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{\f63\fdecor\fcharset2\fprq2{\*\panose 00000000000000000000}ITC Zapf Dingbats;}{\f64\froman\fcharset0\fprq2{\*\panose 00000000000000000000}New Century Schoolbook;}{\f65\froman\fcharset0\fprq2{\*\panose 00000000000000000000}Palatino;}
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{\f111\fdecor\fcharset0\fprq2{\*\panose 04040404050702020202}Curlz MT;}{\f112\fscript\fcharset0\fprq2{\*\panose 030303020407070d0804}Edwardian Script ITC;}{\f113\froman\fcharset0\fprq2{\*\panose 02020904090505020303}Elephant;}
{\f114\froman\fcharset0\fprq2{\*\panose 02090707080505020304}Engravers MT;}{\f115\fswiss\fcharset0\fprq2{\*\panose 020b0907030504020204}Eras Bold ITC;}{\f116\fswiss\fcharset0\fprq2{\*\panose 020b0805030504020804}Eras Demi ITC;}
{\f117\fswiss\fcharset0\fprq2{\*\panose 020b0402030504020804}Eras Light ITC;}{\f118\fswiss\fcharset0\fprq2{\*\panose 020b0602030504020804}Eras Medium ITC;}{\f119\fdecor\fcharset0\fprq2{\*\panose 04060505060202020a04}Felix Titling;}
{\f120\froman\fcharset0\fprq2{\*\panose 0204060206030a020304}Footlight MT Light;}{\f121\fscript\fcharset0\fprq2{\*\panose 03060902040502070203}Forte;}{\f122\fswiss\fcharset0\fprq2{\*\panose 020b0503020102020204}Franklin Gothic Book;}
{\f123\fswiss\fcharset0\fprq2{\*\panose 020b0703020102020204}Franklin Gothic Demi;}{\f124\fswiss\fcharset0\fprq2{\*\panose 020b0706030402020204}Franklin Gothic Demi Cond;}{\f125\fswiss\fcharset0\fprq2{\*\panose 020b0903020102020204}Franklin Gothic Heavy;}
{\f126\fswiss\fcharset0\fprq2{\*\panose 020b0606030402020204}Franklin Gothic Medium Cond;}{\f127\fscript\fcharset0\fprq2{\*\panose 030804020302050b0404}Freestyle Script;}{\f128\fscript\fcharset0\fprq2{\*\panose 03020402040607040605}French Script MT;}
{\f129\fdecor\fcharset0\fprq2{\*\panose 04040504061007020d02}Gigi;}{\f130\fswiss\fcharset0\fprq2{\*\panose 020b0902020104020203}Gill Sans MT Ext Condensed Bold;}{\f131\fswiss\fcharset0\fprq2{\*\panose 020b0502020104020203}Gill Sans MT;}
{\f132\fswiss\fcharset0\fprq2{\*\panose 020b0506020104020203}Gill Sans MT Condensed;}{\f133\fswiss\fcharset0\fprq2{\*\panose 020b0a02020104020203}Gill Sans Ultra Bold;}
{\f134\fswiss\fcharset0\fprq2{\*\panose 020b0a06020104020203}Gill Sans Ultra Bold Condensed;}{\f135\froman\fcharset0\fprq2{\*\panose 02030808020601010101}Gloucester MT Extra Condensed;}
{\f136\froman\fcharset0\fprq2{\*\panose 02020502050305020303}Goudy Old Style;}{\f137\froman\fcharset0\fprq2{\*\panose 0202090407030b020401}Goudy Stout;}{\f138\fswiss\fcharset0\fprq2{\*\panose 020b0706040902060204}Haettenschweiler;}
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{\f142\fdecor\fcharset0\fprq2{\*\panose 04020605060303030202}Imprint MT Shadow;}{\f143\fdecor\fcharset0\fprq2{\*\panose 04090605060d06020702}Jokerman;}{\f144\fdecor\fcharset0\fprq2{\*\panose 04040403040a02020202}Juice ITC;}
{\f145\fscript\fcharset0\fprq2{\*\panose 03050502040202030202}Kristen ITC;}{\f146\fscript\fcharset0\fprq2{\*\panose 030304020206070d0d06}Kunstler Script;}{\f147\froman\fcharset0\fprq2{\*\panose 02040602050505020304}Lucida Bright;}
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{\f163\fscript\fcharset0\fprq2{\*\panose 030303020206070c0b05}Palace Script MT;}{\f164\fscript\fcharset0\fprq2{\*\panose 03040602040708040804}Parchment;}{\f165\froman\fcharset0\fprq2{\*\panose 02020502060401020303}Perpetua;}
{\f166\froman\fcharset0\fprq2{\*\panose 02020502060505020804}Perpetua Titling MT;}{\f167\fdecor\fcharset0\fprq2{\*\panose 040506030a0602020202}Playbill;}{\f168\froman\fcharset0\fprq2{\*\panose 02080502050505020702}Poor Richard;}
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{\f178\fdecor\fcharset0\fprq2{\*\panose 04040a07060a02020202}Snap ITC;}{\f179\fdecor\fcharset0\fprq2{\*\panose 040409050d0802020404}Stencil;}{\f180\fswiss\fcharset0\fprq2{\*\panose 020b0602020104020603}Tw Cen MT;}
{\f181\fswiss\fcharset0\fprq2{\*\panose 020b0606020104020203}Tw Cen MT Condensed;}{\f182\fdecor\fcharset0\fprq2{\*\panose 04020404030d07020202}Tempus Sans ITC;}{\f183\fscript\fcharset0\fprq2{\*\panose 03070502030502020203}Viner Hand ITC;}
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{\f193\fnil\fcharset2\fprq2{\*\panose 05000500000000000000}MS Reference Specialty;}{\f194\fswiss\fcharset0\fprq2{\*\panose 020b0803020202020204}Tw Cen MT Condensed Extra Bold;}{\f195\froman\fcharset2\fprq2{\*\panose 05050102010205020202}MT Extra;}
{\f196\fswiss\fcharset128\fprq2{\*\panose 020b0502000000000004}Andale WT;}{\f197\fswiss\fcharset128\fprq2{\*\panose 020b0502000000000004}@Andale WT;}{\f198\fswiss\fcharset128\fprq2{\*\panose 020b0502000000000001}Andale WT J;}
{\f199\fswiss\fcharset128\fprq2{\*\panose 020b0502000000000001}@Andale WT J;}{\f200\fswiss\fcharset128\fprq2{\*\panose 020b0502000000000001}Andale WT K;}{\f201\fswiss\fcharset128\fprq2{\*\panose 020b0502000000000001}@Andale WT K;}
{\f202\fswiss\fcharset128\fprq2{\*\panose 020b0502000000000001}Andale WT SC;}{\f203\fswiss\fcharset128\fprq2{\*\panose 020b0502000000000001}@Andale WT SC;}{\f204\fswiss\fcharset128\fprq2{\*\panose 020b0502000000000001}Andale WT TC;}
{\f205\fswiss\fcharset128\fprq2{\*\panose 020b0502000000000001}@Andale WT TC;}{\f206\fmodern\fcharset0\fprq1{\*\panose 020b0609020202020204}r_ansi;}{\f207\fmodern\fcharset2\fprq1{\*\panose 020b0609020202020204}r_control;}
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{\f211\fmodern\fcharset0\fprq1{\*\panose 020b0609020204030204}Consolas;}{\f212\froman\fcharset0\fprq2{\*\panose 02030602050306030303}Constantia;}{\f213\fswiss\fcharset0\fprq2{\*\panose 020b0503020204020204}Corbel;}
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{\f222\froman\fcharset161\fprq2 Times New Roman Greek;}{\f223\froman\fcharset162\fprq2 Times New Roman Tur;}{\f224\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew);}{\f225\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic);}
{\f226\froman\fcharset186\fprq2 Times New Roman Baltic;}{\f227\froman\fcharset163\fprq2 Times New Roman (Vietnamese);}{\f229\fswiss\fcharset238\fprq2 Arial CE;}{\f230\fswiss\fcharset204\fprq2 Arial Cyr;}{\f232\fswiss\fcharset161\fprq2 Arial Greek;}
{\f233\fswiss\fcharset162\fprq2 Arial Tur;}{\f234\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew);}{\f235\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic);}{\f236\fswiss\fcharset186\fprq2 Arial Baltic;}{\f237\fswiss\fcharset163\fprq2 Arial (Vietnamese);}
{\f239\fmodern\fcharset238\fprq1 Courier New CE;}{\f240\fmodern\fcharset204\fprq1 Courier New Cyr;}{\f242\fmodern\fcharset161\fprq1 Courier New Greek;}{\f243\fmodern\fcharset162\fprq1 Courier New Tur;}
{\f244\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}{\f245\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}{\f246\fmodern\fcharset186\fprq1 Courier New Baltic;}{\f247\fmodern\fcharset163\fprq1 Courier New (Vietnamese);}
{\f251\froman\fcharset0\fprq2 Symbol;}{\f321\fnil\fcharset0\fprq2 Wingdings;}{\f429\froman\fcharset238\fprq2 Century CE;}{\f430\froman\fcharset204\fprq2 Century Cyr;}{\f432\froman\fcharset161\fprq2 Century Greek;}
{\f433\froman\fcharset162\fprq2 Century Tur;}{\f436\froman\fcharset186\fprq2 Century Baltic;}{\f479\froman\fcharset238\fprq2 Sylfaen CE;}{\f480\froman\fcharset204\fprq2 Sylfaen Cyr;}{\f482\froman\fcharset161\fprq2 Sylfaen Greek;}
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{\f570\fswiss\fcharset204\fprq2 Arial Unicode MS Cyr;}{\f572\fswiss\fcharset161\fprq2 Arial Unicode MS Greek;}{\f573\fswiss\fcharset162\fprq2 Arial Unicode MS Tur;}{\f574\fbidi \fswiss\fcharset177\fprq2 Arial Unicode MS (Hebrew);}
{\f575\fbidi \fswiss\fcharset178\fprq2 Arial Unicode MS (Arabic);}{\f576\fswiss\fcharset186\fprq2 Arial Unicode MS Baltic;}{\f577\fswiss\fcharset163\fprq2 Arial Unicode MS (Vietnamese);}{\f578\fswiss\fcharset222\fprq2 Arial Unicode MS (Thai);}
{\f589\froman\fcharset238\fprq2 Book Antiqua CE;}{\f590\froman\fcharset204\fprq2 Book Antiqua Cyr;}{\f592\froman\fcharset161\fprq2 Book Antiqua Greek;}{\f593\froman\fcharset162\fprq2 Book Antiqua Tur;}{\f596\froman\fcharset186\fprq2 Book Antiqua Baltic;}
{\f599\fswiss\fcharset238\fprq2 Tahoma CE;}{\f600\fswiss\fcharset204\fprq2 Tahoma Cyr;}{\f602\fswiss\fcharset161\fprq2 Tahoma Greek;}{\f603\fswiss\fcharset162\fprq2 Tahoma Tur;}{\f604\fbidi \fswiss\fcharset177\fprq2 Tahoma (Hebrew);}
{\f605\fbidi \fswiss\fcharset178\fprq2 Tahoma (Arabic);}{\f606\fswiss\fcharset186\fprq2 Tahoma Baltic;}{\f607\fswiss\fcharset163\fprq2 Tahoma (Vietnamese);}{\f608\fswiss\fcharset222\fprq2 Tahoma (Thai);}{\f609\fswiss\fcharset238\fprq2 Verdana CE;}
{\f610\fswiss\fcharset204\fprq2 Verdana Cyr;}{\f612\fswiss\fcharset161\fprq2 Verdana Greek;}{\f613\fswiss\fcharset162\fprq2 Verdana Tur;}{\f616\fswiss\fcharset186\fprq2 Verdana Baltic;}{\f617\fswiss\fcharset163\fprq2 Verdana (Vietnamese);}
{\f629\fswiss\fcharset238\fprq2 Calibri CE;}{\f630\fswiss\fcharset204\fprq2 Calibri Cyr;}{\f632\fswiss\fcharset161\fprq2 Calibri Greek;}{\f633\fswiss\fcharset162\fprq2 Calibri Tur;}{\f636\fswiss\fcharset186\fprq2 Calibri Baltic;}
{\f659\fswiss\fcharset238\fprq2 Arial Narrow CE;}{\f660\fswiss\fcharset204\fprq2 Arial Narrow Cyr;}{\f662\fswiss\fcharset161\fprq2 Arial Narrow Greek;}{\f663\fswiss\fcharset162\fprq2 Arial Narrow Tur;}{\f666\fswiss\fcharset186\fprq2 Arial Narrow Baltic;}
{\f669\froman\fcharset238\fprq2 Cambria Math CE;}{\f670\froman\fcharset204\fprq2 Cambria Math Cyr;}{\f672\froman\fcharset161\fprq2 Cambria Math Greek;}{\f673\froman\fcharset162\fprq2 Cambria Math Tur;}{\f676\froman\fcharset186\fprq2 Cambria Math Baltic;}
{\f759\froman\fcharset238\fprq2 Garamond CE;}{\f760\froman\fcharset204\fprq2 Garamond Cyr;}{\f762\froman\fcharset161\fprq2 Garamond Greek;}{\f763\froman\fcharset162\fprq2 Garamond Tur;}{\f766\froman\fcharset186\fprq2 Garamond Baltic;}
{\f851\fdecor\fcharset0\fprq2 ITC Zapf Dingbats;}{\f881\fdecor\fcharset0\fprq2 SymbolPS;}{\f919\fmodern\fcharset238\fprq1 Lucida Console CE;}{\f920\fmodern\fcharset204\fprq1 Lucida Console Cyr;}{\f922\fmodern\fcharset161\fprq1 Lucida Console Greek;}
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{\f933\fswiss\fcharset162\fprq2 Lucida Sans Unicode Tur;}{\f934\fbidi \fswiss\fcharset177\fprq2 Lucida Sans Unicode (Hebrew);}{\f939\fswiss\fcharset238\fprq2 Arial Black CE;}{\f940\fswiss\fcharset204\fprq2 Arial Black Cyr;}
{\f942\fswiss\fcharset161\fprq2 Arial Black Greek;}{\f943\fswiss\fcharset162\fprq2 Arial Black Tur;}{\f946\fswiss\fcharset186\fprq2 Arial Black Baltic;}{\f949\fscript\fcharset238\fprq2 Comic Sans MS CE;}{\f950\fscript\fcharset204\fprq2 Comic Sans MS Cyr;}
{\f952\fscript\fcharset161\fprq2 Comic Sans MS Greek;}{\f953\fscript\fcharset162\fprq2 Comic Sans MS Tur;}{\f956\fscript\fcharset186\fprq2 Comic Sans MS Baltic;}{\f959\fswiss\fcharset238\fprq2 Impact CE;}{\f960\fswiss\fcharset204\fprq2 Impact Cyr;}
{\f962\fswiss\fcharset161\fprq2 Impact Greek;}{\f963\fswiss\fcharset162\fprq2 Impact Tur;}{\f966\fswiss\fcharset186\fprq2 Impact Baltic;}{\f969\froman\fcharset238\fprq2 Georgia CE;}{\f970\froman\fcharset204\fprq2 Georgia Cyr;}
{\f972\froman\fcharset161\fprq2 Georgia Greek;}{\f973\froman\fcharset162\fprq2 Georgia Tur;}{\f976\froman\fcharset186\fprq2 Georgia Baltic;}{\f979\fswiss\fcharset238\fprq2 Franklin Gothic Medium CE;}
{\f980\fswiss\fcharset204\fprq2 Franklin Gothic Medium Cyr;}{\f982\fswiss\fcharset161\fprq2 Franklin Gothic Medium Greek;}{\f983\fswiss\fcharset162\fprq2 Franklin Gothic Medium Tur;}{\f986\fswiss\fcharset186\fprq2 Franklin Gothic Medium Baltic;}
{\f989\froman\fcharset238\fprq2 Palatino Linotype CE;}{\f990\froman\fcharset204\fprq2 Palatino Linotype Cyr;}{\f992\froman\fcharset161\fprq2 Palatino Linotype Greek;}{\f993\froman\fcharset162\fprq2 Palatino Linotype Tur;}
{\f996\froman\fcharset186\fprq2 Palatino Linotype Baltic;}{\f997\froman\fcharset163\fprq2 Palatino Linotype (Vietnamese);}{\f999\fswiss\fcharset238\fprq2 Trebuchet MS CE;}{\f1000\fswiss\fcharset204\fprq2 Trebuchet MS Cyr;}
{\f1002\fswiss\fcharset161\fprq2 Trebuchet MS Greek;}{\f1003\fswiss\fcharset162\fprq2 Trebuchet MS Tur;}{\f1006\fswiss\fcharset186\fprq2 Trebuchet MS Baltic;}{\f1029\fswiss\fcharset238\fprq2 Microsoft Sans Serif CE;}
{\f1030\fswiss\fcharset204\fprq2 Microsoft Sans Serif Cyr;}{\f1032\fswiss\fcharset161\fprq2 Microsoft Sans Serif Greek;}{\f1033\fswiss\fcharset162\fprq2 Microsoft Sans Serif Tur;}{\f1034\fbidi \fswiss\fcharset177\fprq2 Microsoft Sans Serif (Hebrew);}
{\f1035\fbidi \fswiss\fcharset178\fprq2 Microsoft Sans Serif (Arabic);}{\f1036\fswiss\fcharset186\fprq2 Microsoft Sans Serif Baltic;}{\f1037\fswiss\fcharset163\fprq2 Microsoft Sans Serif (Vietnamese);}
