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Economic analysis
Paediatric pain-related conditions impact healthcare expenditures
  1. Celeste Torio
  1. OEREP, AHRQ, Rockville, Maryland, USA
  1. Correspondence to : Dr Celeste Torio, OEREP, AHRQ, 540 Gaither Road, Rockville, MD 20850, USA; celeste.torio{at}

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Pain-related conditions affect an estimated 15–25% of children. These conditions are twice as prevalent as asthma and attention deficit and hyperactivity disorder (ADHD), with a similar prevalence to obesity. Unlike the three other conditions which are known to impose a heavy economic burden on families and society, little is known about the economic impact of paediatric pain-related conditions. The objectives of this study, therefore, are twofold: (1) to assess the impact of paediatric pain-related conditions on national healthcare expenditures and (2) to compare incremental healthcare expenditures associated with paediatric pain-related conditions relative to asthma, ADHD and obesity in children.


This cross-sectional study linked two large, nationally representative databases: the 2007 National Health Interview Survey (NHIS) and 2008 Medical Expenditure Panel Survey (MEPS). Different years were used because …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.