Healthcare utilization in people with postherpetic neuralgia and painful diabetic peripheral neuropathy

Robert H. Dworkin, Christopher J. Panarites, Edward P Armstrong, Daniel C Malone, Sissi V. Pham

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Objectives: To determine and compare healthcare utilization and costs for younger and older adults with postherpetic neuralgia (PHN) and painful diabetic peripheral neuropathy (DPN). Design: Retrospective cohort analysis. Setting: Inpatient and outpatient care. Participants: Patients with PHN or painful DPN were selected from administrative databases of healthcare claims and matched to controls who had a diagnosis of herpes zoster without persistent pain or a diagnosis of diabetes mellitus without neurological complications using propensity scores for demographic and clinical factors. Measurements: Excess per-person utilization and costs attributable to PHN and painful DPN were calculated for diagnostic procedures, medications, and interventional treatments related to neuropathic pain. Results: In both groups, the patterns of significant excess per-patient utilization and excess per-patient costs were similar for diagnostic procedures, medications, and interventional treatments, but patterns of utilization and costs of these procedures and treatments differed depending on age and the specific condition examined. Conclusion: The results contribute to and expand current knowledge of the excess healthcare usage and costs of two prevalent peripheral neuropathic pain conditions and can be used in future studies of the cost-effectiveness of treatment and preventive interventions.

Original languageEnglish (US)
Pages (from-to)827-836
Number of pages10
JournalJournal of the American Geriatrics Society
Volume59
Issue number5
DOIs
StatePublished - May 2011

Fingerprint

Postherpetic Neuralgia
Diabetic Neuropathies
Peripheral Nervous System Diseases
Health Care Costs
Neuralgia
Delivery of Health Care
Costs and Cost Analysis
Propensity Score
Herpes Zoster
Ambulatory Care
Cost-Benefit Analysis
Inpatients
Young Adult
Diabetes Mellitus
Cohort Studies
Therapeutics
Demography
Databases
Pain

Keywords

  • diabetic peripheral neuropathy
  • healthcare costs
  • healthcare utilization
  • neuropathic pain
  • postherpetic neuralgia

ASJC Scopus subject areas

  • Geriatrics and Gerontology

Cite this

Healthcare utilization in people with postherpetic neuralgia and painful diabetic peripheral neuropathy. / Dworkin, Robert H.; Panarites, Christopher J.; Armstrong, Edward P; Malone, Daniel C; Pham, Sissi V.

In: Journal of the American Geriatrics Society, Vol. 59, No. 5, 05.2011, p. 827-836.

Research output: Contribution to journalArticle

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