{\f1038\fswiss\fcharset222\fprq2 Microsoft Sans Serif (Thai);}{\f1071\fswiss\fcharset0\fprq2 @Arial Unicode MS Western;}{\f1069\fswiss\fcharset238\fprq2 @Arial Unicode MS CE;}{\f1070\fswiss\fcharset204\fprq2 @Arial Unicode MS Cyr;}
{\f1072\fswiss\fcharset161\fprq2 @Arial Unicode MS Greek;}{\f1073\fswiss\fcharset162\fprq2 @Arial Unicode MS Tur;}{\f1074\fbidi \fswiss\fcharset177\fprq2 @Arial Unicode MS (Hebrew);}{\f1075\fbidi \fswiss\fcharset178\fprq2 @Arial Unicode MS (Arabic);}
{\f1076\fswiss\fcharset186\fprq2 @Arial Unicode MS Baltic;}{\f1077\fswiss\fcharset163\fprq2 @Arial Unicode MS (Vietnamese);}{\f1078\fswiss\fcharset222\fprq2 @Arial Unicode MS (Thai);}{\f1173\froman\fcharset162\fprq2 Bodoni MT Poster Compressed Tur;}
{\f1179\froman\fcharset238\fprq2 Bookman Old Style CE;}{\f1180\froman\fcharset204\fprq2 Bookman Old Style Cyr;}{\f1182\froman\fcharset161\fprq2 Bookman Old Style Greek;}{\f1183\froman\fcharset162\fprq2 Bookman Old Style Tur;}
{\f1186\froman\fcharset186\fprq2 Bookman Old Style Baltic;}{\f1259\fswiss\fcharset238\fprq2 Century Gothic CE;}{\f1260\fswiss\fcharset204\fprq2 Century Gothic Cyr;}{\f1262\fswiss\fcharset161\fprq2 Century Gothic Greek;}
{\f1263\fswiss\fcharset162\fprq2 Century Gothic Tur;}{\f1266\fswiss\fcharset186\fprq2 Century Gothic Baltic;}{\f1269\froman\fcharset238\fprq2 Century Schoolbook CE;}{\f1270\froman\fcharset204\fprq2 Century Schoolbook Cyr;}
{\f1272\froman\fcharset161\fprq2 Century Schoolbook Greek;}{\f1273\froman\fcharset162\fprq2 Century Schoolbook Tur;}{\f1276\froman\fcharset186\fprq2 Century Schoolbook Baltic;}{\f1439\fswiss\fcharset238\fprq2 Franklin Gothic Book CE;}
{\f1440\fswiss\fcharset204\fprq2 Franklin Gothic Book Cyr;}{\f1442\fswiss\fcharset161\fprq2 Franklin Gothic Book Greek;}{\f1443\fswiss\fcharset162\fprq2 Franklin Gothic Book Tur;}{\f1446\fswiss\fcharset186\fprq2 Franklin Gothic Book Baltic;}
{\f1449\fswiss\fcharset238\fprq2 Franklin Gothic Demi CE;}{\f1450\fswiss\fcharset204\fprq2 Franklin Gothic Demi Cyr;}{\f1452\fswiss\fcharset161\fprq2 Franklin Gothic Demi Greek;}{\f1453\fswiss\fcharset162\fprq2 Franklin Gothic Demi Tur;}
{\f1456\fswiss\fcharset186\fprq2 Franklin Gothic Demi Baltic;}{\f1459\fswiss\fcharset238\fprq2 Franklin Gothic Demi Cond CE;}{\f1460\fswiss\fcharset204\fprq2 Franklin Gothic Demi Cond Cyr;}{\f1462\fswiss\fcharset161\fprq2 Franklin Gothic Demi Cond Greek;}
{\f1463\fswiss\fcharset162\fprq2 Franklin Gothic Demi Cond Tur;}{\f1466\fswiss\fcharset186\fprq2 Franklin Gothic Demi Cond Baltic;}{\f1469\fswiss\fcharset238\fprq2 Franklin Gothic Heavy CE;}{\f1470\fswiss\fcharset204\fprq2 Franklin Gothic Heavy Cyr;}
{\f1472\fswiss\fcharset161\fprq2 Franklin Gothic Heavy Greek;}{\f1473\fswiss\fcharset162\fprq2 Franklin Gothic Heavy Tur;}{\f1476\fswiss\fcharset186\fprq2 Franklin Gothic Heavy Baltic;}{\f1479\fswiss\fcharset238\fprq2 Franklin Gothic Medium Cond CE;}
{\f1480\fswiss\fcharset204\fprq2 Franklin Gothic Medium Cond Cyr;}{\f1482\fswiss\fcharset161\fprq2 Franklin Gothic Medium Cond Greek;}{\f1483\fswiss\fcharset162\fprq2 Franklin Gothic Medium Cond Tur;}
{\f1486\fswiss\fcharset186\fprq2 Franklin Gothic Medium Cond Baltic;}{\f1519\fswiss\fcharset238\fprq2 Gill Sans MT Ext Condensed Bold CE;}{\f1529\fswiss\fcharset238\fprq2 Gill Sans MT CE;}{\f1539\fswiss\fcharset238\fprq2 Gill Sans MT Condensed CE;}
{\f1549\fswiss\fcharset238\fprq2 Gill Sans Ultra Bold CE;}{\f1559\fswiss\fcharset238\fprq2 Gill Sans Ultra Bold Condensed CE;}{\f1599\fswiss\fcharset238\fprq2 Haettenschweiler CE;}{\f1600\fswiss\fcharset204\fprq2 Haettenschweiler Cyr;}
{\f1602\fswiss\fcharset161\fprq2 Haettenschweiler Greek;}{\f1603\fswiss\fcharset162\fprq2 Haettenschweiler Tur;}{\f1606\fswiss\fcharset186\fprq2 Haettenschweiler Baltic;}{\f1769\fscript\fcharset238\fprq2 Mistral CE;}
{\f1770\fscript\fcharset204\fprq2 Mistral Cyr;}{\f1772\fscript\fcharset161\fprq2 Mistral Greek;}{\f1773\fscript\fcharset162\fprq2 Mistral Tur;}{\f1776\fscript\fcharset186\fprq2 Mistral Baltic;}{\f1789\fscript\fcharset238\fprq2 Monotype Corsiva CE;}
{\f1790\fscript\fcharset204\fprq2 Monotype Corsiva Cyr;}{\f1792\fscript\fcharset161\fprq2 Monotype Corsiva Greek;}{\f1793\fscript\fcharset162\fprq2 Monotype Corsiva Tur;}{\f1796\fscript\fcharset186\fprq2 Monotype Corsiva Baltic;}
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{\f2142\fswiss\fcharset161\fprq2 MS Reference Sans Serif Greek;}{\f2143\fswiss\fcharset162\fprq2 MS Reference Sans Serif Tur;}{\f2146\fswiss\fcharset186\fprq2 MS Reference Sans Serif Baltic;}
{\f2147\fswiss\fcharset163\fprq2 MS Reference Sans Serif (Vietnamese);}{\f2159\fswiss\fcharset238\fprq2 Tw Cen MT Condensed Extra Bold CE;}{\f2181\fswiss\fcharset0\fprq2 Andale WT Western;}{\f2179\fswiss\fcharset238\fprq2 Andale WT CE;}
{\f2180\fswiss\fcharset204\fprq2 Andale WT Cyr;}{\f2182\fswiss\fcharset161\fprq2 Andale WT Greek;}{\f2183\fswiss\fcharset162\fprq2 Andale WT Tur;}{\f2184\fbidi \fswiss\fcharset177\fprq2 Andale WT (Hebrew);}
{\f2185\fbidi \fswiss\fcharset178\fprq2 Andale WT (Arabic);}{\f2186\fswiss\fcharset186\fprq2 Andale WT Baltic;}{\f2188\fswiss\fcharset222\fprq2 Andale WT (Thai);}{\f2191\fswiss\fcharset0\fprq2 @Andale WT Western;}
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03 Series;}{\s26\qc \li0\ri0\sa1200\sl260\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel8\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033
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\sbasedon50 \snext41 \styrsid10168165 Table/Fig: Notes numbered;}{\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
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\sbasedon15 \snext15 \styrsid10906831 Table: Source & footnotes;}{\s51\ql \li1440\ri1440\sb40\sa120\sl280\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin1440\lin1440\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
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\sbasedon11 \snext111 \ssemihidden \styrsid3892091 Table 3D effects 2;}{\*\ts111\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstrow Table 3D effects 2;}{\*\ts111\tsrowd\tsbrdrt\brdrnil\tsbrdrb\brdrnil\tsbrdrr
\brdrs\brdrw15\brdrcf15 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscfirstcol Table 3D effects 2;}{\*\ts111\tsrowd\tsbrdrr\brdrs\brdrw15\brdrcf8 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tsclastcol
Table 3D effects 2;}{\*\ts111\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf15 \tsbrdrb\brdrs\brdrw15\brdrcf8 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscbandhorzodd Table 3D effects 2;}{\*\ts111\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil
\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscswcell Table 3D effects 2;}{\*
\ts112\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsh1\tscbandsv1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv
\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024
\sbasedon11 \snext112 \ssemihidden \styrsid3892091 Table 3D effects 3;}{\*\ts112\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstrow Table 3D effects 3;}{\*\ts112\tsrowd\tsbrdrt\brdrnil\tsbrdrb\brdrnil\tsbrdrr
\brdrs\brdrw15\brdrcf15 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscfirstcol Table 3D effects 3;}{\*\ts112\tsrowd\tsbrdrr\brdrs\brdrw15\brdrcf8 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tsclastcol
Table 3D effects 3;}{\*\ts112\tsrowd\tscellcfpat16\tscellcbpat8\tscellpct10000 \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandvertodd Table 3D effects 3;}{\*\ts112\tsrowd\tscellcfpat16\tscellcbpat8\tscellpct5000 \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0
\tscbandverteven Table 3D effects 3;}{\*\ts112\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf15 \tsbrdrb\brdrs\brdrw15\brdrcf8 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscbandhorzodd Table 3D effects 3;}{\*
\ts112\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscswcell Table 3D effects 3;}{\*\ts113\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext113 \ssemihidden \styrsid3892091 Table Classic 1;}{\*
\ts113\tsrowd\tsbrdrb\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ai\af0 \ltrch\fcs0 \i \tscfirstrow Table Classic 1;}{\*\ts113\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0
\ltrch\fcs0 \cf0 \tsclastrow Table Classic 1;}{\*\ts113\tsrowd\tsbrdrr\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscfirstcol Table Classic 1;}{\*\ts113\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1
\ab\ai0\af0 \ltrch\fcs0 \b\i0 \tscnecell Table Classic 1;}{\*\ts113\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscswcell Table Classic 1;}{\*\ts114\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext114 \ssemihidden \styrsid3892091 Table Classic 2;}{\*
\ts114\tsrowd\tscellcfpat12\tscellcbpat8\tscellpct10000\tsbrdrb\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf8 \tscfirstrow Table Classic 2;}{\*\ts114\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf1
\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tsclastrow Table Classic 2;}{\*\ts114\tsrowd\tscellcfpat16\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstcol Table Classic 2;}
{\*\ts114\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscnecell Table Classic 2;}{\*\ts114\tsrowd\tscellcfpat12\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscnwcell
Table Classic 2;}{\*\ts114\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf9 \tscswcell Table Classic 2;}{\*\ts115\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr
\brdrs\brdrw30\brdrcf1 \trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tscellcfpat16\tscellcbpat8\tscellpct10000\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv
\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\cf9\lang1024\langfe1024\cgrid\langnp1024\langfenp1024
\sbasedon11 \snext115 \ssemihidden \styrsid3892091 Table Classic 3;}{\*\ts115\tsrowd\tscellcfpat9\tscellcbpat8\tscellpct10000\tsbrdrb\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \b\i\cf8 \tscfirstrow
Table Classic 3;}{\*\ts115\tsrowd\tscellcfpat8\tscellcbpat8\tscellpct10000\tsbrdrt\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf9 \tsclastrow Table Classic 3;}{\*
\ts115\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf1 \tscfirstcol Table Classic 3;}{\*\ts116\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr
\brdrs\brdrw15\brdrcf1 \trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext116 \ssemihidden \styrsid3892091 Table Classic 4;}{\*
\ts116\tsrowd\tscellcfpat9\tscellcbpat8\tscellpct5000\tsbrdrb\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \b\i\cf8 \tscfirstrow Table Classic 4;}{\*
\ts116\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct5000\tsbrdrb\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf9 \tsclastrow Table Classic 4;}{\*\ts116\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1
\ab\af0 \ltrch\fcs0 \b \tscfirstcol Table Classic 4;}{\*\ts116\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscnwcell Table Classic 4;}{\*\ts116\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0
\cf9 \tscswcell Table Classic 4;}{\*\ts117\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf10 \trbrdrl\brdrs\brdrw30\brdrcf10 \trbrdrb\brdrs\brdrw30\brdrcf10 \trbrdrr\brdrs\brdrw30\brdrcf10 \trbrdrh\brdrs\brdrw15\brdrcf3
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tscellcfpat10\tscellcbpat8\tscellpct10000\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv
\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\cf8\lang1024\langfe1024\cgrid\langnp1024\langfenp1024
\sbasedon11 \snext117 \ssemihidden \styrsid3892091 Table Colorful 1;}{\*\ts117\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \b\i \tscfirstrow Table Colorful 1;}{\*
\ts117\tsrowd\tscellcfpat9\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \b\i \tscfirstcol Table Colorful 1;}{\*
\ts117\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscnwcell Table Colorful 1;}{\*\ts117\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\ai0\af0 \ltrch\fcs0 \b\i0 \tscswcell
Table Colorful 1;}{\*\ts118\tsrowd\trbrdrb\brdrs\brdrw30\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tscellcfpat7\tscellcbpat8\tscellpct2000\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv
\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024
\sbasedon11 \snext118 \ssemihidden \styrsid3892091 Table Colorful 2;}{\*\ts118\tsrowd\tscellcfpat13\tscellcbpat8\tscellpct10000\tsbrdrb\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \b\i\cf8 \tscfirstrow
Table Colorful 2;}{\*\ts118\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \b\i \tscfirstcol Table Colorful 2;}{\*\ts118\tsrowd\tscellcfpat16\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0
