J Korean Med Sci.  2005 Feb;20(1):127-131. 10.3346/jkms.2005.20.1.127.

Treatment Duration and Cost of Work-related Low Back Pain in Korea

Affiliations
  • 1Department of Preventive Medicine, College of Medicine, Konkuk University, Chungju, Korea.
  • 2Department of Preventive Medicine, Korea University, College of Medicine, Seoul, Korea. shine@korea.ac.kr

Abstract

The purpose of this study is to present the information on the duration of treatment and the cost of work-related low back pain. Using the compensation-database for 1997 work-related low back pain (n=9,277), this study estimated the duration of treatment, the cost of work-related low back pain, the relationship between them, and probability of being off treatment at different intervals. The mean and the median of the treatment duration are 252.6 days and 175 days. The mean and the median of the cost of total insurance benefit are 37,700,000 won and 14,400,000 won. The treatment duration of 51% of the study subjects was less than 6 months and their cost accounted for 10.2% of the total insurance benefit. The subjects who were treated more than 24 months were 5.8% but it accounted for 29.2% of the cost. It was found that approximately 50% of the subjects who will remain on treatment at the end of n months would be off treatment at the end of n+5 months. This study presents the point in time when the low back pain (LBP) workers need to prepare to return to work by forecasting their off-treatment period. From the treat duration and cost perspectives, this study may be utilized as evidence for active management of work-related LBP.

Keyword

Low Back Pain; Treatment; Therapy; Health Care Costs

MeSH Terms

Absenteeism
Back Injuries/*therapy
Bayes Theorem
*Cost of Illness
Costs and Cost Analysis
Disability Evaluation
Humans
Insurance, Health
Korea
Low Back Pain/*therapy
Sick Leave
Time Factors
Work
Workers' Compensation

Figure

  • Fig. 1 Distribution of treatment duration of all work-related low back pain in 1997.

  • Fig. 2 Cost distribution of all work-related low back pain in 1997.

  • Fig. 3 The relationship between treatment duration and cost of all work-related low back pain in 1997.


Cited by  1 articles

Factors Associated with Depressive Symptoms in Patients with Chronic Low Back Pain
Jae Yong Ha, Eun Soo Kim, Hyo Jae Kim, Sang Jun Park
Ann Rehabil Med. 2011;35(5):710-718.    doi: 10.5535/arm.2011.35.5.710.


Reference

1. Deyo RA, Weinstein JN. Low back pain. N Engl J Med. 2001. 344:363–370.
Article
2. Snook SH. Work-related low back pain: secondary intervention. J Electromyogr Kinesiol. 2004. 14:153–160.
Article
3. Webster BS, Snook SH. The cost of 1989 workers' compensation low back pain claims. Spine. 1994. 19:1111–1116.
Article
4. Volinn E, Van Koevering D, Loeser JD. Back sprain in industry: the role of socioeconomic factors in chronicity. Spine. 1991. 16:542–548.
5. Korea Labor Welfare Corporation. 2002 annual report on industrial benefits. 2003.
6. Loeser JD, Henderlite SE, Conrad DA. Incentive effects of workers' compensation benefits: a literature synthesis. Med Care Res Rev. 1995. 52:34–59.
Article
7. Hashemi L, Webster BS, Clancy EA, Volinn E. Length of disability and cost of workers; compensation low back pain claims. J Occup Environ Med. 1997. 39:937–945.
Article
8. Kelsey JL, White AA 3rd. Epidemiology and impact on low back pain. Spine. 1980. 5:133–142.
9. Frymoyer JW, Cats-Baril WL. An overview of the incidence and costs of low back pain. Orthop Clin North Am. 1991. 22:263–271.
10. Webster BS, Snook SH. The cost of compensable low back pain. J Occup Med. 1990. 32:13–15.
Article
11. Thomas SA, Stone WE, Greenwood K. Australian workers with back injury: a statistical overview. Int J Rehabil Res. 1990. 13:195–203.
12. McGill CM. Industrial back problems: a control program. J Occup Med. 1968. 10:174–178.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr