The societal impact of pain in the European Union: Health-related quality of life and healthcare resource utilization

Paul Langley, Gerhard Mller-Schwerfe, Andrew Nicolaou, Hiltrud Liedgens, Joseph Pergolizzi, Giustino Varrassi

Research output: Contribution to journalArticle

Abstract

Objectives: This paper reports on the results of a series of quantitative assessments of the association of severe and frequent pain with health-related quality of life and healthcare resource utilization in five European countries. Methods: The analysis contrasts the contribution of the increasing severity and frequency of pain reported against respondents reporting no pain in the previous month. The data are taken from the 2008 National Health and Wellness Survey. Single-equation generalized linear regression models are used to evaluate the association of pain with the physical and mental component scores of the SF-12 questionnaire as well as health utilities generated from the SF-6D. In addition, the role of pain is assessed in its association with healthcare provider visits, emergency room visits and hospitalizations. Results: The results indicate that the experience of pain, notably severe and frequent pain, is substantial and is significantly associated with the SF-12 physical component scores, health utilities and all aspects of healthcare resource utilization, which far outweighs the role of demographic and socioeconomic variables, health risk factors (in particular body mass index) and the presence of comorbidities. In the case of severe daily pain, the marginal contribution of the SF-12 physical component score is a deficit of -17.86 compared to those reporting no pain (population average score 46.49), while persons who are morbidly obese report a deficit of only -6.63 compared to those who are normal weight. The corresponding association with health utilities is equally dramatic with a severe daily pain deficit of -0.19 compared to those reporting no pain (average population utility 0.71). Conclusions: For the five largest EU countries, the societal burden of pain is considerable. The experience of pain far outweighs the contribution of more traditional explanations of HRQoL deficits as well as being the primary factor associated with increased provider visits, emergency room visits and hospitalizations.

Original languageEnglish (US)
Pages (from-to)571-581
Number of pages11
JournalJournal of Medical Economics
Volume13
Issue number3
DOIs
StatePublished - Sep 2010

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Quality of Health Care
European Union
Quality of Life
Population
Health
Hospital Emergency Service
Linear Models
Hospitalization
Health Surveys
Health Personnel
Comorbidity
Body Mass Index

Keywords

  • pain
  • quality of life
  • resource utilization
  • severity

ASJC Scopus subject areas

  • Health Policy

Cite this

The societal impact of pain in the European Union : Health-related quality of life and healthcare resource utilization. / Langley, Paul; Mller-Schwerfe, Gerhard; Nicolaou, Andrew; Liedgens, Hiltrud; Pergolizzi, Joseph; Varrassi, Giustino.

In: Journal of Medical Economics, Vol. 13, No. 3, 09.2010, p. 571-581.

Research output: Contribution to journalArticle

Langley, P, Mller-Schwerfe, G, Nicolaou, A, Liedgens, H, Pergolizzi, J & Varrassi, G 2010, 'The societal impact of pain in the European Union: Health-related quality of life and healthcare resource utilization', Journal of Medical Economics, vol. 13, no. 3, pp. 571-581. https://doi.org/10.3111/13696998.2010.516709
Langley, Paul ; Mller-Schwerfe, Gerhard ; Nicolaou, Andrew ; Liedgens, Hiltrud ; Pergolizzi, Joseph ; Varrassi, Giustino. / The societal impact of pain in the European Union : Health-related quality of life and healthcare resource utilization. In: Journal of Medical Economics. 2010 ; Vol. 13, No. 3. pp. 571-581.
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