Article

Characteristics and healthcare costs of patients with fibromyalgia syndrome

Pfizer Inc., New York, New York, United States
International Journal of Clinical Practice (Impact Factor: 2.54). 09/2007; 61(9):1498-508. DOI: 10.1111/j.1742-1241.2007.01480.x
Source: PubMed

ABSTRACT To examine the characteristics and healthcare costs of fibromyalgia syndrome (FMS) patients in clinical practice.
Using a US health-insurance database, we identified all patients, aged > or = 18 years, with any healthcare encounters for FMS (ICD-9-CM diagnosis code 729.1) in each year of the 3-year period, 1 July 2002 to 30 June 2005. A comparison group was then constituted, consisting of randomly selected patients without any healthcare encounters for FMS during this 3-year period. Comparison group patients were matched to FMS patients based on age and sex. Characteristics and healthcare costs of FMS patients and comparison group patients were then examined over the 1-year period, 1 July 2004 to 30 June 2005 (the most recent year for which data were available at the time of the study).
The study sample consisted of 33,176 FMS patients and an identical number in the comparison group. Mean age was 46 years, and 75% were women. FMS patients were more likely to have various comorbidities, including painful neuropathies (23% vs. 3% for comparison group), anxiety (5% vs. 1%), and depression (12% vs. 3%) (all p < 0.001); they also were more likely to have used pain-related pharmacotherapy (65% vs. 34% for comparison group; p < 0.001). Mean (SD) total healthcare costs over 12 months were about three times higher among FMS patients [$9573 ($20,135) vs. $3291 ($13,643); p < 0.001]; median costs were fivefold higher ($4247 vs. $822; p < 0.001).
Patients with FMS have comparatively high levels of comorbidities and high levels of healthcare utilization and cost.

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    • "In addition to the personal consequences, substantial healthcare costs are accrued. For example, between 2002 and 2005, annual healthcare costs in the US were three times higher in people with FM versus those without FM [2]. Management of FM includes both pharmacologic and nonpharmacologic approaches [3]. "
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    10/2011; 2011:125485. DOI:10.1155/2011/125485
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    • "j o u r n a l h o m e p a g e : w w w. e l s ev i e r. c o m / l o c a t e / j a d For example, a recent study has found that the majority of patients had nausea, constipation, colicky abdominal pain, orthostatic hypotension, and dizziness (Solano et al., 2009). Besides, psychiatric symptoms such as depressive, anxious and sleep disorders have frequently been associated to FM (Berger et al., 2007; Raphael et al., 2006). The physical and mental distress experienced by FM patients strongly affects quality of life, social and work performances , to the point that FM has been called the " invisible disability " (Sturge-Jacobs, 2002). "
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    • "Clinically, individuals with FM present with a variety of physical symptoms that include widespread pain, fatigue, sleep disturbance, decrements in physical functioning, and disruptions in psychological functioning (e.g., cognitive difficulties, mood disturbances, and lack of well-being) [8] [38] [70]. FM occurs more frequently in females [71] and is associated with higher than average healthcare utilization [9]. Pharmacological agents, particularly those classified as dual reuptake inhibitors and anticonvulsants possess the strongest evidence for efficacy in FM [27]. "
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