\ltrch\fcs0 \tsclastcol Table Colorful 2;}{\*\ts118\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\ai0\af0 \ltrch\fcs0 \b\i0 \tscswcell Table Colorful 2;}{\*\ts119\tsrowd\trbrdrt\brdrs\brdrw45\brdrcf1 \trbrdrl\brdrs\brdrw45\brdrcf1 \trbrdrb
\brdrs\brdrw45\brdrcf1 \trbrdrr\brdrs\brdrw45\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf16
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tscellcfpat10\tscellcbpat8\tscellpct2500\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv
\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024
\sbasedon11 \snext119 \ssemihidden \styrsid3892091 Table Colorful 3;}{\*\ts119\tsrowd\tscellcfpat10\tscellcbpat8\tscellpct10000\tsbrdrb\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscfirstrow Table Colorful 3;}
{\*\ts119\tsrowd\tscellcfpat10\tscellcbpat8\tscellpct10000\tsbrdrl\brdrs\brdrw90\brdrcf1 \tsbrdrr\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscfirstcol Table Colorful 3;}{\*
\ts119\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf8 \tscnwcell Table Colorful 3;}{\*\ts120\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb
\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsv1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv
\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs20\alang1025 \ltrch\fcs0 \b\fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024
\sbasedon11 \snext120 \ssemihidden \styrsid3892091 Table Columns 1;}{\*\ts120\tsrowd\tsbrdrb\brdrdb\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0 \tscfirstrow Table Columns 1;}{\*
\ts120\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0 \tsclastrow Table Columns 1;}{\*\ts120\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0 \tscfirstcol Table Columns 1;}{\*
\ts120\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0 \tsclastcol Table Columns 1;}{\*\ts120\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct2500 \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandvertodd Table Columns 1;}{\*
\ts120\tsrowd\tscellcfpat7\tscellcbpat8\tscellpct2500 \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandverteven Table Columns 1;}{\*\ts120\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscnecell Table Columns 1;}{\*
\ts120\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscswcell Table Columns 1;}{\*
\ts121\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsv1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs20\alang1025 \ltrch\fcs0 \b\fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext121 \ssemihidden \styrsid3892091 Table Columns 2;}{\*
\ts121\tsrowd\tscellcfpat9\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf8 \tscfirstrow Table Columns 2;}{\*\ts121\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0
\tsclastrow Table Columns 2;}{\*\ts121\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0\cf1 \tscfirstcol Table Columns 2;}{\*\ts121\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0 \tsclastcol
Table Columns 2;}{\*\ts121\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct3000 \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandvertodd Table Columns 2;}{\*\ts121\tsrowd\tscellcfpat4\tscellcbpat8\tscellpct2500 \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandverteven
Table Columns 2;}{\*\ts121\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscnecell Table Columns 2;}{\*\ts121\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscswcell Table Columns 2;}{\*
\ts122\tsrowd\trbrdrt\brdrs\brdrw15\brdrcf9 \trbrdrl\brdrs\brdrw15\brdrcf9 \trbrdrb\brdrs\brdrw15\brdrcf9 \trbrdrr\brdrs\brdrw15\brdrcf9 \trbrdrv\brdrs\brdrw15\brdrcf9
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsv1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs20\alang1025 \ltrch\fcs0 \b\fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext122 \ssemihidden \styrsid3892091 Table Columns 3;}{\*
\ts122\tsrowd\tscellcfpat9\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf8 \tscfirstrow Table Columns 3;}{\*\ts122\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf9 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1
\ab0\af0 \ltrch\fcs0 \b0 \tsclastrow Table Columns 3;}{\*\ts122\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0 \tscfirstcol Table Columns 3;}{\*\ts122\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0
\ltrch\fcs0 \b0 \tsclastcol Table Columns 3;}{\*\ts122\tsrowd\tscellcfpat16\tscellcbpat8\tscellpct10000 \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandvertodd Table Columns 3;}{\*\ts122\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct1000 \rtlch\fcs1 \af0
\ltrch\fcs0 \cf0 \tscbandverteven Table Columns 3;}{\*\ts122\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscnecell Table Columns 3;}{\*
\ts123\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsv1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext123 \ssemihidden \styrsid3892091 Table Columns 4;}{\*
\ts123\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf8 \tscfirstrow Table Columns 4;}{\*\ts123\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastrow
Table Columns 4;}{\*\ts123\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastcol Table Columns 4;}{\*\ts123\tsrowd\tscellcfpat10\tscellcbpat8\tscellpct5000 \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandvertodd
Table Columns 4;}{\*\ts123\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct1000 \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandverteven Table Columns 4;}{\*\ts124\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf15 \trbrdrl\brdrs\brdrw30\brdrcf15 \trbrdrb\brdrs\brdrw30\brdrcf15
\trbrdrr\brdrs\brdrw30\brdrcf15 \trbrdrv\brdrs\brdrw15\brdrcf16
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsv1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext124 \ssemihidden \styrsid3892091 Table Columns 5;}{\*
\ts124\tsrowd\tsbrdrb\brdrs\brdrw15\brdrcf15 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \b\i \tscfirstrow Table Columns 5;}{\*\ts124\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf15 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1
\ab\af0 \ltrch\fcs0 \b \tsclastrow Table Columns 5;}{\*\ts124\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstcol Table Columns 5;}{\*\ts124\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0
\b \tsclastcol Table Columns 5;}{\*\ts124\tsrowd\tscellcfpat16\tscellcbpat8\tscellpct10000 \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandvertodd Table Columns 5;}{\*\ts124\tsrowd \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandverteven Table Columns 5;}{\*
\ts125\tsrowd\trbrdrh\brdrs\brdrw45\brdrcf8 \trbrdrv\brdrs\brdrw45\brdrcf8
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsh1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext125 \ssemihidden \styrsid3892091 Table Contemporary;}{\*
\ts125\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct2000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf0 \tscfirstrow Table Contemporary;}{\*\ts125\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct500\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil
\rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandhorzodd Table Contemporary;}{\*\ts125\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct2000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandhorzeven Table Contemporary;}{\*\ts126\tsrowd
\trbrdrt\brdrdb\brdrw15\brdrcf1 \trbrdrl\brdrdb\brdrw15\brdrcf1 \trbrdrb\brdrdb\brdrw15\brdrcf1 \trbrdrr\brdrdb\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext126 \ssemihidden \styrsid3892091 Table Elegant;}{\*
\ts126\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \caps\cf0 \tscfirstrow Table Elegant;}{\*\ts127\tsrowd\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10 \trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext127 \ssemihidden \styrsid3892091 Table Grid;}{\*\ts128\tsrowd
\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext128 \ssemihidden \styrsid3892091 Table Grid 1;}{\*
\ts128\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ai\af0 \ltrch\fcs0 \i \tsclastrow Table Grid 1;}{\*\ts128\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ai\af0 \ltrch\fcs0 \i \tsclastcol Table Grid 1;}{\*\ts129\tsrowd\trbrdrh
\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv
\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024
\sbasedon11 \snext129 \ssemihidden \styrsid3892091 Table Grid 2;}{\*\ts129\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstrow Table Grid 2;}{\*\ts129\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf1
\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastrow Table Grid 2;}{\*\ts129\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstcol Table Grid 2;}{\*
\ts129\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastcol Table Grid 2;}{\*\ts130\tsrowd\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1
\trbrdrv\brdrs\brdrw15\brdrcf1 \trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv
\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024
\sbasedon11 \snext130 \ssemihidden \styrsid3892091 Table Grid 3;}{\*\ts130\tsrowd\tscellcfpat7\tscellcbpat8\tscellpct3000\tsbrdrb\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscfirstrow Table Grid 3;}{\*
\ts130\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastrow Table Grid 3;}{\*\ts130\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastcol Table Grid 3;}{\*\ts131\tsrowd\trbrdrl
\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext131 \ssemihidden \styrsid3892091 Table Grid 4;}{\*
\ts131\tsrowd\tscellcfpat7\tscellcbpat8\tscellpct3000\tsbrdrb\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscfirstrow Table Grid 4;}{\*\ts131\tsrowd\tscellcfpat7\tscellcbpat8\tscellpct3000\tsbrdrt
\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf0 \tsclastrow Table Grid 4;}{\*\ts131\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf0 \tsclastcol Table Grid 4;}{\*
\ts132\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext132 \ssemihidden \styrsid3892091 Table Grid 5;}{\*
\ts132\tsrowd\tsbrdrb\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscfirstrow Table Grid 5;}{\*\ts132\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastrow Table Grid 5;}{\*
\ts132\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastcol Table Grid 5;}{\*\ts132\tsrowd\tsbrdrdgl\brdrs\brdrw15\brdrcf1 \tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscnwcell Table Grid 5;}{\*\ts133\tsrowd
\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext133 \ssemihidden \styrsid3892091 Table Grid 6;}{\*
\ts133\tsrowd\tsbrdrb\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstrow Table Grid 6;}{\*\ts133\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0
\ltrch\fcs0 \cf0 \tsclastrow Table Grid 6;}{\*\ts133\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstcol Table Grid 6;}{\*\ts133\tsrowd\tsbrdrdgl\brdrs\brdrw15\brdrcf1 \tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0
\tscnwcell Table Grid 6;}{\*\ts134\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \ab\af0\afs20\alang1025 \ltrch\fcs0 \b\fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext134 \ssemihidden \styrsid3892091 Table Grid 7;}{\*
\ts134\tsrowd\tsbrdrb\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0 \tscfirstrow Table Grid 7;}{\*\ts134\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0
\ltrch\fcs0 \b0 \tsclastrow Table Grid 7;}{\*\ts134\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0 \tscfirstcol Table Grid 7;}{\*\ts134\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab0\af0 \ltrch\fcs0 \b0
\tsclastcol Table Grid 7;}{\*\ts134\tsrowd\tsbrdrdgl\brdrs\brdrw15\brdrcf1 \tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscnwcell Table Grid 7;}{\*\ts135\tsrowd\trbrdrt\brdrs\brdrw15\brdrcf9 \trbrdrl\brdrs\brdrw15\brdrcf9 \trbrdrb
\brdrs\brdrw15\brdrcf9 \trbrdrr\brdrs\brdrw15\brdrcf9 \trbrdrh\brdrs\brdrw15\brdrcf9 \trbrdrv\brdrs\brdrw15\brdrcf9
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext135 \ssemihidden \styrsid3892091 Table Grid 8;}{\*
\ts135\tsrowd\tscellcfpat9\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf8 \tscfirstrow Table Grid 8;}{\*\ts135\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf0
\tsclastrow Table Grid 8;}{\*\ts135\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf0 \tsclastcol Table Grid 8;}{\*\ts136\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf10 \trbrdrl\brdrs\brdrw15\brdrcf10 \trbrdrb
\brdrs\brdrw30\brdrcf10 \trbrdrr\brdrs\brdrw15\brdrcf10
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsh1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext136 \ssemihidden \styrsid3892091 Table List 1;}{\*
