Author: Leung, Ka Lun Kenneth
Title: Disease burden of chronic low back pain on the individual and the healthcare system of Hong Kong
Degree: DHSc
Year: 2023
Subject: Backache
Chronic pain -- Psychological aspects
Backache -- Treatment -- China -- Hong Kong
Medical care -- China -- Hong Kong
Hong Kong Polytechnic University -- Dissertations
Department: Faculty of Health and Social Sciences
Pages: xvi, 194 pages
Language: English
Abstract: To determine the economic burden of the disease and health-related quality of life, psychosomatic impact, and challenges experienced by patients with chronic low back pain (CLBP) in Hong Kong, a retrospective observational study was conducted among 286 patients with CLBP from to 2020-2022. Instrumentation included a retrospective observational assessment using a set of self-reported questionnaires completed by patients with CLBP during pain clinic or physiotherapy visits. The Chinese version of the Short-form 12 version 2 (SF12v2) questionnaire was used to assess health-related quality of life (HRQoL) and the Roland-Morris back pain disability questionnaire Hong Kong version (RMDQ-HK) was used to evaluate physical challenges faced by patients. Depression was evaluated using the self-administered Patient Health Questionnaire-9 Chinese version (PHQ-9-HK). For the disease burden profile, direct costs were calculated by the total direct healthcare cost for medical outpatient visits, allied health visits, accident and emergency presentations, hospitalisation, and medication prescriptions for the past three months; indirect costs were measured by productivity loss, which was reflected by the number of sick leave days and return-to-work data; intangible costs were explored by the measurement of pain intensity, physical functioning, mental health, and health-related quality of life. Marked direct, indirect and intangible losses were observed. When compared with the norm of Hong Kong population, participants with CLBP were not found to have a more severe physical disability. However, they were found to have significantly poorer HRQoL with lower scores in all eight domains in the SF12v2. Mild depression was observed in patients with CLBP. Female patients with CLBP appeared to be more affected than male patients. Our findings demonstrated a significant dual economic impact on individuals due to income reduction and high medical expenditures. Consequently, patients with CLBP experience a large economic burden on the local healthcare system and society. The bio-psycho-social profile of patients with prevalent CLBP helps in the development of multi-faceted management pathways and frameworks to meet their complex clinical needs in the bio-psycho-social model.
Rights: All rights reserved
Access: restricted access

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