Arthritis - US - June 2007
Arthritis - US - June 2007
Published: 2007/06
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Table of Contents
Scope and Themes
What you need to know
Definition
Data for this report
Abbreviations and terms
Abbreviations
Terms
Executive Summary
Arthritis: not one disease, but over a hundred
ABCs of arthritis and other musculoskeletal maladies
Widespread disease
Causes are not always known
Treatments/therapies/activities/procedures
Increasing prevalence
Advertising to the growing population of people with arthritis
Background
Introduction: types of arthritis
Osteoarthritis (OA)
Fibromyalgia
Rheumatoid arthritis (RA)
Other types of arthritis
Other musculoskeletal disorders
Repetitive motion disorders (RMDs)
Common symptoms of musculoskeletal disorders
Inflammation
Debilitation
Fatigue
Negative impact on emotional well-being
Specific functional limitations
The range of experience
Prevalence and Extent of Suffering
Introduction
Figure 1: Arthritis prevalence among adults, by age and gender, 2007
Costs of treating arthritis are a growing concern
Prevalence of severe OA, RA, chronic pain, and backache
Figure 2: Prevalence of OA, RA, chronic pain, and backache, by gender, January-October 2006
Figure 3: Prevalence of OA, RA, chronic pain, and backache, by age, January-October 2006
Figure 4: Prevalence of OA, RA, chronic pain, and backache, by race/ethnicity, January-October 2006
Ailment severity
Figure 5: Severity of OA, RA, chronic pain, and backache ailments, by gender and age, January-October 2006
Prevalence of arthritis: diagnosed vs. undiagnosed
Figure 6: Prevalence of arthritis and concern about contracting arthritis, by age, April 2007
Figure 7: Prevalence of arthritis and concern about contracting arthritis, by race/ethnicity, April 2007
Prevalence of specific types of arthritis
Figure 8: Prevalence of specific arthritis types within the arthritic population, by gender and age, April 2007
Prevalence of non-arthritis musculoskeletal disorders
Figure 9: Prevalence of specific musculoskeletal disorders not including arthritis, by age, April 2007
Anatomical site of arthritis
Figure 10: Anatomical site of arthritis, by gender, April 2007
Figure 11: Anatomical site of arthritis, by age, April 2007
Causes and Prevention
Introduction
Causes
Osteoarthritis (OA)
Fibromyalgia
Rheumatoid arthritis (RA)
Other types of arthritis
Other musculoskeletal disorders
RMDs
Prevention
Osteoarthritis
Fibromyalgia
Rheumatoid arthritis
Other types of arthritis
Other musculoskeletal disorders
RMDs
Prescription and OTC Medication
Introduction
Top-selling arthritis drugs
Figure 12: Global sales of top-selling arthritis drugs, 2004 and 2005
Figure 13: Top-selling arthritis drugs, by use, positive and negative impact
New OTC medications and brand extensions
Figure 14: Pain reliever new product launches, 2001-07
Topical pain relievers
Figure 15: Advanced Healthcare Distributors Muscle & Joint Cream
Figure 16: Activ On Topical Analgesic Ultra Strength Joint & Muscle Pain Relief
Figure 17: Procter & Gamble Thermacare HeatWraps
Figure 18: WellPatch Arthritis Pain Releiving Pads
Figure 19: EMU Lifestyles Arthritic Joint Creme
Easy to open bottles
Figure 20: CVS Pharmacy Arthritis Pain Relief Caplets
Figure 21: Bayer Healthcare Aleve Arthritis Relief Tablets
Figure 22: Tylenol Arthritis Pain EZ-Open Cap
Long-lasting formulas
Figure 23: Equate Arthritis Pain Relief caplets
Enteric coated aspirin
Figure 24: Ecotrin Aspirin Arthritis Strength
Use of prescription vs. OTC medications
Figure 25: Use of prescription and OTC medications to treat OA, RA, chronic pain, and backache, by gender, January-October 2006
OTC products gain sales as Vioxx and Bextra are pulled from the market
Reasons for not taking prescription medication
Figure 26: Reasons for not taking prescription medications, by age, April 2007
Reasons for not taking OTC medication