\ts136\tsrowd\tscellcfpat16\tscellcbpat8\tscellpct10000\tsbrdrb\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \b\i\cf13 \tscfirstrow Table List 1;}{\*\ts136\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf1
\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tsclastrow Table List 1;}{\*\ts136\tsrowd\tscellcfpat16\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandhorzodd Table List 1;}{\*
\ts136\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandhorzeven Table List 1;}{\*\ts136\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscswcell Table List 1;}{\*\ts137\tsrowd\trbrdrb
\brdrs\brdrw30\brdrcf15 \trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsh2\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv
\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024
\sbasedon11 \snext137 \ssemihidden \styrsid3892091 Table List 2;}{\*\ts137\tsrowd\tscellcfpat10\tscellcbpat11\tscellpct7500\tsbrdrb\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf8 \tscfirstrow
Table List 2;}{\*\ts137\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tsclastrow Table List 2;}{\*\ts137\tsrowd\tscellcfpat4\tscellcbpat8\tscellpct2000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil
\rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandhorzodd Table List 2;}{\*\ts137\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandhorzeven Table List 2;}{\*\ts137\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0
\ltrch\fcs0 \b \tscswcell Table List 2;}{\*\ts138\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext138 \ssemihidden \styrsid3892091 Table List 3;}{\*
\ts138\tsrowd\tsbrdrb\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf9 \tscfirstrow Table List 3;}{\*\ts138\tsrowd\tsbrdrt\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0
\ltrch\fcs0 \tsclastrow Table List 3;}{\*\ts138\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ai\af0 \ltrch\fcs0 \i\cf9 \tscswcell Table List 3;}{\*\ts139\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb
\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext139 \ssemihidden \styrsid3892091 Table List 4;}{\*
\ts139\tsrowd\tscellcfpat15\tscellcbpat8\tscellpct10000\tsbrdrb\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf8 \tscfirstrow Table List 4;}{\*\ts140\tsrowd\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl
\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext140 \ssemihidden \styrsid3892091 Table List 5;}{\*
\ts140\tsrowd\tsbrdrb\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstrow Table List 5;}{\*\ts140\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstcol
Table List 5;}{\*\ts141\tsrowd\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsh1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tscellcfpat1\tscellcbpat8\tscellpct5000\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv
\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024
\sbasedon11 \snext141 \ssemihidden \styrsid3892091 Table List 6;}{\*\ts141\tsrowd\tsbrdrb\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstrow Table List 6;}{\*\ts141\tsrowd\tsbrdrr
\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstcol Table List 6;}{\*\ts141\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct2500\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0
\tscbandhorzodd Table List 6;}{\*\ts142\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf11 \trbrdrl\brdrs\brdrw15\brdrcf11 \trbrdrb\brdrs\brdrw30\brdrcf11 \trbrdrr\brdrs\brdrw15\brdrcf11 \trbrdrh\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsh1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext142 \ssemihidden \styrsid3892091 Table List 7;}{\*
\ts142\tsrowd\tscellcfpat16\tscellcbpat8\tscellpct10000\tsbrdrb\brdrs\brdrw30\brdrcf11 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstrow Table List 7;}{\*\ts142\tsrowd\tsbrdrt\brdrs\brdrw30\brdrcf11
\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastrow Table List 7;}{\*\ts142\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstcol Table List 7;}{\*
\ts142\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastcol Table List 7;}{\*\ts142\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct2000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandhorzodd
Table List 7;}{\*\ts142\tsrowd\tscellcfpat7\tscellcbpat8\tscellpct2500\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscbandhorzeven Table List 7;}{\*\ts143\tsrowd\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb
\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsh1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext143 \ssemihidden \styrsid3892091 Table List 8;}{\*
\ts143\tsrowd\tscellcfpat7\tscellcbpat8\tscellpct10000\tsbrdrb\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\ai\af0 \ltrch\fcs0 \b\i \tscfirstrow Table List 8;}{\*\ts143\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf1
\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastrow Table List 8;}{\*\ts143\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstcol Table List 8;}{\*
\ts143\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastcol Table List 8;}{\*\ts143\tsrowd\tscellcfpat7\tscellcbpat8\tscellpct2500\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscbandhorzodd
Table List 8;}{\*\ts143\tsrowd\tscellcfpat6\tscellcbpat8\tscellpct5000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscbandhorzeven Table List 8;}{\s144\ql \fi-992\li992\ri0\sb60\sa40\sl240\slmult0\keep\keepn\widctlpar
\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin992\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \sbasedon47 \snext15 \styrsid10168165 table of figures;}{\*
\ts145\tsrowd\trbrdrt\brdrs\brdrw15\brdrcf1 \trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrb\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1 \trbrdrh\brdrs\brdrw15\brdrcf1 \trbrdrv\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext145 \ssemihidden \styrsid3892091 Table Professional;}{\*
\ts145\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf0 \tscfirstrow Table Professional;}{\*\ts146\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf11 \trbrdrb\brdrs\brdrw30\brdrcf11
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext146 \ssemihidden \styrsid3892091 Table Simple 1;}{\*
\ts146\tsrowd\tsbrdrb\brdrs\brdrw15\brdrcf11 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscfirstrow Table Simple 1;}{\*\ts146\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf11 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0
\tsclastrow Table Simple 1;}{\*\ts147\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv
\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024
\sbasedon11 \snext147 \ssemihidden \styrsid3892091 Table Simple 2;}{\*\ts147\tsrowd\tsbrdrb\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscfirstrow Table Simple 2;}{\*\ts147\tsrowd\tsbrdrt
\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf0 \tsclastrow Table Simple 2;}{\*\ts147\tsrowd\tsbrdrr\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b
\tscfirstcol Table Simple 2;}{\*\ts147\tsrowd\tsbrdrl\brdrs\brdrw15\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tsclastcol Table Simple 2;}{\*\ts147\tsrowd\tsbrdrl\brdrnil\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil
\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscnecell Table Simple 2;}{\*\ts147\tsrowd\tsbrdrt\brdrnil\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscswcell Table Simple 2;}{\*\ts148\tsrowd\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl
\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext148 \ssemihidden \styrsid3892091 Table Simple 3;}{\*
\ts148\tsrowd\tscellcfpat1\tscellcbpat8\tscellpct10000\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\cf8 \tscfirstrow Table Simple 3;}{\*
\ts149\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tscbandsh1\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext149 \ssemihidden \styrsid3892091 Table Subtle 1;}{\*
\ts149\tsrowd\tsbrdrt\brdrs\brdrw15\brdrcf1 \tsbrdrb\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscfirstrow Table Subtle 1;}{\*\ts149\tsrowd\tscellcfpat12\tscellcbpat8\tscellpct2500\tsbrdrt
\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tsclastrow Table Subtle 1;}{\*\ts149\tsrowd\tsbrdrr\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscfirstcol
Table Subtle 1;}{\*\ts149\tsrowd\tsbrdrl\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tsclastcol Table Subtle 1;}{\*\ts149\tsrowd\tscellcfpat14\tscellcbpat8\tscellpct2500\tsbrdrb\brdrs\brdrw15\brdrcf1
\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscbandhorzodd Table Subtle 1;}{\*\ts149\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscnecell Table Subtle 1;}{\*
\ts149\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscswcell Table Subtle 1;}{\*\ts150\tsrowd\trbrdrl\brdrs\brdrw15\brdrcf1 \trbrdrr\brdrs\brdrw15\brdrcf1
\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv \ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \sbasedon11 \snext150 \ssemihidden \styrsid3892091 Table Subtle 2;}{\*
\ts150\tsrowd\tsbrdrb\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscfirstrow Table Subtle 2;}{\*\ts150\tsrowd\tsbrdrt\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0
\tsclastrow Table Subtle 2;}{\*\ts150\tsrowd\tscellcfpat11\tscellcbpat8\tscellpct2500\tsbrdrr\brdrs\brdrw30\brdrcf1 \tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \tscfirstcol Table Subtle 2;}{\*
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\ltrch\fcs0 \b \tscnecell Table Subtle 2;}{\*\ts150\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b \tscswcell Table Subtle 2;}{\*\ts151\tsrowd\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr
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\sbasedon11 \snext152 \ssemihidden \styrsid3892091 Table Web 1;}{\*\ts152\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscfirstrow Table Web 1;}{\*\ts153\tsrowd\trbrdrt\brdrinset\brdrw15 \trbrdrl\brdrinset\brdrw15 \trbrdrb
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\sbasedon11 \snext153 \ssemihidden \styrsid3892091 Table Web 2;}{\*\ts153\tsrowd\tsbrdrdgl\brdrnil\tsbrdrdgr\brdrnil \rtlch\fcs1 \af0 \ltrch\fcs0 \cf0 \tscfirstrow Table Web 2;}{\*\ts154\tsrowd\trbrdrt\brdroutset\brdrw60 \trbrdrl\brdroutset\brdrw60
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\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024
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\af38\afs16\alang1025 \ltrch\fcs0 \f38\fs16\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \sbasedon0 \snext158 \ssemihidden \styrsid6183445 Balloon Text;}{\s159\ql \li0\ri0\sb120\sa240\sl180\slmult0\keep\widctlpar
\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \snext159 \styrsid11415276 Table/Fig: Sources & footnotes;}{\*\cs160
\additive \rtlch\fcs1 \af0\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\langnp3081\langfenp1033 \sbasedon10 \styrsid11415276 Box: Text Char;}{\*\cs161 \additive \rtlch\fcs1 \af0\alang1025 \ltrch\fcs0
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\sbasedon160 \slink34 \slocked \styrsid11415276 Box: Heading Char;}{\*\cs163 \additive \rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16 \sbasedon10 \ssemihidden \styrsid11415276 annotation reference;}{\s164\ql \li0\ri0\sb60\sa40\sl260\slmult0
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\af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \sbasedon0 \snext0 \sautoupd \ssemihidden \styrsid1275763 toc 9;}}{\*\latentstyles\lsdstimax156\lsdlockeddef0}{\*\listtable{\list\listtemplateid-928636824\listsimple
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{\author Tracy Dixon}{\operator Australian Institute of Health and Welfare}{\creatim\yr2008\mo12\dy10\hr9\min11}{\revtim\yr2010\mo7\dy19\hr14\min59}{\printim\yr2008\mo11\dy6\hr11\min42}{\version14}{\edmins180}{\nofpages158}{\nofwords87117}
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{\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}\rquote s national health and welfare statistics and information agency. The Institute}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750
\rquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750\charrsid352723 s mission is}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid15151123\charrsid15151123 better information and statistics for}{\rtlch\fcs1 \af0
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11885522
\par
\par
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\par
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Please note that as with all statistical reports there is the potential for minor revisions of data in this report over its life. Please refer to the online version at .
