手部骨关节炎与有偿和无偿工作限制及相关社会成本的纵向联系:二次医疗中的手部骨关节炎队列。

IF 7.2 2区 医学 Q1 ORTHOPEDICS
Sietse E S Terpstra, Lotte A van de Stadt, Annelies Boonen, Rolf H H Groenwold, Frits R Rosendaal, Margreet Kloppenburg
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引用次数: 0

摘要

目的调查手部骨关节炎(OA)患者有偿和无偿工作受限的过程以及相应的社会成本:方法:纳入荷兰手部骨关节炎二次治疗队列(HOSTAS)中至少有基线和一次随访(第一年至第八年)数据的患者。健康与劳动问卷(HLQ)用于评估过去两周内与手部骨关节炎相关的有偿和无偿工作限制。根据荷兰政府2021年的数据估算了生产力损失的社会成本:共纳入 351 名患者(平均年龄 60 岁,84% 为女性)。基线时,166/351(47%)的患者从事有偿工作,到第八年时,这一比例降至 54/164(33%)。有 32/166 名患者(19%)在基线时有带薪工作,17/104 名患者(16%)在第四年有带薪工作,其中 12/104 名患者(11%)在这两个时间段都有带薪工作。在这两周时间里,89/166 名患者(54%)在基线时和 41/104 名患者(39%)在第四年有有偿工作时受到任何限制。在无偿工作方面,基线时有 157/351 人(45%)报告由他人替代工作,第八年时有 72/164 人(44%)报告由他人替代工作。205/351(59%)人在基线时报告说受到限制,第八年时报告说受到限制的人数为 99/164(60%)。每位患者因失去有偿和无偿工作而产生的社会总成本的平均值为:基线时每两周 89 欧元(95% 置信区间 (CI) 52;127),第八年时每两周 47 欧元(26;69):有偿工作的患者比例在随访期间有所下降,但有偿和无偿工作的限制似乎基本稳定。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The longitudinal association of hand osteoarthritis with paid and unpaid work restrictions and related societal costs: the Hand Osteoarthritis in Secondary Care cohort.

Objectives: To investigate the course of restrictions in paid and unpaid work and corresponding societal costs in patients with hand osteoarthritis (OA).

Methods: Patients with data of at least baseline and one follow-up moment (year one up to year eight) of the Dutch Hand OSTeoArthritis in Secondary care cohort (HOSTAS) were included. The Health and Labour Questionnaire (HLQ) was used to assess over the last two weeks hand OA-related restrictions for paid and unpaid work. Societal costs of productivity loss were estimated with Dutch government data on 2021.

Results: 351 patients were included (mean age 60 years, 84% women). At baseline, 166/351 (47%) had paid work, decreasing to 54/164 (33%) at year eight. Loss of productive time over the two-week period was reported by 32/166 (19%) patients with paid work at baseline, 17/104 (16%) at year four, among whom 12/104 (11%) patients at both moments. Any restrictions over this two-week period were experienced by 89/166 patients (54%) at baseline and 41/104 (39%) at year four for those with paid work. Regarding unpaid work, 157/351 (45%) reported replacement of tasks by others at baseline and 72/164 (44%) at year eight. 205/351 (59%) reported restrictions at baseline, and 99/164 (60%) at year eight. Mean total societal costs for loss of paid and unpaid work were, per patient, €89/two weeks (95% confidence interval (CI) 52;127) at baseline, and €47/two weeks (26;69) at year eight.

Conclusions: The proportion of patients with paid work decreases during follow-up, but restrictions at paid and unpaid work seem mostly stable.

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来源期刊
Osteoarthritis and Cartilage
Osteoarthritis and Cartilage 医学-风湿病学
CiteScore
11.70
自引率
7.10%
发文量
802
审稿时长
52 days
期刊介绍: Osteoarthritis and Cartilage is the official journal of the Osteoarthritis Research Society International. It is an international, multidisciplinary journal that disseminates information for the many kinds of specialists and practitioners concerned with osteoarthritis.
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