[儿童和青少年的慢性疼痛：经济学视角]
[Chronic pain in children and adolescents: an economic perspective].
作者信息
Ruhe Ann-Kristin, Wager Julia, Linder Roland, Meusch Andreas, Pfenning Ingo, Zernikow Boris
机构信息
Deutsches Kinderschmerzzentrum, Vestische Kinder- und Jugendklinik Datteln, Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativversorgung, Fakultät für Gesundheit, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Str. 5, 45711, Datteln, Deutschland.
Die Techniker, Techniker Krankenkasse, Bramfelder Str. 140, 22305, Hamburg, Deutschland.
出版信息
Schmerz. 2020 Apr;34(2):133-139. doi: 10.1007/s00482-020-00446-0.
BACKGROUND
Chronic pain is a frequent and disabling health problem in children and adolescents and is associated with high health care utilization and costs.
OBJECTIVE
The aim of this study was to analyze the direct and indirect costs of chronic pain in children and adolescents in monetary terms before and after multimodal pain therapy from a societal perspective.
MATERIALS AND METHODS
Health care costs 12 months before and after multimodal pain therapy include direct costs from statutory health insurances and parents as well as indirect costs due to working days lost.
RESULTS
Direct median costs before multimodal treatment were 5619 € (min-max: 377-35,509 €) per year. In the year after pain therapy, costs decreased to a median of 3262 € (min-max: 142-42,910 €) (p = 0.001). In all, 55% of patients showed a significant cost reduction, while 18% had a cost increase.
CONCLUSIONS
An effective multimodal pain therapy may reduce health care costs in children and adolescents. Further economic studies are needed to evaluate long-term effects of pain therapy for children and adolescents with chronic pain in a controlled design.
背景
慢性疼痛是儿童和青少年中常见的致残性健康问题，与高医疗利用率和成本相关。
目的
本研究的目的是从社会角度分析多模式疼痛治疗前后儿童和青少年慢性疼痛的直接和间接成本。
材料与方法
多模式疼痛治疗前后12个月的医疗成本包括法定健康保险和父母的直接成本以及因工作日损失导致的间接成本。
结果
多模式治疗前的直接成本中位数为每年5619欧元（最小值 - 最大值：377 - 35509欧元）。疼痛治疗后的一年，成本降至中位数3262欧元（最小值 - 最大值：142 - 42910欧元）（p = 0.001）。总体而言，55%的患者成本显著降低，而18%的患者成本增加。
结论
有效的多模式疼痛治疗可能降低儿童和青少年的医疗成本。需要进一步的经济学研究，以在对照设计中评估疼痛治疗对患有慢性疼痛的儿童和青少年的长期影响。
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