Institutional­ cost ­of ­the ­patient ­with ­temporary­ inability ­to ­work ­due ­to mechanical­ low­ back­ pain

Main Article Content

María del Carmen Ponce Martínez
Enrique Villarreal-Ríos
Emma Rosa Vargas-Daza
Lidia Martínez-González
Liliana Galicia-Rodríguez

Abstract

BackgroundBack pain affects frequently to the economically active people. it is the first cause of business day loss in workers aged 55 or less, and the second cause of absenteeism.ObjectiveTo determine the institutional cost of the patient with temporary inability to work, due to low back pain.MethodsCosts design records of patients <55 years old, with temporary inability to work were analyzed. The sample size (228 patients) was calculated with the average formula for infinite people, with confidence interval of 95%. The sample technique was by quota, using the listing of patients with temporary inability to work and mechanical low back pain, as framework. Variables used were socio-demographic characteristics, unit cost and average cost of services provided. Statistical analysis included percentages, means, confidence interval and projection.ResultsTotal average cost of the patient with mechanical low back pain is about 1,744.08 uSD, the inability represents the highest average cost (1,083.71 uSD), followed by cabinet studies (394.89 uSD), appointments (180.52 uSD), medications and laboratory.ConclusionThe institutional cost of the patient with inability to work secondary to low back pain is high and the cost increases to millions in a population of patients.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Article Details

How to Cite
Ponce Martínez, M. del C., Villarreal-Ríos, E., Vargas-Daza, E. R., Martínez-González, L., & Galicia-Rodríguez, L. (2013). Institutional­ cost ­of ­the ­patient ­with ­temporary­ inability ­to ­work ­due ­to mechanical­ low­ back­ pain. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 78(3), 113 - 119. https://doi.org/10.15417/229
Section
Clinical Research
Author Biography

Enrique Villarreal-Ríos

Director de la Unidad de Investigación Epidemiológica y en Servicios de Salud Querétaro del Instituto Mexicano del Seguro Social

References

1. Covarrubias-Gómez A. Lumbalgia: Un problema de salud pública. Revista Mexicana de Anestesiología 2010;33:106-9.

2. Pérez J. Contribución al estudio de la lumbalgia inespecífica. Rev Cubana Ortop Traumatol 2006;20(2):1-25.

3. Duque I, Zuluaga D, Pinilla A. Prevalencia de lumbalgia y factores de riesgo en enfermeros y auxiliares de la ciudad de Manizales. Hacia la Promoción de la Salud 2011;16:27-38.

4. Araña-Suárez SM. Trastornos musculoesqueléticos, psicopatología y dolor. Programa Nacional de FIPROS 2009;(38).

5. Noriega-Elío M, Barrón A, Sierra O, Méndez I, Pulido M, Cruz C. La polémica sobre las lumbalgias y su relación con el trabajo: estudio retrospectivo en trabajadores con invalidez. Cad Saúde Pública 2005;21(3):887-97.

6. Instituto Mexicano del Seguro Social. Guía de práctica clínica diagnóstica, tratamiento y prevención de lumbalgia aguda y crónica en el primer nivel de atención 2008.
7. Ocaña U. Lumbalgia ocupacional y discapacidad laboral. Revista de Fisioterapia 2007;6(2):17-26.

8. Saldívar A, Cruz D, Serviere L, Vázquez F, Joffre V. Lumbalgia en trabajadores. Epidemiología. Rev Med IMSS 2003;41(3):203-9.

9. Hallne D, Hesembring M. Classification of psychosocial risk factors (yellow flags) for the development of chronic low back and leg pain using artificial neural network. Neuroscience Letters 2004;361(1-3):151-4.

10. Arcila-Herrera H. Patologías del sistema musculoesquelético. Rev Med CMA 2010;3:4-9.

11. Sánchez-Hernández M, Ibarra-Ramírez C, Vilchis-Aguado M, Montesano-Delfín J, Guízar-Mendoza J, Loya-García B. Impacto del servicio de rehabilitación en el primer nivel de atención. Rev Med Inst Mex Seguro Soc 2008;(4):391-6.

12. Airaksinen O, Brox JI, Cedraschi C, Hildebrandt J, Klaber-Moffett J, Kovacs F, et al. European guidelines for the management of chronic nonspecific low back pain. Eur Spine J 2006;15(Suppl 2):S192-300.

13. Boleaga B. Lumbalgia. Anales de Radiología México 2005;(2):89-97.

14. Romanó C, Romanó D, Lacerenza M. Antineuropathic and antinociceptive drugs combination in patients with chronic low back pain. A systematic review 2012; (2012), Article ID 154781, 8 pages. doi:10.1155/2012/154781. [Consulta: 20 de marzo de 2013].

15. Gilron I. Gabapentin and pregabalin for chronic neuropathic and early postsurgical pain: current evidence and future directions. Curr Opin Anaesthesiol 2007;20(5):456-72.

16. Young R, Benold T, Whitham J, Burge S. Factors influencing work interference in patients with chronic low back pain: a residency research network of texas. (RRNeT) Study 2011;(24):503-10. [Consulta: 10 de septiembre de 2012] Disponible en: http://www.jabfm.org/content/24/5/503.full.pdf.