Expenditures and Health Care Utilization Among Adults With Newly Diagnosed Low Back and Lower Extremity Pain

Kim, Lily H.; Vail, Daniel; Azad, Tej D.; Bentley, Jason; Zhang, Yi; Ho, Allen L.; Fatemi, Paras; Feng, Austin Y.; Varshneya, Kunal; Desai, Manisha; Veeravagu, Anand; Ratliff, John K.

doi:10.1001/jamanetworkopen.2019.3676

Cited by 129 publications

(108 citation statements)

References 29 publications

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“…Between 2000 and 2008, there was a marked increase in epidural injections for management of chronic pain in the Medicare population, with a 108% increase in the number of patients receiving any spinal injection and a 253% increase in the number of epidural injections specifically [62]. While utilization of epidural injections for management of chronic pain decreased from 2009-2018 [63], back pain with or without radicular pain remains a major reason for disability and loss of productivity [64]. Generally, patients with spinal stenosis, bilateral radicular pain, and/or multi-level degenerative disc disease receive an inter-laminar epidural (Fig.…”

Section: Epidural Steroid Injectionmentioning

confidence: 99%

The Pain Crisis: Interventional Radiology's Role in Pain Management

Fletcher

Moore

Stensby

et al. 2021

American Journal of Roentgenology

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The publication of this Accepted Manuscript is provided to give early visibility to the contents of the article, which will undergo additional copyediting, typesetting, and review before it is published in its final form. During the production process, errors may be discovered that could affect the content of the Accepted Manuscript. All legal disclaimers that apply to the journal pertain. The reader is cautioned to consult the definitive version of record before relying on the contents of this document.

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Section: Epidural Steroid Injectionmentioning

confidence: 99%

The Pain Crisis: Interventional Radiology's Role in Pain Management

Fletcher

Moore

Stensby

et al. 2021

American Journal of Roentgenology

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“…Po troškovima lečenja u Americi, na LBP se troše milijarde dolara (3). Pacijenti koji ne odlaze na hiruršku intervenciju, često dobijaju terapiju koja nije konzistetntna sa kliničkim vodičima (4). Većina bolesnika sa akutnim lumbalnim bolom se leči kod lekara primarne zravstvene zaštite, koji treba da ih informiše o dobroćudnoj prirodi bolesti i dobroj prognozi.…”

Section: Uvodunclassified

Low back pain treatment in emergency medical service clinic

Roganović¹,

Živanović²

2020

ABC - čas urg medicine

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2 Gradski zavod za hitnu medicinsku pomoć Beograd Srbija Tretman bola u donjem delu leđa u ambulanti hitne medicinske pomoći Sažetak Uvod: Lumbalni bol doživi 80% ljudi tokom života. Najčešća vrsta bola u leđima je nespecifični bol u donjem delu leđa, koji čini približno 95% slučajeva na nivou primarne zdravstvene zaštite. U približno 95% slučajeva uzrok bola je nepoznat i nakon kompletne dijagnostike. Recidivi česti ali se najčešće očekuje potpun oporavak. Većina bolesnika sa akutnim lumbalnim bolom se leči kod lekara primarne zravstvene zaštite koji treba da informiše pacijenta o dobroćudnoj prirodi bolesti i dobroj prognozi. Cilj rada: je bio da se pokaže u kojoj meri se u ambulanti Gradskog Zavoda za hitnu medicinsku pomoć Beograd, kod pacijenata sa dijagnozom lumbalnog sindroma, pridržavamo u lečenju domaćeg vodiča dobre kliničke prakse i stranih preporuka. Metod rada: Istraživanje je retrospektivna analiza elektronske medicinske dokumentacije iz ambulante Zavoda u periodu od 01. Januara 2017.do 31 decembra 2018. na 17607 pacijenata. Analizirani su podaci iz elektronske baze rađene u programu ACCES. Traženi su pacijenati sa jednom od dijagnoza iz spektra lumbalnog sindroma. Rezultati: Pronađeno je 246 ili 1,4% pacijenata sa dijagnozom lumbalnog bolnog sindroma. Više je osoba muškog pola. Starosti od 19-81 godina. Od 125 pacijenata sa urađenom Lazarević probom 73 je negativno a 52 pozitivno. Data terapija je najčešće diklofenak 93,9%, kortikosteroidi 47,55% i diazepam 28,45%, metamizol, kortikosteroidi i to u uglavnom parenteralno. Zaključak: Lumbalni bol se u ovoj ambulanti leči najčešće sa NSAIL i kortikosteroidima datim parenteralno. U najvećem procentu se ne pridržavamo preporuka iz domaćeg vodiča dobre prakse, kao ni stranih preporuka iz literature. Ključne reči: bol u donjem delu leđa, primarna zdravstvena zaštita, vodiči dobre prakse Results: Results: 246 or 1.4% of patients with a diagnosis of lumbar pain syndrome were found. They were predominantly male patients, ages 19-81. Out of 125 patients with on which Lasègue test performed, 73 were negative and 52 were positive. The given therapy was NSAIDs, most often Diclofenac 93.9%, corticosteroids 47.55% and diazepam 28.45%, metamizole corticosteroids, given mostly parenterally. Conclusion: In our ambulatory clinic LBP is most often treated with NSAIDs and corticosteroids given parenterally. In most cases, the recommendations from current domestic guidelines for good clinical practice and foreign recommendations are not followed in the treatment of this type of patients.

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“…Due to this absence of underlying disease, healthcare professionals find the clinical assessment and treatment of such patients extremely difficult [3]. The use of healthcare services and medication intake is not only higher in patients with chronic pain than in the general population, but is even higher in those with spinal pain [4]. Thus, health service funders and patients experience increased costs [5].…”

Section: Introductionmentioning

confidence: 99%

Pain Acceptance and Pain-Related Disability Predict Healthcare Utilization and Medication Intake in Patients with Non-Specific Chronic Spinal Pain

Esteve

López‐Martínez

Ruíz-Párraga

et al. 2020

IJERPH

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Longitudinal research is needed to determine predictive factors of healthcare utilization and medication intake in people with non-specific spinal pain. This study aims to prospectively examine the predictive value of sex, age, work status, pain intensity, pain acceptance, disability, depression, pain anxiety, and catastrophizing in relation to healthcare utilization and medication intake in people with non-specific spinal pain. Participants were 79 patients with non-specific spinal pain of 6 to 9 months’ duration. They were followed-up at 6 months and 12 months. At enrolment they were administered a battery of questionnaires assessing the predictive variables. Healthcare utilization and medication intake were assessed at follow-ups 1 and 2. At follow-up 1, higher pain acceptance was associated with less healthcare utilization and less medication intake, while male sex was associated with less medication intake. At follow-up 2, higher pain-related disability was associated with higher healthcare use, and pain intensity was associated with higher medication intake. These results suggest that during the early stages of non-specific spinal pain chronification, pain acceptance and the avoidance of pain-related disability—understood as giving up normal activities—can lead to reductions in healthcare utilization and medication intake.

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Expenditures and Health Care Utilization Among Adults With Newly Diagnosed Low Back and Lower Extremity Pain

Cited by 129 publications

References 29 publications

The Pain Crisis: Interventional Radiology's Role in Pain Management

The Pain Crisis: Interventional Radiology's Role in Pain Management

Low back pain treatment in emergency medical service clinic

Pain Acceptance and Pain-Related Disability Predict Healthcare Utilization and Medication Intake in Patients with Non-Specific Chronic Spinal Pain

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