Fibromyalgia & musculoskeletal pain

Health inequities and societal costs for patients with fibromyalgia and their spouses: a Danish cohort study

RMD OpenPublished Population-based cohort case-control study

Authors' conclusion

FM has major health and socioeconomic consequences for patients, their partners and society

Study context

Population
People with fibromyalgia (FM) and their spouses in Denmark (94.9% females, mean age 50 years)9,712 FM, 5946 spouses
Comparison
FM vs matched general population controls; spouses of FM vs matched comparator spouses
  • FMn = 9,712
  • Spousesn = 5,946
Outcome
Burden of illness: healthcare and societal costs, socioeconomic status and comorbidities
Methodological detailsDanish registries 1994–2021, 1:4 random matching to general population comparator, matched comparator spouses
  • Danish registries 1994–2021
  • 1:4 random matching to general population comparator
  • Matched comparator spouses

Main finding

As reported in the abstract

Burden of illness in FM vs controls

Net average increased societal cost for FM per patient-year after diagnosis

€27 193

Employment rate after diagnosis (FM)

22%

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Comorbid AS at time of FM diagnosis (highest risk)FMvs Controls7.0 (4.9–10.0)
OutcomeFMControls
Disability pension · 10 years after FM diagnosis50%11%

Comorbidities in spouses

Significantly more comorbidities also observed in spouses

Loss of income from employment in FM

Occurred years before establishment of the FM diagnosis

Original publication

Health inequities and societal costs for patients with fibromyalgia and their spouses: a Danish cohort study. RMD Open. Published 2 February 2024. doi:10.1136/rmdopen-2023-003904

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