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PubMed · 8506441

[Back pain].

S Seewald·H Vetter
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Abstract

This 54 year old male patient complained of upper back pain for four months, which increased on physical exertion. An X-ray examination of the spine showed compression fractures of the anterior aspects of the thoracic vertebrae VI and XI as well as anterior aspects of the thoracic vertebrae VI and XI and signs of osteoporosis. Physical examination revealed signs of hypogonadism as well as eunuchoid disproportions of the skeleton. Serum tests gave evidence of a hypogonadotropic hypogonadism due to isolated LH-secretion deficiency (Pasqualini syndrome) with secondary osteoporosis.

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Back PainHumansHypogonadismLuteinizing HormoneMaleMiddle AgedOsteoporosisRadiographySpinal FracturesSyndromeThoracic VertebraeCase ReportsJournal Article

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S Seewald, H Vetter. 1993-05-18. [Back pain].. https://pubmed.ncbi.nlm.nih.gov/8506441/

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PubMed2000

The economic burden of back pain in the UK.

This paper reports the results of a 'cost-of-illness' study of the socio-economic costs of back pain in the UK. It estimates the direct health care cost of back pain in 1998 to be pound1632 million. Approximately 35% of this cost relates to services provided in the private sector and thus is most likely paid for directly by patients and their families. With respect to the distribution of cost across different providers, 37% relates to care provided by physiotherapists and allied specialists, 31% is incurred in the hospital sector, 14% relates to primary care, 7% to medication, 6% to community care and 5% to radiology and imaging used for investigation purposes. However, the direct cost of back pain is insignificant compared to the cost of informal care and the production losses related to it, which total pound10668 million. Overall, back pain is one of the most costly conditions for which an economic analysis has been carried out in the UK and this is in line with findings in other countries. Further research is needed to establish the cost-effectiveness of alternative back pain treatments, so as to minimise cost and maximise the health benefit from the resources used in this area.

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