Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2005 May;14(4):337-45.
doi: 10.1007/s00586-004-0731-3. Epub 2004 May 19.

The costs for persons sick-listed more than one month because of low back or neck problems. A two-year prospective study of Swedish patients

Elisabeth K Hansson  1 , Tommy H Hansson
Affiliations

The costs for persons sick-listed more than one month because of low back or neck problems. A two-year prospective study of Swedish patients

Elisabeth K Hansson et al. Eur Spine J. 2005 May.

Abstract

The total costs for patients who are sick-listed due to back and neck problems have not previously been determined prospectively on an individual basis. This study aimed to determine the total cost to a society, based on individually assessed costs of health services and loss of production in people who are sick-listed 28 days or more for back or neck problems. Detailed data on individuals' health-care consumption due to back or neck problems was collected through prospectively entered diaries and questionnaires, after 4 weeks, 3 months, 1 and 2 years, in a consecutively selected cohort of 1,822 employed persons aged between 18 and 59 years. Costs for health care and production losses due to work absenteeism were determined individually and combined to render total costs to society. The costs for all medical services during the 2-year study were 6.9% of total costs for back and neck problems. The single most expensive medical service was surgery. Transferred to a national level, annual total costs for back and neck problems corresponded to 1% of GNP. In conclusion, direct health-service costs were a small fraction of the total costs, consequently indirect costs offer the greatest potential for savings.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Participants’ relative work-resumption rates during the 2 years of the study
Fig. 2
Fig. 2
Accumulated total costs (direct and indirect) for back and neck patients estimated for the 1,146 participants during the 2-year study period
See this image and copyright information in PMC

Comment in

References

    1. Abenhaim J Occup Med. 1987;29:670. - PubMed
    1. Bergendorff S, Hansson E, Hansson T et al (1997) Projektbeskrivning & undersökningsgrupp. Rikförsäkringsverket. Sahlgrenska Universitetssjukhuset, Stockholm
    1. Bigos S (1994) Acute low-back problems in adults. In: Clinical practice guidelines. US Department of Health and Human Services, Rockville, MD, USA
    1. Bloch F, Prins R (eds) (2000) Who returns to work and why? A six-country study on work incapacity and reintegration. Transaction Publishers, New Brunswick, NJ, USA
    1. Coste BMJ. 1994;308:577. - PubMed

Publication types