The Cost-Effectiveness of Intensive Interdisciplinary Pediatric Chronic Pain Rehabilitation

J Pediatr Psychol. 2016 Sep;41(8):849-56. doi: 10.1093/jpepsy/jsv100. Epub 2015 Oct 28.

Abstract

Objective: Examine the cost-effectiveness of a 3-week interdisciplinary pediatric chronic pain rehabilitation program.

Methods: Self-reported health care utilization and parent missed work of youth with chronic pain (n = 127) at admission and 1-year follow-up were compared. Financials were calculated from program revenue and established national costs for health care and wages.

Results: Data indicate significant reductions in days hospitalized, physician office visits, physical/occupational therapy services, psychotherapy visits, and parental missed work. Estimated health care expenses were $61,988 in the year before admission and $14,189 in the year after admission (-$58,839). Estimated cost of missed work was $12,229 in the year prior and $1,189 in the year after (-$11,039).

Conclusions: Comparing estimated expenses before ($74,217) and after ($15,378) minus program costs ($31,720), yielded estimated savings of $27,119 per family in the year following admission. These findings extend the benefit of the program beyond clinical improvement, to outcomes important to both families and insurers.

Keywords: cost-effectiveness; outcomes; pediatric chronic pain; treatment.

MeSH terms

  • Adolescent
  • Child
  • Chronic Pain / economics
  • Chronic Pain / rehabilitation*
  • Cost of Illness*
  • Cost-Benefit Analysis*
  • Female
  • Follow-Up Studies
  • Health Expenditures / statistics & numerical data
  • Health Services / economics
  • Health Services / statistics & numerical data
  • Humans
  • Male
  • Ohio
  • Pain Management / economics*
  • Pain Management / methods*
  • Parental Leave / economics
  • Retrospective Studies
  • Self Report
  • Treatment Outcome
  • Young Adult