Evidence map›Paper›PMID 29123622›Full record

ArticleThe Korean journal of pain2017

Retrospective analysis of the financial break-even point for intrathecal morphine pump use in Korea.

Eun Kyoung Kim, Ji Yeon Shin, Anyela Marcela Castañeda, Seung Jae Lee, Hyun Kyu Yoon, Yong Chul Kim, Jee Youn Moon

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Article in The Korean journal of pain, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Eun Kyoung KimDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital College of Medicine, Seoul, Korea.
Ji Yeon ShinDepartment of Anesthesiology and Pain Medicine, National Police Hospital, Seoul, Korea.
Anyela Marcela CastañedaDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital College of Medicine, Seoul, Korea.
Seung Jae LeeDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital College of Medicine, Seoul, Korea.
Hyun Kyu YoonDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital College of Medicine, Seoul, Korea.
Yong Chul KimDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital College of Medicine, Seoul, Korea.
Jee Youn MoonDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe high cost of intrathecal morphine pump (ITMP) implantation may be the main obstacle to its use. Since July 2014, the Korean national health insurance (NHI) program began paying 50% of the ITMP implantation cost in select refractory chronic pain patients. The aims of this study were to investigate the financial break-even point and patients' satisfaction in patients with ITMP treatment after the initiation of the NHI reimbursement.

methodsWe collected data retrospectively or via direct phone calls to patients who underwent ITMP implantation at a single university-based tertiary hospital between July 2014 and May 2016. Pain severity, changes in the morphine equivalent daily dosage (MEDD), any adverse events, and patients' satisfaction were determined. We calculated the financial break-even point of ITMP implantation via investigating the patient's actual medical costs and insurance information.

resultsDuring the studied period, 23 patients received ITMP implantation, and 20 patients were included in our study. Scores on an 11-point numeric rating scale (NRS) for pain were significantly reduced compared to the baseline value (

conclusionsITMP provided effective chronic pain management with improved satisfaction and reasonable financial break-even point of 28 months with 50% financial coverage by NHI program.

Indexed as

Chronic painCostDrug dosage calculationHealth insuranceIntrathecal morphine pumpMorphinePatient satisfaction

Identifiers

PMID29123622
PMCPMC5665739

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