Match!

Annual Cost of Patients with Osteoarthritis of the Hip and Knee in France

Published on Dec 1, 2014in Journal of Musculoskeletal Pain
· DOI :10.3109/10582452.2014.937550
P. Bertin4
Estimated H-index: 4
,
François Rannou43
Estimated H-index: 43
+ 5 AuthorsC. Taieb4
Estimated H-index: 4
Abstract
Objectives: The economic burden of osteoarthritis [OA] has not recently been evaluated in France. This study aimed to provide a health economic update of the patient costs associated with hip or knee OA treated in the community and in medical, surgical and obstetric care [MSO] and post-acute care and rehabilitation [PAC] hospitals in France. Methods: We analyzed data from the Disease Analyzer database of medical records collected by a representative sample of French general practitioners in 2009–2010 and from the French medical information system program for public and private hospitals in 2010. Results: In 2010, 90 946 patients were hospitalized in MSOs for hip OA [median age: 75 years] and 84 848 patients for knee OA [median age: 71 years], of whom 44% and 61%, respectively, were transferred to PACs. Up to 94.5% of patients underwent joint replacement. Hospitalization engendered annual costs of E9797 per patient with hip OA and E11 644 per patient with knee OA, that is, a total cost of E1.955 billion for patients hospitalized for hip or knee OA in 2010. A total of 18 976 community patients [mean age: 66 ± 12.7 years] with OA were followed up for 1 year in the Disease Analyzer database. The annual costs per patient were E715 and E764 for hip and knee OA, respectively, including a cost to the healthcare system of E425 and E454, respectively, that is, an estimated E3.5 billion [E2 billion to the healthcare system] for 4.6 million patients. Conclusion: Patients with OA generate considerable healthcare costs in France.
  • References (24)
  • Citations (5)
📖 Papers frequently viewed together
33 Citations
78% of Scinapse members use related papers. After signing in, all features are FREE.
References24
Newest
Abstract Objective To assess the cost-effectiveness of early primary total hip replacement (THR) for functionally independent older adult patients with osteoarthritis (OA) versus 1) nonsurgical therapy followed by THR once the patient has progressed to a functionally dependent state ("delayed THR") and 2) nonsurgical therapy alone (‘medical therapy'), from the Italian National Health Service perspective. Methods Individual patient data and evidence from published literature on disease progressio...
20 CitationsSource
#1Alvin Chen (Imperial College London)H-Index: 5
#2Chinmay Gupte (Imperial College London)H-Index: 23
Last. Justin Cobb (Imperial College London)H-Index: 21
view all 5 authors...
Aims. To examine all relevant literature on the economic costs of osteoarthritis in the UK, and to compare such costs globally. Methods. A search of MEDLINE was performed. The search was expanded beyond peer-reviewed journals into publications by the department of health, national orthopaedic associations, national authorities and registries, and arthritis charities. Results. No UK studies were identified in the literature search. 3 European, 6 North American, and 2 Asian studies were reviewed. ...
88 CitationsSource
#1Clémence PalazzoH-Index: 6
#2Jean-François Ravaud (French Institute of Health and Medical Research)H-Index: 21
Last. Serge Poiraudeau (Paris V: Paris Descartes University)H-Index: 48
view all 6 authors...
Background Representative national data on disability are becoming increasingly important in helping policymakers decide on public health strategies. We assessed the respective contribution of chronic health conditions to disability for three age groups (18–40, 40–65, and >65 years old) using data from the 2008–2009 Disability-Health Survey in France. Methods Data on 12 chronic conditions and on disability for 24,682 adults living in households were extracted from the Disability-Health Survey re...
32 CitationsSource
#1Prisco Piscitelli (UniFI: University of Florence)H-Index: 18
#2Giovanni Iolascon (Seconda Università degli Studi di Napoli)H-Index: 19
Last. Alberto MiglioreH-Index: 21
view all 12 authors...
Objective To assess the burden of total joint arthroplasties (TJAs) performed for symptomatic hip and knee osteoarthritis (OA) in the Italian population. Methods We analyzed national hospitalizations and diagnosis-related group databases to compute incidence, annual percent change (APC), direct costs, and working days lost between 2001 and 2005 following TJA due to OA. Results In 2005, we recorded a total of 41,816 (APC +5.4; 95% confidence interval [95% CI] 5.1–5.8) and 44,051 (APC +13.4; 95% C...
33 CitationsSource
#1Christian EgloffH-Index: 5
#2Thomas HügleH-Index: 22
Last. Victor ValderrabanoH-Index: 40
view all 3 authors...
