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Healthcare Cost and Impact of Persistent Orofacial Pain: The DEEP Study Cohort

Lookup NU author(s): Professor Justin DurhamORCiD, Dr Jing Shen, Dr Matthew Breckons, Emeritus Professor Jimmy Steele CBE, Professor Vera Araujo-SoaresORCiD, Professor Catherine Exley, Professor Luke ValeORCiD



This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0).


Few data are available on the healthcare costs of those suffering from persistent orofacial pain (POFP). This cohort and cost analysis studyexamined 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.

Publication metadata

Author(s): Durham J, Shen J, Breckons M, Steele JG, Araujo-Soares V, Exley C, Vale L

Publication type: Article

Publication status: Published

Journal: Journal of Dental Research

Year: 2016

Volume: 95

Issue: 10

Pages: 1147-1154

Print publication date: 01/09/2016

Online publication date: 06/05/2016

Acceptance date: 26/04/2016

Date deposited: 05/09/2016

ISSN (print): 0022-0345

ISSN (electronic): 1544-0591

Publisher: Sage Publications Ltd.


DOI: 10.1177/0022034516648088

PubMed id: 27154734


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Funder referenceFunder name
NIHR-CS-011-003National Institute for Health Research (NIHR)