Healthcare costs associated with elderly chronic pain patients in primary care
Objective This study aimed to estimate the total healthcare costs associated with elderly chronic pain (CP) patients, define cost-related factors in this population, and examine cost evolution over two years. Method This is an ancillary study from the CP S.AGE subcohort, including non-institutionali...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Lazkani, Aida [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2015 |
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| Schlagwörter: |
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| Anmerkung: |
© Springer-Verlag Berlin Heidelberg 2015 |
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| Übergeordnetes Werk: |
Enthalten in: European journal of clinical pharmacology - Berlin : Springer, 1968, 71(2015), 8 vom: 26. Mai, Seite 939-947 |
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| Übergeordnetes Werk: |
volume:71 ; year:2015 ; number:8 ; day:26 ; month:05 ; pages:939-947 |
| Links: |
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| DOI / URN: |
10.1007/s00228-015-1871-6 |
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| Katalog-ID: |
SPR002587181 |
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| 520 | |a Objective This study aimed to estimate the total healthcare costs associated with elderly chronic pain (CP) patients, define cost-related factors in this population, and examine cost evolution over two years. Method This is an ancillary study from the CP S.AGE subcohort, including non-institutionalized patients aged over 65 suffering from CP. 1190, 1108, 1042, and 950 patients were reviewed with available healthcare data at follow-up visits at 6, 12, 18, and 24 months, respectively. Healthcare components included medical and paramedical visits, medication prescription, and hospitalization. Result The mean total cost in the first semester was estimated at €2548 ± €8885 per patient. Hospitalization represented the largest cost component (50 %) followed by paramedical care (24 %), medications (21 %), and medical visits (5 %). Significant cost-associated factors were comorbidity (OR 1.49, 95 % CI 1.35–1.64), dependency in daily activities (OR 1.85, 95 % CI 1.39–2.47), probable depression (OR 1.71, 95 % CI 1.09–2.69), permanent pain (OR 1.48, 95 % CI 1.18–1.86), neuropathic pain (OR 1.94, 95 % CI 1.38–2.73), living alone (OR 1.45, 95 % CI 1.16–1.82), chronic back pain (OR 1.35, 95 % CI 1.07–1.71), and vertebral fracture/compression (OR 1.47, 95 % CI 1.08–2.01). Healthcare costs increased significantly by 48 % (p < 0.0001) during follow-up namely due to hospitalizations. Elevated costs were associated with a higher risk of future hospitalization (OR 1.95, CI 95 % 1.33–2.87). Conclusion Healthcare costs increased rapidly over time, largely due to hospitalization. Prevention strategies to limit hospitalizations in elderly appear to be the most useful in order to achieve cost savings in the future. | ||
| 650 | 4 | |a Healthcare |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Cost |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Chronic pain |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Elderly patients |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Delespierre, Tiba |4 aut | |
| 700 | 1 | |a Bauduceau, Bernard |4 aut | |
| 700 | 1 | |a Pasquier, Florence |4 aut | |
| 700 | 1 | |a Bertin, Philippe |4 aut | |
| 700 | 1 | |a Berrut, Gilles |4 aut | |
| 700 | 1 | |a Corruble, Emmanuelle |4 aut | |
| 700 | 1 | |a Doucet, Jean |4 aut | |
| 700 | 1 | |a Falissard, Bruno |4 aut | |
| 700 | 1 | |a Forette, Francoise |4 aut | |
| 700 | 1 | |a Hanon, Olivier |4 aut | |
| 700 | 1 | |a Benattar-Zibi, Linda |4 aut | |
