The Incidence, Prevalence, Costs and Impact on Disability of Common Conditions Requiring Rehabilitation in the US: Stroke, Spinal Cord Injury, Traumatic Brain Injury, Multiple Sclerosis, Osteoarthritis, Rheumatoid Arthritis, Limb Loss, and Back Pain.

Archives of Physical Medicine and Rehabilitation

PubMedID: 24462839

Ma VY, Chan L, Carruthers KJ. The Incidence, Prevalence, Costs and Impact on Disability of Common Conditions Requiring Rehabilitation in the US: Stroke, Spinal Cord Injury, Traumatic Brain Injury, Multiple Sclerosis, Osteoarthritis, Rheumatoid Arthritis, Limb Loss, and Back Pain. Arch Phys Med Rehabil. 2014;95(5):986-995.e1.
OBJECTIVE
To determine the relative incidence, prevalence, costs and impact on disability of 8 common conditions treated by rehabilitation professionals.

DESIGN
Structured review of the literature SETTING: United States PARTICIPANTS: N/A INTERVENTIONS: N/A MAIN OUTCOME MEASURES: disease associated incidence, prevalence, direct and indirect costs and impact on activity and work limitations.

RESULTS
Back pain and arthritis (osteoarthritis and rheumatoid arthritis) are the most common and costly conditions that we examined, affecting over 100 million individuals and costing over $200 billion per year. Traumatic brain injury, while less common than arthritis and back pain, carries enormous per capita direct and indirect costs, mostly due to the young age of those involved and the severe disability that it may cause. Finally, stroke, which is often listed as the most common cause of disability, is likely second to both arthritis and back pain in its impact on functional limitations.

CONCLUSIONS
Of the common rehabilitation diagnoses we studied, musculoskeletal conditions such and back pain and arthritis likely have the most impact on the health care system due to their high prevalence and impact on disability.