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\f1\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 \'a9 Australian Institute of Health and Welfare }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13248465 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5535619
8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750
\par
\par This work is copyright. Apart from any use as permitted under the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid8282750\charrsid4676909 Copyright Act 1968}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 , no part may be reproduced without pr
ior written permission from the Australian Institute of Health and Welfare. Requests and enquiries concerning reproduction and rights should be directed to the Head, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid664348\charrsid9579527 Media and Communications}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid664348\delrsid664348 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 Unit, Australian Institute of Health and Welfare, GPO Box 570, Canberra ACT\~2601.
\par
\par This publication is part of the Australian Institute of Health and Welfare\rquote s }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13248465 Arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 series. A complete list of the Institute\rquote
s publications is available from the Institute\rquote s website .
\par
\par
\par ISSN }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11081514\charrsid11081514 1833-0991}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9402880 ISBN}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid201737\charrsid201737 978 1 74024 864 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750
\par
\par
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\b\f1\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 Suggested citation
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{\*\xmlclose} of {\*\xmlopen\xmlns2{\factoidname PlaceName}}Health{\*\xmlclose}{\*\xmlclose}{\*\xmlclose} and Welfare }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13248465 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5535619 8}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid8282750 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13248465 Arthritis and osteoporosis in Australia 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5535619 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13530689 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279
Arthritis s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 eries no. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7675112\charrsid7675112 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750\charrsid7675112 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 Cat. no. }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279 PHE}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7675112 106}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7675112 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750
{\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}Canberra{\*\xmlclose}{\*\xmlclose}: AIHW.
\par
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5457094
\par }\pard\plain \ltrpar\s30\ql \li0\ri0\sb400\sa120\sl240\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel8\adjustright\rin0\lin0\itap0\pararsid8282750 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
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Institute{\*\xmlclose} of {\*\xmlopen\xmlns2{\factoidname PlaceName}}Health{\*\xmlclose}{\*\xmlclose}{\*\xmlclose} and Welfare
\par }\pard\plain \ltrpar\s31\ql \li0\ri0\sb40\sa40\sl240\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel8\adjustright\rin0\lin0\itap0\pararsid8282750 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 Board Chair
\par Hon. Peter Collins, AM, QC
\par
\par Director
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4866292 Penny Allbon}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5457094
\par
\par
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 Any enquiries about or comments on this publication should be directed to:
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13248465 National Centre for Monitoring Arthritis and Musculoskeletal Conditions}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750
\par Australian {\*\xmlopen\xmlns2{\factoidname PlaceType}}{\*\xmlopen\xmlns2{\factoidname PlaceType}}{\*\xmlopen\xmlns2{\factoidname place}}Institute{\*\xmlclose} of {\*\xmlopen\xmlns2{\factoidname PlaceName}}Health{\*\xmlclose}{\*\xmlclose}{\*\xmlclose}
and Welfare
\par GPO {\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}Box{\*\xmlclose}{\*\xmlclose} 570{\*\xmlclose}{\*\xmlclose}
\par {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}Canberra{\*\xmlclose}{\*\xmlclose} ACT 2601
\par Phone: (02) 6244 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13248465 1000}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750
\par Email: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13248465 ncmamsc@aihw.gov.au}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750\charrsid3557111
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6183445
\par
\par
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 Published by }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6183445 the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 Australian Institute of Health and Welfare
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6183445 Printed by }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750
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\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 \sect }\sectd \ltrsect
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\footerr \ltrpar \pard\plain \ltrpar\s67\ql \li0\ri0\sb40\sa40\sl280\slmult0\widctlpar
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\rtlch\fcs1 \af0 \ltrch\fcs0 \cs18\f1\fs20\cf1\insrsid16608708 PAGE }}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs18\f1\fs20\cf1\lang1024\langfe1024\noproof\insrsid7874121 5}}}\sectd \pgwsxn11906\pghsxn16838\linex0\endnhere\sectdefaultcl\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \cs18\f1\fs20\cf1\insrsid16608708
\par }\pard\plain \ltrpar\s19\qc \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13525611 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708\charrsid12066883
\par }}\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid8282750 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282750 {\*\bkmkstart _Toc155687541}{\*\bkmkstart _Toc155687803}{\*\bkmkstart _Toc155688733}{\*\bkmkstart _Toc187472420}{\*\bkmkstart _Toc187477412}
{\*\bkmkstart _Toc187549906}{\*\bkmkstart _Toc205693033}{\*\bkmkstart _Toc207091191}{\*\bkmkstart _Toc207091381}{\*\bkmkstart _Toc209839372}{\*\bkmkstart _Toc216149636}Contents{\*\bkmkend _Toc155687541}{\*\bkmkend _Toc155687803}{\*\bkmkend _Toc155688733}
{\*\bkmkend _Toc187472420}{\*\bkmkend _Toc187477412}{\*\bkmkend _Toc187549906}{\*\bkmkend _Toc205693033}{\*\bkmkend _Toc207091191}{\*\bkmkend _Toc207091381}{\*\bkmkend _Toc209839372}{\*\bkmkend _Toc216149636}
\par }\pard\plain \ltrpar\s47\ql \fi-397\li397\ri0\sb80\sa40\sl260\slmult0\keep\keepn\widctlpar\tx397\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8152032 TOC \\o "1-1" \\t "Heading 2,2" }}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 Acknowledgments\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149637 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Summary\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149639 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
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\b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 1}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 Introduction\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149640 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
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\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 A global problem\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838
PAGEREF _Toc216149641 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600340031000000}}}{\fldrslt {
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 The Australian picture\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149642 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Potential for change\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149643 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 National action\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149644 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 National monitoring and surveillance\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149645 \\h }{\rtlch\fcs1
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Purpose and structure of this report\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149646 \\h }{\rtlch\fcs1
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 References\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149647 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
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\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard\plain \ltrpar\s47\ql \fi-397\li397\ri0\sb80\sa40\sl260\slmult0\keep\keepn\widctlpar\tx397\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 2}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838 \tab
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Overviews of the focus areas\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149648 \\h }{\rtlch\fcs1 \af0
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\par }\pard\plain \ltrpar\s48\ql \fi-397\li794\ri0\sb40\sa40\sl260\slmult0\keep\keepn\widctlpar\tx794\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin794\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
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PAGEREF _Toc216149649 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600340039000000}}}{\fldrslt {
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Juvenile idiopathic arthritis\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149651 \\h }{\rtlch\fcs1 \af0
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\lang1024\langfe1024\noproof\insrsid7874121 23}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Osteoporosis\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149652 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600350032000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 24}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Expenditure on arthritis and osteoporosis\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149653 \\h }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600350033000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 25}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 References\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149654 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600350034000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 27}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard\plain \ltrpar\s47\ql \fi-397\li397\ri0\sb80\sa40\sl260\slmult0\keep\keepn\widctlpar\tx397\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 3}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838 \tab
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Arthritis, disability and quality of life\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149655 \\h }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600350035000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 28}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard\plain \ltrpar\s48\ql \fi-397\li794\ri0\sb40\sa40\sl260\slmult0\keep\keepn\widctlpar\tx794\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin794\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Describing disability}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149656 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785
{\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600350036000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 28}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 How arthritis leads to disability}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149657 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600350037000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 29}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Prevalence of arthritis-associated disability}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149658 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600350038000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 31}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Physical impairments}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149659 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600350039000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 32}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Activity limitations\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149660 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600360030000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 33}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Workforce participation\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149661 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600360031000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 36}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Social participation\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149662 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600360032000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 37}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Mental}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 health}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149663 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785
{\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600360033000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 38}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Environmental and personal factors that affect disability}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 \tab }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149664 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600360034000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 38}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Impacts on quality of life}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149665 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600360035000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 39}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Self-assessed health\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149666 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600360036000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 40}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Assistance with everyday tasks}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149667 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600360037000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 41}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 References\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149668 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600360038000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 45}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard\plain \ltrpar\s47\ql \fi-397\li397\ri0\sb80\sa40\sl260\slmult0\keep\keepn\widctlpar\tx397\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 4}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Arthritis in children}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149669 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785
{\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600360039000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 48}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard\plain \ltrpar\s48\ql \fi-397\li794\ri0\sb40\sa40\sl260\slmult0\keep\keepn\widctlpar\tx794\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin794\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Types of juvenile arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149670 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785
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\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600370035000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
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\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 5}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838 \tab
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Reducing the burden of arthritis\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149676 \\h }{\rtlch\fcs1 \af0
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\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 The disease continuum\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149677 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
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\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Arthritis management\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149680 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 References}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149681 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
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\b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Osteoporosis and fractures}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149682 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785
{\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600380032000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 91}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard\plain \ltrpar\s48\ql \fi-397\li794\ri0\sb40\sa40\sl260\slmult0\keep\keepn\widctlpar\tx794\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin794\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Prevalence and detection of osteoporosis\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149683 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
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\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Risk factors for osteoporosis and fractures\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149684 \\h }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600380034000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Impacts of osteoporotic fractures\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149685 \\h }{\rtlch\fcs1 \af0
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Prevention of osteoporosis and fractures\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149686 \\h }{\rtlch\fcs1
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Treatment and management of osteoporosis and osteoporotic fractures\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _T
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 References\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149688 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
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\par }\pard\plain \ltrpar\s47\ql \fi-397\li397\ri0\sb80\sa40\sl260\slmult0\keep\keepn\widctlpar\tx397\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 7}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Trends and patterns in arthritis and osteoporosis}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149689 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600380039000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 111}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard\plain \ltrpar\s48\ql \fi-397\li794\ri0\sb40\sa40\sl260\slmult0\keep\keepn\widctlpar\tx794\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin794\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Trends over time\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838
PAGEREF _Toc216149690 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600390030000000}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 111}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24
\ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Population variation\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149691 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600390031000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 115}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 References\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149692 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600390032000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 120}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard\plain \ltrpar\s47\ql \fi-397\li397\ri0\sb80\sa40\sl260\slmult0\keep\keepn\widctlpar\tx397\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Appendix 1: Indicators for arthritis and osteoporosis}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149693 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785
{\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600390033000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 121}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard\plain \ltrpar\s48\ql \fi-397\li794\ri0\sb40\sa40\sl260\slmult0\keep\keepn\widctlpar\tx794\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin794\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 References}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 \tab
}{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149694 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600390034000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 137}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard\plain \ltrpar\s47\ql \fi-397\li397\ri0\sb80\sa40\sl260\slmult0\keep\keepn\widctlpar\tx397\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Appendix 2: Data sources, methods and classifications}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid4214838 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149695 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785
{\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600390035000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 139}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard\plain \ltrpar\s48\ql \fi-397\li794\ri0\sb40\sa40\sl260\slmult0\keep\keepn\widctlpar\tx794\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin794\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid4214838\charrsid1408674 Data sources}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838
\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149696 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600390036000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 139}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Statistical methods\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149697 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600390037000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 142}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Classifications\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149698 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600390038000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 144}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 References\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149699 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003600390039000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 148}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard\plain \ltrpar\s47\ql \fi-397\li397\ri0\sb80\sa40\sl260\slmult0\keep\keepn\widctlpar\tx397\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 Glossary\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838
PAGEREF _Toc216149700 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003700300030000000}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 149}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24
\ltrch\fcs0 \b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 List of tables\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149701 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003700300031000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 155}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 List of figures\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149702 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003700300032000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 156}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 List of Boxes\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid4214838 PAGEREF _Toc216149703 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310036003100340039003700300033000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 158}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\b0\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid4214838
\par }\pard \ltrpar\s47\ql \fi-397\li397\ri0\sb80\sa40\sl260\slmult0\keep\keepn\widctlpar\tx397\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid2581351 }}\pard\plain \ltrpar
\s47\ql \fi-397\li397\ri0\sb80\sa40\sl260\slmult0\keep\keepn\widctlpar\tx397\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid2581351 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid4792523
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid5789278 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4727424 {\*\bkmkstart _Toc209839373}{\*\bkmkstart _Toc216149637}Acknowledgments{\*\bkmkend _Toc209839373}{\*\bkmkend _Toc216149637}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4727424 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4727424 The authors of this report are Ms Tracy Dixon}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16340926 and}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4727424
Dr Vanessa Prescott}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16340926 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4727424 Ms Alice Crisp}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16340926 and Mr {\*\xmlopen\xmlns2{\factoidname PersonName}}Justin Graf{\*\xmlclose}
assisted with data analysis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8660527 and reviewing}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4727424 .
