KRONİK BEL AĞRISININ EKONOMİK MALİYETİ

Yasemin YUMUŞAKHUYLU, (Istanbul Medeniyet University, Goztepe Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Kadıköy, Istanbul, Türkiye)
Hatice S. BAKLACIOGLU, (Marmara University Medical Faculty, Pendik Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Pendik-Istanbul,)
Huriye ARAS, (Dumlupınar University Medical Faculty, Department of Physical Medicine and Rehabilitation, Kütahya,)
Sema HALİLOĞLU, (Istanbul Occupational Disease Hospital, Department of Physical Medicine and Rehabilitation, Istanbul,)
Esra SELİMOĞLU, (Istanbul Medeniyet University, Goztepe Training and Research Hospital, Department of Physical Medicine and Rehabilitation, Kadıköy, Istanbul,)
Afitap İÇAĞASIOĞLU (adres yazılmamıs)
Bozok Tıp Dergisi
23 0
Yıl: 2018 Cilt: 8 Sayı: 1 Sayfa Aralığı: 66 - 74 Metin Dili: Türkçe İndeks Tarihi: 18-01-2019

KRONİK BEL AĞRISININ EKONOMİK MALİYETİ

Öz:
Amaç: Kronik bel ağrısı sık karşılaşılan önemli bir halk sağlığı sorunudur. Kronik bel ağrısının ekonomikyükünün oldukça yüksek olduğu bildirilmekle birlikte Türkiye için ne olduğu net olarak bilinmemektedir. Buçalışmanın amacı kronik bel ağrılı hastaların toplam ekonomik yükünü araştırmaktırMateryal ve Metod: Çalışmaya kronik bel ağrısı olan 18 yaş üzeri 211 hasta dahil edildi. Hastaların sosyodemografik özellikleri, son 6 ay içindeki sağlık sistemi kaynakları kullanımı, son 3 ay içerisindeki çalışamamadurumları anketlerle sorgulandı. Tüm direkt ve indirekt harcamalar hesaplandı. Direkt harcamaların içinedoktor muayeneleri, tetkikler, ilaçlar, hastane yatışları, ortopedik yardımcı cihaz kullanımları, fizik tedavi veson 6 aydaki bel ağrısına bağlı sakatlık nedenli hasta bakım ödemeleri dahil edildi. Çalışmamızda indirektharcamalar son 3 ay içindeki üretim kaybı hesaplanarak tahmin edilmeye çalışıldıBulgular: Kronik bel ağrısı için yıllık direkt ekonomik yük 2011 değerlerine göre 823.91 TL (346.14 Euro,443.39 USD), indirekt ekonomik yük ise 5501 TL (2311.34 Euro, 2960.71 USD) olarak hesaplandı.Sonuç: Kronik bel ağrısına bağlı indirekt harcamaların direkt harcamalara göre çok daha fazla olduğugörülmektedir. Bel ağrısının etkili tedavisiyle hasta rapor kullanımına bağlı üretim kaybının ve harcamalarınazaltılacağı sonucuna varılmıştır.
Anahtar Kelime:

Konular: Geriatri ve Gerontoloji Sağlık Bilimleri ve Hizmetleri

The Economic Cost of Chronic Low Back Pain

Öz:
Background: Chronic low back pain (LBP) is a common and important health problem. The economic cost of LBP is very high and its burden in Turkey is not exactly known. The aim of this study is to research the total economic burden of the LBP among the chronic LBP patients. Material and Methods: 211 patients over 18 years of age having chronic LBP were included. Patients sociodemographics, healthcare resource use in last 6 months, inability to work in last 3 months were collected by using questionnaires. We calculated all direct and indirect costs. Direct costs include medical visits, investigations, medications, hospitalizations, orthopedical aids, physical therapy and home payments during the last 6 months. Indirect costs in our study were evaluated mostly with productivity losts for the last 3 months. Results: The annual direct costs for chronic LBP per patient were estimated at 823.91 TL (346.14 Euros or 443.39 USD) and the indirect costs were estimated at 5501 TL (2311.34 Euros or 2960.71 USD) in 2011 prices. Conclusion: The indirect costs for chronic LBP seems to be higher than the direct costs. The productivity losses due to sick leave could be reduced with effective treatments and could help cost savings.
Anahtar Kelime:

