Medical specialists care and hospital costs for low back pain in the Netherlands

Itz, Coen J.; Ramaekers, Bram; Kleef, Maarten van; Dirksen, Carmen D.

doi:10.1002/ejp.974

Cited by 16 publications

(16 citation statements)

References 24 publications

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“…In 2007, the costs for CLBP represented 0.6% of the gross national product in the Netherlands [ 7 ]. Direct healthcare costs are, for instance, caused by patients searching for pain treatment [ 2 , 5 , 8 , 9 ]. Indirect (societal) costs represent secondary consequences of CLBP, the losses resulting from morbidity or disability, mainly caused by work absenteeism and informal caregiving [ 10 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

“…Indirect (societal) costs represent secondary consequences of CLBP, the losses resulting from morbidity or disability, mainly caused by work absenteeism and informal caregiving [ 10 , 11 ]. Although indirect costs are known to be the highest cost factor for CLBP, direct healthcare costs, like medical specialist care and hospital costs, for low back pain are high as well [ 5 , 8 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

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The Impact of Chronic Discogenic Low Back Pain: Costs and Patients’ Burden

Geurts

Willems

Kallewaard

et al. 2018

Pain Research and Management

107

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Introduction Chronic discogenic low back pain (CDP) is frequently diagnosed in patients referred to specialized pain clinics for their back pain. The aim of this study is to assess the impact of CDP both on the individual patient and on society. Materials and Methods Using the baseline records of 80 patients in a randomized trial assessing the effectiveness of a new intervention for CDP, healthcare and societal costs related to back pain are calculated. Furthermore, the impact of the condition on perceived pain, disability, health-related quality of life, Quality of life Adjusted Life Years (QALY), and QALY loss is assessed. Results Using the friction costs approach, we found that the annual costs for society are €7,911.95 per CDP patient, 51% healthcare and 49% societal costs. When using the human capital approach, total costs were €18,940.58, 22% healthcare and 78% societal costs. Healthcare costs were mainly related to pain treatment. Mean pain severity was 6.5 (0–10), and 46% suffered from severe pain (≥7/10). Mean physical limitations rate was 43.7; 13.5% of the patients were very limited to disabled. QALY loss compared to a healthy population was 64%. Discussion This study shows that in patients with CDP referred to a pain clinic, costs for society are high and the most used healthcare resources are pain therapies. Patients suffer severe pain, are physically limited, and experience a serious loss in quality of life.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Impact of Chronic Discogenic Low Back Pain: Costs and Patients’ Burden

Geurts

Willems

Kallewaard

et al. 2018

Pain Research and Management

107

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“…Further, myofibroblasts and contractile activities have also been observed in fasciae [8]. Because of these various findings, fasciae are increasingly becoming the focus of scientific research in terms of musculoskeletal disorders such as low back pain, which presents one of the most important and cost-intensive complaints [9][10][11][12]. In this context, the thoracolumbar fascia plays a central role because it serves as both a pivot and an anchor.…”

Section: Introductionmentioning

confidence: 99%

The feasibility and impact of instrument-assisted manual therapy (IAMT) for the lower back on the structural and functional properties of the lumbar area in female soccer players: a randomised, placebo-controlled pilot study design

Weber

Gräf

Klingler

et al. 2020

Pilot Feasibility Stud

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Background: Myofascial (self-)treatments, such as foam rollers to therapeutic instruments in manual therapy, are utilized increasingly in prevention and therapy in healthy people, athletes, and patients suffering from chronic back pain. However, there is limited knowledge about the effectiveness of treatment and the underlying mechanisms of myofascial therapies, especially for instrument-assisted manual therapy (IAMT). Therefore, this pilot study will investigate the feasibility and impact of IAMT for the lumbar area compared with heat application and placebo treatment as a basis for calculating the sample size for further full studies. The primary outcomes will be a critical analysis of the feasibility of the measurement protocol in terms of time economy and expressiveness and of the short-and long-term effects on shear motion of the single tissue layers of the lower back obtained through ultrasound imaging. Secondary outcomes will include thickness and compressibility of the lumbar structures and flexibility of the dorsal structures, indentometry, and superficial skin temperature. Methods: A minimum of 60 healthy, competitive 15-35-year-old female soccer players will be recruited and randomised into three groups. Short-term effects of IAMT on thoracolumbar structures will be compared with heat application and pressure-less placebo treatment. Long-term effects in the IAMT group will be tested after nine further interventions over a 5week period (2×/week) and compared with the placebo group, which will not receive further treatments but will serve as a control. Intermediate and final testing of both groups will occur in weeks three and five.

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“…The main justification is that LBP is the main cause of chronic pain (7) , representing the second leading cause of functional disability in the world (8) . Besides being a serious welfare problem for people suffering from this condition, LBP has been configured as an important economic problem, generating high costs for the health system (9) . In young population, different factors have been associated with a higher probability of occurrence of LBP, such as participation in competitive sports, female sex, peak growth phase, adverse psychosocial factors, older age, previous history of back injury and history family (10) .…”

Section: Introductionmentioning

confidence: 99%

Accuracy of motor tests related to musculoskeletal fitness as predictors of low back pain in adolescents: a pilot study

Oliveira¹,

Oliveira²,

Remonte³

et al. 2020

mtprehabjournal

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Background: The prevalence of low back pain in adolescents is close to that found in the adult population. In view of the relationship between low back pain and the resistance of the spine stabilizing muscles, studies have sought to identify the ability of specific motor tests to predict this condition. Objectives: Our objective was to verify the predictive ability of three motor tests related to musculoskeletal fitness to identify adolescents with low back pain. Methods: The sample consisted of 150 adolescents, of both sexes, aged between 15 and 19 years. The Nordic questionnaire validated for Brazilian adolescents was applied to identify those with low back pain. Subsequently, three motor tests (one-minute sit-up test, Sorensen test and lateral plank test) were applied. Statistical analysis involved the ROC curve, to identify the Area Under the Curve (AUC), assuming a 95% confidence interval. Results: It was observed in males that all the tests had a low AUC (between 0.56 and 0.57), without statistical significance (p > 0.05). For females, AUC ranged from 0.62 to 0.66, with statistical significance (p < 0.05) for the cut-off points identified in the one-minute sit-up test (≤ 24 repetitions) and Sorensen test (≤ 28 seconds), however, without significance (p > 0.05) for the lateral plank test. Conclusion: Motor tests of abdominal and paravertebral muscle resistance were not predictors of low back pain in male adolescents. Despite the low accuracy, the cut-off points identified in the one-minute sit-up test and Sorensen test, can be used with some caution to predict low back pain in female adolescents.

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Medical specialists care and hospital costs for low back pain in the Netherlands

Cited by 16 publications

References 24 publications

The Impact of Chronic Discogenic Low Back Pain: Costs and Patients’ Burden

The Impact of Chronic Discogenic Low Back Pain: Costs and Patients’ Burden

The feasibility and impact of instrument-assisted manual therapy (IAMT) for the lower back on the structural and functional properties of the lumbar area in female soccer players: a randomised, placebo-controlled pilot study design

Accuracy of motor tests related to musculoskeletal fitness as predictors of low back pain in adolescents: a pilot study

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