ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help
Facebook Google Plus
Fibromyalgia  Chronic Fatigue Syndrome & M.E.  Lyme Disease  Natural Wellness  Supplement News  Forums  Our Story
Store     Brands   |   A-Z Index   |   Best Sellers   |   New Products   |   Deals & Specials   |   Under $10   |   SmartSavings Club

Trending News

Can Autoimmune Conditions be Reversed? Researchers Make a Surprising Discovery

How One Tiny Molecule Turned into One Huge Health Breakthrough

Nutrients Boost Stem Cell Function

Humans have three times more brown body fat

B12 Proven Essential for Every Cell

Soy isoflavones may benefit breast cancer patients

How B Vitamins Improve Brain Health, Cognition, Psychiatric Problems and Mood Disorders

Dietary prebiotics improve sleep, buffer impacts of stress, says study

Ylang Ylang Oil Not Only Soothes Your Skin, but Your Mind as Well

Exercises to Help Prevent Urinary Incontinence

 
Print Page
Email Article

Comparison of Health Care Use and Costs in Newly Diagnosed and Established Patients with Fibromyalgia - Source: Journal of Pain, Jun 25, 2009

  [ 10 votes ]   [ Discuss This Article ]
By Leigh Ann White, Rebecca L Robinson, et al. • www.ProHealth.com • July 15, 2009


In 2004, the American Pain Society (APS) issued evidence-based fibromyalgia treatment recommendations.

The objective of this claims database analysis is to describe prescription and medical use in patients with newly diagnosed and established fibromyalgia.

Privately insured patients with 2+ myalgia/myositis claims (1999 to 2005) were categorized as newly diagnosed or established; this dichotomy involves comparisons:

• Between prediagnosis (S1) and postdiagnosis (S2) stages in the newly diagnosed,

• And between newly diagnosed (S2) and established patients (S3).

Use of American Pain Society guideline medications increased across stages:

• Selective serotonin reuptake inhibitors (SSRIs) (prediagnosis, postdiagnosis/newly diagnosed, established patients: 20.6%, 22.9%, 25.3%),

• Serotonin norepinephrine reuptake inhibitors (SNRIs) (4.5%, 6.4%, 8.9%),

• Pregabalin/gabapentin (5.4%, 7.4%, 8.8%),

• Benzodiazepines (19.0%, 21.1%, 24.2%),

• Non-benzodiazepine sedatives (9.1%, 11.5%, 13.7%) (all P < .0001),

• And opioids (39.5%, 43.3%, 43.9%; prediagnosis vs postdiagnosis/newly diagnosed, P < .0001; newly diagnosed vs established patients, P = .2835).

Use of multiple therapeutic classes also increased across stages: 3+ classes (7.1%, 9.6%, 11.8%) (all P < .0001).

Office visits to providers increased, on average, after diagnosis:

• Primary care (70.9%, 78.3%, 76.3%; all P < .0001),

• Chiropractors (28.8%, 51.1%, 53.3%; all P < .0001),

• Rheumatologists (4.2%, 9.9%, 10.5%; prediagnosis vs newly diagnosed, P < .0001; newly diagnosed vs established patients, P = .0595),

• Mental health (6.4%, 7.3%, 8.3%; prediagnosis vs newly diagnosed, p<.0001, newly diagnosed vs established patients, P = .0003).

Average health care costs rose after diagnosis in the newly diagnosed group (prediagnosis: $6,555 vs newly diagnosed: $8,654, P < .0001).

Perspective:

• This paper investigates prescription drug and medical care use with respect to stages of fibromyalgia diagnosis.

• Established fibromyalgia patients use more medical resources and have higher rates of concomitant medication use than newly diagnosed fibromyalgia patients.

• Findings can help educate providers regarding optimal drug treatment patterns in this population.

Source: Journal of Pain, Jun 25, 2009. White LA, Robinson RL, Yu AP, Kaltenboeck A, Samuels S, Mallett D, Birnbaum HG. Analysis Group, Inc, Boston, Massachusetts; Eli Lilly and Company, Indianapolis, Indiana; Ingenix, Inc, Rocky Hill, Connecticut, USA. [E-mail: rlrobinson@lilly.com]





Post a Comment

Featured Products From the ProHealth Store
Mitochondria Ignite™ with NT Factor® FibroSleep™ Ultra ATP+, Double Strength

Looking for Vitamins, Herbs and Supplements?
Search the ProHealth Store for Hundreds of Natural Health Products


Article Comments



Be the first to comment on this article!

Post a Comment


 
NAD+ Ignite with Niagen

Featured Products

Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%
Ultra EPA  - Fish Oil Ultra EPA - Fish Oil
Ultra concentrated source of essential fish oils
Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
FibroSleep™ FibroSleep™
The All-in-One Natural Sleep Aid
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function

Natural Remedies

Magnesium + Malic Acid: One-Two Punch for Pain & Fatigue Magnesium + Malic Acid: One-Two Punch for Pain & Fatigue
Itching to Find Dry Skin Relief? Itching to Find Dry Skin Relief?
Repair Damaged Mitochondria and Reduce Fatigue Up to 45% Repair Damaged Mitochondria and Reduce Fatigue Up to 45%
Can Glycine + Amino Acids Be the Secret to Deep, Rejuvenating Sleep? Can Glycine + Amino Acids Be the Secret to Deep, Rejuvenating Sleep?
Breakthrough Form of Magnesium Enhances Memory and Cognitive Function Breakthrough Form of Magnesium Enhances Memory and Cognitive Function

CONTACT US
ProHealth, Inc.
555 Maple Ave
Carpinteria, CA 93013
(800) 366-6056  |  Email

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
SHOP WITH CONFIDENCE
Credit Card Processing
SUBSCRIBE TO OUR NEWSLETTERS
Get the latest news about Fibromyalgia, M.E/Chronic Fatigue Syndrome, Lyme Disease and Natural Wellness

CONNECT WITH US ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus

© 2017 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map