TY - JOUR
T1 - Costs of shoulder disorders in Denmark
T2 - a nationwide cost-of-illness study investigating 617,334 patients and matched controls
AU - Sørensen, Lotte
AU - van Tulder, Maurits
AU - Johannsen, Hans Viggo
AU - Ovesen, Janne
AU - Enemark, Ulrika
AU - Blæhr, Emely Ek
AU - Oestergaard, Lisa Gregersen
N1 - Copyright © 2022 International Association for the Study of Pain.
PY - 2022/11
Y1 - 2022/11
N2 - Shoulder disorders are very common musculoskeletal conditions. Few studies have focused on the costs associated with shoulder disorders, and the economic burden has never been established in a nationwide cost-of-illness study. We aimed to evaluate the healthcare costs and costs of productivity loss (sick leave) and to evaluate if costs were higher for specific subgroups. Using national Danish registers, we identified individuals with shoulder disorders (subacromial pain, stiffness, fracture, or dislocation) diagnosed between 2005 and 2017 and controls matched on age and gender without shoulder disorders. Health care usage, sick leave, and related costs were estimated. During the 13-year inclusion period, 617,334 unique individuals were identified and the incidence rate was 1215 per 100,000 person-years in 2017. The expected additional societal costs were 1.21 billion annually. The mean additional total costs for the 6-year period were 11,334 (11,014-11,654) for individuals aged ≥65 years and 25,771 (25,531-26,012) for individuals aged <65 years. For individuals in the working age, the costs of sick leave accounted for approximately 70% of the total costs. Individuals aged ≥65 years had healthcare costs that were twice as high as individuals aged <65 years. Additionally, the 20% of cases accruing the highest costs accounted for 66% of the total costs. In conclusion, incidence rates of shoulder disorders were high and costs of sick leave accounted for a large proportion of total costs associated with illness in working age people. Furthermore, a minority of patients accounted for a substantial share of the total costs.
AB - Shoulder disorders are very common musculoskeletal conditions. Few studies have focused on the costs associated with shoulder disorders, and the economic burden has never been established in a nationwide cost-of-illness study. We aimed to evaluate the healthcare costs and costs of productivity loss (sick leave) and to evaluate if costs were higher for specific subgroups. Using national Danish registers, we identified individuals with shoulder disorders (subacromial pain, stiffness, fracture, or dislocation) diagnosed between 2005 and 2017 and controls matched on age and gender without shoulder disorders. Health care usage, sick leave, and related costs were estimated. During the 13-year inclusion period, 617,334 unique individuals were identified and the incidence rate was 1215 per 100,000 person-years in 2017. The expected additional societal costs were 1.21 billion annually. The mean additional total costs for the 6-year period were 11,334 (11,014-11,654) for individuals aged ≥65 years and 25,771 (25,531-26,012) for individuals aged <65 years. For individuals in the working age, the costs of sick leave accounted for approximately 70% of the total costs. Individuals aged ≥65 years had healthcare costs that were twice as high as individuals aged <65 years. Additionally, the 20% of cases accruing the highest costs accounted for 66% of the total costs. In conclusion, incidence rates of shoulder disorders were high and costs of sick leave accounted for a large proportion of total costs associated with illness in working age people. Furthermore, a minority of patients accounted for a substantial share of the total costs.
KW - Cost of Illness
KW - Denmark/epidemiology
KW - Health Care Costs
KW - Humans
KW - Shoulder
KW - Sick Leave
U2 - 10.1097/j.pain.0000000000002610
DO - 10.1097/j.pain.0000000000002610
M3 - Journal article
C2 - 35135991
SN - 0304-3959
VL - 163
SP - 2162
EP - 2171
JO - Pain
JF - Pain
IS - 11
ER -