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Productivity costs and medical costs among working patients with knee osteoarthritis.
MedLine Citation:
PMID:  22262497     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE.: Although the knee joint is one the most affected joints by osteoarthritis (OA), research on economic implications focussed merely on OA in general. The goal of this study was to identify and quantify knee related productivity and medical costs in knee OA patients in paid employment. Furthermore, we evaluated associations between productivity loss and relevant patient, health and work characteristics. PATIENTS AND METHODS.: Consecutive knee OA patients with mild to moderate knee OA, age 18-65 year, conservative treatment ≥ 6 months and paid work were included. Productivity loss and health care consumption were measured by questionnaires. Associations between productivity loss and patient, health and work characteristics were explored with regression analyses. RESULTS.: In total, 117 knee OA patients were included (mean age 53.2, mean body mass index 28.8). Total knee related productivity costs and medical costs are €871 (median (M) €411, interquartile range (IQR) €107-€1200) per patient per month, with total productivity costs being €722 (M €217, IQR €0-€1041) and total medical costs being €149 (M €137, IQR €72-€198). More pain during activity and performing physically intensive work were significantly associated with productivity loss. CONCLUSION.: The total knee related productivity costs and medical costs of conservatively treated symptomatic knee OA patients with paid work in The Netherlands are €871 per patient per month, with productivity costs accounting for 83% and medical costs for 17%. Productivity loss is associated with having more pain during activity and performing physically intensive work. Developing adequate treatment strategies for knee OA may be cost-beneficial.
Authors:
Job Hermans; Marc A Koopmanschap; Sita Ma Bierma-Zeinstra; Joost H van Linge; Jan An Verhaar; Max Reijman; Alex Burdorf
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-19
Journal Detail:
Title:  Arthritis care & research     Volume:  -     ISSN:  2151-4658     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101518086     Medline TA:  Arthritis Care Res (Hoboken)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 by the American College of Rheumatology.
Affiliation:
Department of Orthopaedic Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands. j.hermans@erasmusmc.nl.
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