ArticleSchmerz (Berlin, Germany)2013
[Administrative prevalence, treatment and costs of somatoform pain disorder. Analysis of data of the BARMER GEK for the years 2008-2010].
Article in Schmerz (Berlin, Germany), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- [Methodology of the development of the updated LONTS guidelines for long-term administration of opioids in noncancer pain].Schmerz (Berlin, Germany) · 2015Pooled it
- Opioid Therapy Discontinuation in General Practice: Associations with Adjunct Therapies and Somatoform Pain Disorders.Drugs - real world outcomes · 2026Article
- Clinical characteristics of persistent postural-perceptual dizziness and its visual subtype in Korean patients: A multicenter cross-sectional study.Brain and behavior · 2024Article
- Not a general, symptom-unspecific, transdiagnostic marker for functional symptoms: sensorimotor processing of head control is intact in chronic pain.Frontiers in neurology · 2023Article
- Chronic Pain in the ICD-11: New Diagnoses That Clinical Psychologists Should Know About.Clinical psychology in Europe · 2022Article
- Older patients with persistent postural-perceptual dizziness exhibit fewer emotional disorders and lower vertigo scores.Scientific reports · 2022Article
- Primary or secondary chronic functional dizziness: does it make a difference? A DizzyReg study in 356 patients.Journal of neurology · 2020Article
- The Prevalence, Comorbidity, Management and Costs of Irritable Bowel Syndrome.Deutsches Arzteblatt international · 2019Article
- [Diagnosis F45 is scientifically reliable].Schmerz (Berlin, Germany) · 2018Article
- [Chronic pain disorder with somatic and psychological factors : A diagnosis initiated by professional politics awaits its scientific validation].Schmerz (Berlin, Germany) · 2018Article
- Patients with somatoform disorders: More frequent attendance and higher utilization in primary Out-of-Hours care?PloS one · 2018Article
- [Stress-induced hyperalgesia (SIH) as a consequence of emotional deprivation and psychosocial traumatization in childhood : Implications for the treatment of chronic pain].Schmerz (Berlin, Germany) · 2016Review
- [Healthcare services research on pain in Germany. A survey].Schmerz (Berlin, Germany) · 2015Article
- [Recommendations of the updated LONTS guidelines. Long-term opioid therapy for chronic noncancer pain].Schmerz (Berlin, Germany) · 2015Review
- [Treatment of myofascial lumbar dorsal pain. Effective clinical diagnostics and therapy].Schmerz (Berlin, Germany) · 2014Article
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionData on administrative prevalence, types of treatment and disease costs of patients diagnosed with somatoform pain disorder (according to ICD 10) in Germany were not previously available. MATERIALS AND
methodsWe analysed health insurance data from 2008-2010 of 8.5 million people of the German statutory health insurance company BARMER GEK on administrative prevalence of insurants with at least one billing code F 45.4x in 2009 and at least one second billing code F 45.4x in the time period 2008-2010 stratified by age and gender, different professions being involved in treatment, diagnostics and treatment methods applied. The types and costs of out-patient treatment and of in-patient treatment in case of any discharge with diagnosis of F45.4 were analysed.
resultsThe administrative prevalence doubled from 2008 to 2010 after the separation of the previous code F45.4 into F45.40 and F45.41. In 2009, 0.5 % of the insurants were diagnosed with F 45.4, whereby F 45.4 was diagnosed 2.3-fold more often in women than in men. Family practitioners (41 %) and anaesthesiologists (28 %) were the leading specialties in the care of chronic patients. In 2009, 54 % of patients underwent x-ray examination, 25 % magnetic resonance imaging and 11 % computed tomography. In all, 66 % of the chronic patients received basic psychosomatic care, 38 % were prescribed opioids, 12 % underwent spinal nerve anaesthesia and 14 % received psychotherapy. In 2009, the average direct and indirect treatment costs per patient with somatoform pain disorder were 5500 <euro>.
conclusionInsurants diagnosed with somatoform pain disorder were probably overtreated with radiology and invasive procedures and with opioids.
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