Affected person traits and healthcare utilization of a power ache inhabitants inside an built-in healthcare system.
Am J Manag Care. 2017 Feb 01;23(2):e50-e56
Authors: Romanelli RJ, Shah SN, Ikeda L, Lynch B, Craig TL, Cappelleri JC, Jukes T, Ishisaka D
OBJECTIVES: We sought to characterize the power ache (CP) inhabitants and healthcare utilization throughout sorts of CP inside a community-based healthcare system.
STUDY DESIGN: Cross-sectional examine of digital well being information knowledge from 2012.
METHODS: Sufferers 18 years or older with at the very least 2 encounter diagnoses for CP circumstances in 2012 have been included within the examine. Sufferers have been categorized into non-mutually unique CP sorts: arthritis/joint ache, again/cervical ache, neuropathies/neuralgias, complications/migraines, and unclassified ache.
RESULTS: Of 1,784,114 sufferers, 120,481 (6.eight%) met the standards for the CP examine cohort. Inside the cohort, the most typical sorts of CP have been arthritis/joint ache (57%), again/cervical ache (49%), and neuropathy/neuralgias (40%). Sufferers with neuropathies/neuralgias have been older than sufferers with different ache sorts and had extra comorbidities (for neuropathies/neuralgias: imply age, 59 years; Charlson Comorbidity Index rating >three, in 28% of sufferers). Sufferers with unclassified ache have been most certainly to be feminine (82%). Charges of workplace and emergency division (ED) visits have been highest in sufferers with unclassified ache (5136 occasions and 209 occasions per 1000 sufferers, respectively). Charges of hospitalizations and 30-day hospital readmissions have been highest in sufferers with neuropathies/neuralgias (70 occasions and 287 occasions per 1000 sufferers, respectively). An elevated variety of CP sorts was linearly related to larger charges of workplace, ED, and hospital visits.
CONCLUSIONS: Based mostly on prevalence, comorbidities, and healthcare utilization, a number of sorts of CP, together with neuropathies/neuralgias, arthritis/joint ache, and unclassified ache, seem like most impactful. Well being programs can use these findings to focus on efforts to enhance the administration of sufferers with CP, notably these with a number of pain-related circumstances.
PMID: 28245659 [PubMed – indexed for MEDLINE]