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Direct health costs of inflammatory polyarthritis 10 years after disease onset: results from the Norfolk Arthritis Register.

J Rheumatol

May 2015

From the Department of Applied Health Research, University College London, London; Centre for Lifespan and Chronic Illness Research, University of Hertfordshire, Hatfield; Norwich Medical School, University of East Anglia; Clinical Effectiveness and Audit Department, Norfolk and Norwich University Hospital, Norwich; Department of Epidemiology and Public Health, University of Leicester, Leicester; Arthritis Research UK Centre for Epidemiology, University of Manchester; National Institute for Health Research (NIHR) Manchester Musculoskeletal Biomedical Research Unit, UK.E. Nikiphorou, MBBS/BSc, MRCP, MD(Res)PGCME, FHEA, Department of Applied Health Research, University College London, and Centre for Lifespan and Chronic Illness Research, University of Hertfordshire; C. Davies, BSc, MSc, PhD; M. Mugford, BA (Hons), D Phil Health Economics, Norwich Medical School, University of East Anglia; N. Cooper, BSc, MSc, PhD, Department of Epidemiology and Public Health, University of Leicester; A. Brooksby, BSc (Hons), MSc, Clinical Effectiveness and Audit Department, Norfolk and Norwich University Hospital; D.K. Bunn, BSc, MSc, RGN, RM, Norwich Medical School, University of East Anglia; A. Young, BA, MA, MB, BChir (Cantab), FRCP, Centre for Lifespan and Chronic Illness Research, University of Hertfordshire; S.M. Verstappen, MSc, PhD, Arthritis Research UK Centre for Epidemiology, University of Manchester; D.P. Symmons, MD, FRCP, Arthritis Research UK Centre for Epidemiology, University of Manchester, and NIHR Manchester Musculoskeletal Biomedical Research Unit; A.J. MacGregor, FRCP, MD, PhD, Norwich Medical School, University of East Anglia.

Objectives: To explore the change in direct medical costs associated with inflammatory polyarthritis (IP) 10 to 15 years after its onset.

Methods: Patients from the Norfolk Arthritis Register who had previously participated in a health economic study in 1999 were traced 10 years later and invited to participate in a further prospective questionnaire-based study. The study was designed to identify direct medical costs and changes in health status over a 6-month period using previously validated questionnaires as the primary source of data.

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