Abstract
Pain is a pervasive health issue that adversely affects both patients and society. The socioeconomic burden of pain conditions is a multifaceted problem with many involved stakeholders who work in concert with one another and are similarly affected by actions of any one party. Conservative estimates of the healthcare costs associated with the management of pain conditions suggest a burden of $560–635 billion.
The foremost barrier is the considerable lack of knowledge and awareness of the socioeconomic burden of acute pain among all stakeholders. At the healthcare provider level, there is an urgent need for education and training of healthcare providers to effectively manage pain to optimize outcomes, reduce prolonged hospitalizations, and prevent recurrent provider and emergency room visits. Patient self-management can also be integral in preventing exacerbations and reducing functional impairments. Numerous studies have indicated that interdisciplinary acute pain management constitutes the most clinically effective and cost-efficient means of treating most pain conditions. Insurers refusal to cover interdisciplinary pain management solutions steers patients toward less effective unimodal treatments such as only pharmacotherapy, ultimately helping neither the patient nor the insurer. These reimbursement policies require robust revision to provide optimal, evidence-based pain care. The urgency of coordinated management of this condition must be stressed collectively among stakeholders.
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References
Treede R-D, Rief W, Barke A, et al. A classification of chronic pain for ICD-11. Pain. 2015;156(6):1003.
Dahlhamer J, Lucas J, Zelaya C, Nahin R, Mackey S, DeBar L, Kerns R, Von Korff M, Porter L, Helmick C. Prevalence of chronic pain and high-impact chronic pain among adults—United States, 2016. Morb Mortal Wkly Rep. 2018;67(36):1001.
Simon LS. Relieving pain in America: a blueprint for transforming prevention, care, education, and research. J Pain Palliat Care Pharmacother. 2012;26(2):197–8.
Phillips CJ, Harper C. The economics associated with persistent pain. Curr Opin Support Palliat Care. 2011;5:127–30.
Downey LV, Zun LS. Pain management in the emergency department and its relationship to patient satisfaction. J Emerg Trauma Shock. 2010;3(4):326–30. https://doi.org/10.4103/0974-2700.70749.
Schatman ME. Interdisciplinary chronic pain management: perspectives on history, current status, and future viability. In: Ballantyne JC, Rathmell JP, Fishman SM, editors. Bonica’s management of pain. 4th ed. Philadelphia: Lippincott, Williams & Wilkins; 2010. p. 1523–32.
Gaskin DJ, Richard P. The economic costs of pain in the United States. In: Institute of Medicine (U.S.) Committee on Advancing Pain Research, Care, and Education. Relieving pain in America: a blueprint for transforming prevention, care, education, and research. Washington, DC: National Academies Press (U.S.); 2011. Appendix.
CDC (Centers for Disease Control and Prevention). Prevalence and most common causes of disability among adults—United States, 2005. Morb Mortal Weekly Rep. 2009;58(16):421–6.
Lagoe R, Aspling DL, Westert GP. Current and future developments in managed care in the United States and implications for Europe. Health Res Policy Syst. 2005;3:4–12.
Gatchel RJ, Okifuji A. Evidence-based scientific data documenting the treatment and cost-effectiveness of comprehensive pain programs for chronic nonmalignant pain. J Pain. 2006;7:779–93.
Flor H, Fydrich T, Turk D. Efficacy of multidisciplinary pain treatment centers: a meta-analytic review. Pain. 1992;49:221–30.
Turk DC, Okifuji A. Treatment of chronic pain patients: clinical outcomes, cost-effectiveness, and cost-benefits of multidisciplinary pain centers. Crit Rev Phys Rehabil Med. 1998;10:181–208.
Okifuji A, Turk DC, Kalauoklani D. Clinical outcome and economic evaluation of multidisciplinary pain centers. In: Block AR, Kramer EF, Fernandez E, editors. Handbook of pain syndromes: biopsychosocial perspectives. Mahwah: Lawrence Erlbaum Associates; 1999. p. 77–97.
Guzman J, Esmail R, Karjalainen K, et al. Multidisciplinary bio-psycho-social rehabilitation for chronic low back pain. Cochrane Database Syst Rev. 2002;1:CD000963.
Turk DC, Swanson K. Efficacy and cost-effectiveness treatment for chronic pain: an analysis and evidence-based synthesis. In: Schatman ME, Campbell A, editors. Chronic pain management: guidelines for multidisciplinary program development. New York: Informa Healthcare; 2007. p. 15–38.
Cicero TJ, Wong G, Tian Y, et al. Co-morbidity and utilization of medical services by pain patients receiving opioid medications: data from an insurance claims database. Pain. 2009;144:20–7.
Ghate SR, Haroutiunian S, Winslow R, McAdam-Marx C. Cost and comorbidities associated with opioid abuse in managed care and Medicaid patients in the United States: a comparison of two recently published studies. J Pain Palliat Care Pharmacother. 2010;24:251–8.
Tanabe P, Buschmann M. A prospective study of E.D. pain management practices and the patients prospective. J Emerg Nurs. 1999;25:171–7.
Institute of Medicine. Relieving pain in america: a blueprint for transforming prevention, care, education, and research. Washington, DC: The National Academies Press; 2011. http://books.nap.edu/openbook.php?record_id=13172&page=17.
Webster BS, Courtney TK, Huang YH, et al. Physicians’ initial management of acute low back pain versus evidence-based guidelines. Influence of sciatica. J Gen Intern Med. 2005;20:1132–5.
Ricci JA, Stewart WF, Chee E, Leotta C, Foley K, Hochberg MC. Pain exacerbation as a major source of lost productive time in U.S. workers with arthritis. Arthritis Rheum. 2005;53:673–81.
Burton WN, Conti DJ, Chen CY, Schultz AB, Edington DW. The role of health risk factors and disease on worker productivity. J Occup Environ Med. 1999;41:863–77.
Stewart WF, Ricci JA, Chee E, Morganstein D, Lipton R. Lost productive time and cost due to common pain conditions in the U.S. workforce. J Am Med Assoc. 2003;290:2443–54.
Breivik H, Eisenberg E, O’Brien T, OPENMinds. The individual and societal burden of chronic pain in Europe: the case for strategic prioritisation and action to improve knowledge and availability of appropriate care. BMC Public Health. 2013;13:1229.
Bair MJ, Robinson RL, Katon W, Kroenke K. Depression and pain comorbidity: a literature review. Arch Intern Med. 2003;163:2433–45.
Hanna GM, Fishman I, Edwards DA, Shen S, Kram C, Liu X, et al. Development and patient satisfaction of a new telemedicine service for pain management at Massachusetts General Hospital to the island of Martha’s Vineyard. Pain Med. 2016;17(9):1658–63. https://doi.org/10.1093/pm/pnw069.
Rasu RS, Vouthy K, Crowl AN, et al. Cost of pain medication to treat adult patients with nonmalignant chronic pain in the United States. J Manag Care Pharm. 2014;20(9):921–8.
Muneer S. Socioeconomic burden of chronic pain. Am Health Drug Benefits. 2015. http://www.ahdbonline.com/articles/2003-socioeconomic-burden-of-chronic-pain.
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Schirmer, D., Karri, J., Abd-Elsayed, A. (2020). Economic Burden of Pain. In: Abd-Elsayed, A. (eds) Guide to the Inpatient Pain Consult. Springer, Cham. https://doi.org/10.1007/978-3-030-40449-9_37
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