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N+R_CP-vol06

10 benefits, not only for the quality of life of patients, but for society in ge- neral and employers. The CHANGE PAIN® education program in Spain has initially focused on training Ad- visory Board Members in public presentations, press conferences and interviews etc. This training has included subjects such as the im- portance of physician/patient com- munication, the pathophysiology of pain, and mechanism orientated therapy. Face-to-face pain courses are now being held targeting phy- sicians with an interest in pain. En- dorsed by the Spanish Pain Society, these courses look at various pain concepts in terms of physiology and treatments. Clinical cases are con- sidered along with current topics in the CHANGE PAIN® initiative. So far 40 meetings have been conve- ned and over 2000 physicians have attended. Positive feedback from -17.85 deficit compared to those re- porting no pain (average population score 46.49). The impact of pain on healthcare utilization was striking with the number of traditional provi- der visits up by 208.8%, emergency room visits up by 373.0% and hos- pitalization increased by 348.5% in patients with severe daily pain. The results of the NHWS also de- monstrated the impact of pain on labour force participation. Severe and moderate pain has a significant, substantive and negative associa- tion with labour force participation with patients reporting severe daily pain being far more likely not to be working (relative probabilities 0.339 vs 0.611). Pain also outstrips the im- pact of other health status factors in absenteeism and presenteeism. Programs to relieve the burden of pain in the community clearly have References 1. http://www.changepain.org/cms/cda/_common/ inc/display_file.jsp?fileID=175800251 2. Langley P et al. The prevalence, correlates and treatment of pain in Spain. J Med Econ, 2011, 14:367-680. 3. Langley P et al. pain health related quality of life and healthcare resource utilization in Spain. J Med Econ, 2011, 14:628-638. 4. Langley P et al. The association of pain with labor force participation, absenteeism, and presente- eism in Spain. J Med Econ, 2011, 14:835-845 these meetings has praised the benefits of the interactive format with well-prepared speakers. The regional nature and very high level of scientific content of the mee- tings are further positive points. We have also co-operated with regional Health Authorities in 6 areas within Spain to train more than 1,900 phy- sicians. PAIN POPULATION, PAIN SEVERITY DISTRIBUTION BY MAJOR HEALTH CONDITIONS EXPERIENCED AND POPULATION HEALTH CONDITION PREVELENCE IN PAST 12 MONTHS, NHWS 2010, SPAIN Health condition experienced in past 12 months Persons experiencing severe pain (%) Persons experiencing moderate pain (%) Persons experiencing mild pain (%) Health condition prevelance in pain population (%) Sleep difficulties 16.47 65.40 18.41 42.24 Headache 13.41 64.31 22.27 40.62 Anxiety 18.31 62.36 19.33 40.62 Insomnia 19.88 62.70 17.41 29.87 Migraine 17.33 61.21 21.46 24.28 Depression 23.65 63.01 13.34 24.43 Abdominal pain — 64.91 — 16.24 Major is defined as where 100 or more respondents indicated the health condition. —, Sample size too small to project to total population (n<30). Source: NHWS 2010.

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