Levy E, Ferme A, Perocheau D, Bono I
Université de Paris Dauphine.
Rev Rhum Ed Fr. 1993 Jul;60(6 Pt 2):63S-67S.
The purpose of this study was to quantify the social and financial burden imposed by osteoarthritis in France. Six million new diagnoses of osteoarthritis are reported each year in France. The number of physician visits for osteoarthritis totals 8.7 million per year, for a total cost of 950 million French francs (FF). The cost of drugs prescribed to treat osteoarthritis is 965 million FF. Total annual cost of laboratory tests, roentgenograms, and rehabilitation therapy is 330 million French francs per year. The annual number of hospital admissions for osteoarthritis is 93,000. Duration of the hospital stay ranges from 11 to 16 days according the site involved. Hospital costs (in public and private institutions) total 1.7 billion French francs per year. Total direct costs related to osteoarthritis are 4 billion French francs per year. Indirect costs are the costs related to days of work lost. Sick leave benefits total 556 million FF and the production costs for the national economy are estimated at 1.6 billion French francs per year. Direct costs (4 billion FF) and indirect costs (at least 600 million FF) related to osteoarthritis represent an enormous burden for the French economy and national health care system. Novel treatments capable of substantially decreasing these costs would be of great value.
本研究的目的是量化骨关节炎给法国带来的社会和经济负担。法国每年报告有600万例新诊断的骨关节炎病例。每年因骨关节炎看医生的总次数达870万次,总费用为9.5亿法国法郎(FF)。用于治疗骨关节炎的处方药费用为9.65亿法国法郎。每年实验室检查、X光检查和康复治疗的总费用为3.3亿法国法郎。每年因骨关节炎住院的人数为9.3万。根据受累部位不同,住院时间为11至16天。(公立和私立机构的)住院费用每年总计17亿法国法郎。与骨关节炎相关的直接费用每年总计40亿法国法郎。间接费用是与误工天数相关的费用。病假福利总计5.56亿法国法郎,国民经济的生产成本估计每年为16亿法国法郎。与骨关节炎相关的直接费用(40亿法国法郎)和间接费用(至少6亿法国法郎)给法国经济和国家医疗保健系统带来了巨大负担。能够大幅降低这些费用的新疗法将具有重大价值。