The effects of clinical, epidemiological and economic aspects of changes in classification criteria of selected rheumatic diseases

Owczarek, Aleksander; Michalik, Rafał; Kotyla, Przemysław; Kucharz, Eugene J.

doi:10.5114/reum.2014.42800

Cited by 3 publications

(7 citation statements)

References 20 publications

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“…A significant proportion of the Polish population suffers from rheumatic diseases, with a morbidity rate of 4–5% [ 1 ]. Rheumatoid arthritis alone is treated in 150 000 Polish patients yearly, with the total estimated population of 400 000 people suffering in Poland from inflammatory joint diseases, including rheumatoid arthritis [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…More and more often the cost resulting from rheumatic diseases becomes the object of interest for epidemiologists and medical economists [ 7 ]. Long-term analysis is biased because of classification criteria changes that were introduced for many rheumatic diseases; it becomes even more difficult as some of those diseases are not diagnostically defined clearly enough [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…As with the progress of rheumatic diseases the degree of patients’ functional disability increases [ 1 ], such diseases are associated with significant costs that can be divided into direct, indirect and immeasurable costs [ 2 ]. Rheumatic diseases result in: progressive loss of productivity [ 8 ], increasing difficulties in performing everyday activities [ 9 ], often ending finally in total dependency on others [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of rheumatic diseases tends to increase with age and – combined with the aging of the population – it means increasing the burden on the medical services; it is significant even now as the rheumatic diseases are ranked in the 8 th place among the most burdensome diseases. In 2009 the Social Insurance Fund (Fundusz Ubezpieczeń Społecznych) in Poland paid to rheumatic disease patients around PLN 3 500 000 000 because of absence from work alone – which represents 12.6% of the total amount of work absence-related expenses [ 1 ]. In 2014 the respective payments increased to around PLN 4 250 000 and the percentage of expenses increased to 13.1% [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…In 2014 the respective payments increased to around PLN 4 250 000 and the percentage of expenses increased to 13.1% [ 13 ]. An average insured person in Poland had to pay PLN 155 because of this – which makes the rheumatic diseases 3 rd among the most expensive health conditions, just behind circulatory system diseases and psychiatric diseases (PLN 193 and PLN 191, respectively) [ 1 ]. In 2014 the ranking stayed unchanged, but the amounts of money increased significantly to: PLN 181, PLN 240 and PLN 194, respectively [ 13 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Differences in selected medical care parameters in rheumatic disease ward patients of different ages of life

Pobrotyn¹,

Susło

Witczak

et al. 2016

Reumatologia

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IntroductionRheumatic diseases are becoming more and more common in Poland with the ageing of the population. Nearly 18% of the total hospital admissions in Poland result from rheumatic diseases, which was equivalent to 350 thousand cases in the year 2008. These diseases tend to last for many decades, decreasing both the quality of life and income of the patients as well as increasing the medical institutions’ workload and society's financial burden.The aim of the study was to determine whether the medical care parameters in a rheumatic disease hospital ward show any significant differences among different patient age groups – especially such that would support taking them into account as a basis for adjusting the financial coverage level of medical services.Material and methodsData on hospitalizations at the Rheumatic Diseases Ward of Wroclaw University Hospital in Wroclaw in the years 2009–2015 were analyzed, taking into account the age groups, number of hospital admissions, their duration and causes. Relevant statistical data analysis was performed.DiscussionThe study revealed that the number of old patients hospitalized at the rheumatic diseases ward increased over the last 6 years and that such statistically significant differences do exist: on average the old patients not only tend to stay much longer at the hospital, but also suffer from a different and more diverse spectrum of diseases in comparison to their younger counterparts.ConclusionsThe detected differences in medical care parameters support the need for more individualized medical care and increased cost of the hospital stay in the case of older patients. Consequently, those factors justify the necessity to increase the value of medical services in the case of old patients, possibly also taking into account the variation between age subgroups.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Differences in selected medical care parameters in rheumatic disease ward patients of different ages of life

Pobrotyn¹,

Susło

Witczak

et al. 2016

Reumatologia

View full text Add to dashboard Cite

show abstract

Specific Markers of Neuropsychiatric Systemic Lupus Erythematosus With Mental Disorders – Review of the Literature

et al. 2019

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Systemic lupus erythematosus (SLE) is a chronic multiorgan autoimmune disease belonging to spectrum of interest of many medical specialties. Wide range of patients 14−75% with SLE suffers from neuropsychiatric disorders. The problematic diagnosis of neuropsychiatric SLE has generated many studies focusing on etiology of the disease with the presence of specific autoantibodies, abnormalities which can be detected by imaging examinations or correlation with catecholamine levels. The aim of this review paper is to discuss the frequency of neuropsychiatric disturbances in patients with SLE and their potential association with immunological abnormalities and specific disease markers. So far published literature regarding this topic indicates the usefulness of autoantibodies specificity. The use of the specific antibodies may be helpful in targeting diagnostics towards psychiatric disorders, especially depressive ones. Imaging scanning techniques such as computed tomography (CT) have limited value in psychiatric disorders diagnosis but can be useful in neurological symptoms and complains. Therapeutic use of systemic glucocorticosteroids due to anti-inflammatory properties with multidirectional action, may also significantly influence the course of neuropsychiatric diseases, especially in patients with SLE. Awareness of the morbidity of neuropsychiatric disorders and the possibilities of their diagnosis are important in the management of patients with systemic lupus erythematosus, which significantly affects the quality of life of patients, treatment efficacy and psyche.

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Life satisfaction, generalized sense of self-efficacy and acceptance of illness in rheumatoid arthritis patients depending on age and severity of the disease

Staszkiewicz¹,

Kulesa-Mrowiecka²,

Szklarczyk³

et al. 2023

Reumatologia

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IntroductionRheumatoid arthritis (RA) is a chronic autoimmune condition characterized by periods of exacerbation (physical limitations, depressed mood, depressive states and decreased life satisfaction) and remission (hope of health improvement). Our objective was to present social functioning of RA patients taking into consideration their age and employing selected determinants: satisfaction with life, generalized sense of self-efficacy and acceptance of illness.Material and methodsStandardized tools were employed: the Satisfaction with Life Scale, Generalized Self Efficacy Scale and Acceptance of Illness Scale. The study group included 46 patients with RA 18-45 years of life and 54 above 60 years of life. The control group consisted of 24 non-RA subjects in every group .ResultsRheumatoid arthritis patients in the period of disease exacerbation reported low and moderate levels of satisfaction with life, in the patients in remission period the score was moderate, while the control group subjects described their level of satisfaction with life as high and moderate. The level of acceptance of illness was described by the RA patients in the period of disease exacerbation as 20.4/40 points; the patients in remission defined their level of acceptance of illness as 29.38/40 points. The patients with RA exacerbation showed a low sense of self-efficacy, yet a large group of such patients also presented high self-efficacy levels and the majority of the RA subjects in remission reported a high sense of self-efficacy.ConclusionsIn the RA patients, satisfaction with life, generalized sense of self-efficacy and acceptance of illness were closely related and affected their general psychosocial functioning.

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The effects of clinical, epidemiological and economic aspects of changes in classification criteria of selected rheumatic diseases

Cited by 3 publications

References 20 publications

Differences in selected medical care parameters in rheumatic disease ward patients of different ages of life

Differences in selected medical care parameters in rheumatic disease ward patients of different ages of life

Specific Markers of Neuropsychiatric Systemic Lupus Erythematosus With Mental Disorders – Review of the Literature

Life satisfaction, generalized sense of self-efficacy and acceptance of illness in rheumatoid arthritis patients depending on age and severity of the disease

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