骨关节炎的经济学

The economics of osteoarthritis

骨关节炎(Osteoarthritis,OA)是一种最为常见的关节疾病,一般认为与衰老、创伤、炎症、肥胖、代谢障碍和遗传等因素有关。本病好发于50岁以上的中老年人,其患病率随着年龄而增加,女性发病率高于男性。我国骨关节炎的患者大约有1亿人,且患病人数还在不断增加。65岁以上人群中约90%的女性和80%的男性均患有不同程度的骨关节炎,严重地影响患者的生活质量,也给家庭和社会带来沉重的经济负担。骨关节炎也是人类致残的主要疾病之一,是造成50岁以上人群劳动力丧失的主要原因之一,在我国就有约100～150万严重骨关节炎患者需要置换人工关节才能解除病痛。由于极高的患病率和致残率,治疗费用的昂贵,疾病所致的工作能力和生活能力的丧失,使骨关节炎成为造成经济损失和影响社会发展的主要疾病之一。因此,有关骨关节炎经济学方面的研究,为国家卫生行政政策的制定和疾病预防控制提供重要参考依据。

As the one of the most common form of joint disease, osteoarthritis （OA） is associated with aging, trauma, inflammation, obesity, metabolic and genetic disorder and so on. The disease occurs in the elderly aged over 50 and prevalence rate increases with age, also women were more than male. The number of patients with OA in China accounts for about 100 million, and the number of patients has been steadily increasing. Among the population aged over 65 about 90% of women and 80% of men were suffering from various degrees of osteoarthritis, not only seriously affectting the quality of life of patients, but also bring extremely high economic burden to family and society. In addition, osteoarthritis is one of the major diseases of human disability and the main reason of people over 50 who loss the labor force, so about 1.0 to 1.5 million patients in severe osteoarthritis need replacement of artificial joints to relieve pain in China. As the high prevalence and morbidity, high treatment costs and the loss of ability to work and live, OA has been one of the major disease causing economic losses and impacting social development. Therefore, the investigation about economic burden of osteoarthritis can provide an important reference for administrative policies of national health and prevention and control of disease.