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First EFIC® Symposium Societal Impact of Pain - SIP

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Jos Kleijnen<br />

Pr<strong>of</strong>. Jos Kleijnen, MD,<br />

Director, Kleijnen Systematic Reviews Ltd, York,<br />

UK.<br />

www.systematic-reviews.com<br />

Literature review about the epidemiology <strong>of</strong><br />

chronic pain in 8 European countries and Europe<br />

as a whole.<br />

Chronic pain is very common but good data<br />

are scarce about the prevalence, incidence,<br />

diagnosis, severity, treatment, utilization <strong>of</strong><br />

health care, and the impact <strong>of</strong> chronic non-cancer<br />

pain on society, health care systems and<br />

the patient.<br />

Information about the epidemiology <strong>of</strong> chronic<br />

pain can help health care pr<strong>of</strong>essionals as well<br />

as decision and policy makers decide about<br />

health budgets and prioritization, patient segmenting<br />

and budget fencing, and therapy budgets,<br />

including behavioural therapy and drug<br />

budgets.<br />

This presentation aims to provide epidemiological<br />

information about chronic non-cancer pain<br />

in Europe using the most representative, recent,<br />

comprehensive and valid studies. We have<br />

reviewed the literature about 21 different questions<br />

relevant to chronic pain for each <strong>of</strong> the<br />

following countries: Germany, UK, France, Italy,<br />

Spain, Sweden, Denmark, the Netherlands, and<br />

Europe as a whole.<br />

The questions that we addressed ranged from<br />

what is the prevalence and incidence <strong>of</strong> chronic<br />

pain, what are the underlying diseases, what<br />

are the treatments used, what is patients’ compliance<br />

and satisfaction, to what are the costs<br />

<strong>of</strong> chronic pain? More than 1000 individual<br />

studies were included, and the results presented<br />

in reports for each country.<br />

This presentation will give some snapshots <strong>of</strong><br />

the most interesting findings: there is a tremendous<br />

amount <strong>of</strong> information about chronic pain<br />

in Europe, and the vast majority comes from<br />

the specific countries. A lot <strong>of</strong> data/studies<br />

exist, but far fewer studies addressed a representative<br />

general chronic pain population, so<br />

some care in interpretation is warranted.<br />

Prevalence <strong>of</strong> chronic pain is high in Europe<br />

(12-26%). Mean annual costs per annum per<br />

chronic pain patient are typically several<br />

thousand euros, increasing to low 5-figure<br />

sums from societal perspectives.<br />

63

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