دورية أكاديمية
أعرض في EDS

Health inequities and societal costs for patients with fibromyalgia and their spouses: a Danish cohort study.

التفاصيل البيبلوغرافية
العنوان: Health inequities and societal costs for patients with fibromyalgia and their spouses: a Danish cohort study.
المؤلفون: Amris K; The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Frederiksberg, Denmark kirstine.amris@regionh.dk.; Department of Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Frederiksberg, Denmark., Ibsen R; i2minds, Aarhus, Denmark., Duhn PH; The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Frederiksberg, Denmark.; Department of Rheumatology, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Frederiksberg, Denmark., Olsen J; Danish Fibromyalgia and Pain Association, Copenhagen, Denmark., Lolk K; Danish Fibromyalgia and Pain Association, Copenhagen, Denmark., Kjellberg J; VIVE - The Danish Center for Social Science Research, Copenhagen, Denmark., Kristensen LE; The Parker Institute, Copenhagen University Hospital, Bispebjerg and Frederiksberg, Frederiksberg, Denmark.
المصدر: RMD open [RMD Open] 2024 Feb 02; Vol. 10 (1). Date of Electronic Publication: 2024 Feb 02.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Country of Publication: England NLM ID: 101662038 Publication Model: Electronic Cited Medium: Internet ISSN: 2056-5933 (Electronic) Linking ISSN: 20565933 NLM ISO Abbreviation: RMD Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BMJ Publishing Group, [2015]-
مواضيع طبية MeSH: Health Care Costs* , Fibromyalgia*/epidemiology, Female ; Humans ; Middle Aged ; Male ; Cohort Studies ; Case-Control Studies ; Spouses ; Cost of Illness ; Health Inequities ; Denmark/epidemiology
مستخلص: Objective: To assess the burden of illness of people with fibromyalgia (FM) and their spouses compared with selected match populations in Denmark.
Methods: Population-based, cohort case-control study using data from Danish registries from 1994 to 2021. Individuals with an FM diagnosis were identified from the National Patient Register (2008-2019) and randomly matched to a 1:4 general population comparator. Spouses or persons co-living with subjects with FM at the time of diagnosis were compared with matched comparator spouses. Healthcare and societal costs, socioeconomic status and occurrence of comorbidities were evaluated for subjects with FM, spouses and controls.
Results: 9712 subjects with FM (94.9% females, mean age 50 years) and 5946 spouses were included. At year of diagnosis, subjects with FM had significantly more comorbidities compared with controls, including significantly more comorbid rheumatic disorders. The highest risk at the time of FM diagnosis was a comorbid diagnosis of ankylosing spondylitis (OR 7.0, 95% CI 4.9 to 10.0). Significantly more comorbidities were also observed in spouses. Subjects with FM and spouses had higher healthcare and public transfer costs and lower income from employment at all timepoints. Loss of income from employment in subjects with FM occurred years before establishment of the FM diagnosis. The employment rate after diagnosis was 22%. 10 years after the FM diagnosis, 50% received disability pension as compared with 11% of matched controls. The observed net average increased societal cost for subjects with FM amounted to €27 193 per patient-year after diagnosis.
Conclusion: FM has major health and socioeconomic consequences for patients, their partners and society and call for improved healthcare strategies matching patients' needs.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
References: J Pain Res. 2016 Jun 28;9:457-67. (PMID: 27418853)
J Clin Rheumatol. 2018 Aug;24(5):243-249. (PMID: 29280818)
BMC Musculoskelet Disord. 2009 Oct 07;10:124. (PMID: 19811630)
Health Psychol. 2002 Mar;21(2):157-66. (PMID: 11950106)
Arthritis Rheum. 2008 Mar;58(3):895-902. (PMID: 18311794)
Scand J Pain. 2021 Oct 20;22(1):67-76. (PMID: 34670033)
Pain. 2021 Nov 1;162(11):2737-2749. (PMID: 33902092)
BMC Musculoskelet Disord. 2012 Feb 17;13:22. (PMID: 22340435)
Ann Rheum Dis. 2005 Mar;64(3):396-402. (PMID: 15271773)
Arthritis Res Ther. 2009;11(2):R54. (PMID: 19366441)
Clinicoecon Outcomes Res. 2013 Apr 23;5:171-80. (PMID: 23637545)
Semin Arthritis Rheum. 2010 Jun;39(6):448-53. (PMID: 19250656)
Rheumatol Int. 2017 Sep;37(9):1527-1539. (PMID: 28447207)
Scand J Rheumatol. 2023 Sep;52(5):539-548. (PMID: 36503382)
Clin Exp Rheumatol. 2019 Jan-Feb;37 Suppl 116(1):90-97. (PMID: 30747096)
Arthritis Rheum. 2002 Jun 15;47(3):260-5. (PMID: 12115155)
J Clin Nurs. 2012 Dec;21(23-24):3352-60. (PMID: 22834990)
Eur J Pain. 2011 Aug;15(7):741-7. (PMID: 21316271)
Qual Health Res. 2019 May;29(6):809-819. (PMID: 30296924)
Arthritis Care Res (Hoboken). 2019 Jun;71(6):798-810. (PMID: 29975012)
Pain. 2020 Aug;161(8):1716-1725. (PMID: 32701832)
Nat Rev Rheumatol. 2020 Nov;16(11):645-660. (PMID: 33024295)
Fam Syst Health. 2010 Sep;28(3):209-23. (PMID: 20939626)
Ann Rheum Dis. 2017 Dec;76(12):e54. (PMID: 28476880)
J Manag Care Spec Pharm. 2016 Mar;22(3):263-71. (PMID: 27003556)
Curr Rheumatol Rev. 2017;13(3):180-187. (PMID: 28464770)
BMC Public Health. 2012 Dec 14;12:1076. (PMID: 23237146)
BMC Musculoskelet Disord. 2007 Mar 09;8:27. (PMID: 17349056)
BMC Health Serv Res. 2022 Aug 3;22(1):989. (PMID: 35922796)
Lancet. 2021 May 29;397(10289):2098-2110. (PMID: 34062144)
Pain. 2011 Nov;152(11):2470-2476. (PMID: 21715094)
BMC Musculoskelet Disord. 2016 Apr 16;17:168. (PMID: 27084363)
Pain Med. 2012 Oct;13(10):1366-76. (PMID: 22958298)
Clin Exp Rheumatol. 2020 Jan-Feb;38 Suppl 123(1):72-78. (PMID: 32116211)
Seizure. 2017 Jul;49:17-24. (PMID: 28531819)
J Health Econ. 2004 May;23(3):525-42. (PMID: 15120469)
Arthritis Rheum. 2006 Jan;54(1):177-83. (PMID: 16385513)
فهرسة مساهمة: Keywords: economics; fibromyalgia; health services research
تواريخ الأحداث: Date Created: 20240202 Date Completed: 20240205 Latest Revision: 20240207
رمز التحديث: 20240207
مُعرف محوري في PubMed: PMC10840036
DOI: 10.1136/rmdopen-2023-003904
PMID: 38307700
قاعدة البيانات: MEDLINE
الوصف
تدمد:2056-5933
DOI:10.1136/rmdopen-2023-003904