| 700 | 1 | |a Piedvache, Celine |4 aut | |
| 700 | 1 | |a Becquemont, Laurent |4 aut | |
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10.1007/s00228-015-1871-6 doi (DE-627)SPR002587181 (SPR)s00228-015-1871-6-e DE-627 ger DE-627 rakwb eng Lazkani, Aida verfasserin aut Healthcare costs associated with elderly chronic pain patients in primary care 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Berlin Heidelberg 2015 Objective This study aimed to estimate the total healthcare costs associated with elderly chronic pain (CP) patients, define cost-related factors in this population, and examine cost evolution over two years. Method This is an ancillary study from the CP S.AGE subcohort, including non-institutionalized patients aged over 65 suffering from CP. 1190, 1108, 1042, and 950 patients were reviewed with available healthcare data at follow-up visits at 6, 12, 18, and 24 months, respectively. Healthcare components included medical and paramedical visits, medication prescription, and hospitalization. Result The mean total cost in the first semester was estimated at €2548 ± €8885 per patient. Hospitalization represented the largest cost component (50 %) followed by paramedical care (24 %), medications (21 %), and medical visits (5 %). Significant cost-associated factors were comorbidity (OR 1.49, 95 % CI 1.35–1.64), dependency in daily activities (OR 1.85, 95 % CI 1.39–2.47), probable depression (OR 1.71, 95 % CI 1.09–2.69), permanent pain (OR 1.48, 95 % CI 1.18–1.86), neuropathic pain (OR 1.94, 95 % CI 1.38–2.73), living alone (OR 1.45, 95 % CI 1.16–1.82), chronic back pain (OR 1.35, 95 % CI 1.07–1.71), and vertebral fracture/compression (OR 1.47, 95 % CI 1.08–2.01). Healthcare costs increased significantly by 48 % (p < 0.0001) during follow-up namely due to hospitalizations. Elevated costs were associated with a higher risk of future hospitalization (OR 1.95, CI 95 % 1.33–2.87). Conclusion Healthcare costs increased rapidly over time, largely due to hospitalization. Prevention strategies to limit hospitalizations in elderly appear to be the most useful in order to achieve cost savings in the future. Healthcare (dpeaa)DE-He213 Cost (dpeaa)DE-He213 Chronic pain (dpeaa)DE-He213 Elderly patients (dpeaa)DE-He213 Delespierre, Tiba aut Bauduceau, Bernard aut Pasquier, Florence aut Bertin, Philippe aut Berrut, Gilles aut Corruble, Emmanuelle aut Doucet, Jean aut Falissard, Bruno aut Forette, Francoise aut Hanon, Olivier aut Benattar-Zibi, Linda aut Piedvache, Celine aut Becquemont, Laurent aut Enthalten in European journal of clinical pharmacology Berlin : Springer, 1968 71(2015), 8 vom: 26. Mai, Seite 939-947 (DE-627)253722829 (DE-600)1459058-X 1432-1041 nnns volume:71 year:2015 number:8 day:26 month:05 pages:939-947 https://dx.doi.org/10.1007/s00228-015-1871-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 71 2015 8 26 05 939-947 |
| spelling |
10.1007/s00228-015-1871-6 doi (DE-627)SPR002587181 (SPR)s00228-015-1871-6-e DE-627 ger DE-627 rakwb eng Lazkani, Aida verfasserin aut Healthcare costs associated with elderly chronic pain patients in primary care 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Berlin Heidelberg 2015 Objective This study aimed to estimate the total healthcare costs associated with elderly chronic pain (CP) patients, define cost-related factors in this population, and examine cost evolution over two years. Method This is an ancillary study from the CP S.AGE subcohort, including non-institutionalized patients aged over 65 suffering from CP. 1190, 1108, 1042, and 950 patients were reviewed with available healthcare data at follow-up visits at 6, 12, 18, and 24 months, respectively. Healthcare components included medical and paramedical visits, medication prescription, and hospitalization. Result