\par Several AIHW colleagues made valuable contributions to the preparation of th}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1709145 is}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4727424 report. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 Ms\~Louise O\rquote Rance,
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1709145 Dr\~Naila Rahman and Dr Xingyan Wen provided advice regarding the analysis and interpretation of disability data. Mr Tim Beard, Dr Kuldeep Bhatia,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3422947
Ms Sally Bullock, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1709145 Ms Ilona Brockway, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3422947 Ms Michelle Gourley, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7013714 Ms\~Susan Killion, }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1709145 Dr\~Paul Magnus, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8660527 Dr}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3422947 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8660527 Naila Rahman, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1709145 Ms Louise O
\rquote Rance}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6309657 and Ms}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8660527 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6309657 Alison Tong Lee}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1709145
commented upon various sections of the report.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7013714 The assistance of the Information Services and Publishing Unit in coordinating production of the report is also gratefully acknowledged. }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid4727424
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16145893 The authors also thank }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3422947 Ms Clare Bayram of the Australian General Practice Statistics and Classification Centre for advice on the
analysis and interpretation of data about general practice services, and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16145893 Dr Jane Munro of the Royal Children\rquote s Hospital in {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname City}}
Melbourne{\*\xmlclose}{\*\xmlclose} for advice regarding the classification of juvenile idiopathic arthritis.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16145893 Data on emergency department attendances for fractures were provided by the Victorian Department of Human Services and the NSW Department of Health. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12793124
The authors thank Mr\~Peter Brandt}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 (NSW)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16340926 , }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12793124 Ms Yueming Li}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16340926 (NSW)}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12793124 and Ms Savindi Wijeratne}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16340926 (Vic)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12793124 for data extraction and advice on interpretation. Ms Michele Rus
sell of the Western Australian Department of Health also provided information about emergency department attendances in WA}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 , which unfortunately was not able to be included in this report}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid12793124 .
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7013714 Preparation of the report was guided by the Steering Committee/Data
Working Group of the National Centre for Monitoring Arthritis and Musculoskeletal Conditions. Members of the committee commented upon drafts of the report and provided valuable input at all stages of its development.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1921100 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 This project was funded by the Australi
an Government Department of Health and Ageing through the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1921100\charrsid3614381 Better Arthritis and Osteoporosis Care}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 2006 Federal Budget initiative. }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid14551986 Members }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 of the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11797164 d}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 epartment }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14551986
reviewed drafts of the report; their contribution }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 is gratefully acknowledged.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100\charrsid4727424
\par }\pard\plain \ltrpar\s5\ql \li0\ri0\sb180\sa80\sl260\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel4\adjustright\rin0\lin0\itap0\pararsid16340926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 \page National Centre for Monitoring Arthritis and Musculoskeletal Conditions }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7013714
Steering Committee/Data Working Group}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7877579 (as at 1 January 2008)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7013714
\par }\pard\plain \ltrpar\s15\ql \fi-3600\li3600\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin3600\itap0\pararsid1921100 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Prof}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Nick Bellamy (Chair)}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1921100 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7877579 Centre of National Research on Disability and Rehabilitation Medicine (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 CONROD}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7877579 )}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 , {\*\xmlopen\xmlns2{\factoidname PlaceType}}{\*\xmlopen\xmlns2{\factoidname PlaceType}}{\*\xmlopen\xmlns2{\factoidname place}}University{\*\xmlclose} of {\*\xmlopen\xmlns2{\factoidname PlaceName}}Queensland
{\*\xmlclose}{\*\xmlclose}{\*\xmlclose}
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4727424 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16145893 Dr Kuldeep Bhatia}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100
\tab \tab \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16145893 Australian Institute}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 of Health and Welfare}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16145893
\par }\pard \ltrpar\s15\ql \fi-3600\li3600\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin3600\itap0\pararsid1921100 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Prof}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100
.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Flavia Cicuttini}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Department of Epidemiology and Preventive Medicine, {\*\xmlopen\xmlns2{\factoidname
PlaceName}}{\*\xmlopen\xmlns2{\factoidname PlaceName}}{\*\xmlopen\xmlns2{\factoidname place}}Monash{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}University}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7013714 {\*\xmlclose}{\*\xmlclose}{\*\xmlclose}
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Prof}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Robert Cumming}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2521410 Centre for Education and Research on Ageing, {\*\xmlopen\xmlns2{\factoidname PlaceName}}{\*\xmlopen\xmlns2{\factoidname PlaceName}}{\*\xmlopen\xmlns2{\factoidname place}}Concord{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}
Hospital{\*\xmlclose}{\*\xmlclose}{\*\xmlclose}
\par Prof}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Peter Ebeling}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Department of Medicine}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1921100 (RMH/WH)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 , }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 {\*\xmlopen\xmlns2{\factoidname PlaceName}}{\*\xmlopen\xmlns2{\factoidname PlaceName}}{\*\xmlopen\xmlns2{\factoidname
place}}Western{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}Hospital}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 {\*\xmlclose}{\*\xmlclose}{\*\xmlclose}
\par Mr Mick Hoare}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Australian Government Departmen}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 t of Health and Ageing}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2521410
\par Prof}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Graeme Jones}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Menzies Centre for Po}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1921100 pulation Health Research, {\*\xmlopen\xmlns2{\factoidname State}}{\*\xmlopen\xmlns2{\factoidname place}}Tasmania}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 {\*\xmlclose}{\*\xmlclose}
\par Prof}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Lyn March}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Department of Rheumatology,
{\*\xmlopen\xmlns2{\factoidname PlaceName}}{\*\xmlopen\xmlns2{\factoidname PlaceName}}{\*\xmlopen\xmlns2{\factoidname place}}Royal{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceName}}North{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}Shore
{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}Hospital{\*\xmlclose}{\*\xmlclose}{\*\xmlclose}
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 A/Prof.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Richard Osborne}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Centre for Rheumatic Diseases,
{\*\xmlopen\xmlns2{\factoidname PlaceType}}{\*\xmlopen\xmlns2{\factoidname PlaceType}}{\*\xmlopen\xmlns2{\factoidname place}}University{\*\xmlclose} of {\*\xmlopen\xmlns2{\factoidname PlaceName}}Melbourne{\*\xmlclose}{\*\xmlclose}{\*\xmlclose}
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3949440 A/}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Prof}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Anne {\*\xmlopen\xmlns2{\factoidname City}}
{\*\xmlopen\xmlns2{\factoidname place}}Taylor}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 {\*\xmlclose}{\*\xmlclose}\tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410
Population Research and Outcome Studies Unit, South Australian Department of Human Service}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410
\par Ms Pam Webster}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1921100 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2521410 Carers {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid14511539 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539 {\*\bkmkstart _Toc216149638}Abbreviations{\*\bkmkend _Toc216149638}
\par }\pard\plain \ltrpar\s15\ql \fi-2160\li2160\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin2160\itap0\pararsid14511539 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539\charrsid14511539 ABS\tab Australian Bureau of Statistics
\par AIHW\tab Australian Institute of Health and Welfare
\par BAOC\tab Better Arthritis and Osteoporosis Care
\par BEACH\tab Bettering the Evaluation and Care of Health
\par BMD\tab bone mineral density}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9584932 CURF\tab confidentialised unit record file}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9584932\charrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539\charrsid14511539 DMARD\tab disease-modifying anti-rheumatic drug}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539
\par GP\tab general practitioner}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539\charrsid14511539
\par HDL\tab high-density lipoprotein
\par HLA\tab human leukocyte antigen
\par HRQOL\tab health-related quality of life
\par HRT\tab hormone replacement therapy
\par ICD\tab International Classification of Diseases
\par ILAR\tab International League of Associations for Rheumatology}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9584932 IR\tab inner regional areas of {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9584932\charrsid14511539 {\*\xmlclose}
{\*\xmlclose}
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539\charrsid14511539 JIA\tab juvenile idiopathic arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9584932 MC\tab major cities}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9584932\charrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539\charrsid14511539 MRI\tab magnetic resonance imaging
\par NAMSCAG\tab National Arthritis and Musculoskeletal Conditions Advisory Group
\par NATSIHS\tab National Aboriginal and {\*\xmlopen\xmlns2{\factoidname place}}Torres Strait{\*\xmlclose} Islander Health Survey
\par NHPA\tab National Health Priority Area
\par NHS\tab National Health Survey}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539
\par NSAID\tab non-steroidal anti-inflammatory drug}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539\charrsid14511539
\par PBS\tab Pharmaceutical Benefits Scheme}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9584932 RA\tab rheumatoid arthritis
\par RF\tab rheumatoid factor}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9584932\charrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539\charrsid14511539 RPBS\tab Repatriation Pharmaceutical Benefits Scheme
\par SDAC\tab Survey of Disability, Ageing and Carers
\par WHO\tab World Health Organization
\par YLD\tab years of life lost due to disability}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid15151123 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5789278 {\*\bkmkstart _Toc216149639}Summary{\*\bkmkend _Toc216149639}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5789278 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15343991 Arthritis and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11363020 musculoskeletal conditions}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15343991 are }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11363020 the most common chronic conditions in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
, affecting almost one-third of the population. Although not often direct causes of death, these conditions are major }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 contributors to}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11363020 pain and disability, }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 common}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11363020 reasons for use of health services and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 responsible for substantial}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid8986759 direct health expenditure.
\par The naming of arthritis and musculoskeletal conditions }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11363020 as a National Health Priority Area in 2002}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8986759 concentrated national attention }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid11869225 initially }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8986759 on three of the most common conditions: osteoarthritis, rheumatoid arthritis and osteoporosis. A fourth condition, juvenile idiopathic arthritis, was added to these i
n 2006. These four conditions are}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3941426 also}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8986759 the focus of the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid8986759 Better Arthritis and Osteoporosis Care}{\rtlch\fcs1
\af0 \ltrch\fcs0 \i\insrsid8986759\charrsid8986759 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8986759\charrsid4542717 (BAOC)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8986759 2006 Federal Budget }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6434591 initiative}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3941426 , which aims to improve awareness, diagnosis and management}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8986759 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15343991
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3941426 Focusing on these four conditions, this report explores some of the \lquote big issues\rquote in arthritis and osteoporosis today\emdash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 such as }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid3941426 disability, falls and frac}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 tures, treatment and management}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3941426 \emdash
and provides the latest data on how arthritis and osteoporosis affect Australians and Australia\rquote s health system.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13908267
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid11885522 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10164594 How many Australians have arthritis and osteoporosis?
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid5904547 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid12517573 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid5904547 Self-reported information suggests that a}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3941426 rthritis affect}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5904547 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3941426 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid5904547 over}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3941426 3 million Australians}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5904547 , including more than one-third of people aged 65 or over and more than half of those aged 85 years or over}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3941426 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid13829293 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13829293 More than}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid13908267 1.3 million Australians (6.5%) have osteoarthritis. Prevalence increases with age, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10164594 from 1\~in 1,000 people under 25 years of age up to }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13908267 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10164594 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13908267 in 3 people over 85.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid13908267 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Rheumatoid arthritis affects an estimated 384,000 Australians (1.9%). Females are almost twice as likely as males to report }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10164594 a diagnosis of this type of arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13908267 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10164594 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10164594
Parental reports suggest 2,300 Australian children\emdash mostly girls\emdash have been diagnosed with j}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13908267 uvenile arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10164594 . A similar number of parents report }
{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13918576 children with symptoms of arthritis but no formal diagnosis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10164594 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13908267
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10164594 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10164594 Almost 600,000 Australians }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5904547 have been diagnosed with osteoporosis, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2583524 the majority}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5904547 being females aged 55 years or over. Due to the }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid11869225 mostly }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5904547 symptomless nature of the condition, this number is likely to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 be a }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5904547
substantial underestimate }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5904547 the true extent of the problem.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10164594
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid11885522 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10164594 What impacts do arthritis and osteoporosis have on health and functioning?
