Citation

Ma VY, Chan L, Carruthers KJ. Arch. Phys. Med. Rehabil. 2014; 95(5): 986-995.e1.

Affiliation

Rehabilitation Medicine Department, Clinical Center, NIH; Case Western University School of Medicine.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1016/j.apmr.2013.10.032

PMID

24462839

Abstract

OBJECTIVE: To determine the relative incidence, prevalence, costs and impact on disability of 8 common conditions treated by rehabilitation professionals. DESIGN: Structured review of the literature SETTING: United States PARTICIPANTS: N/A INTERVENTIONS: N/A MAIN OUTCOME MEASURES: disease associated incidence, prevalence, direct and indirect costs and impact on activity and work limitations. RESULTS: Back pain and arthritis (osteoarthritis and rheumatoid arthritis) are the most common and costly conditions that we examined, affecting over 100 million individuals and costing over $200 billion per year. Traumatic brain injury, while less common than arthritis and back pain, carries enormous per capita direct and indirect costs, mostly due to the young age of those involved and the severe disability that it may cause. Finally, stroke, which is often listed as the most common cause of disability, is likely second to both arthritis and back pain in its impact on functional limitations. CONCLUSIONS: Of the common rehabilitation diagnoses we studied, musculoskeletal conditions such and back pain and arthritis likely have the most impact on the health care system due to their high prevalence and impact on disability.

Language: en