The mean total cost in the first semester was estimated at €2548 ± €8885 per patient. Hospitalization represented the largest cost component (50 %) followed by paramedical care (24 %), medications (21 %), and medical visits (5 %). Significant cost-associated factors were comorbidity (OR 1.49, 95 % CI 1.35–1.64), dependency in daily activities (OR 1.85, 95 % CI 1.39–2.47), probable depression (OR 1.71, 95 % CI 1.09–2.69), permanent pain (OR 1.48, 95 % CI 1.18–1.86), neuropathic pain (OR 1.94, 95 % CI 1.38–2.73), living alone (OR 1.45, 95 % CI 1.16–1.82), chronic back pain (OR 1.35, 95 % CI 1.07–1.71), and vertebral fracture/compression (OR 1.47, 95 % CI 1.08–2.01). Healthcare costs increased significantly by 48 % (p < 0.0001) during follow-up namely due to hospitalizations. Elevated costs were associated with a higher risk of future hospitalization (OR 1.95, CI 95 % 1.33–2.87). Conclusion Healthcare costs increased rapidly over time, largely due to hospitalization. Prevention strategies to limit hospitalizations in elderly appear to be the most useful in order to achieve cost savings in the future. Healthcare (dpeaa)DE-He213 Cost (dpeaa)DE-He213 Chronic pain (dpeaa)DE-He213 Elderly patients (dpeaa)DE-He213 Delespierre, Tiba aut Bauduceau, Bernard aut Pasquier, Florence aut Bertin, Philippe aut Berrut, Gilles aut Corruble, Emmanuelle aut Doucet, Jean aut Falissard, Bruno aut Forette, Francoise aut Hanon, Olivier aut Benattar-Zibi, Linda aut Piedvache, Celine aut Becquemont, Laurent aut Enthalten in European journal of clinical pharmacology Berlin : Springer, 1968 71(2015), 8 vom: 26. Mai, Seite 939-947 (DE-627)253722829 (DE-600)1459058-X 1432-1041 nnns volume:71 year:2015 number:8 day:26 month:05 pages:939-947 https://dx.doi.org/10.1007/s00228-015-1871-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 71 2015 8 26 05 939-947 |
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10.1007/s00228-015-1871-6 doi (DE-627)SPR002587181 (SPR)s00228-015-1871-6-e DE-627 ger DE-627 rakwb eng Lazkani, Aida verfasserin aut Healthcare costs associated with elderly chronic pain patients in primary care 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Berlin Heidelberg 2015 Objective This study aimed to estimate the total healthcare costs associated with elderly chronic pain (CP) patients, define cost-related factors in this population, and examine cost evolution over two years. Method This is an ancillary study from the CP S.AGE subcohort, including non-institutionalized patients aged over 65 suffering from CP. 1190, 1108, 1042, and 950 patients were reviewed with available healthcare data at follow-up visits at 6, 12, 18, and 24 months, respectively. Healthcare components included medical and paramedical visits, medication prescription, and hospitalization. Result The mean total cost in the first semester was estimated at €2548 ± €8885 per patient. Hospitalization represented the largest cost component (50 %) followed by paramedical care (24 %), medications (21 %), and medical visits (5 %). Significant cost-associated factors were comorbidity (OR 1.49, 95 % CI 1.35–1.64), dependency in daily activities (OR 1.85, 95 % CI 1.39–2.47), probable depression (OR 1.71, 95 % CI 1.09–2.69), permanent pain (OR 1.48, 95 % CI 1.18–1.86), neuropathic pain (OR 1.94, 95 % CI 1.38–2.73), living alone (OR 1.45, 95 % CI 1.16–1.82), chronic back pain (OR 1.35, 95 % CI 1.07–1.71), and vertebral fracture/compression (OR 1.47, 95 % CI 1.08–2.01). Healthcare costs increased significantly by 48 % (p < 0.0001) during follow-up namely due to hospitalizations. Elevated costs were associated with a higher risk of future hospitalization (OR 1.95, CI 95 % 1.33–2.87). Conclusion Healthcare costs increased rapidly over time, largely due to