Health Care Costs and Opioid Use Associated With High-impact Chronic Spinal Pain in the United States

Spine
Patricia M HermanIan D Coulter

Abstract

A descriptive analysis of secondary data. The aim of this study was to estimate health care costs and opioid use for those with high-impact chronic spinal (back and neck) pain. The US National Pain Strategy introduced a focus on high-impact chronic pain-that is, chronic pain associated with work, social, and self-care restrictions. Chronic neck and low-back pain are common, costly, and associated with long-term opioid use. Although chronic pain is not homogenous, most estimates of its costs are averages that ignore severity (impact). We used 2003 to 2015 Medical Expenditures Panel Survey (MEPS) data to identify individuals with chronic spinal pain, their health care expenditures, and use of opioids. We developed prediction models to identify those with high- versus moderate- and low-impact chronic spinal pain based on the variables available in MEPS. We found that overall and spine-related health care costs, and the use and dosage of opioids increased significantly with chronic pain impact levels. Overall and spine-related annual per person health care costs for those with high-impact chronic pain ($14,661 SE: $814; and $5979 SE: $471, respectively) were more than double that of those with low-impact, but still clinically signi...Continue Reading

References

Aug 1, 1992·Pain·Michael Von KorffSamuel F Dworkin
Mar 1, 1996·Medical Care·M Stano, M Smith
Jul 16, 2002·Health Affairs·Benjamin G DrussHarold Alan Pincus
Jan 9, 2003·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Dwight E MoulinPatricia K Morley-Forster
Dec 24, 2005·Spine·J David CassidyVicki Kristman
Jan 1, 2008·The Spine Journal : Official Journal of the North American Spine Society·Simon DagenaisScott Haldeman
Feb 14, 2008·JAMA : the Journal of the American Medical Association·Brook I MartinSean D Sullivan
Jul 22, 2009·Health Services Research·Samuel H Zuvekas, Gary L Olin
Aug 26, 2010·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Jayawant N Mandrekar
May 24, 2011·The Spine Journal : Official Journal of the North American Spine Society·Jasmina I IvanovaRalph W Swindle
Oct 18, 2011·Clinical Therapeutics·Gavin Taylor-StokesEdgar Ross
Nov 17, 2011·Journal of the American Board of Family Medicine : JABFM·Richard A DeyoSteven K Dobscha
May 23, 2012·The Journal of Pain : Official Journal of the American Pain Society·Darrell J Gaskin, Patrick Richard
Oct 22, 2013·The Spine Journal : Official Journal of the North American Spine Society·Mitchell HaasMoni B Neradilek
Jan 1, 2012·Medicare & Medicaid Research Review·Didem BernardStephen Heffler
Aug 19, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Richard A DeyoDebra K Weiner
Jun 2, 2015·The Journal of Pain : Official Journal of the American Pain Society·Richard L Nahin
Jul 6, 2016·The Journal of Pain : Official Journal of the American Pain Society·Michael Von KorffSean Mackey
Apr 22, 2018·The Journal of Pain : Official Journal of the American Pain Society·Anna ShmagelRobert Foley
Aug 11, 2018·The Journal of Pain : Official Journal of the American Pain Society·Mark H PitcherLinda Porter
Sep 14, 2018·MMWR. Morbidity and Mortality Weekly Report·James DahlhamerCharles Helmick

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Citations

May 14, 2020·Indian Journal of Orthopaedics·John W Orchard, Mandeep S Dhillon
Sep 30, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Chung-Wang LeeLinda S Aglio
Dec 17, 2020·European Journal of Pain : EJP·Aoife O'NeillKieran O'Sullivan
May 14, 2021·JBJS Reviews·Caleb M YeungMelvin C Makhni

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