The hidden cost of chronic fatigue to patients and their families

Article English OPEN
Sabes-Figuera, Ramon ; McCrone, Paul ; Hurley, Mike ; King, Michael ; Donaldson, Ana Nora ; Ridsdale, Leone (2010)
  • Publisher: Springer Nature
  • Journal: BMC Health Services Research (vol: 10, pp: 56-56)
  • Related identifiers: doi: 10.1186/1472-6963-10-56, pmc: PMC2845126
  • Subject: alliedhealth | Research article | Health Policy | Self-report, care, individuals | health

BACKGROUND: Nearly 1 in 10 in the population experience fatigue of more than six months at any one time. Chronic fatigue is a common reason for consulting a general practitioner, and some patients report their symptoms are not taken seriously enough. A gap in perceptions may occur because doctors underestimate the impact of fatigue on patients' lives. The main aim of the study is to explore the economic impact of chronic fatigue in patients seeking help from general practitioners and to identify characteristics that explain variations in costs.\ud \ud METHODS: The design of study was a survey of patients presenting to general practitioners with unexplained chronic fatigue. The setting were 29 general practice surgeries located in the London and South Thames regions of the English National Health Service. Use of services over a six month period was measured and lost employment recorded. Regression models were used to identify factors that explained variations in these costs.\ud \ud RESULTS: The mean total cost of services and lost employment across the sample of 222 patients was 3878 pounds for the six-month period. Formal services accounted for 13% of this figure, while lost employment accounted for 61% and informal care for 26%. The variation in the total costs was significantly related to factors linked to the severity of the condition and social functioning.\ud \ud CONCLUSIONS: The economic costs generated by chronic fatigue are high and mostly borne by patients and their families. Enquiry about the functional consequences of fatigue on the social and occupational lives of patients may help doctors understand the impact of fatigue, and make patients feel better understood.
  • References (32)
    32 references, page 1 of 4

    1. Hannay DR: Symptom prevalence in the community. J R Coll Gen Pract 1978, 193:492-9.

    2. Skapinakis P, Lewis G, Meltzer H: Clarifying the relationship between unexplained chronic fatigue and psychiatric morbidity: results from a community survey in Great Britain. Am J Psychiatry 2000, 157:1492-8.

    3. National Institute for Health and Clinical Excellence: NICE clinical guideline 53. Chronic fatigue syndrome/myalgic encephalomyelitis or encephalopathy): diagnosis and management of CFS/ME in adults and children 2007.

    4. Morrell DC, Wale CJ: Symptoms perceived and recorded by patients. J R Coll Gen Pract 1976, 26:398-403.

    5. Ridsdale L, Evans A, Jerrett W, Mandalia S, Osler K, Vora H: Patients who consult with tiredness: frequency of consultation, perceived causes of tiredness and its association with psychological distress. Br J Gen Pract 1994, 44:413-6.

    6. Hatcher S, Arroll B: Assessment and management of medically unexplained symptoms. BMJ 2008, 336:1124-8.

    7. Whitehead L: The lived experience of Chronic Fatigue Syndrome/Myalgic Encephalomyelitis (CFS/ME): sufferers' and families' perspectives [Ph.D. Thesis] University of Liverpool 2004.

    8. Prins JB, Bleijenberg G, Rouweler EK, van Weel C, Meer van der JWM: Doctor-patient relationship in primary care of chronic fatigue syndrome: perspectives of the doctor and the patient. J Chron Fat Synd 2000, 7:3-15.

    9. Chisholm D, Godfrey E, Ridsdale L, Chalder T, King M, Seed P, Wallace P, Wessely S: Chronic fatigue in general practice: economic evaluation of counselling versus cognitive behaviour therapy. Br J Gen Pract 2001, 51:15-8.

    10. Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, Wallace EP: Development of a fatigue scale. J Psychosom Res 1993, 37:147-53.

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