Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
School of Physical Therapy, Universidade de Brasília (UnB), Campus UnB Ceilândia, Centro Metropolitano, conjunto A, lote 01, Brasília, DF, 72220-275, Brazil.
Int J Public Health. 2019 Jul;64(6):965-974. doi: 10.1007/s00038-019-01211-6. Epub 2019 May 15.
To estimate the direct healthcare costs of spinal disorders in Brazil over 2016.
This is a prevalence-based cost-of-illness study with a top-down approach from the perspective of the public healthcare system. All international Classification of Diseases codes related to spinal disorders were included. The following costs were obtained: (1) hospitalization; medical professional service costs; intensive care unit costs; companion daily stay; (2) outpatient (services/procedures). Data were analyzed descriptively and costs presented in US$.
The healthcare system spent US$ 71.4 million, and inpatient care represented 58%. The number of inpatient days was 250,426, and there were 36,654 hospital admissions (dorsalgia and disk disorders representing 70% of the costs). More than 114,000 magnetic resonance scans and 107,000 computerized tomography scans were adopted. Men had more inpatient days (138,215) than women (112,211). Overall, the inpatient/outpatient cost ratio was twice as high for men.
We demonstrated that the direct costs of spinal disorders in Brazil in 2016 were considerable. We also found a substantial amount of financial resources spent on diagnostic imaging. This is relevant as the routine use of diagnostic imaging for back pain is discouraged in international guidelines.
估计 2016 年巴西脊柱疾病的直接医疗成本。
这是一项基于患病率的疾病成本研究，采用自上而下的方法，从公共医疗保健系统的角度出发。所有与脊柱疾病相关的国际疾病分类代码均被纳入研究。获得了以下成本：（1）住院费用；医疗专业服务费用；重症监护病房费用；陪护人员日常费用；（2）门诊费用（服务/程序）。数据进行了描述性分析，成本以美元表示。
医疗保健系统支出 7140 万美元，住院治疗占 58%。住院天数为 250426 天，住院人数为 36654 人（背痛和椎间盘疾病占总成本的 70%）。采用了超过 114000 次磁共振扫描和 107000 次计算机断层扫描。男性的住院天数（138215 天）多于女性（112211 天）。总体而言，男性的住院/门诊费用比例是女性的两倍。
我们表明，2016 年巴西脊柱疾病的直接成本相当可观。我们还发现大量的财务资源用于诊断成像。这很重要，因为国际指南不鼓励对背痛进行常规的诊断成像。
