Identifying heavy health care users among primary care patients with chronic non-cancer pain
Canadian Pharmacists Conference ePoster Library. Antaky E. May 29, 2015; 98463
Mr. Elie Antaky
Mr. Elie Antaky
Login now to access Regular content available to all registered users.

You may also access this content "anytime, anywhere" with the Free MULTILEARNING App for iOS and Android
Abstract
Rate & Comment (0)

Identifying heavy health care users among primary care patients with chronic non-cancer pain



Poster #: P42



Presenter

ElieAntaky, M.Sc Candidate



Authors

ElieAntaky, M.Sc Candidate; Manon Choiniere,PhD, MireilleSchnitzer, PhD; ElisabethMartin, M.Sc; DjamalBerbiche, PhD;Sylvie Perreault, PhD;David Lussier, M.D;Lyne Lalonde, B.Pharm, PhD



OBJECTIVE(S): To identify predictors of high direct healthcare costs among patients with chronic non-cancer pain (CNCP) followed in primary care.



METHOD(S): Patients reporting CNCP, with an active painkiller prescription from a family physician and covered by the Regie d'assurance Maladie du Quebec (RAMQ) insurance were selected. They completed questionnaires about their socio-demographic, psychosocial and clinical characteristics. Direct healthcare costs for the year preceding and following recruitment included prescribed pain medications, outpatient services, pain related hospitalizations and emergency room (ER) admissions. Healthcare costs were documented using the administrative database. Patients’ characteristics were compared between patients in most expensive annual healthcare costs quartile following recruitment and the rest of patients. A logistic regression using the Akaike information criterion was used to identify predictors of high healthcare costs. Odds ratios were calculated for variables included in the final model.



RESULT(S): Patients (n=302) mean annual direct health care costs were $4,315 ($7,031). The costs were mainly related to prescribed pain medications (60%). High costs in the year following recruitment were predicted by previous prescribed pain medications costs (OR =11.5, 95% CI=6.14-21.5). Higher Brief Pain Inventory score (OR=1.24, 95% CI=1.04-1.47), Charlson Comorbidity Index (OR=1.28, 95% CI=1.10-1.53) and pain in the lower body (OR=2.12, 95% CI=1.01-4.42) predicted higher CNCP healthcare costs.


CONCLUSION(S): Patients with high pain medication costs during the previous year, suffering from pain related disability, comorbidities and low body pain are prone to have high healthcare costs during the following year.

    This eLearning portal is powered by:
    This eLearning portal is powered by MULTIEPORTAL
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.


Save Settings