伦敦纤维肌痛症流行病学研究：加拿大伦敦纤维肌痛症综合征的直接医疗保健成本。
The London Fibromyalgia Epidemiology Study: direct health care costs of fibromyalgia syndrome in London, Canada.
作者信息
White K P, Speechley M, Harth M, Ostbye T
机构信息
Department of Medicine, University of Western Ontario, London, Canada.
出版信息
J Rheumatol. 1999 Apr;26(4):885-9.
OBJECTIVE
To estimate direct health care costs associated with fibromyalgia (FM) within a representative community sample.
METHODS
A random sample of 3395 noninstitutionalized adults was screened for widespread pain. Individuals screening positive were examined for FM. Direct health care costs were compared among those with confirmed FM (FM cases, FC), those with widespread pain not having FM (pain controls, PC), controls without widespread pain (general controls, GC), and a random sample of age, sex and geographically matched controls from the Ontario Health Insurance Plan database (OHIP controls, OC).
RESULTS
One hundred FC (86 women) were compared to 76 PC subjects, 135 GC, and 380 OC. FC used more medications and outpatient health services than PC subjects, and about twice the health services at twice the cost compared to GC and OC. The mean difference in direct costs for health services between FC and OC was $493 Cdn annually (p<0.001).
CONCLUSION
FM has a major effect on direct health care costs.
目的
在一个具有代表性的社区样本中估算与纤维肌痛（FM）相关的直接医疗保健成本。
方法
对3395名非机构化成年人的随机样本进行广泛疼痛筛查。对筛查呈阳性的个体进行FM检查。比较确诊为FM的患者（FM病例，FC）、有广泛疼痛但未患FM的患者（疼痛对照，PC）、无广泛疼痛的对照者（一般对照，GC）以及安大略省医疗保险计划数据库（OHIP对照，OC）中年龄、性别和地理位置匹配的对照者随机样本之间的直接医疗保健成本。
结果
将100名FC患者（86名女性）与76名PC受试者、135名GC和380名OC进行比较。FC患者比PC受试者使用更多药物和门诊医疗服务，与GC和OC相比，其医疗服务使用量约为两倍，成本也为两倍。FC和OC之间医疗服务直接成本的平均差异为每年493加元（p<0.001）。
结论
FM对直接医疗保健成本有重大影响。
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