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid13908267 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid12517573 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13908267 Arthritis or a related disorder is the main disabling condition for an estimated 561,000 Australians (3% of the population, and 14% of those with disability)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 ;}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2583524 30% of these people are unable to perform, or need help with, self-care or mobility tasks.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13908267
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid2583524 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2583524
People of working age with arthritis-associated disability are less likely to be employed full-time compared with people with disability in general or people without disability, and are more likely to not be in the labour force.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid11421080
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid12535693 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12535693
People with arthritis are more likely to experience psychological distress than people with other long-term conditions or no long-term conditions, and are also more likely to rate their health as fair or poor.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid12535693 \loch\af37\dbch\af0\hich\f37 \'95\tab}Although in many cases juvenile arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11869225 goes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12535693 into remission by adulthood, the physical, emotional and social effects of the disease }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 often}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid12535693 persist throughout life.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid12535693 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Osteoporosis has no symptoms, so its effects are mainly seen through fractures. These }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 generally }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12535693
result in immediate pain and loss of function, and may lead to long-term pain, disability, emotional distress and loss of independence.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid6434591 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6434591 Almost}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid12535693 all types of minimal trauma fractures}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10117737 \emdash but especially hip and pelvic fractures\emdash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12535693 are associated with an increased
risk of death in the following 12 months. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10117737 Fractures are recorded as an associated cause of around 2,500 deaths in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}
Australia{\*\xmlclose}{\*\xmlclose} each year; around 70% of cases involve hip and pelvic fractures.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12535693
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid11885522 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12517573 What types of health services do people }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3941426 with arthritis and osteoporosis }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid12517573 use?}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13908267\charrsid8986759
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid2556089 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid12517573 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2556089 Osteoarthritis is among the top 10 problems managed by general practitioners (GPs). Almost 2.7 million Medicare-paid GP consultations in 2007\endash 08 included management of osteoarthritis.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11421080
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid8408126 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8408126
Rheumatoid arthritis is less likely than osteoarthritis to be managed by GPs; specialists such as rheumatologists }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 and endocrinologists }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8408126 play a greater role.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid11869225 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225
The use of medicines is the most common management strategy for arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8408126 . The most frequently used medications include analgesics, non-steroidal anti-inflammator
y drugs and disease-modifying anti-rheumatic drugs.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2556089
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid8408126 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8408126
Allied health and complementary practitioners }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13829293 also }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8408126 play important roles in arthritis management}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13829293 .}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid8408126 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13829293 T}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8408126 heir services }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13829293 are }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8408126
generally aimed at improving and maintaining body structure and function.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid13829293 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13829293 Over 18,000 to
tal hip replacements and almo}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2103067 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13829293 t 28,000 total knee replacements were performed in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 Australian hospitals in 2006
\endash 07, the majority being for osteoarthritis. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid545466
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid11869225 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 Since 1993\endash
94, the number of total hip replacements per 100,000 persons has increased by 92%, while the rate of total knee replacements has more than doubled.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13829293
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid11421080 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11421080
An estimated 850,000 GP consultations for osteoporosis were fully or partly funded by Medicare in 2007\endash 08. One in eight consultations were for new cases}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13829293 of the condition}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11421080 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5789278
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid16530401 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16530401 There were almost 51,000 hos
pitalisations for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 minimal trauma }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16530401 fractures in people aged 40 years or over in 2006\endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 7}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid16530401 . Hip and pelvic fractures accounted for 40% of cases.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid11869225 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225
The number of minimal trauma hip fractures per 100,000 persons decreased }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid545466 significantly }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225 between 1999}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid545466 \endash
00 and 2006\endash 07, by 13% in males and by 15% in females.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11869225
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid16530401 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16530401
Allied health services, mostly physiotherapy, are the most common interventions provided in hospital separations for minimal trauma fractures}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13829293 , recorded in more than two-thirds of cases}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid16530401 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid11421080 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11421080 Almost 5,000 partial hip repla
cements for minimal trauma hip fractures in people aged 40 years or over were }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13829293 performed}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11421080 in Australian hospitals in 2006\endash 07.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid11885522 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12517573 Are all Austra}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10117737 lians equally affected}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12517573 ?
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid13912365 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid12517573 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13912365 Aboriginal and Torres Strait Islander}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9186876 Australians are more likely than }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13912365 other}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9186876 Australians to re
port having arthritis, but are much less likely to have hip or knee replacements.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid5729367 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5729367
Osteoporosis is more common among Indigenous males, but less common among Indigenous females, compared with their non-Indigenous counterparts. However, Indigenous people of
both sexes are much more likely than non-Indigenous people to be hospitalised with a minimal trauma hip fracture.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid5729367 \loch\af37\dbch\af0\hich\f37 \'95\tab}People in the most disadvantaged areas of {\*\xmlopen\xmlns2{\factoidname
country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose} are less likely than those in the least disadvantaged areas to have a total hip replacement, but more likely to have a total knee replacement.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid12517573
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid13912365 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13912365
People living in regional and remote areas are more likely }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11797164 to have hip or knee replacements }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13912365 than those living in major cities.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid11885522 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12517573 How much money is spent on these conditions?
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid12517573 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid12517573 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid12517573 In 2004\endash 05, around $1.2 billion in direct health expenditure was attributed to osteoarthritis\emdash
almost one-third of the total amount spent on arthritis and musculoskeletal conditions. Admitted hospital patient services (for example, joint replacements) were the main contributor to this expenditure.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid12517573 \loch\af37\dbch\af0\hich\f37 \'95\tab}Direct health expenditure on rheumatoid arthritis in 2004\endash
05 was estimated at $175\~million, with prescription pharmaceuticals accounting for more than half of this.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid12517573 \loch\af37\dbch\af0\hich\f37 \'95\tab}More than $304 million of direct health expenditure in 2004\endash
05 was for osteoporosis. Prescription pharmaceuticals made up almost three-quarters of this amount. (Note that this figure does not include expenditure on fractures resulting from osteoporosis.)
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid3941426 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3941426
No information on Australian expenditure for juvenile arthritis is currently available. Direct health expenditure on arthritis and musculoskeletal conditions in people less than 15 years of age was estimated to be $94 million in 2004\endash 05.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12517573
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid11885522 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11421080 What can be done to prevent arthritis and osteoporosis?
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid6386603 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid12517573 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6386603 Regular physical activity, a balanced diet, maintaining a healthy weight and avoiding repetitive joint-loading tasks (such as kneeling, squatting and heavy lifting) can help to prevent or delay the onset of osteoarthritis.}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid11421080
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid6386603 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6386603
Rheumatoid and juvenile arthritis are not considered to be preventable}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2701763 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6386603 giv
en current knowledge. However, not smoking may reduce the risk of rheumatoid arthritis.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid11421080 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11421080
Osteoporosis is largely preventable. Key preventive actions include regular weight-bearing exercise, a balanced diet including calcium-rich foods, adequate vitamin D levels and maintaining }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6386603 a }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid11421080 healthy weight. Childhood and adolescence is a key time for building healthy bones and ensuring high peak bone mass.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid6386603 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10117737 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6386603 T}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11421080 he risk of }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid14509507 falls and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11421080 fractures can be reduced through maintaining balance and mobility}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14509507 , reviewing medications, }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6434591 addressing}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14509507 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6386603 environmental }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14509507 hazards and attending a falls prevention class.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid6386603 The use of medications such as bisphosphonates}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2556089 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6386603 calcium and vitamin D supplements}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2556089
(where necessary) is also important}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6386603 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12517573
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5789278 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9969372
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid5789278 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5789278 {\*\bkmkstart _Toc216149640}1\tab Introduction{\*\bkmkend _Toc216149640}
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc216149641}A global problem{\*\bkmkend _Toc216149641}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Arthritis and osteoporosis are among the world\rquote
s leading causes of long-term pain and disability (Lidgren 2003). Although they are not often direct causes of death, these conditions }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279 make}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 large contribut}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279 ion}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 s to pain, deformity, mobility restriction and functional impairment, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279 as well as}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 affect}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279 ing}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 mental health and quality of life. The burden }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7877579 of}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 arthritis and osteoporosis applies not only to the individuals affected by the}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7877579 se conditions}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
, but to their families, friends and society in general, through reduced social interaction, role restrictions, lost productivity, and the significant cost of ongoing management and treatment. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11930916
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13510217\charrsid11930916 T}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1452478\charrsid11930916 he World Health Organization}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6691212 (WHO)}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1452478\charrsid11930916 estimated that musculoskeletal diseases }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3283760 were the fifth largest cause of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3283760\charrsid11930916
global years of life lost due to disability (YLD) in 2002}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3283760 , }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1452478\charrsid11930916 account}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3283760 ing}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1452478\charrsid11930916 for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13510217\charrsid11930916 more than }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1452478\charrsid11930916 5% of}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3283760 the total }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13510217\charrsid11930916 (WHO 2004). This figure does not include the contribution of osteoporotic fractures; falls in people aged 65 years or over w}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2701763 ere}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid13510217\charrsid11930916 estimated to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1452478\charrsid11930916 account for another 0.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13510217\charrsid11930916 8}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1452478\charrsid11930916 %}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4542717 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13510217\charrsid11930916 of global YLD in 2002}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15343991\charrsid11930916 .}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid15221138
\par Recognition of the burden of arthritis, osteoporosis and other musculoskeletal conditions, and the need for action worldwide, led to the declaration of 2000\endash 2010 as the Bone and Joint Decade. The Decade aims }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2701763 \lquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 to improve the quality of life for people who have musculoskeletal conditions a
nd to advance the understanding and treatment of these conditions through research, prevention and education}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2701763 \rquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
(Weinstein 2000). More than 750 professional bodies, advocacy groups, industry and research organisations, and governments across 60 countries (including {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia
{\*\xmlclose}{\*\xmlclose}) support the Decade, confirming the global nature of the musculoskeletal disease burden and its impact on all sectors of society.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc216149642}The Australian picture{\*\bkmkend _Toc216149642}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15343991 In {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
, arthritis and osteoporosis are identified as a focus under the National Health Priority Area }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539 (NHPA) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15343991 of arthritis and musculoskeletal conditions. }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Self-reported data suggest that long-term arthritis and musculoskeletal conditions affect 31% of the}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7877579 Australian}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
population, more than 6 million people (ABS 2006).}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9918927 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8139909 Although these conditions cause relatively few deaths, t}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9918927
hey are by far the most prevalent of all the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14511539 NHPA}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9918927 diseases and conditions, and the most commonly reported causes of disability (Figure 1.1).}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid15221138 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6691212 The WHO Global Burden of Disease project estimated that musculoskeletal conditions were the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15299354 six}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6691212 th largest }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6434591 contributor}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6691212 to YLD in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}
{\*\xmlclose} in 2002, at almost 5% of the total (WHO 2004). }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6715763
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9918927 Overall, t}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 he }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9918927 most commonly reported musculoskeletal }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 conditions }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6691212 in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose} }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
are arthritis (affecting an estimated 3.0 million }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6691212 people}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 ), back pain (2.1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13456234 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 million), disc disorders (1.1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6691212 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 million) and osteoporosis (0.6 million). Prevalence is highest among people aged 65}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid6691212 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 years or over: two out of three people of this age have a}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7877579 rthritis or another}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
musculoskeletal condition, and more than 50% have arthritis, osteoporosis, or both. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7877579 But}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 those at younger ages are not immune, with 1 in}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid8282228 every 36 people aged less than }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 18}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8282228 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
years reportedly having arthritis or a musculoskeletal condition}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6691212 \emdash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 an estimated 131,000 Australian children and young people.
\par Arthritis and musculoskeletal conditions are the most common causes of long-term disability in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
, with 34% of people with disability in 2003 reporting that arthritis or a}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7877579 nother}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
musculoskeletal condition was their main disabling condition (ABS 2004). Almost half of these
people were restricted in schooling or employment due to their disability, and over one quarter had a severe or profound core activity limitation (meaning that they were unable to perform, or sometimes or always needed help with performing, communication,
mobility or self-care tasks).
\par Arthritis and musculoskeletal conditions are also common reasons for the use of health care services. In 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3478865 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid3478865 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 , arthritis and musculoskeletal conditions were managed }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3478865 at}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 1}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid14425456 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3478865 out of every 100}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 of GP encounters reported in the Bettering the Evaluation and Care of Health (BEACH) GP survey (Britt et al. 200}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14425456 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 ), and accounted for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3478865 more than 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
% of all hospital separations (AIHW 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14425456 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 ). Use of these and other medical and allied health care services, along with the need for medications an
d high-level residential care services, results in substantial expenditure on these conditions. Arthritis and musculoskeletal conditions were the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3478865 fourth}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3478865 leading}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 contributor to direct health expenditure in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}
{\*\xmlclose} in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3478865 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3478865 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 , at $4.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid3478865 0\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 billion. The three conditions osteoarthritis, rheumatoid arthritis and osteoporosis together accounted for more than }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11930916 40%}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 of this expenditure.
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11885522 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11885522\charrsid11885522 {\*\bkmkstart _Toc267314800}Figure 1.1: Burden of arthritis and musculoskeletal conditions compared with other NHPAs}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11885522 {\*\bkmkend _Toc267314800}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11885522 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11885522 Horizontal bar chart showing, for deaths, disability and prevalence, NHPAs on y-axis and per cent/deaths per 10,000 on x-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11885522 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11885522 AMSC arthritis and musculoskeletal conditions
\par CVD\tab cardiovascular disease}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11885522\charrsid13456234
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid11885522\charrsid6053138 Notes
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11885522 1.\tab Data are prevalence of condition, deaths from the condition, and proportion of people with disability reporting it as their main disabling condition.
\par 2.\tab Deaths from self-inflicted injury have been assigned to the mental health group. Deaths from hip fracture have been assigned to the AMSC group.
\par 3.\tab Prevalence and deaths data have been age-standardised to the Australian population as at 30 June 2001.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid11885522\charrsid2889024 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11885522 ABS 2004 (disability); AIHW National Mortality Database (deaths); AIHW analysis of the 2004\endash 05 NHS CURF (prevalence)}
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11885522 ADDIN EN.CITE ABS2004232323ABS20042003 Disability, ageing and carers: summary of findings, Australia
CanberraABS}}{\fldrslt }}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid11885522 .
