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Healthcare costs and productivity costs of hand and wrist injuries by external cause: A population-based study in working-age adults in the period 2008-2012.
- Source :
-
Injury [Injury] 2016 Jul; Vol. 47 (7), pp. 1478-82. Date of Electronic Publication: 2016 May 03. - Publication Year :
- 2016
-
Abstract
- Background: Hand and wrist injuries are very common at the Emergency Departments (ED), and among the most costly injury types in the working population. The purpose of this study was to explore the causes of non-trivial hand and wrist injuries (i.e., hand fractures, wrist fractures and complex soft-tissue injuries) in working-age adults in order to identify target areas for prevention.<br />Methods: Data were extracted from the Dutch Injury Surveillance System, from the National Hospital Discharge Registry and from a patient follow-up survey in working-age adults (aged 20-64 years) in the period 2008-2012. An incidence-based cost model was used to estimate healthcare costs, and an absenteeism model for estimating the productivity costs. Total costs were calculated by external cause, subdivided in their main categories (home, sports, work, traffic and violence) and their most important subclasses.<br />Results: Total costs of these injuries in The Netherlands were US $410 million per year, of which 75% (US $307 million) productivity costs. Males represented 66% (US $271 million) of the total costs. Within the male group, the group 35-49 years had the highest contribution to total costs (US $112 million), as well as the highest costs per case (US $10,675). Work-related injuries showed the highest costs per case (US $11,797), however, only 25% of the total costs were work-related. The top five causes in terms of total costs were: accidents at home (falls 23%, contact with an object 17%), traffic (cycling 9%) and work (industrial work 4%, and construction work 4%).<br />Conclusion: Hand and wrist injuries are a major cause of healthcare and productivity costs in working-age adults. To reduce the costs to society, prevention initiatives should be targeted at major contributing causes, that are mainly related to activities at home (falls, contact with an object) and accidents at the road (cycling).<br /> (Copyright © 2016 Elsevier Ltd. All rights reserved.)
- Subjects :
- Adult
Emergency Service, Hospital statistics & numerical data
Female
Follow-Up Studies
Hand Injuries epidemiology
Hand Injuries therapy
Health Care Surveys
Humans
Incidence
Male
Middle Aged
Netherlands epidemiology
Population Surveillance
Wrist Injuries epidemiology
Wrist Injuries therapy
Absenteeism
Cost of Illness
Hand Injuries economics
Health Care Costs statistics & numerical data
Wrist Injuries economics
Subjects
Details
- Language :
- English
- ISSN :
- 1879-0267
- Volume :
- 47
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Injury
- Publication Type :
- Academic Journal
- Accession number :
- 27198618
- Full Text :
- https://doi.org/10.1016/j.injury.2016.04.041