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Socioeconomic status of patients in a Swedish national self-management program for osteoarthritis compared with the general population-a descriptive observational study.
BMC Musculoskeletal Disorders ( IF 2.3 ) Pub Date : 2020-01-06 , DOI: 10.1186/s12891-019-3016-z
Kristin Gustafsson 1, 2 , Joanna Kvist 1, 3 , Marit Eriksson 4 , Leif E Dahlberg 5 , Ola Rolfson 6
Affiliation  

BACKGROUND First-line treatment for hip and knee osteoarthritis (OA) including education and supervised exercises, delivered as a self-management program, is considered one of the mainstays in OA treatment. However, the socioeconomic profile of the population that utilizes first-line treatment for hip and knee OA is unclear. The aim of this study was to describe the socioeconomic status (SES) of a population referred to a self-management program for OA, in comparison with that of the general Swedish population. METHODS This is a cross-sectional study including 72,069 patients with hip or knee OA enrolled in the National Quality Register for Better management of patients with Osteoarthritis (BOA) between 2008 and 2016, and registered before participation in a structured OA self-management program. A reference cohort (n = 216,207) was selected from the general Swedish population by one-to-three matching by year of birth, sex and residence. Residential municipality, country of birth, marital status, family type, educational level, employment, occupation, disposable income and sick leave were analyzed. RESULTS The BOA population had higher educational level than the reference group, both regarding patients with hip OA (77.5% vs 70% with ≥10 years of education), and with knee OA (77% vs 72% with ≥10 years of education). Their average disposable income was higher (median [IQR] in Euro (€), for hip €17,442 [10,478] vs €15,998 [10,659], for knee €17,794 [10,574] vs €16,578 [11,221]). Of those who worked, 46% of patients with hip OA and 45% of the reference group had a blue-collar occupation. The corresponding numbers for knee OA were 51 and 44% respectively. Sick leave was higher among those with hip and knee OA (26%) than those in the reference groups (13% vs 12%). CONCLUSIONS The consistently higher SES in the BOA population compared with the general population indicates that this self-management program for OA may not reach the more socioeconomically disadvantaged groups, who are often those with a higher disease burden.

中文翻译:

与一般人群相比,瑞典国家骨关节炎自我管理计划中患者的社会经济状况-描述性观察研究。

背景技术作为自我管理程序提供的包括髋关节和膝关节骨关节炎(OA)的一线治疗,包括教育和监督锻炼,被认为是OA治疗的主要手段之一。但是,尚不清楚采用一线治疗髋和膝骨关节炎的人群的社会经济状况。这项研究的目的是描述与瑞典普通人群相比,被称为OA自我管理计划的人群的社会经济地位(SES)。方法这是一项横断面研究,纳入72,069例髋关节或膝关节OA患者,参加了2008年至2016年的美国国家骨质疏松病患者更好管理质量登记册,并在参与结构化OA自我管理计划之前进行了登记。参考同类群组(n = 216,207)通过出生,性别和居住年份的一到三项匹配从瑞典总人口中选出。分析了居住城市,出生国家,婚姻状况,家庭类型,教育程度,就业,职业,可支配收入和病假。结果BOA人群的文化程度均高于参考组,无论是髋部OA患者(77.5%vs≥10年教育者为70%)还是膝骨OA患者(77%vs 72%≥10年教育者为72%)。 。他们的平均可支配收入较高(欧元中位数[IQR],髋部17,442 [10,478]欧元,15,998 [10,659]欧元,膝部17,794 [10,574],16,578 [11,221]欧元)。在那些工作的人中,有46%的髋关节OA患者和45%的参考组有蓝领职业。膝骨关节炎的相应数字分别为51%和44%。髋膝关节炎患者的病假率较高(26%),高于参考组(13%对12%)。结论与普通人群相比,BOA人群的SES一直较高,这表明该OA自我管理计划可能无法覆盖那些社会经济较弱的人群,这些人群通常是疾病负担较高的人群。
更新日期:2020-01-07
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