Healthcare Cost and Impact of Persistent Orofacial Pain

Durham, Justin, Shen, Jing, Breckons, Matthew, Steele, Jimmy, Araújo-Soares, Vera, Exley, Catherine and Vale, Luke (2016) Healthcare Cost and Impact of Persistent Orofacial Pain. Journal of Dental Research, 95 (10). pp. 1147-1154. ISSN 0022-0345

JDR.pdf - Accepted Version

Download (1MB) | Preview
Official URL:


Few data are available on the healthcare costs of those suffering from persistent orofacial pain (POFP). This cohort and cost analysis study examined the direct costs of POFP from the perspective of the healthcare provider (specifically, the UK National Health Service) in 2012 pounds sterling and sought to identify whether dichotomized (high, IIb to IV; low, 0 to IIa) graded chronic pain scale (GCPS) status is predictive of the total cost of healthcare over the last 6 mo. The healthcare utilization data of 198 patients with POFP were collected using a structured interview and a validated “use of services and productivity” questionnaire. Unit costs were used with these utilization data to calculate direct healthcare costs in 3 categories: consultation, medication, and appliances and interventions. Consultation costs were a significant proportion of cumulative healthcare cost (P < 0.001). Dichotomized GCPS status was predictive of increased healthcare cost over the last 6 mo, accounting for an average increase of £366 (95% confidence interval, 135 to 598; P < 0.01) when moving from a low GCPS status to a high GCPS status. Given the predictive capability of dichotomized GCPS status and the success of stratified models of care for other persistent pain conditions, dichotomized GCPS status may offer an opportunity to help determine stratification of care for patients with POFP.

Item Type: Article
Uncontrolled Keywords: chronic pain, facial pain, healthcare utilization, cost analysis, graded chronic pain scale, quality-of-life
Subjects: A400 Clinical Dentistry
B900 Others in Subjects allied to Medicine
Department: Faculties > Health and Life Sciences > Nursing, Midwifery and Health
Depositing User: Becky Skoyles
Date Deposited: 20 Feb 2017 13:48
Last Modified: 01 Aug 2021 09:34

Actions (login required)

View Item View Item


Downloads per month over past year

View more statistics