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Prevalence of Joint Pain and Arthritis in the US

This article explores the prevalence of joint pain and arthritis in the United States, with a focus on different age groups and genders. It includes statistics on the burden of pain among adults, the prevalence of specific conditions associated with chronic joint pain, and the incidence of various types of arthritis.

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Prevalence of Joint Pain and Arthritis in the US

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  1. epidemiology

  2. General

  3. Prevalence of Joint Pain Prevalence of joint pain increases with age and is higher in women. Age-sex adjusted to the 2000 United States (US) standard population. Source: National Health Interview Survey (NHIS) 2007. Pfizer Medical Division. The Burden of Pain Among Adults in the United States. Pfizer Inc.; New York, NY: 2008.

  4. Prevalence of Joint Pain in Men • Pain differs by site and age Shoulder Elbow Wrist Fingers Hip Knee Ankle Toes Percent Source: National Health Interview Survey (NHIS) 2007. Pfizer Medical Division. The Burden of Pain Among Adults in the United States. Pfizer Inc.; New York, NY: 2008.

  5. Prevalence of Joint Pain in Women • Pain differs by site and age Shoulder Elbow Wrist Fingers Hip Knee Ankle Toes Percent National Health Interview Survey (NHIS) 2007. Pfizer Medical Division. The Burden of Pain Among Adults in the United States. Pfizer Inc.; New York, NY: 2008.

  6. Arthritis is Prevalent inAmerican Adults* • 49.9 million (22.2%) with self-reported, physician-diagnosed arthritis1† • 21.1 million (9.4%) with arthritis and arthritis-attributable activity limitation1 • Affects more women than men in every age group2 • Arthritis and rheumatism are leading causes of disability in the US3 • By 2030, a projected 67 million in the US will have health care practitioner-diagnosed arthritis4 *Data sources: 2007–2009 data from the National Health Interview Survey (NHIS); †Includes multiple forms of arthritis; US = United States 1. Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep 2010; 59(39):1261-65; 2. Centers for Disease Control and Prevention. NHIS Arthritis Surveillance: Arthritis Prevalence in Women and Men. Available at: www.cdc.gov/arthritis/data_statistics/national_nhis.htm. Accessed: January 12, 2011; 3. Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep 2009; 58(16):421-6; 4. Hootman JM, Helmick CG. Arthritis Rheum 2006; 54(1):226-9.

  7. Arthritis Is Commonly Reported* *United States prevalence and trends data Percentage = weighted percentage Centers for Disease Control and Prevention. About the Behavioral Risk Factor Surveillance System (BRFSS). Available at: http://www.cdc.gov/brfss/about/about_brfss.htm. Accessed: August 2, 2013; Centers for Disease Control and Prevention. Behavioral Risk Factor Surveillance System Annual Survey Data. Available at: http://www.cdc.gov/brfss/annual_data/annual_data.htm. Accessed: August 2, 2013.

  8. Prevalence of Specific Conditions Associated with Chronic Joint Pain Mayo Clinic. Arthritis. Available at: https://healthletter.mayoclinic.com/secure/pdf/SRAR.pdf. Accessed: August 19, 2013; Wong R et al. Prevalence of Arthritis and Rheumatic Diseases Around the World: A Growing Burden and Implications for Health Care Needs. Arthritis Community Research and Evaluation Unit; Toronto, ON: 2010.

  9. AS Ankylosing Spondylitis • May affect >400,000 Americans • Estimated prevalence in Caucasian populations: ~0.1–0.9% • Most common comorbidities are inflammatory bowel disease and osteoporosis • Heredity is a major risk factor for ankylosing spondylitis • HLA-B27 allele is found in 90% of patients with the disease • Appears to contribute 16–50% of the genetic risk HLA = human leukocyte antigen American College of Rheumatology. AS Fact Sheet. Available at: http://www.rheumatology.org/Practice/Clinical/Patients/Diseases_And_Conditions/Spondylarthritis_(Spondylarthropathy)/. Accessed: September 1, 2013; Kataria RK et al. Am Fam Physician 2004; 69(12):2853-60; Sieper J et al. Ann Rheum Dis 2002; 61(Suppl 3):iii8-18.

  10. RA Prevalence of Rheumatoid Arthritis Males Females 600 500 400 300 Prevalence (per 100,000) 200 100 0 Africa Eastern World Eastern Africa (subregion E) (subregion D) Mediterannean Mediterannean (subregion B) (subregion D) WHO subregion WHO = World Health Organization Symmons D et al. The Global Burden of Rheumatoid Arthritis in the Year 2000. Available at: http://www.who.int/healthinfo/statistics/bod_rheumatoidarthritis.pdf. Accessed: September 1, 2013.

  11. OA Osteoarthritis: Most Common Form of Chronic Joint Pain • Affects: • 13.9% of adults aged 25 years and older • 33.6% of those 65 years and older • As the general population ages, the numbers of people affected are likely to increase dramatically Centers for Disease Control. Arthritis-Related Statistics. Available at: http://www.cdc.gov/arthritis/data_statistics/arthritis_related_stats.htm. Accessed: July 19, 2013.

  12. OA Incidence of Osteoarthritis of the Hand, Hip and Knee 1200 Hand males Hand females Hip males 1000 Hip females Knee males Knee females 800 600 Incidence rate per 100,000 person-years 400 200 0 20–29 30–39 40–49 50–59 60–69 70–79 80–89 Age group (years) Oliveria SA et al. Arthritis Rheum 1995; 38(8):1134-41.

  13. OA Commonly Affected Joints: Prevalence of Symptomatic Osteoarthritis Hand: 8% of those ≥60 years Hip: 4% of those ≥55 years Knee: 12% of those ≥60 years Foot: 2% of those 15–74 years CMC = carpometacarpal; DlP = distal interphalangeal; MTP = metatarsophalangeal; PlP = proximal interphaIangeaI Centers for Disease Control. Osteoarthritis. Available at: http://www.cdc.gov/arthritis/basics/osteoarthritis.htm. Accessed: July 22, 2013.

  14. Summary

  15. Epidemiology of Chronic Joint Pain: Summary • The prevalence of joint pain increases with age and is higher in women • Osteoarthritis is the most common form of chronic joint pain, affecting one-third of adults aged 65 years and older • Prevalence is expected to increase as the general population ages • Rheumatoid arthritis and ankylosing spondylitis may affect up to 4% and 1% of the population, respectively

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