hospitalization. Prevention strategies to limit hospitalizations in elderly appear to be the most useful in order to achieve cost savings in the future. Healthcare (dpeaa)DE-He213 Cost (dpeaa)DE-He213 Chronic pain (dpeaa)DE-He213 Elderly patients (dpeaa)DE-He213 Delespierre, Tiba aut Bauduceau, Bernard aut Pasquier, Florence aut Bertin, Philippe aut Berrut, Gilles aut Corruble, Emmanuelle aut Doucet, Jean aut Falissard, Bruno aut Forette, Francoise aut Hanon, Olivier aut Benattar-Zibi, Linda aut Piedvache, Celine aut Becquemont, Laurent aut Enthalten in European journal of clinical pharmacology Berlin : Springer, 1968 71(2015), 8 vom: 26. Mai, Seite 939-947 (DE-627)253722829 (DE-600)1459058-X 1432-1041 nnns volume:71 year:2015 number:8 day:26 month:05 pages:939-947 https://dx.doi.org/10.1007/s00228-015-1871-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 71 2015 8 26 05 939-947 |
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10.1007/s00228-015-1871-6 doi (DE-627)SPR002587181 (SPR)s00228-015-1871-6-e DE-627 ger DE-627 rakwb eng Lazkani, Aida verfasserin aut Healthcare costs associated with elderly chronic pain patients in primary care 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Berlin Heidelberg 2015 Objective This study aimed to estimate the total healthcare costs associated with elderly chronic pain (CP) patients, define cost-related factors in this population, and examine cost evolution over two years. Method This is an ancillary study from the CP S.AGE subcohort, including non-institutionalized patients aged over 65 suffering from CP. 1190, 1108, 1042, and 950 patients were reviewed with available healthcare data at follow-up visits at 6, 12, 18, and 24 months, respectively. Healthcare components included medical and paramedical visits, medication prescription, and hospitalization. Result The mean total cost in the first semester was estimated at €2548 ± €8885 per patient. Hospitalization represented the largest cost component (50 %) followed by paramedical care (24 %), medications (21 %), and medical visits (5 %). Significant cost-associated factors were comorbidity (OR 1.49, 95 % CI 1.35–1.64), dependency in daily activities (OR 1.85, 95 % CI 1.39–2.47), probable depression (OR 1.71, 95 % CI 1.09–2.69), permanent pain (OR 1.48, 95 % CI 1.18–1.86), neuropathic pain (OR 1.94, 95 % CI 1.38–2.73), living alone (OR 1.45, 95 % CI 1.16–1.82), chronic back pain (OR 1.35, 95 % CI 1.07–1.71), and vertebral fracture/compression (OR 1.47, 95 % CI 1.08–2.01). Healthcare costs increased significantly by 48 % (p < 0.0001) during follow-up namely due to hospitalizations. Elevated costs were associated with a higher risk of future hospitalization (OR 1.95, CI 95 % 1.33–2.87). Conclusion Healthcare costs increased rapidly over time, largely due to hospitalization. Prevention strategies to limit hospitalizations in elderly appear to be the most useful in order to achieve cost savings in the future. Healthcare (dpeaa)DE-He213 Cost (dpeaa)DE-He213 Chronic pain (dpeaa)DE-He213 Elderly patients (dpeaa)DE-He213 Delespierre, Tiba aut Bauduceau, Bernard aut Pasquier, Florence aut Bertin, Philippe aut Berrut, Gilles aut Corruble, Emmanuelle aut Doucet, Jean aut Falissard, Bruno aut Forette, Francoise aut Hanon, Olivier aut Benattar-Zibi, Linda aut Piedvache, Celine aut Becquemont, Laurent aut Enthalten in European journal of clinical pharmacology Berlin : Springer, 1968 71(2015), 8 vom: 26. Mai, Seite 939-947 (DE-627)253722829 (DE-600)1459058-X 1432-1041 nnns volume:71 year:2015 number:8 day:26 month:05 pages:939-947 https://dx.doi.org/10.1007/s00228-015-1871-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 71 2015 8 26 05 939-947 |
