Impact on health-related quality of life and costs of managing chronic neuropathic pain in academic pain centres: Results from a one-year prospective observational Canadian study
| Autor: | M Lynch, Dwight E. Moulin, C Smyth, Larry W. Stitt, Alexander J. Clark, Jean-Eric Tarride, Howard J. Nathan, Cory Toth, Patricia Morley-Forster, Allan Gordon, Mark A. Ware |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Canada Health-related quality of life Chronic neuropathic pain Statistics Nonparametric Pain management strategy Cohort Studies Disability Evaluation Young Adult Patient satisfaction Quality of life (healthcare) Surveys and Questionnaires Medicine Humans Pain Management Aged Pain Measurement Aged 80 and over lcsh:R5-920 business.industry Public health fungi Chronic pain Health Care Costs Middle Aged medicine.disease Economic evaluation Anesthesiology and Pain Medicine Neurology Patient Satisfaction Neuropathic pain Neuralgia Physical therapy Quality of Life Observational study Original Article Female lcsh:Medicine (General) business Cohort study |
| Zdroj: | Pain Research & Management : The Journal of the Canadian Pain Society Pain Research and Management, Vol 20, Iss 6, Pp 327-333 (2015) |
| ISSN: | 1918-1523 1203-6765 |
| Popis: | Chronic pain, including neuropathic pain, has a high prevalence and, therefore, its management is an important public health issue. Aggressive management guided by pain specialists can provide adequate pain relief; however, delays in access to these specialists can negatively impact patient’s well-being. The economic value of managing chronic neuropathic pain in academic centres is discussed, in addition to determining the long term outcomes of this type of pain management. BACKGROUND: The management of chronic pain, including neuropathic pain (NeP), is a major public health issue. However, there is a paucity of data evaluating pain management strategies in real-life settings. OBJECTIVE: To inform policy makers about the economic value of managing chronic NeP in academic centres by conducting a subeconomic assessment of a Canadian multicentre cohort study aimed at determining the long-term outcomes of the management of chronic NeP in academic pain centres. Specific questions regarding the economic value of this type of program were answered by a subset of patients to provide further information to policy makers. METHODS: Baseline demographic information and several pain-related measurements were collected at baseline, three, six and 12 months in the main study. A resource use questionnaire aimed at determining NeP-related costs and the EuroQoL-5 Dimension were collected in the subset study from consenting patients. Statistical analyses were conducted to compare outcomes over time and according to responder status. RESULTS: A total of 298 patients were evaluated in the present economic evaluation. The mean (± SD) age of the participants was 53.7±14.0 years, and 56% were female. At intake, the mean duration of NeP was >5 years. Statistically significant improvements in all pain and health-related quality of life outcomes were observed between the baseline and one-year visits. Use decreased over time for many health care resources (eg, visits to the emergency room decreased by one-half), which resulted in overall cost savings. CONCLUSION: The results suggest that increased access to academic pain centres should be facilitated in Canada. |
| Databáze: | OpenAIRE |
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