Back to Top Skip to main content Skip to sub-navigation

Surveillance snapshot: Health care burden attributable to osteoarthritis and spondylosis, active component, U.S. Armed Forces, 2016–2020

Image of Air Force security forces trainees climb a hill during a 3-mile ruck march to commemorate National Police Week at Joint Base San Antonio, May 13, 2019. Photo By: Sarayuth Pinthong, Air Force. Air Force security forces trainees climb a hill during a 3-mile ruck march to commemorate National Police Week at Joint Base San Antonio, May 13, 2019. Photo By: Sarayuth Pinthong, Air Force

Recommended Content:

Medical Surveillance Monthly Report

Osteoarthritis (OA) and spondylosis (OA of the spine) can result in pain and functional impairment and account for significant morbidity burdens among U.S. civilian and military populations.1–3 Management of cases of OA requires substantial health care resources and incurs considerable costs.4 A recent MSMR analysis described the incidence of OA and spondylosis diagnoses among active component service members of the U.S. Armed Forces during 2016–2020.5 Crude annual incidence rates of both conditions decreased markedly from 2016 through 2020 with declines evident in all of the demographic and military subgroups examined.5

This snapshot summarizes the total numbers of inpatient and outpatient encounters with an OA or spondylosis diagnosis in the first diagnostic position and the total numbers of unique individuals affected by these conditions during the same 5-year surveillance period. Totals included both incident and prevalent cases. Among active component service members during 2016–2020, a total of 71,338 unique individuals were affected by OA (Table). These individuals contributed a total of 211,607 OA-related medical encounters, representing an average of 3 medical encounters per affected individual. The vast majority (99.9%) of the total OA-related medical encounters were in outpatient settings. Service members affected by OA who had 1 or more OA-related hospitalizations (n=276) were associated with a total of 1,409 hospital bed days.

Between 2016 and 2020, a total of 86,485 unique individuals were affected by spondylosis (Table). These individuals had a total of 335,693 spondylosis-related medical encounters, representing 4 medical encounters per affected individual. Similar to OA, the vast majority (99.8%) of the total spondylosis-related medical encounters were in outpatient settings. Spondylosis-related hospitalizations (n=790) accounted for a total of 2,482 hospital bed days.

References

1. Abramoff B, Caldera FE. Osteoarthritis: Pathology, diagnosis, and treatment options. Med Clin North Am. 2020;104(2):293–311.

2. Vina ER, Kwoh CK. Epidemiology of osteoarthritis: Literature update. Curr Opin Rheumatol. 2018;30(2):160-167.

3. Armed Forces Health Surveillance Division. Absolute and relative morbidity burdens attributable to various illnesses and injuries, active component, U.S. Armed Forces, 2020. MSMR. 2021;28(5):2–9.

4. Centers for Disease Control and Prevention. Prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation United States, 2010–2012. MMWR Morb Mortal Wkly Rep. 2013;62(44):869–873.

5. Williams VF, Ying S, Stahlman S. Update: Osteoarthritis and spondylosis, active component, U.S. Armed Forces, 2016–2020. MSMR. 2021;28(12):2–13.

TABLE. Counts of medical encounters(a) with first-listed osteoarthritis or spondylosis diagnoses and unique individuals affected(b), by encounter type, active component, U.S. Armed Forces, 2016–2020

You also may be interested in...

Attrition Rates and Incidence of Mental Health Disorders in an Attention-Deficit/Hyperactivity Disorder (ADHD) Cohort, Active Component, U.S. Armed Forces, 2014–2018

Article
1/1/2021
Capt. Michelle Tsai, the behavioral health officer for the 4th Brigade, 2nd Infantry Division, reviews medical information in her office at the Joint Readiness Training Center June 17. Tsai, an Alexandria, Va., native, is here with the Raider Brigade in support of training operations for the unit's upcoming deployment to Iraq. (Photo by Pfc. Luke Rollins)

Recommended Content:

Medical Surveillance Monthly Report

The Prevalence of Attention-Deficit/Hyperactivity Disorder (ADHD) and ADHD Medication Treatment in Active Component Service Members, U.S. Armed Forces, 2014–2018

Article
1/1/2021
New Recruits are screened after arriving at Depot

Recommended Content:

Medical Surveillance Monthly Report

Exertional Rhabdomyolysis and Sickle Cell Trait Status in the U.S. Air Force, January 2009–December 2018

