The longitudinal association of hand osteoarthritis with paid and unpaid work restrictions and related societal costs: The Hand Osteoarthritis in Secondary Care cohort
Authors' conclusion
The proportion of patients with paid work decreases during follow-up, but restrictions at paid and unpaid work seem mostly stable.
Study context
- Population
- Patients with hand osteoarthritis (OA) in the Dutch Hand OSTeoArthritis in Secondary care cohort (HOSTAS) with baseline and at least one follow-up (year one up to year eight)mean age 60 years, 84% women
- Participants
- 351 patients
- Outcome
- Hand OA-related restrictions in paid and unpaid work over the last two weeks (Health and Labour Questionnaire) and societal costs of productivity loss
Methodological detailslongitudinal, secondary care
- Longitudinal
- Secondary care
Main finding
As reported in the abstract
Paid work and restrictions in paid and unpaid work
- Paid work, baseline
- 166/351 (47%)
- Paid work, year eight
- 54/164 (33%)
- Loss of productive time (paid work), baseline
- 32/166 (19%)
- Loss of productive time (paid work), year four
- 17/104 (16%)
- Loss of productive time at both moments
- 12/104 (11%)
- Any restrictions (paid work), baseline
- 89/166 (54%)
- Any restrictions (paid work), year four
- 41/104 (39%)
- Unpaid work: replacement of tasks by others, baseline
- 157/351 (45%)
- Unpaid work: replacement of tasks by others, year eight
- 72/164 (44%)
- Unpaid work: restrictions, baseline
- 205/351 (59%)
- Unpaid work: restrictions, year eight
- 99/164 (60%)
Observational data: associations, not effects.
Further findings
Mean total societal costs for loss of paid and unpaid work per patient (€/two weeks)
- Baseline, €89/two weeks
- 52;127 (95% CI)
- Year eight, €47/two weeks
- 26;69 (95% CI)
- Costs estimated with Dutch government data on 2021
Original publication
The longitudinal association of hand osteoarthritis with paid and unpaid work restrictions and related societal costs: The Hand Osteoarthritis in Secondary Care cohort. Osteoarthritis Cartilage. Published 1 November 2024. doi:10.
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