Spondyloarthritis & psoriatic arthritis

Evolving Economic Burden of Spondyloarthritis (2015–2023): A Nationwide Analysis of Direct and Indirect Costs

Joint Bone SpinePublished Retrospective population-based study

Authors' conclusion

Despite major therapeutic advances, the economic burden of SpA in France increased substantially between 2015 and 2023, driven by rising outpatient, medication-related, and indirect costs.

Study context

Population
Patients with spondyloarthritis (SpA), including psoriatic arthritis (PsA), in France, 2015–2023identified in 2023
Participants
270,290 patients
Outcome
Temporal changes in direct and indirect economic burden of SpA/PsA
Follow-up
2015–2023
Methodological detailsnationwide, French National Health Data System (SNDS), validated administrative algorithms
  • Nationwide
  • French National Health Data System (SNDS)
  • Validated administrative algorithms

Main finding

As reported in the abstract

Economic burden of SpA/PsA (total reimbursed expenditures), France

Total reimbursed expenditures, 2023

euro1.19 billion

Increase in number of patients, 2015–2023

45.1%

Increase in total expenditures, 2015–2023

52.2%

Increase in indirect costs, 2015–2023

78.5%

Observational data: associations, not effects.

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Evolving Economic Burden of Spondyloarthritis (2015–2023): A Nationwide Analysis of Direct and Indirect Costs. Joint Bone Spine. Published 17 August 2026. doi:10.1016/j.jbspin.2026.106123

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