Konular: Geriatri ve Gerontoloji Sağlık Bilimleri ve Hizmetleri
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • Becker A, Held H, Redaelli M, Strauch K, Chenot JF, Leonhardt C, Keller S, Baum E,Pfingsten M, Hildebrandt J, et al. Low back pain in primary care: costs of care and prediction of future health care utilization. Spine 2010;35(18): 1714-20.
  • Hestbaek L, Munck A, Hartvigsen L, Jarbøl DE, Søndergaard J, Kongsted A. Low Back Pain in Primary Care: A Description of 1250 Patients with Low Back Pain in Danish General and Chiropractic Practice. Int J Family Med. 2014;2014:106102. doi: 10.1155/2014/106102. Epub 2014 Nov 4
  • Maniadakis N, Gray A. The Economic Burden of Back Pain in the UK. Pain 2000;84:95-103.
  • Depont F, Hunsche E, Abouelfath A, Diatta T, Addra I, Grelaud A, Lagnaoui R, Molimard M, Moore N. Medical and non-medical direct costs of chronic low back pain in patients consulting primary care physicians in France. Fundam Clin Pharmacol 2010;24:101-8.
  • Mattias Ekman, Sven Jonhagen, Elke Hunsche, Linus Jonsson. Burden of illness of chronic low back pain in Sweden:a crosssectional, retrospective study in primary care setting. Spine 2005;30:1777-85.
  • Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, Mannion AF, Reis S, Staal JB, Ursin H, Zanoli G; COST B13 Working Group on Guidelines for Chronic Low Back Pain. Chapter 4. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J. 2006 Mar;15 Suppl 2:S192-300.
  • Koes BW, van Tulder M, Lin CW, Macedo LG, McAuley J, Maher C. An updated overview of clinical guidelines for the management of non-specific low back pain in primary care. Eur Spine J. 2010 Dec;19(12):2075-94. doi: 10.1007/s00586-010-1502-y. Epub 2010 Jul 3.
  • Annette Becker, Heiko Held, Marcus Redaelli, Jean F. Chenot, Corinna Leonhardt, Stefan Keller, Erika Baum, Michael Pfingsten, Jan Hildebrandt, Heinz-Dieter Basler, Michael M. Kochen, Norbert Donner-Banzhoff, Konstantin Strauch. Implementation of a Guideline for Low Back PainManagement in Primary Care, A Cost-Effectiveness Analysis. Spine 2012 ; 37 :701 – 710.
  • Çakmak A, Yücel B, Özyalçın SN, Bayraktar B, Ural HI, Duruöz MT, Genç A. The frequency and associated factors of low back pain among a younger population in Turkey. Spine 2004;29(14):1567-72.
  • Liddle SD, Baxter GD, Gracey JH. Exercise and chronic low back pain: what works? Pain 2004;107:176-90.
  • Eriksen W, Natvig B, Bruusgaard D. Smoking, heavy physical work and low back pain: a four-year prospective study. Occup Med (Lond)1999;49:155-60.
  • Brodke DS, Ritter SM. Nonoperative Management of Low Back Pain and Lumbar Disc Degeneration. Instr Course Lect 2005;54:279- 86.
