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Arthritis: The Disease, The Program

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Arthritis: The Disease, The Program & Interventions Debbie Campbell MBA, CHES Arthritis Health Section Chief Department of Health & Human Services - Division of Health – PowerPoint PPT presentation

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Title: Arthritis: The Disease, The Program


1
Arthritis The Disease, The Program
Interventions
  • Debbie Campbell MBA, CHES
  • Arthritis Health Section Chief
  • Department of Health Human Services - Division
    of Health
  • and
  • Appathurai Balamurugan MD, MPH Senior
    Epidemiologist,
  • Department of Health Human Services - Division
    of Health Assistant Professor, Dept. of
    Epidemiology, UAMS College of Public Health

2
The Arthritis Story
  • 70 million Americans
  • Leading cause of disability among Americans over
    age 15
  • Affects nearly 300,000 children
  • Baby boomers are now at prime risk, as more than
    half those affected are under age 65

3
The Arthritis Story Cont.
  • Second only to heart disease as a cause of work
    disability
  • 39 million physician visits every year
  • More than a half million hospitalizations per
    year
  • 86.2 billion annually

4
Outline
  • Arthritis Economic Disease Burden
  • Arthritis Health Program
  • Arthritis Management

5
Arthritis is an umbrella term
Rheumatoid Arthritis
Juvenile Arthritis
Fibromyalgia
Osteoarthritis
Ankylosing Spondylitis
Lyme Disease
Lupus
Gout
Bursitis
6
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7
Source BRFSS, 2004
8
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9
Percentage of Population
10
Figure 4. Percentage of Adults with Arthritis,
2003
People 18 or older with self-reported,
doctor-diagnosed arthritis. Source CDC,
Behavioral Risk Factor Surveillance System, 2003
11
Figure 5. Arthritis Prevalence In Arkansas By Age
Categories, 2004
Percentage with Arthritis
Source BRFSS, 2004
12
Figure 6. Arthritis Prevalence in Arkansas by
gender, 2004
Percentage with Arthritis
Source BRFSS, 2004
13
Figure 7. Arthritis Prevalence in Arkansas by
race, 2004
Percentage with Arthritis
14
Arthritis Prevalence in Arkansas, 2002
Prevalence of Doctor- Diagnosed Arthritis ?
24.6 29.9 30.0 34.9 35.0 39.9
40.0 48.6 BRFSS 2002
15
Cost Due to Arthritis and Related Conditions
16
Figure 8. Total Cost Attributable to Arthritis
and Other Rheumatic Conditions, Using Selected
Categories, 50 States and D.C., U.S., 1997
2.2 8.4 billion
750 million - 1.3 billion
1.5 - 2.2 billion
121 million - 578 million
Total direct (costs attributable to medical
expenditures) indirect (costs attributable to
work loss) Source CDC Arthritis Program
17
Direct Healthcare Expenses Due to Arthritis
  • Site of Service Costs
    Rank
  • Home Healthcare 2.49 B
    1
  • Ambulatory care 7.93 B
    2
  • In-patient 5.70 B
    4
  • Prescription Meds 5.15 B
    5

Source Healthcare Spending and Use Among United
State Community-Dwelling Adults for the 20 most
costly conditions
18
Direct Healthcare Expenses Due to Arthritis by
Source of Payment
Billions of dollars
Source Healthcare Spending and Use Among United
State Community-Dwelling Adults for the 20 most
costly conditions
19
Number of Hospital Discharges
20
Millions of Dollars ()
Year
21
Thousands of Dollars
22
Osteoarthritis (OA)
  • Clinical presentation
  • Epidemiology
  • Diagnosis
  • Treatment

23
Number of Hospital Discharges
24
Millions of Dollars ()
Year
25
Rheumatoid Arthritis (RA)
  • Clinical presentation
  • Epidemiology
  • Diagnosis
  • Treatment

26
Number of Hospital Discharges
Year
27
Millions of Dollars ()
Year
28
Systemic Lupus Erythematosus (SLE)
  • Clinical presentation
  • Epidemiology
  • Diagnosis
  • Treatment

29
Number of Hospital Discharges
Year
30
Millions of Dollars ()
Year
31
Gout
  • Clinical presentation
  • Epidemiology
  • Diagnosis
  • Treatment

32
Number of Hospital Discharges
Year
33
Millions of Dollars ()
Year
34
Fibromyalgia
  • Clinical presentation
  • Epidemiology
  • Diagnosis
  • Treatment

35
Back Pain
  • Clinical presentation
  • Epidemiology
  • Diagnosis
  • Treatment

36
Infectious Arthritis
  • Clinical presentation
  • Epidemiology
  • Diagnosis
  • Treatment

37
Occupational Sports Related Injuries Causing
Arthritis
  • Clinical presentation
  • Occupational CTS
  • Sports Tennis Elbow
  • Epidemiology
  • Diagnosis
  • Treatment

