Methodological considerations in the assessment of direct and indirect costs of back pain: A systematic scoping review.

<h4>Background</h4>Back pain is a common and costly health problem worldwide. There is yet a lack of consistent methodologies to estimate the economic burden of back pain to society.<h4>Objective</h4>To systematically evaluate the methodologies used in the published cost of i...

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Autores principales:	Dawit T Zemedikun, Jesse Kigozi, Gwenllian Wynne-Jones, Alessandra Guariglia, Tracy Roberts
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/daef5a88025b4a5b88bd832dcdc8abf7
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spelling	oai:doaj.org-article:daef5a88025b4a5b88bd832dcdc8abf72021-12-02T20:04:08ZMethodological considerations in the assessment of direct and indirect costs of back pain: A systematic scoping review.1932-620310.1371/journal.pone.0251406https://doaj.org/article/daef5a88025b4a5b88bd832dcdc8abf72021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0251406https://doaj.org/toc/1932-6203<h4>Background</h4>Back pain is a common and costly health problem worldwide. There is yet a lack of consistent methodologies to estimate the economic burden of back pain to society.<h4>Objective</h4>To systematically evaluate the methodologies used in the published cost of illness (COI) literature for estimating the direct and indirect costs attributed to back pain, and to present a summary of the estimated cost burden.<h4>Methods</h4>Six electronic databases were searched to identify COI studies of back pain published in English up to February 2021. A total of 1,588 abstracts were screened, and 55 full-text studies were subsequently reviewed. After applying the inclusion criteria, 45 studies pertaining to the direct and indirect costs of back pain were analysed.<h4>Results</h4>The studies reported data on 15 industrialised countries. The national cost estimates of back pain in 2015 USD ranged from $259 million ($29.1 per capita) in Sweden to $71.6 billion ($868.4 per capita) in Germany. There was high heterogeneity among the studies in terms of the methodologies used for analysis and the resulting costs reported. Most of the studies assessed costs from a societal perspective (n = 29). The magnitude and accuracy of the reported costs were influenced by the case definition of back pain, the source of data used, the cost components included and the analysis method. Among the studies that provided both direct and indirect cost estimates (n = 15), indirect costs resulting from lost or reduced work productivity far outweighed the direct costs.<h4>Conclusion</h4>Back pain imposes substantial economic burden on society. This review demonstrated that existing published COI studies of back pain used heterogeneous approaches reflecting a lack of consensus on methodology. A standardised methodological approach is required to increase credibility of the findings of COI studies and improve comparison of estimates across studies.Dawit T ZemedikunJesse KigoziGwenllian Wynne-JonesAlessandra GuarigliaTracy RobertsPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 5, p e0251406 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Dawit T Zemedikun Jesse Kigozi Gwenllian Wynne-Jones Alessandra Guariglia Tracy Roberts Methodological considerations in the assessment of direct and indirect costs of back pain: A systematic scoping review.
description	<h4>Background</h4>Back pain is a common and costly health problem worldwide. There is yet a lack of consistent methodologies to estimate the economic burden of back pain to society.<h4>Objective</h4>To systematically evaluate the methodologies used in the published cost of illness (COI) literature for estimating the direct and indirect costs attributed to back pain, and to present a summary of the estimated cost burden.<h4>Methods</h4>Six electronic databases were searched to identify COI studies of back pain published in English up to February 2021. A total of 1,588 abstracts were screened, and 55 full-text studies were subsequently reviewed. After applying the inclusion criteria, 45 studies pertaining to the direct and indirect costs of back pain were analysed.<h4>Results</h4>The studies reported data on 15 industrialised countries. The national cost estimates of back pain in 2015 USD ranged from $259 million ($29.1 per capita) in Sweden to $71.6 billion ($868.4 per capita) in Germany. There was high heterogeneity among the studies in terms of the methodologies used for analysis and the resulting costs reported. Most of the studies assessed costs from a societal perspective (n = 29). The magnitude and accuracy of the reported costs were influenced by the case definition of back pain, the source of data used, the cost components included and the analysis method. Among the studies that provided both direct and indirect cost estimates (n = 15), indirect costs resulting from lost or reduced work productivity far outweighed the direct costs.<h4>Conclusion</h4>Back pain imposes substantial economic burden on society. This review demonstrated that existing published COI studies of back pain used heterogeneous approaches reflecting a lack of consensus on methodology. A standardised methodological approach is required to increase credibility of the findings of COI studies and improve comparison of estimates across studies.
format	article
author	Dawit T Zemedikun Jesse Kigozi Gwenllian Wynne-Jones Alessandra Guariglia Tracy Roberts
author_facet	Dawit T Zemedikun Jesse Kigozi Gwenllian Wynne-Jones Alessandra Guariglia Tracy Roberts
author_sort	Dawit T Zemedikun
title	Methodological considerations in the assessment of direct and indirect costs of back pain: A systematic scoping review.
title_short	Methodological considerations in the assessment of direct and indirect costs of back pain: A systematic scoping review.
title_full	Methodological considerations in the assessment of direct and indirect costs of back pain: A systematic scoping review.
title_fullStr	Methodological considerations in the assessment of direct and indirect costs of back pain: A systematic scoping review.
title_full_unstemmed	Methodological considerations in the assessment of direct and indirect costs of back pain: A systematic scoping review.
title_sort	methodological considerations in the assessment of direct and indirect costs of back pain: a systematic scoping review.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/daef5a88025b4a5b88bd832dcdc8abf7
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Methodological considerations in the assessment of direct and indirect costs of back pain: A systematic scoping review.

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