louise murphy phd arthritis program, centers for disease control and prevention, atlanta ga national...

Louise Murphy PhD

Arthritis Program, Centers for Disease Control and Prevention,

Atlanta GA

National Center for Chronic Disease Prevention and Health Promotion

Division of Adult and Community Health

Update

ACHESCDC Chronic Disease Calculator

Lifetime risk

ACHES overview Arthritis Conditions Health Effects Survey

Conducted 2005/2006 US adults aged ≥ 45 years

• Nationally representative• Doctor diagnosed arthritis (1,793 participants)

Interview administered telephone survey Questionnaire

• Socio-demographic, physical function, self-management, mental health

Impact of arthritis on volunteering

One-third of respondents reported volunteering. 41% (4.9 million) reported arthritis attributable

volunteer limitations. 27% (6.8 million) of non-volunteers

Arthritis was main reason that they did not volunteer.

Theis KA et al. Arthritis restricts volunteer participation: Prevalence and correlates of volunteer status among adults with arthritis. Arthritis Care Res. 2010 Jul;62(7):907-16.

Prevalence of anxiety and/or depression

Most respondents with depression

also have anxiety

Murphy et al. Coexistence of Anxiety and Depression

AnxietyOnly

(16%)

Anxiety and

Depression

(15%)

Depression only (3%)

Self-management education (SME) participation

Of those who attended a SME, half had received a recommendation

Attended a SME

(5%)

SME recommended by health

care provider(5%)

SME recommende

d and attended

(5%)

Characteristics of SME attendees

Multivariable logistic regression models

Statistically significant associations College education

• Odds ratio =4.3 (95% confidence interval=1.9-4.6)

Recommendation from their health care provider• Odds ratio=18.5 (95% confidence interval=11.3-30.2)

Murphy L, et al. A Health Care Provider’s Recommendation is the Most Influential Factor in Taking an Arthritis Self-Management Course (SMC): A National Perspective from the Arthritis Conditions Health Effects Survey (ACHES).  Arthritis Rheum. 56(9): S307-S308.  2007

Work limitations 3 measures of arthritis impact on work Among employed respondents

Arthritis or joint symptoms affected1) Whether you work for pay or not -- 30% 2) Type of work – 42%3) Amount of work – 43%

Limitations were highest among those with limited physical function

Theis KA, et al. Arthritis impact on 3 work measures. Arthritis Rheum.  58(9): S643.  2008.

Other abstracts

Theis KA et al. Arthritis treatment among US adults: Prevalence and satisfaction.  Arthritis Rheum.  58(9): S931 .  2008.

Johnson T et al. Arthritis: Additional joint sites lead to at least additively worse outcomes.  136th APHA Annual Meeting & Exposition (October 25-29, 2008) in San Diego, CA

CDC Chronic Disease Cost Calculator

Version 2 State specific estimates

• Medical costs, absenteeism and projections• Medicaid, Medicare, All payers

Conditions• Arthritis; Asthma; Cancer; Cardiovascular disease (CVD)

[including congestive heart failure, coronary heart disease, hypertension, stroke, and other CVD (e.g., other cerebrovascular disease)]; Depression; and Diabetes

Calculator release Manuscript describing methodology Calculator tool

Late 2010/early 2011

http://www.cdc.gov/chronicdisease/resources/calculator/index.htm -- version 1

Lifetime risk of symptomatic osteoarthritis

Knee Nearly 1 in 2 people

• 2 in 3 among those who are obeseMurphy et al. Lifetime risk of symptomatic knee osteoarthritis. Arthritis Care Res. 2008 Sep 15;59(9):1207-13.

Hip 1 in 4 people No differences across subgroups

Murphy et al. One in four may develop symptomatic hip OA in their lifetime. Osteoarthritis and Cartilage (under review)

For more information please contact Centers for Disease Control and Prevention1600 Clifton Road NE, Atlanta, GA 30333Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: cdcinfo@cdc.gov Web: www.cdc.gov

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.

Thank you.

Contact information:lmurphy1@cdc.gov

National Center for Chronic Disease Prevention and Health Promotion

Division of Adult and Community Health