Prevalence and cost of musculoskeletal disorders: a population-based, public hospital system healthcare consumption approach.

Osborne, Richard, Nikpour, Mandana, Busija, Lucy, Sundararajan, Vijaya and Wicks, Ian 2007, Prevalence and cost of musculoskeletal disorders: a population-based, public hospital system healthcare consumption approach., Journal of rheumatology, vol. 34, no. 12, pp. 2466-2475.

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Title Prevalence and cost of musculoskeletal disorders: a population-based, public hospital system healthcare consumption approach.
Author(s) Osborne, Richard
Nikpour, Mandana
Busija, Lucy
Sundararajan, Vijaya
Wicks, Ian
Journal name Journal of rheumatology
Volume number 34
Issue number 12
Start page 2466
End page 2475
Publisher Journal of Rheumatology Pub. Co.
Place of publication Toronto, Canada
Publication date 2007-12
ISSN 0315-162X
1499-2752
Summary Objective: To use a population-level, public-hospital approach to compare the prevalence and cost of musculoskeletal diseases (MSD) with other clinical specialties.

Methods: A healthcare utilization survey of 4 million individual records over 4 years, from all major public hospitals in the state of Victoria (estimated population 4.8 million residents in 2000/01) from 1997/98 to 2000/01. Main outcome measures were inpatient episodes of care, bed-days, and outpatient clinic encounters. MSD was defined as the combination of orthopedics and rheumatology.

Results: After obstetrics, MSD was the most frequent outpatient service, with orthopedics accounting for 9.9% of all visits in 2000/01. The proportion of MSD outpatient encounters (on average 11.6% of the total) was constant over the study period. Among 26 medical specialties, MSD had the sixth highest number of inpatient episodes (6.2% in 2000/01), following renal dialysis (14.6%), general surgery (8.2%), obstetrics (7.6%), gastroenterology (7.1%), and general medicine (6.7%). MSD was the fifth highest consumer of bed-days, occupying on average 7.7% of all beds per annum in the period 1997/98 to 2000/01, behind psychiatry (10.1%), respiratory medicine (8.5%), rehabilitation (8.3%), and general medicine (7.8%). MSD was the third most-costly discipline in 2000/01, with total costs of over A dollars 169 million (9.7% of total inpatient costs that year), behind respiratory medicine (11.6%) and general surgery (11.5%).

Conclusion:
Compared to other diseases, MSD consumes a substantial proportion of healthcare resources in Victorian public hospitals. These data have important implications for allocation of healthcare resources, clinical care pathways, and prevention strategies.
Language eng
Field of Research 110399 Clinical Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30019420

Document type: Journal Article
Collection: School of Health and Social Development
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