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Year: 2010 Volume: 24 Issue: Supplementary 1

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Medical and non-medical direct costs of chronic low back pain in patients consulting primary care physicians in France.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Depont, Fanny Hunsche, Elke Abouelfath, Abdelilah Diatta, Thierno Addra, Isabelle Grelaud, Angela Lagnaoui, Rajaa Molimard, Mathieu Moore, Nicholas
Spatial Coverage	France
Description	Country affiliation: France Author Affiliation: Depont F ( Département de Pharmacologie, Université Victor Segalen Bordeaux 2, 33076 Bordeaux, France.)
Abstract	A retrospective, observational, cohort study in primary care. To determine the total direct medical and non-medical cost of chronic low back pain (LBP) in France and its associated factors. Chronic LBP affects 5-10% of the population its burden in France is unknown. Ninety-eight randomly selected general practitioners included 796 adult patients with chronic LBP between October 2001 and December 2002. Direct costs due to physician visits, investigations, medications, hospitalizations, and other medical and non-medical resource use were collected for the 6 months prior to study visit. Costs both reimbursed and not by the French health insurance system were considered. Quality of life (QoL) and disease severity were measured using Short Form (SF)-8 and Roland-Morris disability questionnaire (RMDQ), respectively. Costs were updated to represent 2007 prices. Men represented 50.6% of the 796 patients, mean age was 53 +/- 11.3 years, and the duration of LBP was more than 1 year in 80.9% of patients. The total mean cost per patient over six months was 715.6 euro (95% CI: 644.2-797.8). Of these costs, 22.9% related to care provided by physiotherapists and allied specialists, 19.5% to medications, 17.4% to hospitalizations, 9.6% to investigations, and 12.5% to physician fees. In multivariate analysis, the factors associated with the cost of chronic LBP were disease severity (RMDQ score) and age of the patients. LBP is a disease that is both common and costly.
File Format	HTM / HTML
ISSN	07673981
Issue Number	1
Volume Number	24
e-ISSN	14728206
Journal	Fundamental & Clinical Pharmacology
Language	English
Publisher	Wiley
Publisher Date	2010-02-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Pharmacology Cost Of Illness Low Back Pain Economics Primary Health Care Adult Age Factors Chronic Disease Cohort Studies Data Collection Female France Epidemiology Health Care Costs Statistics & Numerical Data Humans Physiopathology Male Middle Aged Multivariate Analysis Quality Of Life Retrospective Studies Severity Of Illness Index Journal Article Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Pharmacology Pharmacology (medical)

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