ProHealth health Vitamin and Natural Supplement Store and Health
Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help

|
|
|
|

Trending News

New Science Destroys the Saturated Fat Myth

Ginger's Many Evidence-Based Health Benefits Revealed

Diet Affects Men’s and Women’s Gut Microbes Differently

New Lyme guidelines promote options and informed choice

Natural products from plants protect skin during cancer radiotherapy

Dangers of desert dust: new diagnostic tool for valley fever

Phases of clinical depression could affect treatment

“Worm pill” could ease autoimmune disease symptoms

Eating Baked or Broiled Fish Weekly Boosts Brain Health, Pitt Study Says

The Effect of d-Lenolate® on the Immune Parameters in Humans

 
Print Page
Email Article

Data on fibromyalgia patients' heavy economic burden: lost wages & medical costs

  [ 9 votes ]   [ 2 Comments ]
www.ProHealth.com • August 9, 2012


Article:
The comparative economic burden of mild, moderate, and severe fibromyalgia: Results from a retrospective chart review and cross-sectional survey of working-age US adults
– Source: Journal of Managed Care Pharmacy, Jul 2012

By Arthi Chandran, et al.

[Note: The full text of this article is available free here. ‘Indirect costs’ are the value of the patient's lost earning ability and unpaid caregiver time. ‘Direct costs’ are costs of health resources used. According to these data the median yearly total cost of FM ranges from $9,452 for mildly affected patients and $10,520 for moderately affected individuals to $16,276 for severely affected cases.]

Abstract:
Background: Patients with fibromyalgia report persistent widespread pain, fatigue, and substantial functional limitations, which may lead to high health resource use (HRU) and lost productivity. Previous analyses of the U.S. population have not examined the direct and indirect costs of fibromyalgia by severity level.

Objectives: To assess:

a) HRU, direct and indirect costs associated with fibromyalgia in routine clinical practice in the United States using a patient-centric approach, and

b) The relationship of fibromyalgia severity level to HRU and costs.

Methods:

This study recruited a nonprobability convenience sample of 203 subjects aged 18 through 65 years between August 2008 and February 2009 from 20 U.S. community-based physician offices.

Subjects had a prior diagnosis of fibromyalgia by a rheumatologist, neurologist, or pain specialist; received treatment at the enrolling physician's practice for at least 3 months; experienced widespread pain for at least 3 months; and experienced pain in the previous 24 hours.

Subjects completed a 106-item patient questionnaire that included 5 validated health-related quality-of-life instruments and study-specific questions about demographics; clinical history; overall health; treatment satisfaction; and impact of fibromyalgia on cognitive function, daily activities, and employment status.

Subjects also self-reported:

• Hours of unpaid informal caregiver time because of inability to perform daily activities (e.g., housework, child care),

• Out-of-pocket expenses for medical and nonmedical services,

• And lost productivity related to fibromyalgia…

…for the previous 4 weeks.

The 20-item Fibromyalgia Impact Questionnaire total score was used to stratify subjects into fibromyalgia severity groups:

• 0 to less than 39 = mild,

• 39 to less than 59 = moderate,

• 59 to 100 = severe.

Staff at each site recorded clinical characteristics, health resource use (HRU), and medication use attributable to fibromyalgia on a paper clinical case report form (CRF) based on a 3-month retrospective medical chart review.

Unit costs for 2009 were assigned to the 3-month HRU data reported on the CRF and 4-week subject-reported lost productivity.

Costs were then annualized and reported in the following categories:

• Direct medical,

• Direct nonmedical,

• And indirect.

Differences across severity levels were evaluated using the Kruskal-Wallis test (continuous measures) and Pearson chi-square or Fisher's exact tests (categorical measures) at the 0.05 alpha level.

Results:

Of the 203 subjects, 21 (10.3%) had mild, 49 (24.1%) had moderate, and 133 (65.5%) had severe fibromyalgia.

For subjects with mild, moderate, and severe fibromyalgia, respectively:

• The number of fibromyalgia-related medications (3-month means [averages]: 1.8, 2.3, and 2.8, P = 0.011)

• And office visits to health care providers (3-month means: 2.7, 5.2, and 6.9, P less than 0.001)…

…significantly differed across severity levels.

