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  4. Pain severity and the economic burden of neuropathic pain in the United States: BEAT Neuropathic Pain Observational Study

Pain severity and the economic burden of neuropathic pain in the United States: BEAT Neuropathic Pain Observational Study

ClinicoEconomics and Outcomes Research, 2014 · DOI: http://dx.doi.org/10.2147/CEOR.S63323 · Published: October 29, 2014

HealthcarePain Management

Simple Explanation

This study aimed to understand the economic impact of neuropathic pain (NeP) in the United States, focusing on how pain severity affects healthcare resource use, productivity, and associated costs. The study looked at adults with different types of NeP, such as diabetic neuropathy and spinal cord injury-related pain. Researchers collected data from 624 patients through medical chart reviews and questionnaires, categorizing them into mild, moderate, and severe pain groups based on their pain scores. They then analyzed the healthcare costs, work productivity, and other related factors for each group. The study found that patients with moderate to severe NeP had significantly higher healthcare costs and lost productivity compared to those with mild pain. Indirect costs, such as those related to lost work productivity, were the most significant factor contributing to the overall economic burden.

Study Duration
September 2011 and June 2012
Participants
624 US adults with neuropathic pain
Evidence Level
Not specified

Key Findings

  • 1
    Significant differences were observed across pain severity levels for number of comorbidities, prescription medications, physician office visits, and lost productivity.
  • 2
    Indirect costs were the primary cost driver at all pain severity levels.
  • 3
    Subjects with severe pain reported mean overall work impairment of 66.4%±25.1%.

Research Summary

This study investigated the economic burden of neuropathic pain (NeP) in US adults by assessing healthcare resource utilization (HRU), productivity, and costs associated with varying pain severity levels. The study found a significant association between pain severity and NeP-related HRU, productivity, and costs, with those experiencing moderate or severe pain bearing the highest economic burden. Indirect costs, primarily driven by disability, were the major contributor to the total costs, highlighting the substantial impact of NeP on patients' ability to work and maintain their daily activities.

Practical Implications

Improved Pain Management

The study highlights the need for more effective pain management strategies to alleviate the burden of neuropathic pain, particularly in patients with moderate to severe pain.

Targeted Interventions

Findings suggest that interventions focusing on reducing indirect costs, such as those related to disability and lost productivity, could have a significant impact on the overall economic burden of NeP.

Healthcare Resource Allocation

The study emphasizes the importance of allocating healthcare resources effectively to address the needs of patients with neuropathic pain, considering the significant association between pain severity and healthcare utilization.

Study Limitations

  • 1
    Potential selection bias due to recruitment during routine office visits.
  • 2
    Retrospective chart reviews could lead to under-reporting of HRU.
  • 3
    Attribution of HRU to NeP may be difficult due to underlying conditions.

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