BMUS: The Burden of Musculoskeletal Diseases in the United States
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Syndromes with Musculoskeletal Implications

VII.B.5.0
Children & Adolescents

Lead Author(s): 

Scott B. Rosenfeld, MD

Supporting Author(s): 

Sylvia I. Watkins-Castillo, PhD
Syndromes with musculoskeletal implications include those diagnoses that may result in or be associated with musculoskeletal problems or deformities. The most common syndromes with musculoskeletal implications include Marfan syndrome, Ehlers Danlos syndrome, Down syndrome, and neurofibromatosis. These patients may have musculoskeletal problems including scoliosis, pectus deformities, hip dysplasia, and flatfeet. Patients with neurofibromatosis may have congenital pseudarthrosis of the tibia. Many of these patients will require treatment for these musculoskeletal problems. Treatment, however, must be tailored to each individual patient as these syndromes often affect multiple body systems and require involvement of multiple medical disciplines.

Edition: 

  • 2014

Health Care Utilization

VII.B.5.1
Children & Adolescents Syndromes

Lead Author(s): 

Scott B. Rosenfeld, MD

Supporting Author(s): 

Sylvia I. Watkins-Castillo, PhD

Syndromes with musculoskeletal implications were diagnosed in 328,600 children and adolescent health care visits in 2012, of which 126,300 had a primary diagnosis of a syndrome condition. About 1 in 10 (9%) children and adolescents with any syndrome with musculoskeletal implications diagnoses were hospitalized (29,800), but less than 1% (600) with a primary diagnosis of a syndrome with musculoskeletal implications had a hospital discharge. (Reference Table 7.1.1 PDF [1] CSV [2] and Table 7.1.2 PDF [3] CSV [4])

Males, more than females, had a hospital discharge with any syndrome with musculoskeletal implications diagnoses. Infants and young children under the age of 5 years had the highest rate of hospitalization for any diagnoses of syndromes with musculoskeletal implications. The number of hospitalizations with a primary diagnosis was too small for analysis by sex and age.

Any diagnoses of syndromes with musculoskeletal implications accounted for 6% of hospitalizations for any musculoskeletal condition diagnosis, and 0.4% of all hospitalizations for any health care condition. Hospitalizations with a primary diagnosis were 0.1% of all musculoskeletal diagnoses. (Reference Table 7.6 PDF [5] CSV [6])

Hospital Discharges for Children and Adolescents Age 20 and Under with Syndrome with Musculoskeletal (MSK) Implications Diagnosis, by Sex and Age, United States 2012

Edition: 

  • 2014

Hospital Charges

VII.B.5.2
Children & Adolescents Syndromes

Lead Author(s): 

Scott B. Rosenfeld, MD

Supporting Author(s): 

Sylvia I. Watkins-Castillo, PhD

Total charges averaged $75,100 for a mean 8.1-day stay when children and adolescents were hospitalized with a diagnosis of a syndrome with musculoskeletal implications condition along with other medical conditions. With a primary syndrome diagnosis, the stay was slightly longer (8.7 days), and mean charges were higher at $100,800. Mean charges and length of stay were highest for the youngest patients, those under 1 year of age. Total hospital charges for primary syndrome with musculoskeletal implications discharges in 2012 were $60.5 million. (Reference Table 7.6 PDF [5] CSV [6])

Total Hospital Charges for Children and Adolescents Age 20 and Under with Syndrome with MSK Implications Diagnosis, by Sex and Age, United States 2012

Edition: 

  • 2014
The Burden of Musculoskeletal Diseases in the United States - Copyright © 2014.

Source URL: https://bmus.latticegroup.com/2013-report/access-care/vii3c

Links:
[1] https://bmus.latticegroup.com/docs/T7.1.1.pdf
[2] https://bmus.latticegroup.com/docs/T7.1.1.csv
[3] https://bmus.latticegroup.com/docs/T7.1.2.pdf
[4] https://bmus.latticegroup.com/docs/T7.1.2.csv
[5] https://bmus.latticegroup.com/docs/T7.6.pdf
[6] https://bmus.latticegroup.com/docs/T7.6.csv