  • Leboeuf-Yde C. Body weight and low back pain. Spine 2000;25:226-37.
  • Ketenci A, Yıldız E.Ö, Müslümanoğlu L, Arıkan E, Durmuş B, Filiz M, Berker E. Kronik bel ağrılı 1120 hastanın özellikleri. Türkiye Fizik Tedavi ve Rehabilitasyon Dergisi 1998; 1(1):60-4.
  • Capkin E, Karkucak M, Cakırbay H, Topbas M, Karaca A, Köse MM, Gökmen F. The prevalence and risk factors of low back pain in the eastern Black Sea region of Turkey. J Back Musculoskelet Rehabil. 2015 Mar 3. [Epub ahead of print]
  • Bohman T, Alfredsson L, Jensen I, Hallqvist J, Vingård E, Skillgate E. Does a healthy lifestyle behaviour influence the prognosis of low back pain among men and women in a general population? A population-based cohort study. BMJ Open. 2014;4(12):e005713. doi: 10.1136/bmjopen-2014-005713.
  • Mayer T, Gatchel RJ, Evans T. Effect of age on outcomes of tertiary rehabilitation for chronic disabling spinal disorders. Spine 2001;26:1378-84.
  • Manek NJ, MacGregor AJ. Epidemiology of back disorders: prevalance, risk factors, and prognosis. Curr Opin Rheumatol 2005;17:134-40.
  • Marčić M, Mihalj M, Ivica N, Pintarić I, Titlić M. How severe is depression in low back pain patients? Acta Clin Croat. 2014;53(3):267-71.
  • Wasiak R , Kim J , Pransky G . Work disability and costs caused by recurrence of low back pain: longer and more costly than in first episodes. Spine (Phila Pa 1976) 2006;31:219–25.
  • Gilgil E, Kaçar C, Bütün B, Tuncer T, Urhan S, Yildirim C, Sünbüloglu G, Arikan V, Tekeoglu I, Öksüz MC, Dündar U. Prevalence of low back pain in a developing urban setting. Spine (Phila Pa 1976). 2005 May 1;30(9):1093-8.
  • Kopec J, Sayre E, Esdaile JM. Predictors of back pain in a general population cohort. Spine 2004;29:70-8.
  • Dagenais S, Caro J, Haldeman S. A systematic review of low back pain cost of illness studies in the United States and internationally. Spine J. 2008;8(1):8-20. doi: 10.1016/j.spinee.2007.10.005.
  • Mugdha Gore, Alesia Sadosky, Brett R. Stacey, Kei-Sing Tai, Douglas Leslie. The Burden of Chronic Low Back Pain Clinical Comorbidities, Treatment Patterns, and Health Care Costs in Usual Care Settings. Spine 2012;37(11):668-677.
  • Joanne WY Chung, PhD1, Yingchun Zeng, MPhil2, and Thomas KS Wong, PhD3, Drug Therapy for the Treatment of Chronic Nonspecific Low Back Pain: Systematic Review and Meta-analysis. Pain Physician 2013;16:685-704.
  • Becker A, Held H, Redaelli M, Strauch K, Chenot JF, Leonhardt C, Keller S, Baum E, Pfingsten M, Hildebrandt J, Basler HD, Kochen MM, Donner-Banzhoff N. Low back pain in primary care: costs of care and prediction of future health care utilization. Spine (Phila Pa 1976). 2010 Aug 15;35(18):1714-20.
