Abstract
Objective
To determine the relative incidence, prevalence, costs, and impact on disability of
8 common conditions treated by rehabilitation professionals.
Data Sources
Comprehensive bibliographic searches using MEDLINE, Google Scholar, and UpToDate, (June, 2013).
Data Extraction
Two review authors independently screened the search results and performed data extraction.
Eighty-two articles were identified that had relevant data on the following conditions:
Stroke, Spinal Cord Injury, Traumatic Brain Injury, Multiple Sclerosis, Osteoarthritis,
Rheumatoid Arthritis, Limb Loss, and Back Pain.
Data Synthesis
Back pain and arthritis (osteoarthritis, rheumatoid arthritis) are the most common
and costly conditions we analyzed, affecting more than 100 million individuals and
costing greater than $200 billion per year. Traumatic brain injury, while less common
than arthritis and back pain, carries enormous per capita direct and indirect costs,
mostly because of 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
as back pain and arthritis likely have the most impact on the health care system because
of their high prevalence and impact on disability.
Keywords
List of abbreviations:
NHANES (National Health and Nutrition Examination Survey), NHIS (National Health Interview Survey), TBI (traumatic brain injury)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: January 23, 2014
Footnotes
Supported by resources from the National Institutes of Health Intramural Research Program.
No commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a benefit on the authors or on any organization with which the authors are associated.
Identification
Copyright
© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
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- A Systematic Review of the Incidence, Prevalence, Costs, and Activity and Work Limitations of Amputation, Osteoarthritis, Rheumatoid Arthritis, Back Pain, Multiple Sclerosis, Spinal Cord Injury, Stroke, and Traumatic Brain Injury in the United States: A 2019 UpdateArchives of Physical Medicine and RehabilitationVol. 102Issue 1
