ArticleRMD open2015
Socioeconomic inequities in perceived health among patients with musculoskeletal disorders compared with other chronic disorders: results from a cross-sectional Dutch study.
Article in RMD open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 39 citations in OpenAlex.
- Trial
- Evaluation of the efficacy of a short-course, personalized self-management and intensive spa therapy intervention as active prevention of musculoskeletal disorders of the upper extremities (Muska): a research protocol for a randomized controlled trial.BMC musculoskeletal disorders · 2016Trial
- Difficult-to-Treat Rheumatoid Arthritis in Saudi Arabia: Clinical Characteristics and Associated Factors in a Multicentre Study.Open access rheumatology : research and reviews · 2026Article
- Patient characteristics and healthcare use for high-cost patients with musculoskeletal disorders in Norway: a cohort study.BMC health services research · 2024Article
- Predictors of quality of life, functional status, depression and fatigue in early arthritis: comparison between clinically suspect arthralgia, unclassified arthritis and rheumatoid arthritis.BMC musculoskeletal disorders · 2024Article
- Socioeconomic and Other Risk Factors for Retear after Arthroscopic Surgery for Nontraumatic Rotator Cuff Tear.Medicina (Kaunas, Lithuania) · 2024Article
- The potential of a multimodal digital care program in addressing healthcare inequities in musculoskeletal pain management.NPJ digital medicine · 2023Article
- Combination of health care service use and the relation to demographic and socioeconomic factors for patients with musculoskeletal disorders: a descriptive cohort study.BMC health services research · 2023Article
- Factors Influencing the Size of a Non-Traumatic Full-Thickness Rotator Cuff Tear: Focusing on Socioeconomic Factors.International journal of environmental research and public health · 2022Article
- Social determinants of health influence disease activity and functional disability in Polyarticular Juvenile Idiopathic Arthritis.Pediatric rheumatology online journal · 2022Article
- Exploring the relationship between depression and different multimorbidity patterns among older people covered by long-term care insurance in Shanghai, China.Psychogeriatrics : the official journal of the Japanese Psychogeriatric Society · 2022Article
- The association between manual handling operations and pain in the hands and arms in the context of the 2018 BIBB/BAuA Employment Survey.BMC musculoskeletal disorders · 2021Article
- Horizontal inequity in self-reported morbidity and untreated morbidity in India: Evidence from National Sample Survey Data.International journal for equity in health · 2021Article
- Quantifying the collective influence of social determinants of health using conditional and cluster modeling.PloS one · 2020Observational
- Socio-economic gradients in the presence of musculoskeletal and other chronic diseases: results from a cross-sectional study in the Netherlands.Clinical rheumatology · 2018Article
- Patient characteristics influence the choice of biological drug in RA, and will make non-TNFi biologics appear more harmful than TNFi biologics.Annals of the rheumatic diseases · 2018Article
- Functioning and quality of life in Dutch oldest old with diverse levels of dependency.Patient preference and adherence · 2018Article
- Long-term follow-up on health-related quality of life in major depressive disorder: a 2-year European cohort study.Neuropsychiatric disease and treatment · 2018Article
Corrections and comments
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo explore the impact of socioeconomic factors on physical and mental health of patients with musculoskeletal disorders (MSKDs) and compare it across patients with other disorders.
methodsA representative sample of the Dutch population (n=8904) completed a survey on sociodemographics, physician-diagnosed (co-) morbidities, and physical (physical component summary, PCS) and mental (mental component summary, MCS) subscales of SF-12 (outcome variables). Regression models were computed first in the total group of patients with MSKDs, with education, age, gender, origin and place of residence as independent variables, and, second, in individuals expected to have paid work, adding a variable on social status. Models were repeated for five other subgroups of chronic disorders (cardiovascular (CVD), diabetes, cancer, mental and respiratory) and for healthy individuals.
resultsMSKDs confirmed by a physician were reported by 1766 (20%) participants (mean age 59 years, 38% male), 547 (6%) respondents reported to have diabetes, 1855 (21%) CVD, 270 (3%) cancer, 526 (6%) mental disorders, 679 (8%) respiratory disorders and 4525 (51%) did not report any disease. In patients with MSKDs, (primary school vs university education (-5.3 (PCS) and -3.3 (MCS)) and having a state subsidy vs paid work (-5.3 (PCS) and -4.7 (MCS)) were consistently associated with worse physical and mental health. Gender was only relevant for PCS (female vs male -2.1). Comparable differences in health by education and social status were observed in the other diseases, except for cancer.
conclusionsEducation and social status in MSKD have the same strong and independent association with health as in other chronic diseases. These health gradients are unfair and partly avoidable, and require consorted attention and action in and outside healthcare.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.