Straus Barry N
North Georgia Pain Clinic, Canton, Georgia 30114, USA.
Spine (Phila Pa 1976). 2002 Nov 15;27(22):2614-9; discussion 2620. doi: 10.1097/00007632-200211150-00041.
The cost of chronic benign spinal pain is large and growing. The costs of interventional treatment for spinal pain were at a minimum of $13 billion (U.S. dollars) in 1990, and the costs are growing at least 7% per year. Medical treatment of chronic pain costs $9000 to $19,000 per person per year. The costs of interventional therapy is calculated. Methods of evaluating differential treatments in terms of costs are described. Cost-minimization versus cost-effectiveness approaches are described. Spinal cord stimulation and intraspinal drug infusion systems are alternatives that can be justified on a cost basis. Cost minimization analysis suggests that epidural injections under fluoroscopy may not be justified by the current literature.
慢性良性脊柱疼痛的成本巨大且呈增长趋势。1990年脊柱疼痛介入治疗的成本至少为130亿美元（美元），且成本每年至少增长7%。慢性疼痛的药物治疗每人每年花费9000至19000美元。计算了介入治疗的成本。描述了根据成本评估不同治疗方法的方式。阐述了成本最小化与成本效益方法。脊髓刺激和椎管内药物输注系统是在成本基础上可以被证明合理的替代方案。成本最小化分析表明，根据当前文献，透视下硬膜外注射可能不合理。
