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Update ACHES CDC Chronic Disease Calculator Lifetime risk

Update ACHES CDC Chronic Disease Calculator Lifetime risk. Louise Murphy PhD. Arthritis Program, Centers for Disease Control and Prevention, Atlanta GA. National Center for Chronic Disease Prevention and Health Promotion. Division of Adult and Community Health. ACHES overview.

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Update ACHES CDC Chronic Disease Calculator Lifetime risk

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  1. UpdateACHESCDC Chronic Disease CalculatorLifetime risk Louise Murphy PhD Arthritis Program, Centers for Disease Control and Prevention, Atlanta GA National Center for Chronic Disease Prevention and Health Promotion Division of Adult and Community Health

  2. ACHES overview • Arthritis Conditions Health Effects Survey • Conducted 2005/2006 • US adults aged ≥ 45 years • Nationally representative • Doctor diagnosed arthritis (1,793 participants) • Interview administered telephone survey • Questionnaire • Socio-demographic, physical function, self-management, mental health

  3. Impact of arthritis on volunteering • One-third of respondents reported volunteering. • 41% (4.9 million) reported arthritis attributable volunteer limitations. • 27% (6.8 million) of non-volunteers • Arthritis was main reason that they did not volunteer. Theis KA et al. Arthritis restricts volunteer participation: Prevalence and correlates of volunteer status among adults with arthritis. Arthritis Care Res. 2010 Jul;62(7):907-16.

  4. Prevalence of anxiety and/or depression

  5. Most respondents with depression also have anxiety Depression only (3%) Anxiety and Depression (15%) Anxiety Only (16%) Murphy et al. Coexistence of Anxiety and Depression

  6. Self-management education (SME) participation SME recommended and attended (5%) SME recommended by health care provider (5%) Attended a SME (5%) Of those who attended a SME, half had received a recommendation

  7. Characteristics of SME attendees • Multivariable logistic regression models • Statistically significant associations • College education • Odds ratio =4.3 (95% confidence interval=1.9-4.6) • Recommendation from their health care provider • Odds ratio=18.5 (95% confidence interval=11.3-30.2) Murphy L, et al. A Health Care Provider’s Recommendation is the Most Influential Factor in Taking an Arthritis Self-Management Course (SMC): A National Perspective from the Arthritis Conditions Health Effects Survey (ACHES).  Arthritis Rheum. 56(9): S307-S308.  2007

  8. Work limitations • 3 measures of arthritis impact on work • Among employed respondents • Arthritis or joint symptoms affected • Whether you work for pay or not -- 30% • Type of work – 42% • Amount of work – 43% • Limitations were highest among those with limited physical function Theis KA, et al. Arthritis impact on 3 work measures. Arthritis Rheum.  58(9): S643.  2008.

  9. Other abstracts • Theis KA et al. Arthritis treatment among US adults: Prevalence and satisfaction.  Arthritis Rheum.  58(9): S931 .  2008. • Johnson T et al. Arthritis: Additional joint sites lead to at least additively worse outcomes.  136th APHA Annual Meeting & Exposition (October 25-29, 2008) in San Diego, CA

  10. CDC Chronic Disease Cost Calculator • Version 2 • State specific estimates • Medical costs, absenteeism and projections • Medicaid, Medicare, All payers • Conditions • Arthritis; Asthma; Cancer; Cardiovascular disease (CVD) [including congestive heart failure, coronary heart disease, hypertension, stroke, and other CVD (e.g., other cerebrovascular disease)]; Depression; and Diabetes

  11. Calculator release • Manuscript describing methodology • Calculator tool • Late 2010/early 2011 • http://www.cdc.gov/chronicdisease/resources/calculator/index.htm -- version 1

  12. Lifetime risk of symptomatic osteoarthritis • Knee • Nearly 1 in 2 people • 2 in 3 among those who are obese Murphy et al. Lifetime risk of symptomatic knee osteoarthritis. Arthritis Care Res. 2008 Sep 15;59(9):1207-13. • Hip • 1 in 4 people • No differences across subgroups Murphy et al. One in four may develop symptomatic hip OA in their lifetime. Osteoarthritis and Cartilage (under review)

  13. Thank you. Contact information: lmurphy1@cdc.gov National Center for Chronic Disease Prevention and Health Promotion Division of Adult and Community Health

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