  • Andersson GB. Epidemiological features of chronic low-back pain. Lancet 1999;354:581-5.
  • Vos T., Flaxman A. D., Naghavi M., et al. Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet. 2010;380(9859):2163–2196. doi: 10.1016/S0140-6736(12)61729-2.
APA YUMUŞAKHUYLU Y, BAKLACIOGLU H, ARAS H, Haliloglu S, SELİMOĞLU E, İÇAĞASIOĞLU A (2018). KRONİK BEL AĞRISININ EKONOMİK MALİYETİ. , 66 - 74.
Chicago YUMUŞAKHUYLU Yasemin,BAKLACIOGLU Hatice S.,ARAS Huriye,Haliloglu Sema,SELİMOĞLU Esra,İÇAĞASIOĞLU Afitap KRONİK BEL AĞRISININ EKONOMİK MALİYETİ. (2018): 66 - 74.
MLA YUMUŞAKHUYLU Yasemin,BAKLACIOGLU Hatice S.,ARAS Huriye,Haliloglu Sema,SELİMOĞLU Esra,İÇAĞASIOĞLU Afitap KRONİK BEL AĞRISININ EKONOMİK MALİYETİ. , 2018, ss.66 - 74.
AMA YUMUŞAKHUYLU Y,BAKLACIOGLU H,ARAS H,Haliloglu S,SELİMOĞLU E,İÇAĞASIOĞLU A KRONİK BEL AĞRISININ EKONOMİK MALİYETİ. . 2018; 66 - 74.
Vancouver YUMUŞAKHUYLU Y,BAKLACIOGLU H,ARAS H,Haliloglu S,SELİMOĞLU E,İÇAĞASIOĞLU A KRONİK BEL AĞRISININ EKONOMİK MALİYETİ. . 2018; 66 - 74.
IEEE YUMUŞAKHUYLU Y,BAKLACIOGLU H,ARAS H,Haliloglu S,SELİMOĞLU E,İÇAĞASIOĞLU A "KRONİK BEL AĞRISININ EKONOMİK MALİYETİ." , ss.66 - 74, 2018.
ISNAD YUMUŞAKHUYLU, Yasemin vd. "KRONİK BEL AĞRISININ EKONOMİK MALİYETİ". (2018), 66-74.
APA YUMUŞAKHUYLU Y, BAKLACIOGLU H, ARAS H, Haliloglu S, SELİMOĞLU E, İÇAĞASIOĞLU A (2018). KRONİK BEL AĞRISININ EKONOMİK MALİYETİ. Bozok Tıp Dergisi, 8(1), 66 - 74.
Chicago YUMUŞAKHUYLU Yasemin,BAKLACIOGLU Hatice S.,ARAS Huriye,Haliloglu Sema,SELİMOĞLU Esra,İÇAĞASIOĞLU Afitap KRONİK BEL AĞRISININ EKONOMİK MALİYETİ. Bozok Tıp Dergisi 8, no.1 (2018): 66 - 74.
MLA YUMUŞAKHUYLU Yasemin,BAKLACIOGLU Hatice S.,ARAS Huriye,Haliloglu Sema,SELİMOĞLU Esra,İÇAĞASIOĞLU Afitap KRONİK BEL AĞRISININ EKONOMİK MALİYETİ. Bozok Tıp Dergisi, vol.8, no.1, 2018, ss.66 - 74.
AMA YUMUŞAKHUYLU Y,BAKLACIOGLU H,ARAS H,Haliloglu S,SELİMOĞLU E,İÇAĞASIOĞLU A KRONİK BEL AĞRISININ EKONOMİK MALİYETİ. Bozok Tıp Dergisi. 2018; 8(1): 66 - 74.
Vancouver YUMUŞAKHUYLU Y,BAKLACIOGLU H,ARAS H,Haliloglu S,SELİMOĞLU E,İÇAĞASIOĞLU A KRONİK BEL AĞRISININ EKONOMİK MALİYETİ. Bozok Tıp Dergisi. 2018; 8(1): 66 - 74.
IEEE YUMUŞAKHUYLU Y,BAKLACIOGLU H,ARAS H,Haliloglu S,SELİMOĞLU E,İÇAĞASIOĞLU A "KRONİK BEL AĞRISININ EKONOMİK MALİYETİ." Bozok Tıp Dergisi, 8, ss.66 - 74, 2018.
ISNAD YUMUŞAKHUYLU, Yasemin vd. "KRONİK BEL AĞRISININ EKONOMİK MALİYETİ". Bozok Tıp Dergisi 8/1 (2018), 66-74.
Sayfa Oluşturulma Tarihi
23-04-2024 7:14

İLETİŞİM

TÜBİTAK ULAKBİM TR Dizin

Yüzüncüyıl, İşçi Blokları Mahallesi

Muhsin Yazıcıoğlu Caddesi No:51/C

06530 Çankaya / ANKARA +90 (312) 298 92 00

trdizin@tubitak.gov.tr

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © Tüm Hakları Saklıdır. Gizlilik Politikası Kullanım Şartları