivity losses among people with back pain and among population-based references: a register-based study in Sweden

et al. 2020

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ObjectiveBack pain is the leading cause for years lived with disability globally and among the main reasons for sickness absence (SA) and disability pension (DP). The objective of this study was to explore the occurrence of SA and DP and to estimate productivity losses among individuals with back pain compared with among matched population-based references.DesignExplorative prospective cohort study using register microdata.Participants and settingA total of 23 176 people, aged 19–60 years, with a first visit to inpatient or specialised outpatient healthcare for back pain (International Statistical Classification of Diseases and Related Health Problems code M54) in 2010 in Sweden and a matched population-based reference group (n=115 880).OutcomesLong-term SA (in SA spells >14 days) and DP and productivity losses, measured in € (2018 prices) by multiplying the SA and DP net days by the societal cost of each such day.ResultsIn the back-pain group, 42% had SA or DP days; in the reference group, the corresponding proportion was 15%. Productivity loss per patient with back pain was €8928 during the 12-month follow-up period; in the reference group, it was €3499 (p<0.0001).ConclusionsSA and DP, leading to excess productivity losses among people with back pain, reflect the challenges these patients are facing to maintain their work capacity. Interventions to promote that individuals with back pain remain in paid work should be a priority in order to address the high costs.

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Cost of low back pain: results from a national register study in Sweden

Cited by 91 publications

References 10 publications

Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016

Low back pain should be considered a health and research priority in Brazil: Lost productivity and healthcare costs between 2012 to 2016

Healthcare Consumption and Cost Estimates Concerning Swedish Women with Endometriosis

Productivity losses among people with back pain and among population-based references: a register-based study in Sweden

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