Abstract：
OBJECTIVES:To estimate the direct healthcare costs of spinal disorders in Brazil over 2016. METHODS:This is a prevalence-based cost-of-illness study with a top-down approach from the perspective of the public healthcare system. All international Classification of Diseases codes related to spinal disorders were included. The following costs were obtained: (1) hospitalization; medical professional service costs; intensive care unit costs; companion daily stay; (2) outpatient (services/procedures). Data were analyzed descriptively and costs presented in US$. RESULTS:The healthcare system spent US$ 71.4 million, and inpatient care represented 58%. The number of inpatient days was 250,426, and there were 36,654 hospital admissions (dorsalgia and disk disorders representing 70% of the costs). More than 114,000 magnetic resonance scans and 107,000 computerized tomography scans were adopted. Men had more inpatient days (138,215) than women (112,211). Overall, the inpatient/outpatient cost ratio was twice as high for men. CONCLUSIONS:We demonstrated that the direct costs of spinal disorders in Brazil in 2016 were considerable. We also found a substantial amount of financial resources spent on diagnostic imaging. This is relevant as the routine use of diagnostic imaging for back pain is discouraged in international guidelines.
journal_name
Int J Public Healthjournal_title
International journal of public healthauthors
Carregaro RL,da Silva EN,van Tulder Mdoi
10.1007/s00038-019-01211-6subject
Has Abstractpub_date
2019-07-01 00:00:00pages
965-974issue
6eissn
1661-8556issn
1661-8564pii
10.1007/s00038-019-01211-6journal_volume
64pub_type
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