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Sökning: onr:"swepub:oai:DiVA.org:liu-14283" > Rheumatoid arthriti...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003730naa a2200397 4500
001oai:DiVA.org:liu-14283
003SwePub
008070201s2004 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-142832 URI
024a https://doi.org/10.1093/rheumatology/keh3242 DOI
040 a (SwePub)liu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Hallert, Evau Linköpings universitet,Institutionen för klinisk och experimentell medicin,Hälsouniversitetet4 aut0 (Swepub:liu)evaha37
2451 0a Rheumatoid arthritis is already expensive during the first year of the disease (the Swedish TIRA Project)
264 1b Oxford University Press (OUP),c 2004
338 a print2 rdacarrier
520 a Objective. To calculate direct and indirect costs in early rheumatoid arthritis (RA) and to characterize patients generating high and low costs respectively. Methods. Two hundred and ninety-seven patients with recent-onset (≤12 months) RA were recruited. Clinical/laboratory data and 'health assessment questionnaire' (HAQ) were registered at inclusion and after 3, 6 and 12 months. After 6 and 12 months, the patients completed a questionnaire concerning health-care utilization and days lost from work. A cut-off point for direct costs was set at 34 000 Swedish kronor (3675) defining one-third of the patients as a high-cost group and two-thirds as low-cost group. Indirect costs were calculated for patients aged <65 yr. Results. Two hundred and eleven patients completed the HAQ on both occasions. Indirect costs exceeded direct costs by a factor of 2.3. Sixty three per cent experienced work disability during the first year and were identified as the 'high-indirect-cost group'. Indirect costs accounted for >70% of total costs. Direct costs included ambulatory health care (76%), hospitalization (12%) and medication (9%). Men aged ≥65 yr had low costs compared with younger men and women of all ages. In multiple logistic regression tests, HAQ, high levels of IgM rheumatoid factor (IgM RF) and poor hand function increased the odds of entering the high-direct-cost group, and poor hand function and pain increased the odds of entering the high-indirect-cost group. Conclusions. Substantial costs were incurred during the first year after diagnosis of early RA, mainly due to work disability. Indirect costs were two to three times higher than direct costs. High levels of IgM RF, high HAQ score, poor hand function and pain increased the odds of entering high-cost groups.
653 a Early rheumatoid arthritis
653 a Outcome
653 a Indirect costs
653 a Direct costs
653 a Cost of illness
653 a MEDICINE
653 a MEDICIN
700a Husberg, Magnusu Linköpings universitet,Utvärdering och hälsoekonomi,Hälsouniversitetet4 aut0 (Swepub:liu)maghu85
700a Jonsson, Dicku Linköpings universitet,Hälsa och samhälle,Hälsouniversitetet4 aut0 (Swepub:liu)dicjo62
700a Skogh, Thomasu Linköpings universitet,Reumatologi,Hälsouniversitetet4 aut0 (Swepub:liu)thosk00
710a Linköpings universitetb Institutionen för klinisk och experimentell medicin4 org
773t Rheumatologyd : Oxford University Press (OUP)g 43:11, s. 1374-1382q 43:11<1374-1382x 1462-0324x 1462-0332x 1460-2172
856u http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-8242y Link to Ph.D. Thesis
856u https://academic.oup.com/rheumatology/article-pdf/43/11/1374/9444853/keh324.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-14283
8564 8u https://doi.org/10.1093/rheumatology/keh324

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Hallert, Eva
Husberg, Magnus
Jonsson, Dick
Skogh, Thomas
Artiklar i publikationen
Rheumatology
Av lärosätet
Linköpings universitet

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