Article
1/1/2021
Master Sgt. Daniel Bedford prepares to pump up a gold medal lift in the bench press during the United States Powerlifting Association 2020 Texas State Bench Press Championship

Exertional Rhabdomyolysis and Sickle Cell Trait Status in the U.S. Air Force, January 2009–December 2018

Recommended Content:

Medical Surveillance Monthly Report

Cases of Coronavirus Disease 2019 and Comorbidities Among Military Health System Beneficiaries, 1 January 2020 through 30 September 2020

Article
12/1/2020
A U.S. Army nurse paratrooper provides patient care in support of preventative efforts against COVID-19

Recommended Content:

Medical Surveillance Monthly Report

Characteristics of U.S. Army Beneficiary Cases of COVID-19 in Europe, 12 March 2020–17 April 2020

Article
12/1/2020
Three U.S. Air Force medical Airmen exit a C-17 Globemaster III aircraft

Recommended Content:

Medical Surveillance Monthly Report

Air Evacuation of Service Members for COVID-19 in U.S. Central Command and U.S. European Command From 11 March 2020 Through 30 September 2020

Article
12/1/2020
3D graphical representation of a generic Influenza virion’s ultrastructure

Recommended Content:

Medical Surveillance Monthly Report

SARS-CoV-2 and Influenza Coinfection in a Deployed Military Setting—Two Case Reports

Article
12/1/2020
Illustration reveals ultrastructural morphology exhibited by coronaviruses

Recommended Content:

Medical Surveillance Monthly Report

Update: Cold Weather Injuries, Active and Reserve Components, U.S. Armed Forces, July 2015–June 2020

Article
11/1/2020
Soldier in the winter

Update: Cold Weather Injuries, Active and Reserve Components, U.S. Armed Forces, July 2015–June 2020

Recommended Content:

Medical Surveillance Monthly Report

Fibromyalgia: Prevalence and Burden of Disease Among Active Component Service Fibromyalgia: Prevalence and Burden of Disease Among Active Component Service Members, U.S. Armed Forces, 2018

Article
11/1/2020
Man holding his back

Recommended Content:

Medical Surveillance Monthly Report

Acute Respiratory Infections Among Active Component Service Members Who Use Combustible Tobacco Products and/or E-cigarette/Vaping Products, U.S. Armed Forces, 2018–2019

Article
11/1/2020
A Team Offutt Airman vapes in an authorized smoking area

Recommended Content:

Medical Surveillance Monthly Report

Surveillance Snapshot: Influenza Immunization Among U.S. Armed Forces Healthcare Workers, August 2015–April 2020

Article
10/1/2020
Lt. Sipriano Marte administers an influenza vaccination to Airman Tyler French

Surveillance Snapshot: Influenza Immunization Among U.S. Armed Forces Healthcare Workers, August 2015–April 2020

Recommended Content:

Medical Surveillance Monthly Report

Acute and Chronic Pancreatitis, Active Component, U.S. Armed Forces, 2004–2018

Article
10/1/2020
3D illustration of human body organs (pancreas).

Acute and Chronic Pancreatitis, Active Component, U.S. Armed Forces, 2004–2018

Recommended Content:

Medical Surveillance Monthly Report

Characterizing the Contribution of Chronic Pain Diagnoses to the Neurologic Burden of Disease, Active Component, U.S. Armed Forces, 2009–2018

Article
10/1/2020
A physical therapist adjusts the neck of a person

Recommended Content:

Medical Surveillance Monthly Report

Update: Surveillance of Spotted Fever Rickettsioses at Army Installations in the U.S. Central and Atlantic Regions, 2012–2018

Article
9/1/2020
Dorsal view of a female Gulf Coast tick, Amblyomma maculatum

Recommended Content:

Medical Surveillance Monthly Report

Update: Routine Screening for Antibodies to Human Immunodeficiency Virus, Civilian Applicants for U.S. Military Service and U.S. Armed Forces, Active and Reserve Components, January 2015–June 2020

Article
9/1/2020
Spc. Jayson Sanchez of the Army Reserve’s 77th Sustainment Brigade receives a blood draw from phlebotomist Nikole Horrell

Recommended Content:

Medical Surveillance Monthly Report
<< < 1 2 3 4 5  ... > >> 
Showing results 61 - 75 Page 5 of 12
Refine your search
Last Updated: May 10, 2022

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.