The DOI matches its Crossref record; 43 of the 43 references it cites were found in a registry or an index.
Incremental health care costs for chronic pain in Ontario, Canada: a population-based matched cohort study of adolescents and adults using administrative data
Abstract
Little is known about the economic burden of chronic pain and how chronic pain affects health care utilization. We aimed to estimate the annual per-person incremental medical cost and health care utilization for chronic pain in the Ontario population from the perspective of the public payer. We performed a retrospective cohort study using Ontario health care databases and the electronically linked Canadian Community Health Survey (CCHS) from 2000 to 2011. We identified subjects aged ≥12 years from the CCHS with chronic pain and closely matched them to individuals without pain using propensity score matching methods. We used linked data to determine mean 1-year per-person health care costs and utilization for each group and mean incremental cost for chronic pain. All costs are reported in 2014 Canadian dollars. After matching, we had 19,138 pairs of CCHS respondents with and without chronic pain. The average age was 55 years (SD = 18) and 61% were female. The incremental cost to manage chronic pain was $1742 per person (95% confidence interval [CI], $1488-$2020), 51% more than the control group. The largest contributor to the incremental cost was hospitalization ($514; 95% CI, $364-$683). Incremental costs were the highest in those with severe pain ($3960; 95% CI, $3186-$4680) and in those with most activity limitation ($4365; 95% CI, $3631-$5147). The per-person cost to manage chronic pain is substantial and more than 50% higher than a comparable patient without chronic pain. Costs are higher in people with more severe pain and activity limitations.
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“which translates to a ~$10 billion burden annually to the Canadian health care system, not including direct out-of-pocket costs incurred by the person with pain or indirect costs such as lost income.”
From Chronic postsurgical pain: From risk factor identification to multidisciplinary management at the Toronto General Hospital Transitional Pain Service (2019) · cites this paper as [3]
In the citing paper
“The annual incremental medical cost to manage chronic pain in Ontario is estimated at $1742 per person in 2014 Canadian dollars,3”
From Chronic postsurgical pain: From risk factor identification to multidisciplinary management at the Toronto General Hospital Transitional Pain Service (2019) · cites this paper as [3]
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Huang, A., Azam, A., Segal, S., Pivovarov, K., Katznelson, G., Ladak, S. S., Mu, A., Weinrib, A., Katz, J., & Clarke, H. (2016) · Pain Management · doi:10.2217/pmt-2016-0004 · Cited by 115
Self-citationThe costs of chronic pain—Long‐term estimates
Stubhaug, A., Hansen, J. L., Hallberg, S., Gustavsson, A., Eggen, A. E., & Nielsen, C. S. (2024) · European Journal of Pain · doi:10.1002/ejp.2234 · Cited by 101
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Metadata
- Authors
- Hogan, M.-E., Taddio, A., Katz, J., Shah, V., & Krahn, M.
- Affiliations
- University of Toronto (CA)
- York University (CA)
- Corresponding author
- Hogan, Mary-Ellen
- Venue
- Pain
- Published
- 2016-03-17
- Volume
- 157
- Issue
- 8
- Pages
- 1626-1633
- ISSN
- 0304-3959 (ISSN-L)
- 1872-6623
- OpenAlex
- W2305599576
- Cited by
- 105
- References
- 43
- Citations by year
- 2026: 2 · 2025: 11 · 2024: 5 · 2023: 15 · 2022: 11 · 2021: 16 · 2020: 11 · 2019: 16 · 2018: 5 · 2017: 9 · 2016: 4
- FWCI
- 9.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- 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
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Keywords
- chronic pain, health care costs, health care utilization, economic burden of pain, hospital costs, pain intensity, activity limitation, adolescents, adults, Ontario
- MeSH terms
- Adolescent, Adult, Aged, Female, Health Services, Humans, Male, Middle Aged, Ontario, Retrospective Studies, Severity of Illness Index, Databases, Factual, Health Care Costs, Cost of Illness, Young Adult, Chronic Pain
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