The DOI matches its Crossref record; 24 of the 27 references it cites were found in a registry or an index.
The economic impact of chronic pain in adolescence: Methodological considerations and a preliminary costs-of-illness study
Abstract
Chronic pain in adulthood is one of the most costly conditions in modern western society. However, very little is known about the costs of chronic pain in adolescence. This preliminary study explored methods for collecting economic-related data for this population and estimated the cost-of-illness of adolescent chronic pain in the United Kingdom. The client service receipt inventory was specifically adapted for use with parents of adolescent chronic pain patients to collect economic-related data (CSRI-Pain). This method was compared and discussed in relation to other widely used methods. The CSRI-Pain was sent to 52 families of adolescents with chronic pain to complete as a self-report retrospective questionnaire. These data were linked with unit costs to estimate the total care cost package for each family. The economic impact of adolescent chronic pain was found to be high. The mean cost per adolescent experiencing chronic pain was approximately 8,000 pounds per year, including direct and indirect costs. The adolescents attending a specialised pain management unit, who had predominantly non-inflammatory pain, accrued significantly higher costs, than those attending rheumatology outpatient clinics, who had mostly inflammatory diagnoses. Extrapolating the mean total cost to estimated UK prevalence data of adolescent chronic pain demonstrates a cost-of-illness to UK society of approximately 3,840 million pounds in one year. The implications of the study are discussed.
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“The Client Services Receipt Inventory (CSRI)65 has been used widely in research examining the cost of chronic pain18 66 67”
From Investigating the effectiveness of an online acceptance and commitment therapy (ACT) intervention versus a waiting list control condition on pain interference and quality of life in adults with chronic pain and multimorbidity: Protocol for a randomised controlled trial (2019) · cites this paper as [67]
Citations
Cites
Guidelines for authors and peer reviewers of economic submissions to the BMJ
Drummond, M. F., & Jefferson, T. O. (1996) · BMJ · doi:10.1136/bmj.313.7052.275 · Cited by 1,827
The economic burden of back pain in the UK
Maniadakis, N., & Gray, A. (2000) · Pain · doi:10.1016/s0304-3959(99)00187-6 · Cited by 1,510
Pain in children and adolescents: a common experience
Perquin, C. W., Hazebroek-Kampschreur, A. A. J. M., Hunfeld, J. A. M., Bohnen, A. M., van Suijlekom-Smit, L. W. A., Passchier, J., & van der Wouden, J. C. (2000) · Pain · doi:10.1016/s0304-3959(00)00269-4 · Cited by 1,114
A cost-of-illness study of back pain in The Netherlands
van Tulder, M. W., Koes, B. W., & Bouter, L. M. (1995) · Pain · doi:10.1016/0304-3959(94)00272-g · Cited by 760
Costing psychiatric interventions.
Beecham, J. K., & Knapp, M. R. J. (1992) · Kent Academic Repository (University of Kent) · Cited by 710
Self-citationSlade, M., & Thornicroft, G. (2025) · doi:10.1093/med/9780198898818.003.0007 · Cited by 679
The epidemiology of pain in children and adolescents: a review
Goodman, J. E., & McGrath, P. J. (1991) · Pain · doi:10.1016/0304-3959(91)90108-a · Cited by 477
Eccleston, C., Crombez, G., Scotford, A., Clinch, J., & Connell, H. (2004) · Pain · doi:10.1016/j.pain.2003.11.008 · Cited by 418
Self-citationMeerding, W. J., Bonneux, L. G. A., Polder, J. J., Koopmanschap, M. A., & van der Maas, P. J. (1998) · BMJ · doi:10.1136/bmj.317.7151.111 · Cited by 350
Outcome in adults with juvenile idiopathic arthritis: A quality of life study
Foster, H., Marshall, N., Myers, A., Dunkley, P., & Griffiths, I. D. (2003) · Arthritis & Rheumatism · doi:10.1002/art.10863 · Cited by 300
Current Status of Pain Management in Children
Howard, R. F. (2003) · JAMA · doi:10.1001/jama.290.18.2464 · Cited by 276
Economic cost of severe antisocial behaviour in children - and who pays it
Romeo, R., Knapp, M. R. J., & Scott, S. (2006) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.104.007625 · Cited by 199
Self-citationRecurrent pain, emotional distress, and health service use in childhood
Campo, J. V., COMER, D. M., Jansen-McWilliams, L., Gardner, W. P., & Kelleher, K. J. (2002) · The Journal of Pediatrics · doi:10.1067/mpd.2002.125491 · Cited by 174