Across severity levels, total medical and nonmedical out-of-pocket costs also differed (P = 0.025).

• Mean [median] 3-month total direct costs (including payer costs for HRU and out-of-pocket costs for medical and nonmedical services) were $1,213 [$1,150], $1,415 [$1,215], and $2,329 [$1,760] for subjects with mild, moderate, and severe fibromyalgia, respectively (P = 0.002);

• And mean [median] 3-month indirect costs (including subject-reported absenteeism, unemployment, disability, and the estimated value of unpaid informal care) were $1,341 [$0], $5,139 [$1,680], and $8,285 [$7,030] (P less than 0.001).

• Mean total indirect costs accounted for 52.5%, 78.4%, and 78.1% of mean total costs for subjects with mild, moderate, and severe fibromyalgia, respectively.

Conclusions:

• Direct and indirect costs related to fibromyalgia are higher among subjects with worse fibromyalgia severity.

• Indirect costs account for a majority of fibromyalgia-related costs at all fibromyalgia severity levels.

Source: Journal of Managed Care Pharmacy, Jul 2012;18(6):415-26. PMID:22839682, by Chandran A, Schaefer C, Ryan K, Baik R, McNett M, Zlateva G. Covance Market Access Services, Inc., Gaithersburg, Maryland, USA. [Email: Caroline.Schaefer@covance.com]




Please Discuss This Article:   Post a Comment 

wow
Posted by: roge
Aug 10, 2012
it took a study to figure out those with severe FM pay more than those without mild and moderate - that is pretty obvious. cmon, can we not spend our research money on better studies like trying to pin down the actual pathology/dysfunction of this disease so we can better treat it as right now current treatment is pathetic
Reply Reply

wow
Posted by: roge
Aug 10, 2012
it took a study to figure out those with severe FM pay more than those without mild and moderate - that is pretty obvious. cmon, can we not spend our research money on better studies like trying to pin down the actual pathology/dysfunction of this disease so we can better treat it as right now current treatment is pathetic
Reply Reply
 
Free Chronic Fatigue Syndrome and Fibromyalgia Newsletters
Subscribe to
Our FREE
Newsletter
Subscribe Now!
Receive up-to-date ME/CFS & Fibromyalgia treatment and research news
 Privacy Guaranteed  |  View Archives

Immune Support Supplements

Featured Products

FibroSleep™ by ProHealth FibroSleep™ by ProHealth
The All-in-One Natural Sleep Aid
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function
Optimized Curcumin Longvida® by ProHealth Optimized Curcumin Longvida® by ProHealth
Supports Cognition, Memory & Overall Health
Vitamin D3 Extreme™ by ProHealth Vitamin D3 Extreme™ by ProHealth
50,000 IU Vitamin D3 - Prescription Strength
Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%

Natural Remedies

Front Line Defense Against Colds & Flu - Support for Healthy Immune System Balance Front Line Defense Against Colds & Flu - Support for Healthy Immune System Balance
A Breakthrough for Mitochondrial Dysfunction A Breakthrough for Mitochondrial Dysfunction
Ubiquinol - A More Advanced Form of the Energy Producing Nutrient CoQ-10 Ubiquinol - A More Advanced Form of the Energy Producing Nutrient CoQ-10
How I Found My Long-Lost Energy How I Found My Long-Lost Energy
Live Longer: Groundbreaking Research on Omega-3s Live Longer: Groundbreaking Research on Omega-3s

FIBROMYALGIA RESOURCES
What is Fibromyalgia?
Fibromyalgia 101
Fibromyalgia Symptoms
Fibromyalgia Treatments
| CFS RESOURCES
What is CFS?
ME/CFS 101
ME/CFS Symptoms
ME/CFS Treatments
| FORUMS
Fibromyalgia
ME/CFS
ADVANCED MEDICAL LABS
WHOLESALE  |  AFFILIATES
GUARANTEE
CONTACT US
PRIVACY
RSS
SITE MAP
ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus
Credit Card Processing