📇 Rhumatologue · LA CHAUSSEE ST VICTOR · (41) · Libéral

MME FLORENCE CASTEL-AMELINE

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Auteur de référence en rhumatologie
30 articles scientifiques publiés — un praticien à la pointe de la recherche
Délais de RDV courts dans la région
86 rhumatos / 100 000 hab. — département bien doté

Rhumatologue

📍 LA CHAUSSEE ST VICTOR (41)LibéralRPPS 10003930624

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Top publications · les plus citées

Economic Costs of Chronic Pain-United States, 2021

Medical care · 2025

📚 7 citations🎯 RCR 3.60

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Background: Chronic pain affects more than 1 in 5 adults in the United States. Understanding the economic burden of chronic pain can inform interventions and strategies to improve the quality of life for individuals with chronic pain. Objective: To estimate the economic cost of chronic pain in the United States in 2021. Research Design: A cross-sectional analysis estimating the economic costs of chronic pain in 2021. Subjects: In 2021, 6445 (representing 65.8 million) adults with chronic pain were identified using ICD-10-CM codes from the nationally representative Medical Expenditure Panel Survey. Measures: Direct medical costs were examined by source of payment and service type. Indirect morbidity costs were estimated from lost productivity from employment disability and missed workdays. We evaluated the economic burden of chronic pain by estimating excess costs among individuals with chronic pain compared with individuals without chronic pain using multivariable regression. Results: Individuals with chronic pain had additional total annual medical expenditures of $8068 and additional lost productivity of $2923 per person compared with individuals without chronic pain. In 2021, the economic costs of chronic pain in the United States were estimated to be $722.8 billion, including $530.6 billion in medical care costs and $192.2 billion in lost work productivity. Conclusions: The economic costs of chronic pain are substantial, resulting in excess health care expenditures and lost productivity costs. These findings highlight the importance of interventions and strategies aimed at providing high-quality, accessible, low-barrier, cost-effective pain care to improve quality of life and reduce disruptions in work among adults with chronic pain.

Medical and work loss costs of violence, self-harm, unintentional and traumatic brain injuries per injured person in the USA

Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025

📚 5 citations🎯 RCR 2.32🔓 Open Access📄 PDF gratuit ↗

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Objective Injuries and poisoning are leading causes of US morbidity and mortality. This study aimed to update medical and work loss cost estimates per injured person. Methods Injuries treated in emergency departments (ED) during 2019–2020 were analysed in terms of mechanism (eg, fall) and intent (eg, unintentional), as well as traumatic brain injury (TBI) (multiple mechanisms and intents). Fatal injury medical spending was based on the Nationwide Emergency Department Sample and National Inpatient Sample. Non-fatal injury medical spending and workplace absences (general, short-term disability and workers’ compensation) were analysed among injury patients with commercial insurance or Medicaid and matched controls during the year following an injury ED visit using MarketScan databases. Results Medical spending for injury deaths in hospital EDs and inpatient settings averaged US$4777 (n=57 296) and US$45 678 per fatality (n=89 175) (2020 USD). Estimates for fatal TBI were US$5052 (n=5363) and US$47 952 (n=37 184). People with ED treat and release visits for non-fatal injuries had on average US$5798 (n=895 918) in attributable medical spending and US$1686 (11 missed days) (n=116 836) in work loss costs during the following year, while people with non-fatal injuries who required hospitalisation after an ED injury visit had US$52 246 (n=32 976) in medical spending and US$7815 (51 days) (n=4473) in work loss costs. Estimates for non-fatal TBI were US$4529 (n=25 792), US$1503 (10 days) (n=1631), US$51 241 (n=3030) and US$6110 (40 days) (n=246). Conclusions and relevance Per person costs of injuries and violence are important to monitor the economic burden of injuries and assess the value of prevention strategies.

Unrealised potential of pool fencing and life jackets to prevent US drownings

Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026

📚 2 citations🔓 Open Access

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Background Drowning causes more than 4500 deaths annually and is the leading cause of death among children aged 1–4 years old in the USA. Isolation pool fencing (ie, four-sided fencing to limit access from all adjoining areas including residences and yards) and use of US Coast Guard-approved life jackets while boating can prevent drowning, but preventable deaths still occur. This study aimed to estimate the annual health and economic burden of drowning likely attributable to inadequate pool fencing and not wearing life jackets while boating to highlight the unrealised value of these known prevention strategies. Methods A simple mathematical model used the most recent annual number of drowning deaths by decedent age in combination with previous study data to estimate the number of drowning deaths that might have been prevented through: (1) adequate isolation fencing for swimming pools among children aged <5 years old and (2) use of life jackets while boating for people of all ages. Prevention effectiveness estimates of pool fencing and life jackets were based on previous studies. Unit costs for drowning-related medical spending and avoidable mortality using the value of statistical life were from existing sources. Results Proper use of swimming pool isolation fencing and always wearing a life jacket while boating could prevent an estimated 348 US drowning deaths and an economic cost of US$4.5 billion per year. Conclusions Highlighting the effectiveness of drowning prevention strategies can help inform public attention to this issue and support cost-effective public health decision-making.

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Publications scientifiques (30) — classées par pathologie

Transversal11

Pédiatrie5

Santé mentale / fatigue5

Épidémiologie & registres3

IA en rhumatologie2

Économie santé1

Gériatrie1

IRM ostéo-articulaire1

Lupus1

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