Indirect and nonmedical costs among people with rheumatoid arthritis and osteoarthritis compared with nonarthritic controls.
Compared to rheumatoid arthritis (RA), osteoarthritis (OA) is considered much more benign and much less costly.
We sought to describe the economic effects of RA and OA, in terms of the indirect and nonmedical expenditures, compared to nonarthritic controls.
Using our unique population based data resources, we developed a model for estimating and comparing disease specific costs among 2 randomly selected, community based samples of 200 patients each with RA and OA and a control group of 200 individuals from the same community who do not have arthritis.
Data were collected using a pretested postal survey.
Age and sex adjusted comparisons were conducted across the 3 groups, and predictors of cost and utilization were identified using logistic regression modeling.
There were 123,116, and 94 respondents among the RA, OA, and nonarthritis groups, respectively.
The average age and the female-to-male ratios were higher in the OA and RA groups compared to the nonarthritis group.
Patients with RA and OA required 3 times more days of care for their conditions compared to nonarthritics (p<0.0001) and incurred significantly more expenditures for home or child care (p=0.01) and other services (p=0.001) (i.e., medical equipment, assistive devices, or home remodeling) compared to nonarthritics.
In addition, patients with RA were significantly more likely to have lost their job or to have retired early due to their illness (p=0. (...)
Mots-clés Pascal : Polyarthrite rhumatoïde, Arthrose, Homme, Economie santé, Analyse coût, Etude comparative, Minnesota, Etats Unis, Amérique du Nord, Amérique, Chronique, Système ostéoarticulaire pathologie, Rhumatisme inflammatoire, Immunopathologie, Maladie autoimmune, Arthropathie, Maladie dégénérative, Coût indirect
Mots-clés Pascal anglais : Rheumatoid arthritis, Osteoarthritis, Human, Health economy, Cost analysis, Comparative study, Minnesota, United States, North America, America, Chronic, Diseases of the osteoarticular system, Inflammatory joint disease, Immunopathology, Autoimmune disease, Arthropathy, Degenerative disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0125346
Code Inist : 002B15D. Création : 21/05/1997.