The economic burden of depression among adults with rheumatoid arthritis in the United States

Aims: Depression is the most frequent comorbidity reported among patients with rheumatoid arthritis (RA). Comorbid depression negatively impacts RA patients’ health-related quality-of-life, physical function, mental function, mortality, and experience of pain and symptom severity. The objective of this study was to assess healthcare utilization, expenditures, and work productivity among patients with RA with or without depression.

Materials and methods: Data from adult patients who had at least two visits each related to RA and depression over a 1-year period were extracted from the Truven Health MarketScan research databases. Outcomes comprised healthcare resource utilization, work productivity loss, and direct healthcare costs comparing patients with RA with depression (n?=?3,478) vs patients with RA without depression (n?=?43,222).

Results: Patients with RA and depression had a significantly greater relative risk of hospitalization and number of all-cause and RA-related hospitalizations, utilization of emergency services, days spent in the hospital, physician visits, and RA-related surgeries compared with RA patients without depression. Patients with RA and depression had a higher risk of and experienced more events and days of short-term disability compared with patients without depression. The incremental adjusted annual all-cause and RA-related direct costs were $8,488 (95% CI = $6,793–$10,223) and $578 (95% CI = –$98–$1,243), respectively, when comparing patients with RA and depression vs RA only.

Limitations: The current analysis is subject to the known limitations of retrospective studies based on administrative claims data.

Conclusions: This study suggested increased healthcare utilization, work productivity loss, and economic burden among RA patients due to comorbid depression. These findings emphasize the importance of managing depression and including depression as a factor when devising treatment algorithms for patients with RA.     

资本外逃的经济效应与应对政策选择研究

资本外逃是一个复杂的经济问题,是由多种原因造成的,并会给一国经济发展带来不可估量的风险和损失。基于此,论文梳理了资本外逃的研究现状,提出了资本外逃所产生的经济效应,在此基础上,提出了资本外逃的政策选择,为一国在治理资本外逃时提供了政策选择和借鉴。     

新能源发电企业资产管理措施研究

新能源行业发展速度加快,其中新能源发电企业是现阶段该行业发展的重要组成部门,企业的管理模式和体制是保证行业稳定发展的关键因素.在新能源发电企业中拥有大量多种不同类型的资产,资产管理是影响企业经济效益提高的主要因素.基于此,本文分析了新能源发电企业的资产特点,探讨影响新能源发电企业资产管理的因素以及具体策略,以期可以为企业发展提供有效参考.     

基于GA-BP神经网络的通信卫星效能评估模型研究

卫星通信作为未来联合行动的重要通信手段,其运用效能对联合行动的影响重大.该研究以通信卫星运用效能研究为切入点,通过对关键问题进行树状分解,建立了包含35个指标的通信卫星运用效能评估指标体系,基于GA-BP(Genetic Algorithm-Back Propagation)神经网络方法,构建了通信卫星运用效能评估模型.通过实际卫星工作过程中产生的数据对所建立的模型进行了验证,证明了该模型能够有效地评估通信卫星的运用效能.     

基于社会服务的示范性高职院校师资队伍建设——以广东农工商职业技术学院为例

服务是高职院校的第一宗旨,而社会服务能力的高低关键在于示范院校师资队伍建设。该文从广东农工商职业技术学院社会服务能力的实际情况出发,分析了该院师资队伍建设存在的问题,认为,首先应通过体制创新,提高教师社会服务意识;其次通过不同途径打造"双师型"教师团队,从而提升教师社会服务能力。     

对齐齐哈尔市奶牛产业可持续发展的思考与建议

齐齐哈尔是农业大市,有发展奶牛产业的极大优势,奶牛产业化工作成绩突出,但与发达国家和地区相比,还存在许多不足,因此,做大做强齐齐哈尔市的奶牛产业还有很多事情要做.     

C++对象布局分析

分析了目前最为流行的面向对象的开发工具C 的对象布局，并进一步分析了其形成原因。     

保税区转型中的金融环境建设

我国保税区的发展已进入战略调整与体制转型的关键时期,无论是区域扩张、港区联动,还是企业运营,都对其金融环境的完善提出了新的要求.为此,应在对保税区金融服务进行评价的基础上,从软环境和硬环境两个方面,探讨转型过程中保税区金融环境重构的战略措施.     

完善欠发达地区在区域不平衡发展中的促动机制

区域不平衡发展是一个普遍的规律,欠发达地区应根据不平衡发展理论,吸取经验教训,建立科学的不平衡发展促动机制。     

高职院校图书馆信息服务的研究

高职院校图书馆应充分利用现有馆藏资源,积极开展多种形式的信息服务,努力提高图书馆的文献利用率.