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10.1007/s00228-015-1871-6 doi (DE-627)SPR002587181 (SPR)s00228-015-1871-6-e DE-627 ger DE-627 rakwb eng Lazkani, Aida verfasserin aut Healthcare costs associated with elderly chronic pain patients in primary care 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Springer-Verlag Berlin Heidelberg 2015 Objective This study aimed to estimate the total healthcare costs associated with elderly chronic pain (CP) patients, define cost-related factors in this population, and examine cost evolution over two years. Method This is an ancillary study from the CP S.AGE subcohort, including non-institutionalized patients aged over 65 suffering from CP. 1190, 1108, 1042, and 950 patients were reviewed with available healthcare data at follow-up visits at 6, 12, 18, and 24 months, respectively. Healthcare components included medical and paramedical visits, medication prescription, and hospitalization. Result The mean total cost in the first semester was estimated at €2548 ± €8885 per patient. Hospitalization represented the largest cost component (50 %) followed by paramedical care (24 %), medications (21 %), and medical visits (5 %). Significant cost-associated factors were comorbidity (OR 1.49, 95 % CI 1.35–1.64), dependency in daily activities (OR 1.85, 95 % CI 1.39–2.47), probable depression (OR 1.71, 95 % CI 1.09–2.69), permanent pain (OR 1.48, 95 % CI 1.18–1.86), neuropathic pain (OR 1.94, 95 % CI 1.38–2.73), living alone (OR 1.45, 95 % CI 1.16–1.82), chronic back pain (OR 1.35, 95 % CI 1.07–1.71), and vertebral fracture/compression (OR 1.47, 95 % CI 1.08–2.01). Healthcare costs increased significantly by 48 % (p < 0.0001) during follow-up namely due to hospitalizations. Elevated costs were associated with a higher risk of future hospitalization (OR 1.95, CI 95 % 1.33–2.87). Conclusion Healthcare costs increased rapidly over time, largely due to hospitalization. Prevention strategies to limit hospitalizations in elderly appear to be the most useful in order to achieve cost savings in the future. Healthcare (dpeaa)DE-He213 Cost (dpeaa)DE-He213 Chronic pain (dpeaa)DE-He213 Elderly patients (dpeaa)DE-He213 Delespierre, Tiba aut Bauduceau, Bernard aut Pasquier, Florence aut Bertin, Philippe aut Berrut, Gilles aut Corruble, Emmanuelle aut Doucet, Jean aut Falissard, Bruno aut Forette, Francoise aut Hanon, Olivier aut Benattar-Zibi, Linda aut Piedvache, Celine aut Becquemont, Laurent aut Enthalten in European journal of clinical pharmacology Berlin : Springer, 1968 71(2015), 8 vom: 26. Mai, Seite 939-947 (DE-627)253722829 (DE-600)1459058-X 1432-1041 nnns volume:71 year:2015 number:8 day:26 month:05 pages:939-947 https://dx.doi.org/10.1007/s00228-015-1871-6 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 71 2015 8 26 05 939-947 |
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Enthalten in European journal of clinical pharmacology 71(2015), 8 vom: 26. Mai, Seite 939-947 volume:71 year:2015 number:8 day:26 month:05 pages:939-947 |
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Lazkani, Aida @@aut@@ Delespierre, Tiba @@aut@@ Bauduceau, Bernard @@aut@@ Pasquier, Florence @@aut@@ Bertin, Philippe @@aut@@ Berrut, Gilles @@aut@@ Corruble, Emmanuelle @@aut@@ Doucet, Jean @@aut@@ Falissard, Bruno @@aut@@ Forette, Francoise @@aut@@ Hanon, Olivier @@aut@@ Benattar-Zibi, Linda @@aut@@ Piedvache, Celine @@aut@@ Becquemont, Laurent @@aut@@ |
