Table 1.
Model inputs: 6-week healthcare costs (2015$) productivity loss (2015$), and utilities used to calculate quality-adjusted life-years (QALYs), Mean (SE)
Health States Back-Related Healthcare Costs1 Productivity Loss (from Absenteeism)2 Utilities (Measure of Health-Related Quality of Life)3 No pain (no-to-low disability) $ -- $3.76 ($2.66) 0.806 (0.004) Low-impact chronic pain (low pain, low activity limitations) $265.34 ($37.89) $31.90 ($14.75) 0.763 (0.003) Moderate-impact chronic pain (high pain, low activity limitations) $496.30 ($56.48) $47.55 ($9.61) 0.704 (0.006) High-impact chronic pain (substantial activity limitations) $689.91 ($54.38) $288.93 ($51.88) 0.610 (0.007) 1Estimated from 2003–2015 Medical Expenditures Panel Survey data. Societal perspective (includes healthcare costs paid by patients).
2Patient self-report absenteeism from the Hurwitz et al, 2002, study. Valued using the Bureau of Labor Statistics 2015 Employer Cost of Employee Compensation of $33.19 per hour.
3Utilities (SF-6D scores) from the Cassidy et al, 2005, study. These amounts are multiplied by 6/52 to generate the quality-adjusted life-years (QALYs) added for each 6-week period.