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Cited by 105Musculoskeletal pain and rehabilitationHealth Systems, Economic Evaluations, Quality of LifeChronic Disease Management Strategies

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

Hogan, Mary-Ellen, Taddio, Anna, Katz, Joel, Shah, Vibhuti, Krahn, Murray·2016·Pain
DOI 10.1097/j.pain.0000000000000561
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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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Crossref · 10.1097/j.pain.0000000000000561

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Research works printed but not linked: 3

  1. Lafortune, 2005, Comparing a rate in a subpopulation to the rate in the full population, Res Data Centres Inf Tech Bull, 2, 6
  2. Ramage-Morin, 2008, Statistics Canada. Chronic pain in Canadian seniors, Health Rep, 19, 16
  3. Ramage-Morin, 2010, Statistics Canada. Chronic pain at ages 12 to 44, Health Rep, 21, 9

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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
ORCID
Venue
Pain
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2016-03-17
Volume
157
Issue
8
Pages
1626-1633
ISSN
  • 0304-3959 (ISSN-L)
  • 1872-6623
DOI
10.1097/j.pain.0000000000000561
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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