38
Juvenile Arthritis
  • Clinical presentation
  • Epidemiology
  • Diagnosis
  • Treatment

39
Health Status Among People With Arthritis
40
Arthritis is the No. 1 cause of disability in the
US and in AR
41
Figure 21. Health status among people with
arthritis
Source BRFSS, 2004
42
Percentage
Source BRFSS, 2004
43
Risk FactorsPreventive Care Services
44
Figure 23. Role of Body weight in Arthritis
Source BRFSS, 2004
45
Figure 24. Role of Physical Activity in Arthritis
Source BRFSS, 2003
46
Source BRFSS, 2004
47
  • ARthritis
  • Health Program

48
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49
Mission
  • Reduce the Impact of Arthritis and other
    Rheumatic Conditions among Arkansans

50
Goals
  • Increase Awareness and Knowledge
  • Expand Evidence-based Interventions
  • Establish and Maintain Partnerships
  • Expand and Maintain Surveillance

51
Interventions(No Longer Sitting Still for the
Pain)
  • Health Communication Campaign
  • Evidence-Based Programs

52
Physical Activity. The Arthritis Pain Reliever
53
Physical Activity and Arthritis
Pain Relief
Improved Joint Function
Weight Loss
Physical Activity
Improved Well-being
Reduced Disability
Overall Health Benefits
54
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55
Benefits of Exercising With Arthritis
  • Joint flexibility mobility
  • Nourishes cartilage
  • Muscle strength
  • Cardiovascular fitness, circulation
  • Weight control, better appearance
  • Sense of well-being, less stress depression

56
Benefits of Exercising With Arthritis Cont.
  • Bone strength
  • Endurance, stamina, more energy
  • Function, ability to perform daily activities
  • Posture, balance coordination
  • Regular bowel habits
  • Quality of sleep

57
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58
1. Arthritis Foundation Aquatic Program
59
Aquatics Classes In Arkansas Counties
Aquatics classes Source Arthritis Foundation,
6/8/2005
60
2. Arthritis Foundation Exercise Program
61
PACE Classes In Arkansas Counties
_at_ PACE classes Source Arthritis Foundation,
6/8/2005
62
3. Arthritis Foundation SelfHelp ProgramTake
Control With Knowledge
ASHC WORKSHOP OVERVIEW
TOPICS Week One Week Two Week Three Week Four Week Five Week Six
1. Self-Management Principles v
2. Pain-Management Principles v
3. Cognitive Pain Management v v v v
4. Goal-Setting/Action Plans v v v v v v
5. Problem-Solving Steps v
6. Exercise/Fitness v v v
7. Feedback/Problem-Solving v v v v v
63
3. Arthritis Foundation SelfHelp ProgramTake
Control With Knowledge
ASHC WORKSHOP OVERVIEW
TOPICS Week One Week Two Week Three Week Four Week Five Week Six
8. Difficult Emotions v
9. Healthy Eating v
10. Osteoporosis v
11. Fatigue and Energy Conservation v
12. Medication Usage v
13. Depression v
14. Working with Health Care Providers v
15. Evaluating Treatments v
16. Sleep v
64
Support Groups
  • Arthritis Support Group
  • Lupus Support Group
  • Fibromyalgia Support Group

65
Support Groups In Arkansas Counties
Arthritis support group Fibromyalgia support
group _at_ Lupus support group Source Arthritis
Foundation, 6/8/2005
66
  • Arthritis Management

67
10 Signs Of An Unproven Arthritis Remedy
  • 10. The "Conspiracy Theory"
  • 9. It's a "Special Diet "
  • 8. It's "Untested
  • 7. Drugs and Surgery are
  • "Condemned"
  • 6. The Body is "Cleansed"

68
10 Signs Of An Unproven Arthritis Remedy Cont.
  • 5. It's "Quick or Simple"
  • 4. Advertising is "Sensationalized"
  • 3. The "Testimonial"
  • 2. It's a "Secret"
  • 1. It's a "Cure"

69
Arthritis Treatment
  • Medical management Analgesics, NSAIDs, DMARDs,
    Biologic response modifiers, Corticosteriod
  • Surgery Traction, Joint or Disc replacement,
    Laser, endoscopy

70
Alternative Treatment for Arthritis
Hot Springs, Arkansas
71
Alternative Treatment for Arthritis Cont.
  • Green tea
  • Homeopathy
  • Hydrotherapy
  • Massage
  • Meditation
  • Tai Chi
  • Yoga
  • Acupuncture
  • Ayurveda
  • Biofeedback
  • Chiropractic
  • Chondroitin sulfate
  • Copper bracelet
  • Chinese Herbs
  • Diet Supplements
  • Fish oil

72
Recent Advances in Arthritis Management
  • Newer Drugs abatacept, Rituximab, Febuxostat
  • Medicare Part D prescription drug plan
  • Research findings Weight loss and Exercise
  • FDA decision on COX-2 selective inhibitor drugs
  • Genetic research

73
CDC Recommendations
  • See Your Doctor
  • Learn What You Can Do
  • Be Active
  • Watch Your Weight
  • Protect Your Joints
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