The health and economic burden of musculoskeletal disorders in Belgium from 2013 to 2018.

IF 3.2 2区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Population Health Metrics Pub Date : 2023-04-21 DOI:10.1186/s12963-023-00303-z

Vanessa Gorasso, Johan Van der Heyden, Robby De Pauw, Ingrid Pelgrims, Eva M De Clercq, Karin De Ridder, Stefanie Vandevijvere, Stijn Vansteelandt, Bert Vaes, Delphine De Smedt, Brecht Devleesschauwer

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引用次数: 1

Abstract

Introduction: Low back pain (LBP), neck pain (NKP), osteoarthritis (OST) and rheumatoid arthritis (RHE) are among the musculoskeletal (MSK) disorders causing the greatest disability in terms of Years Lived with Disability. The current study aims to analyze the health and economic impact of these MSK disorders in Belgium, providing a summary of morbidity and mortality outcomes from 2013 to 2018, as well as direct and indirect costs from 2013 to 2017.

Methods: The health burden of LBP, NKP, OST and RHE in Belgium from 2013 to 2018 was summarized in terms of prevalence and disability-adjusted life years (DALY) using data from the Belgian health interview surveys (BHIS), the INTEGO database (Belgian registration network for general practitioners) and the Global Burden of Diseases study 2019. The economic burden included estimates of direct medical costs and indirect costs, measured by cost of work absenteeism. For this purpose, data of the respondents to the BHIS-2013 were linked with the national health insurance data (intermutualistic agency [IMA] database) 2013-2017.

Results: In 2018, 2.5 million Belgians were affected by at least one MSK disorder. OST represented the disorder with the highest number of cases for both men and women, followed by LBP. In the same year, MSK disorders contributed to a total of 180,746 DALYs for female and 116,063 DALYs for men. LBP appeared to be the largest contributor to the health burden of MSK. Having at least one MSK disorder costed on average 3 billion € in medical expenses and 2 billion € in indirect costs per year, with LBP being the most costly.

Conclusion: MSK disorders represent a major health and economic burden in Belgium. As their burden will probably continue to increase in the future, acting on the risk factors associated to these disorders is crucial to mitigate both the health and economic burden.

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2013年至2018年比利时肌肉骨骼疾病的健康和经济负担

介绍:腰痛(LBP)、颈痛(NKP)、骨关节炎(OST)和类风湿性关节炎(RHE)是导致残疾生活年数最多的肌肉骨骼(MSK)疾病。本研究旨在分析这些MSK疾病在比利时的健康和经济影响，总结2013年至2018年的发病率和死亡率结果，以及2013年至2017年的直接和间接成本。方法:利用比利时健康访谈调查(BHIS)、INTEGO数据库(比利时全科医生注册网络)和2019年全球疾病负担研究数据，从患病率和残疾调整生命年(DALY)方面总结2013 - 2018年比利时LBP、NKP、OST和RHE的健康负担。经济负担包括直接医疗费用和间接费用的估计，以旷工成本衡量。为此，BHIS-2013的受访者数据与2013-2017年国家健康保险数据(互助机构[IMA]数据库)相关联。结果:2018年，250万比利时人至少患有一种MSK疾病。OST代表了男性和女性中病例数最多的疾病，其次是LBP。同年，MSK疾病导致女性失活寿命为180746年，男性失活寿命为116063年。腰痛似乎是MSK健康负担的最大贡献者。患有至少一种MSK疾病每年平均花费30亿欧元的医疗费用和20亿欧元的间接费用，其中LBP是最昂贵的。结论:MSK障碍是比利时主要的健康和经济负担。由于他们的负担将来可能会继续增加，因此针对与这些疾病相关的风险因素采取行动对于减轻健康和经济负担至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Population Health Metrics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.50

自引率

0.00%

发文量

审稿时长

29 weeks

期刊介绍： Population Health Metrics aims to advance the science of population health assessment, and welcomes papers relating to concepts, methods, ethics, applications, and summary measures of population health. The journal provides a unique platform for population health researchers to share their findings with the global community. We seek research that addresses the communication of population health measures and policy implications to stakeholders; this includes papers related to burden estimation and risk assessment, and research addressing population health across the full range of development. Population Health Metrics covers a broad range of topics encompassing health state measurement and valuation, summary measures of population health, descriptive epidemiology at the population level, burden of disease and injury analysis, disease and risk factor modeling for populations, and comparative assessment of risks to health at the population level. The journal is also interested in how to use and communicate indicators of population health to reduce disease burden, and the approaches for translating from indicators of population health to health-advancing actions. As a cross-cutting topic of importance, we are particularly interested in inequalities in population health and their measurement.