Characterizing the demographics of chronic pain patients in the state of Maine using the Maine all payer claims database
Abstract Background Chronic pain is currently a significant health problem in the United States. A comprehensive strategy is needed to increase prevention of chronic pain and to improve care for chronic pain patients. However, development of a successful strategy relies, in part, on a better underst...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2018-06-01
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| Series: | BMC Public Health |
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| Online Access: | http://link.springer.com/article/10.1186/s12889-018-5673-5 |
| _version_ | 1819103394059517952 |
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| author | Jennifer Malon Parth Shah Woon Yuen Koh Gary Cattabriga Edward Li Ling Cao |
| author_facet | Jennifer Malon Parth Shah Woon Yuen Koh Gary Cattabriga Edward Li Ling Cao |
| author_sort | Jennifer Malon |
| collection | DOAJ |
| description | Abstract Background Chronic pain is currently a significant health problem in the United States. A comprehensive strategy is needed to increase prevention of chronic pain and to improve care for chronic pain patients. However, development of a successful strategy relies, in part, on a better understanding of the demographics and socioeconomics of patients living with chronic pain conditions. The current study was designed to understand the burden of chronic pain in the state of Maine by identifying the prevalence of chronic pain and its relationship with selected demographic and socioeconomic factors in Maine. Methods The Maine All Payer Claims Database (MEAPCD) (2006–2011) was used in the secondary data analysis to assess the demographic characteristics (such as age, sex, insurance type, and county of residence) of chronic pain patients in Maine. Chronic pain patients were identified based on the presence of pre-identified chronic pain-associated ICD-9 code(s) and opioid prescription information. Potential associations between the prevalence of chronic pain and a number of socioeconomic factors were determined by comparisons to Maine Census data. Results More women in the state were identified as having chronic pain across all counties and all age groups (> 10 years old). Surprisingly, the majority of chronic pain patients were identified based on the diagnostic code criteria and not the opioid prescription criteria. A greater utilization of public health insurance was seen within the chronic pain patients. At the county level, although neither education level nor income were associated with the prevalence of chronic pain, these factors significantly correlated with the usage of public health insurance. Conclusions Further detailed characterization of the chronic pain patient population in the state of Maine, using multiple data sources, can help design population-targeted strategies to prevent and manage chronic pain. |
| first_indexed | 2024-12-22T01:49:45Z |
| format | Article |
| id | doaj.art-3c47b3a8bfe04023aba5b8d29fdd5fa6 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-22T01:49:45Z |
| publishDate | 2018-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-3c47b3a8bfe04023aba5b8d29fdd5fa62022-12-21T18:42:57ZengBMCBMC Public Health1471-24582018-06-0118111210.1186/s12889-018-5673-5Characterizing the demographics of chronic pain patients in the state of Maine using the Maine all payer claims databaseJennifer Malon0Parth Shah1Woon Yuen Koh2Gary Cattabriga3Edward Li4Ling Cao5Center for Excellence in the Neurosciences, University of New EnglandCollege of Osteopathic Medicine, University of New EnglandDepartment of Mathematical Sciences, University of New EnglandCenter for Community and Public HealthCollege of Pharmacy, University of New EnglandCenter for Excellence in the Neurosciences, University of New EnglandAbstract Background Chronic pain is currently a significant health problem in the United States. A comprehensive strategy is needed to increase prevention of chronic pain and to improve care for chronic pain patients. However, development of a successful strategy relies, in part, on a better understanding of the demographics and socioeconomics of patients living with chronic pain conditions. The current study was designed to understand the burden of chronic pain in the state of Maine by identifying the prevalence of chronic pain and its relationship with selected demographic and socioeconomic factors in Maine. Methods The Maine All Payer Claims Database (MEAPCD) (2006–2011) was used in the secondary data analysis to assess the demographic characteristics (such as age, sex, insurance type, and county of residence) of chronic pain patients in Maine. Chronic pain patients were identified based on the presence of pre-identified chronic pain-associated ICD-9 code(s) and opioid prescription information. Potential associations between the prevalence of chronic pain and a number of socioeconomic factors were determined by comparisons to Maine Census data. Results More women in the state were identified as having chronic pain across all counties and all age groups (> 10 years old). Surprisingly, the majority of chronic pain patients were identified based on the diagnostic code criteria and not the opioid prescription criteria. A greater utilization of public health insurance was seen within the chronic pain patients. At the county level, although neither education level nor income were associated with the prevalence of chronic pain, these factors significantly correlated with the usage of public health insurance. Conclusions Further detailed characterization of the chronic pain patient population in the state of Maine, using multiple data sources, can help design population-targeted strategies to prevent and manage chronic pain.http://link.springer.com/article/10.1186/s12889-018-5673-5Chronic painMaineOpioidMaine all payer claims database (MEAPCD)ICD-9 code |
| spellingShingle | Jennifer Malon Parth Shah Woon Yuen Koh Gary Cattabriga Edward Li Ling Cao Characterizing the demographics of chronic pain patients in the state of Maine using the Maine all payer claims database BMC Public Health Chronic pain Maine Opioid Maine all payer claims database (MEAPCD) ICD-9 code |
| title | Characterizing the demographics of chronic pain patients in the state of Maine using the Maine all payer claims database |
| title_full | Characterizing the demographics of chronic pain patients in the state of Maine using the Maine all payer claims database |
| title_fullStr | Characterizing the demographics of chronic pain patients in the state of Maine using the Maine all payer claims database |
| title_full_unstemmed | Characterizing the demographics of chronic pain patients in the state of Maine using the Maine all payer claims database |
| title_short | Characterizing the demographics of chronic pain patients in the state of Maine using the Maine all payer claims database |
| title_sort | characterizing the demographics of chronic pain patients in the state of maine using the maine all payer claims database |
| topic | Chronic pain Maine Opioid Maine all payer claims database (MEAPCD) ICD-9 code |
| url | http://link.springer.com/article/10.1186/s12889-018-5673-5 |
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