Summary Today, the most frequent chronic musculoskeletal disorder and the leading cause of disability in the elderly is osteoarthritis (OA). Approximately 43 million people in the United States and 15% of the world population are affected. Due to demographic changes, the incidence of OA is rapidly increasing, leading to an ascending socioeconomical and personal burden. Despite the exact cause of OA remains unknown, the pathogenic role of biomechanical dysfunction in OA is well established. For w...
81 CitationsSource
1 Citations
OverviewArthritis, of which osteoarthritis (OA) is the most common type, is the most frequent cause of disability among adults in the United States. The authors reviewed the epidemiologic literature to identify studies that describe the population-based burden of OA—that is, the burden in all adults
147 CitationsSource
#1Francis Guillemin (Nancy-Université)H-Index: 58
#2Anne-Christine RatH-Index: 18
Last. Joël Coste (Nancy-Université)H-Index: 49
view all 12 authors...
Summary Objective Osteoarthritis (OA) epidemiologic data are scarce in Europe. To estimate the prevalence of symptomatic knee and hip OA in a multiregional sample in France. Design A two-phase population-based survey was conducted in six regions in 2007–2009. On initial phone contact using random-digit dialing, subjects 40–75 years old were screened with a validated questionnaire. Subjects screened positive were invited for ascertainment: physical examination and hip and/or knee radiography (Kel...
95 CitationsSource
#1Eveline Nüesch (University of Bern)H-Index: 35
#2Paul DieppeH-Index: 94
Last. Peter Jüni (University of Bern)H-Index: 95
view all 6 authors...
Objective To examine all cause and disease specific mortality in patients with osteoarthritis of the knee or hip. Design Population based cohort study. Setting General practices in the southwest of England. Participants 1163 patients aged 35 years or over with symptoms and radiological confirmation of osteoarthritis of the knee or hip. Main outcome measures Age and sex standardised mortality ratios and multivariable hazard ratios of death after a median of 14 years’ follow-up. Results Patients w...
348 CitationsSource
#1Curtis Cooper (Southampton General Hospital)H-Index: 174
#2Nigel K. Arden (University of Oxford)H-Index: 69
Provides evidence for a unified approach to musculoskeletal ageing Osteoarthritis is the most common joint disorder worldwide. It comprises a group of overlapping disorders that may have different causes, but which result in joint failure subsequent to morphological changes in articular cartilage, subchondral bone, synovium, and other joint structures. Osteoarthritis typically affects the hands, knees, hips, spine, and feet.1 Although osteoarthritis can be defined pathologically, radiographicall...
27 CitationsSource
Cited By5
Newest
#1Johanne Martel-Pelletier (UdeM: Université de Montréal)H-Index: 70
#2Emmanuel MaheuH-Index: 23
Last. François Rannou (Paris V: Paris Descartes University)H-Index: 43
view all 10 authors...
Background and aims Although osteoarthritis (OA) is managed mainly in primary care, general practitioners (GPs) are not always trained in its diagnosis, which leads to diagnostic delays, unnecessary resource utilization, and suboptimal patient outcomes.
2 CitationsSource
#1K. MariH-Index: 1
#2P. DégieuxH-Index: 1
Last. Pascal Richette (French Institute of Health and Medical Research)H-Index: 40
view all 5 authors...
Summary Given the dramatic increase in the number of total knee replacement (TKR) surgeries in developed countries, the issue of the best time for surgery needs to be addressed from an economic perspective. Objective To assess, from the perspective of the healthcare payer, the cost-utility of two surgical strategies in which knee replacement is performed at the early or late stage of the disease in patients with knee osteoarthritis (OA). Design Patient data and evidence from published literature...
3 CitationsSource
#1Jean-Hugues Salmon (URCA: University of Reims Champagne-Ardenne)H-Index: 3
#2Anne-Christine Rat (Paris V: Paris Descartes University)H-Index: 18
Last. Bruno Fautrel (UPMC: Pierre-and-Marie-Curie University)H-Index: 25
view all 8 authors...
Objective An overview of the economic consequences – overall costs as well as cost breakdown (direct and indirect) – of hip and knee osteoarthritis (OA) worldwide. Methods A systematic literature search of EMBASE, MEDLINE, Scopus and Cochrane databases for articles was performed independently by two rheumatologists who used the same predefined eligible criteria. Papers without abstracts and in languages other than English or French were excluded. Extracted costs were converted to an annual cost ...
33 CitationsSource
Source
Objective This study aimed to estimate the total healthcare costs associated with elderly chronic pain (CP) patients, define cost-related factors in this population, and examine cost evolution over two years.
4 CitationsSource