Figure 27: Reason for not taking OTC remedies, by gender, April 2007
Figure 28: Reasons for not taking OTC remedies, by age, April 2007
Use of pain relieving liquids, rubs, and wraps among OA, RA, chronic pain, and backache sufferers
Figure 29: Use of pain relieving liquids, rubs, or wraps to treat OA, RA, chronic pain, and backache, January-October 2006
Advertising Medications to Those with Arthritis
Introduction
NSAID TV ADS
Aleve
Figure 30: Television spot: Aleve pain reliever
Figure 31: Television spot: Aleve pain reliever
Figure 32: Television spot: Aleve pain reliever
ANALGESIC TV ADS
Capzasin
Figure 33: Television spot: Capzasin topical pain reliever
WellPatch
Figure 34: Television spot: WellPatch
Tylenol Arthritis Pain
Figure 35: Television spot: Tylenol Arthritis Pain
TNF-a INHIBITOR TV ADS
Enbrel
Figure 36: Television spot: Enbrel
Figure 37: Television spot: Two Futures
Humira
Figure 38: Television spot: Humira
Herbal Remedies and Dietary Supplements
Introduction
Bovine cartilage
Bromelain
Chondroitin sulfate
Devil' s claw
Feverfew
Fish oil
Flaxseed and flaxseed oil
Ginger
GLA (gamma-linolenic acid)
Glucosamine
Gotu kola, gotu cola, brahmi, brahmi-buti, Indian pennywort
Green tea or Chinese tea
Marijuana and cannabis-based medicine
Shark cartilage
Turmeric
Type II chicken collagen, chicken collagen, chicken type II collagen, type II collagen
White willow, willow bark, white willow bark
Reasons for not taking herbal remedies
Figure 39: Reasons for not taking herbal remedies, prescription medication or otc medication, April 2007
Treatment Via Services and Activities
Services
Arthritis therapy
Pain and stress management
Aquatic therapy/hydrotherapy
Environmental assessment
Nutrition management
Activities
Yoga
Health clubs
Swimming
Bicycling
Walking/jogging
Tai Chi
Temperature therapy
Comparison of popularity of treatments including prescription, OTC, herbal, and services
Figure 40: Treatments used, April 2007
Figure 41: Treatments used by those with diangosed arthritis, April 2007
Role of the Medical Community
Figure 42: Visits to medical practicioners in past 12 months, by condition, January-October 2006
Primary care doctor/general practitioner (GP)
Rheumatologist
Orthopedist/orthopedic surgeon
Surgery
OA surgeries
RA surgeries
Fibromyalgia surgery
Other surgeries and procedures
Figure 43: Television spot: Synvisc joint fluid treatment--surgery alternative
RMD surgery
Osteopath
Physical therapist
Chiropractor
Massage therapist
Acupuncturist
Attitudes towards healthcare professionals
Figure 44: Attitudes toward healthcare professionals, by condition, January-October 2006
Access to healthcare professionals
Figure 45: Lack of medical insurance, by condition, January-October 2006
Future Trends
Population of arthritics to grow by four million in next seven years
Figure 46: Prevalence of adult arthritis, by gender and age, 2012
New treatments
Gene therapy
Vaccines
Biologics
Trial phase drugs
RA treatments
Vioxx replacements
Alternative remedies
FDA requires supplement testing for purity
Early diagnosis
Appendix: Classes of Medication for Treating Arthritis
NSAIDS
Traditional NSAIDS
Description and uses
Side effects
COX-2 inhibitors
Description and uses
Side effects
Salicylates
Description and uses
Side effects
Analgesics
Description and uses
Side effects
Disease-Modifying-Anti-Rheumatic Drugs (DMARDs)
Description and uses
Side effects
Biologic response modifiers
TNF-a inhibitors
Description and uses
Side effects
Selective B-cell inhibitor
Description and uses
Side effects
IL-1 inhibitor
Description and uses
Side effects
Selective costimulation modulator
Description and uses
Side effects
Corticosteroids
Description and uses
Side effects
Fibromyalgia drugs
Description and uses
Side effects
Gout drugs
Description and uses
Side effects
Appendix: Trade Associations

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