Health services costs and their determinants in women with fibromyalgia.

摘要: OBJECTIVE: Patients with fibromyalgia (FM) use health services extensively. Knowledge about costs of FM is limited because non-inclusiveness in assessing direct costs, attempts to assess indirect are largely absent, and determinants have yet be identified. We investigated the 6-month (direct indirect) women primary FM, we identified costs. METHODS: Subjects (n = 180 women) completed a resource questionnaire as well measures pain, psychological distress, comorbidity, disability. Unit for resources were obtained from government, hospital, laboratory, professional association sources. Regression modeling cost included age, disability, pain intensity, education, work status. RESULTS: The average was $CDN 2298 (SD 2303). largest components medications ($CDN 758; SD 654), complementary alternative medicine (CAM; 398; 776), diagnostic tests 356; 580). Our most conservative estimate 5035 7439). Comorbidity disability statistically significant contributors multivariate analysis. Costs increased by approximately 20% each additional comorbid condition. CONCLUSION: Women high consumers both conventional CAM services. estimates exceed those other studies; this may due our inclusion broader set services, medications, Although univariate analyses number comorbidities indices effect intensity associated higher cost, multiple regression analysis, only measure direct-cost determinants. also imposes important which nearly 70% economic burden.