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The Impact of Musculoskeletal Disorders on Americans Opportunities for Action What are Musculoskeletal disorders? They cover the human body from head to toe … • Arthritis and other rheumatic conditions • Disorders and conditions of the spine (e.g., low back/neck pain) • Spinal deformity and related conditions (e.g., scoliosis) • Osteoporosis • Cancers of the bone and connective tissue • Musculoskeletal injuries Opportunities for Action Most Americans are surrounded by neighbors, colleagues, and relatives with pain and disability from bone and joint diseases and disorders. Opportunities for Action Why do these disorders matter? Musculoskeletal disorders: • Are common and often painful, limiting, and debilitating • Affect Americans of all ages • Have ripple effects across the life span • Are costly, and will become more so as the population ages Opportunities for Action Musculoskeletal disorders are common and often debilitating. • 1 of 2 adults in the U.S. – 126.6 million people – were diagnosed with musculoskeletal conditions in 2012 • Nearly 18 million adults (6% of the U.S. population) reported being unable to perform at least one common activity because of these conditions Opportunities for Action Musculoskeletal conditions are more common — by far — than other chronic conditions. 60% 50% 40% 30% Musculosketetal 54% Circulatory 31% Respiratory 28% 20% 10% Diabetes 13% Cancer 9% 0% Opportunities for Action They affect Americans of all ages. • Children and adolescents • Working-age adults, including military personnel • Older adults Opportunities for Action They’re costly, and will become more so. Musculoskeletal disorders cost $213 billion in 2011 in direct and indirect costs, or 1.4% of the U.S. Gross Domestic Product (GDP). U.S. government outlay for defense, 2015: $813.9 billion Treatment costs for patients with musculoskeletal disorders and other conditions, 2011 = $796 billion Direct and indirect costs of musculoskeletal disorders, 2011 = $213 billion (1.4% of GDP) Musculoskeletal disorder treatment costs plus indirect costs = $874 billion, 2015 (5.7% of GDP) $874 Billion $813.9 Billion $796 Billion $213 Billion Opportunities for Action What can we do differently? 1 2 Match investments to the burden Invest in prevention, diagnosis and treatment Opportunities for Action Match research investments to the burden of Musculoskeletal disorders. Percent of health care visits driven by musculoskeletal conditions, 2011 Annual medical expenditures on musculoskeletal conditions, as a percentage of total medical expenditures, 2009-11 18% 16.3% Percent of NIH budget allocated to musculoskeletal research Less than 2% Opportunities for Action Invest. 1 In prevention, diagnosis, and treatment to improve outcomes and lower costs 2 Research priorities • Comparative effectiveness of treatments • New treatment and prevention strategies • Role of behavior change 3 Improved access and coordination of care 4 Better data to drive understanding and improvement Opportunities for Action The Return on Investment Opportunities for Action For more information, visit … www.boneandjointburden.org A Single Source for Information About Musculoskeletal Disorders Customized Report Builders Filter by Diagnosis and Demographic Characteristics Fact Sheets Policy Briefs Charts and Data Tables on Impact, Current Practice, Costs, and Much More! Opportunities for Action