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Method This is an ancillary study from the CP S.AGE subcohort, including non-institutionalized patients aged over 65 suffering from CP. 1190, 1108, 1042, and 950 patients were reviewed with available healthcare data at follow-up visits at 6, 12, 18, and 24 months, respectively. Healthcare components included medical and paramedical visits, medication prescription, and hospitalization. Result The mean total cost in the first semester was estimated at €2548 ± €8885 per patient. Hospitalization represented the largest cost component (50 %) followed by paramedical care (24 %), medications (21 %), and medical visits (5 %). Significant cost-associated factors were comorbidity (OR 1.49, 95 % CI 1.35–1.64), dependency in daily activities (OR 1.85, 95 % CI 1.39–2.47), probable depression (OR 1.71, 95 % CI 1.09–2.69), permanent pain (OR 1.48, 95 % CI 1.18–1.86), neuropathic pain (OR 1.94, 95 % CI 1.38–2.73), living alone (OR 1.45, 95 % CI 1.16–1.82), chronic back pain (OR 1.35, 95 % CI 1.07–1.71), and vertebral fracture/compression (OR 1.47, 95 % CI 1.08–2.01). Healthcare costs increased significantly by 48 % (p < 0.0001) during follow-up namely due to hospitalizations. Elevated costs were associated with a higher risk of future hospitalization (OR 1.95, CI 95 % 1.33–2.87). Conclusion Healthcare costs increased rapidly over time, largely due to hospitalization. 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Lazkani, Aida Delespierre, Tiba Bauduceau, Bernard Pasquier, Florence Bertin, Philippe Berrut, Gilles Corruble, Emmanuelle Doucet, Jean Falissard, Bruno Forette, Francoise Hanon, Olivier Benattar-Zibi, Linda Piedvache, Celine Becquemont, Laurent |
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Elektronische Aufsätze |
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Lazkani, Aida |
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10.1007/s00228-015-1871-6 |
| title_sort |
healthcare costs associated with elderly chronic pain patients in primary care |
| title_auth |
Healthcare costs associated with elderly chronic pain patients in primary care |
| abstract |
Objective This study aimed to estimate the total healthcare costs associated with elderly chronic pain (CP) patients, define cost-related factors in this population, and examine cost evolution over two years. Method This is an ancillary study from the CP S.AGE subcohort, including non-institutionalized patients aged over 65 suffering from CP. 1190, 1108, 1042, and 950 patients were reviewed with available healthcare data at follow-up visits at 6, 12, 18, and 24 months, respectively. Healthcare components included medical and paramedical visits, medication prescription, and hospitalization. Result The mean total cost in the first semester was estimated at €2548 ± €8885 per patient. Hospitalization represented the largest cost component (50 %) followed by paramedical care (24 %), medications (21 %), and medical visits (5 %). Significant cost-associated factors were comorbidity (OR 1.49, 95 % CI 1.35–1.64), dependency in daily activities (OR 1.85, 95 % CI 1.39–2.47), probable depression (OR 1.71, 95 % CI 1.09–2.69), permanent pain (OR 1.48, 95 % CI 1.18–1.86), neuropathic pain (OR 1.94, 95 % CI 1.38–2.73), living alone (OR 1.45, 95 % CI 1.16–1.82), chronic back pain (OR 1.35, 95 % CI 1.07–1.71), and vertebral fracture/compression (OR 1.47, 95 % CI 1.08–2.01). Healthcare costs increased significantly by 48 % (p < 0.0001) during follow-up namely due to hospitalizations. Elevated costs were associated with a higher risk of future hospitalization (OR 1.95, CI 95 % 1.33–2.87). Conclusion Healthcare costs increased rapidly over time, largely due to hospitalization. Prevention strategies to limit hospitalizations in elderly appear to be the most useful in order to achieve cost savings in the future. © Springer-Verlag Berlin Heidelberg 2015 |
| abstractGer |
