Cited by 391Pediatric Pain Management TechniquesMusculoskeletal pain and rehabilitationHealth Systems, Economic Evaluations, Quality of Life

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The Economic Costs of Chronic Pain Among a Cohort of Treatment-Seeking Adolescents in the United States

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Groenewald, Cornelius B., Essner, Bonnie S., Wright, Davene, Fesinmeyer, Megan D., Palermo, Tonya M.·2014·The Journal of Pain

DOI 10.1016/j.jpain.2014.06.002PMC PMC4150826

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Abstract

Unlabelled The aim of this study was to assess the economic cost of chronic pain among adolescents receiving interdisciplinary pain treatment. Information was gathered from 149 adolescents (ages 10-17) presenting for evaluation and treatment at interdisciplinary pain clinics in the United States. Parents completed a validated measure of family economic attributes, the Client Service Receipt Inventory, to report on health service use and productivity losses due to their child's chronic pain retrospectively over 12 months. Health care costs were calculated by multiplying reported utilization estimates by unit visit costs from the 2010 Medical Expenditure Panel Survey. The estimated mean and median costs per participant were $11,787 and $6,770, respectively. Costs were concentrated in a small group of participants; the top 5% of those patients incurring the highest costs accounted for 30% of total costs, whereas the lower 75% of participants accounted for only 34% of costs. Total costs to society for adolescents with moderate to severe chronic pain were extrapolated to $19.5 billion annually in the United States. The cost of adolescent chronic pain presents a substantial economic burden to families and society. Future research should focus on predictors of increased health services use and costs in adolescents with chronic pain.Perspective This cost of illness study comprehensively estimates the economic costs of chronic pain in a cohort of treatment-seeking adolescents. The primary driver of costs was direct medical costs followed by productivity losses. Because of its economic impact, policy makers should invest resources in the prevention, diagnosis, and treatment of chronic pediatric pain.

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Authors: Groenewald, C. B., Essner, B. S., Wright, D., Fesinmeyer, M. D., & Palermo, T. M.
Affiliations: University of Washington (US)
Seattle Children's Research Institute (US)
Corresponding author: Groenewald, Cornelius B.
ORCID: Groenewald, Cornelius B.
Wright, Davene
Fesinmeyer, Megan D.
Palermo, Tonya M.
Venue: The Journal of Pain
Publisher: Elsevier BV
Published: 2014-09
Volume: 15
Issue: 9
Pages: 925-933
ISSN: 1526-5900 (ISSN-L)
DOI: 10.1016/j.jpain.2014.06.002
PMC: PMC4150826
OpenAlex: W1965379597
Cited by: 391
References: 29
Citations by year: 2026: 19 · 2025: 28 · 2024: 28 · 2023: 39 · 2022: 42 · 2021: 43 · 2020: 46 · 2019: 36 · 2018: 35 · 2017: 25 · 2016: 29 · 2015: 18 · 2014: 2
FWCI: 23.18
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 3297 d)
Locations: Journal of Pain (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of General Medical Sciences (T32GM086270)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD062538, R01HD065180, R21HD065180)
Topics: Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
Keywords: chronic pain, adolescents, economic burden, multidisciplinary pain management, health care costs, productivity loss, family financial burden, pediatric pain, health care utilization
MeSH terms: Adolescent, Child, Female, Humans, Male, Retrospective Studies, Severity of Illness Index, United States, Health Care Costs, Cost of Illness, Chronic Pain

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The Economic Costs of Chronic Pain Among a Cohort of Treatment-Seeking Adolescents in the United States

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