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LOWER BACK PAIN - COSTS


The Medical Merry-Go Round of Financial Burden and still back pain

ECONOMIC IMPACT OF BACK PAIN SUBSTANTIAL
DURAM, NC – In one of the largest analyses of its kind, a team of Duke University Medical Center researchers have found that patients suffering from back pain consume more than $90 billion annually in health care expenses, with approximately $26 billion of that amount directly attributable to treating the back pain.

The researchers said that their results not only demonstrate the enormous economic impact of back pain, but provide concrete data that policy makers and researchers can use in determining how health care resources should be allocated.

The Duke team mined data from the Medical Expenditure Panel Survey (MEPS)in 1998. The MEPS is a national survey conducted by the Agency for Healthcare Research and Quality (AHRQ) and the National Center for Health Statistics. The team found 25.9 million adults reported back pain in 1998, with 172.7 million reporting no back pain.

To put these expenses in perspective, the total $90 billion spent in 1998 represented 1% of the U.S. Gross Domestic Product (GDP) and the 26 billion in direct back pain costs accounted for 2.5% of all health care expenditures for that year,” said lead researcher Xuemei Luo, Ph.D., who published the results of the Duke study January 1st, 2004 in the journal Spine.

We believe that the results of our analysis highlight the prevalence of back pain in the U.S. and its impact on the health care system,” Lou continued,” Not only are these costs enormous, but they vary widely across patients with different clinical, socioeconomic, and demographic backgrounds. Significant healthcare savings could be achieved if this population of patients received more cost effective and targeted treatments.” Hmmm, sounds like my program, eh?

For the purposes of their study, back pain was defined as pain experienced in any portion of the back, whether it be caused by back disorders, disc disorders, or injuries to the back at some point during 1998.

The population of 25.9 American adults who reported back pain tended to be female (55%), white (88%), and married (61%), with an average age of 48.

In their analysis, the researchers looked at such cost categories as in-hospital costs, office-based visits, hospital out-patient visits, emergency room visits, prescription medications, and home health services. The survey also measured visits to such healthcare providers as physicians, chiropractors, physical therapists, psychologists, and nurses.
The annual per capita expenditures for patients with back pain were 1.6 times higher than those without back pain at $3,498 vs. $2,177. These increased expenditures were found in all categories:
  • Inpatient charges: $1,075 vs. $774
  • Office visits: $910 vs. $425
  • Prescription drugs: $541 vs. $340


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