Economic long‐term effects of intensive interdisciplinary pain treatment in paediatric patients with severe chronic pain: Analysis of claims data

Abstract

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Chronic pain-related consultations to the emergency department of children with complex pain conditions: A retrospective analysis of healthcare utilization and costs

“…Our study findings are also consistent with studies of intensive, inpatient-based interdisciplinary pain management programs, such as those evaluated in the studies by Evans et al, 7 Hechler et al, 8 Ruhe et al, 11 and Lopez Lumbi et al 13 These studies showed a decrease in overall health care utilization, which they examined through measures such as frequency of inpatient hospitalizations, pain-related ED visits, and specialist consultations, among other endpoint measurements examined over varying time periods. These studies also showed a reduction in health care costs as examined through measures such as subjective financial burden, health insurance claims, and cost estimate calculations using health care cost data tools.…”

“…Inpatient, intensive interdisciplinary pain treatment programs have also been associated with significant decreases in health care utilization and costs. 7 , 8 , 11 , 13 Evans et al noted an overall decrease in health care utilization but did not find a statistically significant reduction in ED usage, 7 whereas Ruhe et al found a decrease in health care utilization but no statistically significant difference in health care costs. 11 These studies included self-report questionnaires, semistructured interviews, physician remuneration and health insurance claims, among other measures used that may have associated biases.…”

“… 2 , 5–13 Many such studies have demonstrated a significant reduction in utilization of health care resources and costs following pain management provided by interdisciplinary chronic pain centers. 6–8 , 10 , 12 , 13 Campbell et al showed a significant reduction in physician remuneration claims across various health care service departments within the first year of treatment by an outpatient interdisciplinary chronic pain management program, with further decreases over the subsequent 5 years. 6 A study by Mahrer et al found a significant decrease in ED consultations and in hospital and insurance cost savings, even when taking into account costs of pain clinic services, within the year following chronic pain management program admission.…”

“…Though there are some studies examining healthcare utilization and costs for pediatric patients with chronic pain, 2 , 5–13 only four studies specifically evaluated the costs associated with ED consultations. 7 , 9 , 10 , 13 However, there is a scarcity of research quantifying the impact of the treatment of interdisciplinary complex pain centers specifically on the number of consults and services provided by the ED for children and adolescents with complex pain conditions. Moreover, only a few of these studies provided a detailed analysis of the types of consultations seen in the ED (chronic pain related versus non-chronic pain related) or the costs associated with the different types of chronic pain conditions or differentiated between the types of costs (direct versus indirect) associated with ED consultations.…”

Intensive interdisciplinary pain treatment for children and adolescents with chronic noncancer pain: a preregistered systematic review and individual patient data meta-analysis

“…129 Few studies sought to evaluate the effects on sleep 80 and economic factors. 43,81 Although this article serves as a systematic review and meta-analysis, outcomes not attributable to a PedIMMPACT domain and single-study results are not included unless they are the only source of information for a given PedIMMPACT domain. Interested readers may refer to Supplement C (supplemental digital content, available at http://links.lww.com/PAIN/B607) and our OSF repository for single-study results and outcomes not attributable to PedIMMPACT domains (eg, pain coping and acceptance) with the caveat that these must be interpreted with utmost caution.…”