Chronic Pain Among Children and Adolescents: Physician Consultation and Medication Use
Perquin, C. W., Hazebroek-Kampschreur, A. A. J. M., Hunfeld, J. A. M., van Suijlekom‐Smit, L. W. A., Passchier, J., & van der Wouden, J. C. (2000) · Clinical Journal of Pain · doi:10.1097/00002508-200009000-00008 · Cited by 158
A comparison of two methods of collecting economic data in primary care
Patel, A., Rendu, A., Moran, P., Leese, M., Mann, A., & Knapp, M. (2005) · Family Practice · doi:10.1093/fampra/cmi027 · Cited by 149
Self-citationManaging chronic pain in children and adolescents
Eccleston, C., & Malleson, P. N. (2003) · BMJ · doi:10.1136/bmj.326.7404.1408 · Cited by 148
Self-citationLong-term follow-up of 246 adults with juvenile idiopathic arthritis: education and employment
Packham, J. (2002) · British journal of rheumatology · doi:10.1093/rheumatology/41.12.1436 · Cited by 146
Direct and indirect costs of managing patients with musculoskeletal pain—challenge for health care
Mäntyselkä, P. T., Kumpusalo, E. A., Ahonen, R. S., & Takala, J. K. (2002) · European Journal of Pain · doi:10.1053/eujp.2001.0311 · Cited by 123
Costing Community Care: Theory and Practice
Netten, A., & Beecham, J. K. (1993) · Cited by 102
Self-citationChronic musculoskeletal and other idiopathic pain syndromes
Malleson, P. N. (2001) · Archives of Disease in Childhood · doi:10.1136/adc.84.3.189 · Cited by 72
Hunfeld, J. A. M., Perquin, C. W., Bertina, W., Hazebroek-Kampschreur, A. A. J. M., van Suijlekom‐Smit, L. W. A., Koes, B. W., van der Wouden, J. C., & Passchier, J. (2002) · Clinical Journal of Pain · doi:10.1097/00002508-200203000-00005 · Cited by 66
The economic impacts of juvenile rheumatoid arthritis.
Allaire, S. H., DeNardo, B. S., Szer, I. S., Meenan, R. F., & Jg, S. (1992) · PubMed · Cited by 59
The social function of young adults who had arthritis in childhood
Miller, J. J., Spitz, P. W., Simpson, U., & Williams, G. F. (1982) · The Journal of Pediatrics · doi:10.1016/s0022-3476(82)80433-2 · Cited by 42
Measuring morbidity of children in the community: a comparison of interview and diary data
Bruijinzeels, M., Foets, M., van der Wouden, J. C., Prins, A., & van den Heuvel, W. J. (1998) · International Journal of Epidemiology · doi:10.1093/ije/27.1.96 · Cited by 35
Cited by
Sorted by citations
The Epidemiology and Economic Consequences of Pain
Henschke, N., Kamper, S. J., & Maher, C. G. (2015) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2014.09.010 · Cited by 528
Family and parent influences on pediatric chronic pain: a developmental perspective
Palermo, T. M., Valrie, C. R., & Karlson, C. W. (2014) · American Psychologist · doi:10.1037/a0035216 · Cited by 426
Wicksell, R. K., Melin, L., Lekander, M., & Olsson, G. L. (2009) · Pain · doi:10.1016/j.pain.2008.11.006 · Cited by 393
Groenewald, C. B., Essner, B. S., Wright, D., Fesinmeyer, M. D., & Palermo, T. M. (2014) · The Journal of Pain · doi:10.1016/j.jpain.2014.06.002 · Cited by 391
Lifetime costs of perinatal anxiety and depression
Bauer, A., Knapp, M., & Parsonage, M. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.12.005 · Cited by 382
Metadata
- Authors
- Sleed, M., Eccleston, C., Beecham, J., Knapp, M., & Jordan, A.
- Affiliations
- Royal National Hospital for Rheumatic Diseases (GB)
- Venue
- Pain
- Published
- 2005-12
- Volume
- 119
- Issue
- 1-3
- Pages
- 183-190
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2049533678
- Cited by
- 244
- References
- 27
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 10 · 2023: 8 · 2022: 7 · 2021: 15 · 2020: 8 · 2019: 13 · 2018: 18 · 2017: 10 · 2016: 21 · 2015: 17 · 2014: 11 · 2013: 15 · 2012: 13
- FWCI
- 9.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Kent Academic Repository (University of Kent) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Research Space (submittedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Keywords
- adolescent chronic pain, economic burden, economic burden of pain, care costs, direct and indirect costs, non-inflammatory pain, inflammatory pain, rheumatology outpatient care, United Kingdom
- MeSH terms
- Adolescent, Chronic Disease, Female, United Kingdom, Humans, Male, Pain, Pain Measurement, Pilot Projects, Surveys and Questionnaires, Adolescent Health Services, Health Care Costs, Cost of Illness, Pain Management
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