Objective This study aimed to estimate the total healthcare costs associated with elderly chronic pain (CP) patients, define cost-related factors in this population, and examine cost evolution over two years. Method This is an ancillary study from the CP S.AGE subcohort, including non-institutionalized patients aged over 65 suffering from CP. 1190, 1108, 1042, and 950 patients were reviewed with available healthcare data at follow-up visits at 6, 12, 18, and 24 months, respectively. Healthcare components included medical and paramedical visits, medication prescription, and hospitalization. Result The mean total cost in the first semester was estimated at €2548 ± €8885 per patient. Hospitalization represented the largest cost component (50 %) followed by paramedical care (24 %), medications (21 %), and medical visits (5 %). Significant cost-associated factors were comorbidity (OR 1.49, 95 % CI 1.35–1.64), dependency in daily activities (OR 1.85, 95 % CI 1.39–2.47), probable depression (OR 1.71, 95 % CI 1.09–2.69), permanent pain (OR 1.48, 95 % CI 1.18–1.86), neuropathic pain (OR 1.94, 95 % CI 1.38–2.73), living alone (OR 1.45, 95 % CI 1.16–1.82), chronic back pain (OR 1.35, 95 % CI 1.07–1.71), and vertebral fracture/compression (OR 1.47, 95 % CI 1.08–2.01). Healthcare costs increased significantly by 48 % (p < 0.0001) during follow-up namely due to hospitalizations. Elevated costs were associated with a higher risk of future hospitalization (OR 1.95, CI 95 % 1.33–2.87). Conclusion Healthcare costs increased rapidly over time, largely due to hospitalization. Prevention strategies to limit hospitalizations in elderly appear to be the most useful in order to achieve cost savings in the future. © Springer-Verlag Berlin Heidelberg 2015 |
| abstract_unstemmed |
Objective This study aimed to estimate the total healthcare costs associated with elderly chronic pain (CP) patients, define cost-related factors in this population, and examine cost evolution over two years. Method This is an ancillary study from the CP S.AGE subcohort, including non-institutionalized patients aged over 65 suffering from CP. 1190, 1108, 1042, and 950 patients were reviewed with available healthcare data at follow-up visits at 6, 12, 18, and 24 months, respectively. Healthcare components included medical and paramedical visits, medication prescription, and hospitalization. Result The mean total cost in the first semester was estimated at €2548 ± €8885 per patient. Hospitalization represented the largest cost component (50 %) followed by paramedical care (24 %), medications (21 %), and medical visits (5 %). Significant cost-associated factors were comorbidity (OR 1.49, 95 % CI 1.35–1.64), dependency in daily activities (OR 1.85, 95 % CI 1.39–2.47), probable depression (OR 1.71, 95 % CI 1.09–2.69), permanent pain (OR 1.48, 95 % CI 1.18–1.86), neuropathic pain (OR 1.94, 95 % CI 1.38–2.73), living alone (OR 1.45, 95 % CI 1.16–1.82), chronic back pain (OR 1.35, 95 % CI 1.07–1.71), and vertebral fracture/compression (OR 1.47, 95 % CI 1.08–2.01). Healthcare costs increased significantly by 48 % (p < 0.0001) during follow-up namely due to hospitalizations. Elevated costs were associated with a higher risk of future hospitalization (OR 1.95, CI 95 % 1.33–2.87). Conclusion Healthcare costs increased rapidly over time, largely due to hospitalization. Prevention strategies to limit hospitalizations in elderly appear to be the most useful in order to achieve cost savings in the future. © Springer-Verlag Berlin Heidelberg 2015 |
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Healthcare costs associated with elderly chronic pain patients in primary care |
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Delespierre, Tiba Bauduceau, Bernard Pasquier, Florence Bertin, Philippe Berrut, Gilles Corruble, Emmanuelle Doucet, Jean Falissard, Bruno Forette, Francoise Hanon, Olivier Benattar-Zibi, Linda Piedvache, Celine Becquemont, Laurent |
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| score |
7.4002275 |