Association of chronic pain with comorbidities and health care utilization: a retrospective cohort study using health administrative data
Abstract Health administrative data provide a potentially robust information source regarding the substantial burden chronic pain exerts on individuals and the health care system. This study aimed to use health administrative data to estimate comorbidity prevalence and annual health care utilization...
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Online Access: | http://dx.doi.org/10.1097/j.pain.0000000000002264 https://journals.lww.com/10.1097/j.pain.0000000000002264 |
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crovidcr:10.1097/j.pain.0000000000002264 2024-09-30T14:38:56+00:00 Association of chronic pain with comorbidities and health care utilization: a retrospective cohort study using health administrative data Foley, Heather E. Knight, John C. Ploughman, Michelle Asghari, Shabnam Audas, Richard 2021 http://dx.doi.org/10.1097/j.pain.0000000000002264 https://journals.lww.com/10.1097/j.pain.0000000000002264 en eng Ovid Technologies (Wolters Kluwer Health) http://creativecommons.org/licenses/by-nc-nd/4.0/ Pain volume 162, issue 11, page 2737-2749 ISSN 0304-3959 1872-6623 journal-article 2021 crovidcr https://doi.org/10.1097/j.pain.0000000000002264 2024-09-17T04:25:24Z Abstract Health administrative data provide a potentially robust information source regarding the substantial burden chronic pain exerts on individuals and the health care system. This study aimed to use health administrative data to estimate comorbidity prevalence and annual health care utilization associated with chronic pain in Newfoundland and Labrador, Canada. Applying the validated Chronic Pain Algorithm to provincial Fee-for-Service Physician Claims File data (1999-2009) established the Chronic Pain (n = 184,580) and No Chronic Pain (n = 320,113) comparator groups. Applying the Canadian Chronic Disease Surveillance System coding algorithms to Claims File and Provincial Discharge Abstract Data (1999-2009) determined the prevalence of 16 comorbidities. The 2009/2010 risk and person-year rate of physician and diagnostic imaging visits and hospital admissions were calculated and adjusted using the robust Poisson model with log link function (risks) and negative binomial model (rates). Results indicated a significantly higher prevalence of all comorbidities and up to 4 times the odds of multimorbidity in the Chronic Pain Group ( P -value < 0.001). Chronic Pain Group members accounted for 58.8% of all physician visits, 57.6% of all diagnostic imaging visits, and 54.2% of all hospital admissions in 2009/2010, but only 12% to 16% of these were for pain-related conditions as per recorded diagnostic codes. The Chronic Pain Group had significantly higher rates of physician visits and high-cost hospital admission/diagnostic imaging visits ( P -value < 0.001) when adjusted for demographics and comorbidities. Observations made using this methodology supported that people identified as having chronic pain have higher prevalence of comorbidities and use significantly more publicly funded health services. Article in Journal/Newspaper Newfoundland Ovid Canada Newfoundland Pain 162 11 2737 2749 |
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Abstract Health administrative data provide a potentially robust information source regarding the substantial burden chronic pain exerts on individuals and the health care system. This study aimed to use health administrative data to estimate comorbidity prevalence and annual health care utilization associated with chronic pain in Newfoundland and Labrador, Canada. Applying the validated Chronic Pain Algorithm to provincial Fee-for-Service Physician Claims File data (1999-2009) established the Chronic Pain (n = 184,580) and No Chronic Pain (n = 320,113) comparator groups. Applying the Canadian Chronic Disease Surveillance System coding algorithms to Claims File and Provincial Discharge Abstract Data (1999-2009) determined the prevalence of 16 comorbidities. The 2009/2010 risk and person-year rate of physician and diagnostic imaging visits and hospital admissions were calculated and adjusted using the robust Poisson model with log link function (risks) and negative binomial model (rates). Results indicated a significantly higher prevalence of all comorbidities and up to 4 times the odds of multimorbidity in the Chronic Pain Group ( P -value < 0.001). Chronic Pain Group members accounted for 58.8% of all physician visits, 57.6% of all diagnostic imaging visits, and 54.2% of all hospital admissions in 2009/2010, but only 12% to 16% of these were for pain-related conditions as per recorded diagnostic codes. The Chronic Pain Group had significantly higher rates of physician visits and high-cost hospital admission/diagnostic imaging visits ( P -value < 0.001) when adjusted for demographics and comorbidities. Observations made using this methodology supported that people identified as having chronic pain have higher prevalence of comorbidities and use significantly more publicly funded health services. |
format |
Article in Journal/Newspaper |
author |
Foley, Heather E. Knight, John C. Ploughman, Michelle Asghari, Shabnam Audas, Richard |
spellingShingle |
Foley, Heather E. Knight, John C. Ploughman, Michelle Asghari, Shabnam Audas, Richard Association of chronic pain with comorbidities and health care utilization: a retrospective cohort study using health administrative data |
author_facet |
Foley, Heather E. Knight, John C. Ploughman, Michelle Asghari, Shabnam Audas, Richard |
author_sort |
Foley, Heather E. |
title |
Association of chronic pain with comorbidities and health care utilization: a retrospective cohort study using health administrative data |
title_short |
Association of chronic pain with comorbidities and health care utilization: a retrospective cohort study using health administrative data |
title_full |
Association of chronic pain with comorbidities and health care utilization: a retrospective cohort study using health administrative data |
title_fullStr |
Association of chronic pain with comorbidities and health care utilization: a retrospective cohort study using health administrative data |
title_full_unstemmed |
Association of chronic pain with comorbidities and health care utilization: a retrospective cohort study using health administrative data |
title_sort |
association of chronic pain with comorbidities and health care utilization: a retrospective cohort study using health administrative data |
publisher |
Ovid Technologies (Wolters Kluwer Health) |
publishDate |
2021 |
url |
http://dx.doi.org/10.1097/j.pain.0000000000002264 https://journals.lww.com/10.1097/j.pain.0000000000002264 |
geographic |
Canada Newfoundland |
geographic_facet |
Canada Newfoundland |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
Pain volume 162, issue 11, page 2737-2749 ISSN 0304-3959 1872-6623 |
op_rights |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
op_doi |
https://doi.org/10.1097/j.pain.0000000000002264 |
container_title |
Pain |
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162 |
container_issue |
11 |
container_start_page |
2737 |
op_container_end_page |
2749 |
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1811641520459087872 |