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Chronic non‐malignant pain patients and health economic consequences
Author(s) -
Thomsen Annemarie Bondegaard,
Sørensen Jan,
Sjøgren Per,
Eriksen Jørgen
Publication year - 2002
Publication title -
european journal of pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.305
H-Index - 109
eISSN - 1532-2149
pISSN - 1090-3801
DOI - 10.1016/s1090-3801(02)00023-x
Subject(s) - medicine , referral , physical therapy , depression (economics) , health care , public health , intervention (counseling) , anxiety , multidisciplinary approach , health utilities index , visual analogue scale , prospective cohort study , cohort , chronic pain , family medicine , psychiatry , surgery , disease , nursing , social science , pathology , sociology , health related quality of life , economics , macroeconomics , economic growth
A prospective cohort study on chronic non‐malignant pain patients was performed to describe health consequences and changes in use of health care resources and social transfers following multidisciplinary pain treatment. Patients, referred to a Danish Multidisciplinary Pain Center (MPC), were evaluated during four periods: six months prior to referral, waiting list period, intervention, nine months follow‐up. Outcome measures: pain intensity (VAS), The Medical Outcomes Study 36‐Item Short‐Form Health Survey (SF‐36), The Psychological General Well‐Being Index (PGWB), The Hospital Anxiety and Depression Scale (HAD). Use of health care resources and social transfers were retrieved from public registers. Statistically significant improvements were obtained in pain intensity, SF‐36 bodily pain, PGWB index and subscores vitality, and general health at discharge and follow‐up. Intervention costs amounted to EUR 1102 (SD 721). Health care costs were not significantly reduced, but significant reductions in social transfers were seen.