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11885522 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11885522\charrsid11885522
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid15275959 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc216149643}Potential for change{\*\bkmkend _Toc216149643}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 The effects of arthritis and osteoporosis can be reduced through prevention, early diagnosis and initiation of treatment, and appropriate }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16646679 long-term }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 management. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16646679 Over the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15670104 p}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16646679 ast }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15670104 couple of decades, b}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
etter understanding of the causes, risk factors and progression of the various conditions has led to new strategies for primary prevention and improved management techniques. Advances in the pharmaceutical field have al
so resulted in new and more effective medications for treatment, and improvements in surgical techniques have meant that joint replacement surgery is more wid}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14880010 ely available}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid15275959 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Primary prevention
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6715763 O}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 steoarthritis and osteoporosis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6715763
can be prevented, or at least have their onset delayed, through preventive action}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14880010 Although varying in their impact on specific conditions, l}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid15221138 ifestyle changes }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15670104 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
including regular physical activity, maintenance of healthy weight, a balanced diet, limiting alcohol intake and not smoking}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15670104 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 ar
e the basic building blocks for prevention of these and many other chronic diseases. In addition, avoidance or limitation of repetitive load-bearing activities and prevention of joint trauma can reduce the risk of developing osteoarthritis.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid15275959 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Treatment and management
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6715763 The }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 treatment }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6715763 of arthritis and osteoporosis }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 is focused on alleviating symptoms, optimising function}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6715763 , minimising the impact of disability}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
and maximising quality of life. The use of medication is the most common way of achieving these outcomes, in
combination with physical and occupational therapy and self-management education. Early diagnosis and prompt initiation of treatment can minimise functional limitations and slow disease progression. In people with severe osteoarthritis or rheumatoid arth
r
itis, joint replacement surgery is a cost-effective intervention that can reduce pain, increase joint functionality and improve the quality of life. Interventions that reduce the risk of falling, or devices (such as hip protectors) that absorb the impact
of falls, can be beneficial in people with osteoporosis.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15670104 More detailed information about prevention, treatment and management is provided in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11815021 c}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15670104 hapters }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid1392943 4, 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15670104 and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1392943 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15670104 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6715763
Information about reducing the impact of arthritis-associated disability can be found in Chapter 3.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15670104
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid15275959 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc216149644}National action{\*\bkmkend _Toc216149644}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 In July 2002, Australian health ministers formally recognised the burden of arthritis and musculoskeletal conditions in
{\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}, and the potential for reduction of this burden, by declaring them a}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9584932 n}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid15221138 NHPA. Listing as an NHPA provides i
mpetus for regular surveillance and monitoring activity, and provides a framework for the introduction of health interventions. The initial focus of the NHPA was on osteoarthritis, rheumatoid arthritis and osteoporosis, with juvenile arthritis added to th
e
list in 2006. Although the importance of other musculoskeletal conditions and their significant impact on health and quality of life is recognised, focusing efforts on a small number of conditions at any one time enables targeted action and the setting o
f more manageable and achievable goals.
\par To guide action under the NHPA, a National Action Plan was developed by the National Arthritis and Musculoskeletal Conditions Advisory Group (NAMSCAG), in consultation with stakeholders and consumers (Australian Heal
th Ministers' Conference 2005). The plan aims }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13376680 \lquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
to provide a blueprint for national efforts to improve the health-related quality of life of people living with osteoarthritis, rheumatoid arthritis and osteoporosis, reduce the cost and prevalence of those co
nditions, and reduce the impact on individuals, their carers and communities within Australia}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13376680 \rquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
(Australian Health Ministers' Conference 2005:2). The plan states five key objectives:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid15221138 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid8282228 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 to reduce the burden of disease associated with osteoarthritis, rheumatoid arthritis and osteoporosis
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid15221138 \loch\af37\dbch\af0\hich\f37 \'95\tab}
to advance and disseminate knowledge and understanding of osteoarthritis, rheumatoid arthritis and osteoporosis
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid15221138 \loch\af37\dbch\af0\hich\f37 \'95\tab}to reduce disadvantage by considering groups with special needs
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid15221138 \loch\af37\dbch\af0\hich\f37 \'95\tab}to drive national improvements in systems and services
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid15221138 \loch\af37\dbch\af0\hich\f37 \'95\tab}to measure and manage performance and outcomes.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
More recently, the National Chronic Disease Strategy and National Service Improvement Frameworks identified osteoarthritis, rheumatoid arthritis and osteoporosis as conditions of major importance in {\*\xmlopen\xmlns2{\factoidname country-region}}
{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
(National Health Priority Action Council 2006a, b). These documents outline the need for improvements in the prevention, detection and management of chronic diseases, optimisation of self-management strategies, and a focus on population groups with spe
cial needs. The need for the development, collection and reporting of measures to monitor program outcomes, and national data systems that can monitor population trends in prevalence, risk factors, comorbidities and service use patterns, is also emphasise
d.
\par In the 2002\endash 03 Federal Budget, funding for four years was allocated to the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid15221138\charrsid8282228 Better Arthritis Care}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 initiative. The 2006\endash
07 Budget extended this funding for a further four years as the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid15221138\charrsid8282228 Better Arthritis and Osteoporosis Care }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7569268 (BAOC) }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7569268\charrsid7569268 initiative}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138\charrsid7569268 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7569268 allocating a total of }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2645832 $14.8 million over }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7569268\charrsid7569268 2006}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2645832 \endash 07 to 2009\endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7569268\charrsid7569268 10}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7569268 . The focus conditions were also }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 expanded }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7569268 at this time }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
to cover juvenile }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2645832 idiopathic }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 arthritis. The aims of the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7569268 BAOC initiative}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 are to provide better diagnosis, promote best-practice treatment and management, provide multidisciplinary care, promote self-management and support proven self-management options. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7569268
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 The two }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15299354 b}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138\charrsid15299354 udget}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
allocations provided funding for a large number of projects for improving care, the development of the National Action Plan, and several projects addressing the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9970492 p}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 lan\rquote s key objectives }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9788357 (see}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11878671 DoHA 2008}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9788357 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6370543 .}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9788357 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Funding was also provided for the production of a baseline monitoring report on arthritis and musculoskeletal conditions in {\*\xmlopen\xmlns2{\factoidname
country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}, and the establishment of a national monitoring centre.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid13641579 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc216149645}National monitoring}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13641579 and surveillance}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 {\*\bkmkend _Toc216149645}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Data on arthritis and osteoporosis in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia
{\*\xmlclose}{\*\xmlclose} }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6370543 are}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 limited. The largely non-fatal nature of these conditions, and the perception that arthritis is }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid9970492 \lquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 an old person\rquote s disease}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9970492 \rquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
related to normal wear and tear, has probably contri
buted to the lesser degree of attention that monitoring of arthritis and musculoskeletal conditions has received in the past, compared to more obvious causes of ill-health and death such as heart disease and cancer. However, arthritis and osteoporosis hav
e a substantial impact on disability and quality of life, and are among the most prevalent long-term health conditions occurring in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
. It is important, therefore, that accurate, reliable and comprehensive information about them is available, to inform national discussion and decision-making and support further research.
\par The National Action Plan for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13641579 O}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 steoarthritis, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13641579 R}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 heumatoid }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9970492 A}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 rthritis and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13641579 O}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
steoporosis identifies the need for establishing baselines and implementing ongoing data collection systems to support research (Australian Health Ministers' Conference 2005). The }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15299354 p}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid15221138 lan also outlines a number of monitoring-related strategies to achieve the five key objectives listed above, including:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid15221138 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid8282228 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 gathering information on the disease burden related to osteoarthritis, rheumatoid arthritis and osteoporosis
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid15221138 \loch\af37\dbch\af0\hich\f37 \'95\tab}planning and developing the ongoing colle}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid8282228 ction of comprehensive data}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid15221138 \loch\af37\dbch\af0\hich\f37 \'95\tab}
developing and monitoring performance indicators (Australian Health Ministers' Conference 2005).
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 An effective monitoring and surveillance syste
m can facilitate the prevention and management of arthritis and musculoskeletal conditions; it can determine their impact, reveal variation between population groups and detect underlying trends. This information can }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16388553 underpin}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 workforce and service planning, inform national policies and strategies, and identify groups with special needs.
\par To progress monitoring and surveillance activities, the National Centre for Monitoring Arthritis and Musculoskeletal Conditions was established in 2005. The primary objective of the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9970492 c}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid15221138
entre is to undertake national surveillance and monitoring of arthritis and musculoskeletal conditions, and become a reliable source of national information on these conditions. Located within the Australian Institute of Health and Welfare, the
Centre has access to a range of national data relevant to osteoarthritis, rheumatoid arthritis, juvenile arthritis and osteoporosis. The Centre is guided by a steering committee, formerly the Data Working Group of NAMSCAG, which includes representatives f
rom government, professional and consumer organisations, as well as clinical experts.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid9843254 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 {\*\bkmkstart _Toc216149646}Purpose and structure of this report{\*\bkmkend _Toc216149646}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9843254 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 This report is the second in the series of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13641579 comprehensive }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid9843254 surveillance }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13641579 reports}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 that began with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid9843254\charrsid3607568 Arthritis and musculoskeletal condition
s in Australia 2005}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 (AIHW: Rahman et al. 2005). That report provided baseline information on the status of arthritis and musculoskeletal conditions in {\*\xmlopen\xmlns2{\factoidname country-region}}
{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}, with a focus on osteoarthritis, rheumatoid arthritis and osteoporosis. The current report prov
ides more in-depth information about prevention, treatment and management of the these three conditions, as well as providing insight into significant iss}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13775569 ues such as disability}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid9843254 . In addition, the problem of arthritis in children and young people is discussed, with reference to impacts on development, schooling and quality of life, and the effects of the diagnosis on the child\rquote s family.
\par The report has been organised into }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 seven}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 chapters and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1731898 two}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 appendi}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14702981 x}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 es. This introductory chapter provides an overview of the burden of arthritis and osteoporosis in {\*\xmlopen\xmlns2{\factoidname country-region}}
{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}, and describes national action to reduce this burden. General information on the focus conditions of osteoarthritis, rheumatoid arthritis, juvenile }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6370543 idiopathic }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 arthritis and osteoporosis, including their clinical presentation, prevalence, risk factors and treatment goals, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 are }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid9843254 provided}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 in Chapter 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 .
\par The significant disability caused by arthritis, and the effects this has on quality of life and mental health, is detailed in Chapter }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254
. The types of problems experienced, forms of assistance needed, and modifications and aids that can be used are described.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Chapter }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 4}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 focuses on juvenile arthritis. The various types of arthritis that affect people at young ages are described, along with an overview of their treatmen
t, management and prognosis. The effects of arthritis on the young person\rquote
s physical and mental health, development, education, social interaction and quality of life are also discussed. In addition, the chapter looks at some of the impacts that the diagnosis of arthritis has on the young person\rquote s parents and siblings.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9843254 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid351339 Specific strategies}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254
for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid351339 reducing the burden }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 of arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid351339 in {\*\xmlopen\xmlns2{\factoidname country-region}}
{\*\xmlopen\xmlns2{\factoidname place}}Australia}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 {\*\xmlclose}{\*\xmlclose} are discussed in Chapter}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6370543 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 5}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 . The chapter details }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid351339 prevention }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 and management options, and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid351339
presents data about the use of health services for arthritis management}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 .
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Chapter }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 6}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 is devoted to osteoporosis and fractures. In people with established osteoporosis, the risk of fractures can be greatly decreased through interventions that prevent or reduce the risk of falling. The chapte
r details the causes and development of osteoporosis, discusses its treatment and management, and outlines prevention strategies. It also describes common fracture types and their treatment, impacts on physical and mental health and quality of life, and f
all-related interventions.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9843254 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 Finally, Chapter }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 7
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254
explores trends and patterns in osteoarthritis, rheumatoid arthritis and osteoporosis through examining the national indicators for these conditions. Information on recent trends in prevalence, use of health ser
vices and types of therapies is provided. The chapter also considers variation across population groups and geographic areas. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13775569 Baseline}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254
data for each of the indicators }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6182084 (the most recent year available, by age group and sex) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6370543 are}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 provided in }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254\charrsid6182084 Appendix }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6182084\charrsid6182084 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 .
\par The information presented in this report should complement that provided by the baseline report, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid9843254\charrsid3607568 Arthritis and musculoskeletal conditions in Australia 2005}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid9843254 . In addition to providing the most recent data on prevalence, health service use and uptake of therapies,
this report considers significant issues in detail, promoting greater awareness and understanding of the burden of arthritis and osteoporosis in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}
{\*\xmlclose}.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid16152856 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 {\*\bkmkstart _Toc216149647}References{\*\bkmkend _Toc216149647}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16152856 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 ABS (Australian Bureau of Statistics) 2004. 2003 Disability, ageing and carers: summary of findings, {\*\xmlopen\xmlns2{\factoidname
country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}. ABS cat. no. 4430.0. {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}Canberra{\*\xmlclose}{\*\xmlclose}: ABS.
\par ABS 2006. 2004\endash 05 National health survey: summary of results, {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}. ABS cat. no. 4364.0. {\*\xmlopen\xmlns2{\factoidname City}}
{\*\xmlopen\xmlns2{\factoidname place}}Canberra{\*\xmlclose}{\*\xmlclose}: ABS.
\par AIHW (Australian Institute of Health and Welfare) 2007. Australian hospital statistics }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid16152856 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 2005}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15492670 \endash }
{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 06. Cat. no. HSE 50}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2124298 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}Canberra
{\*\xmlclose}{\*\xmlclose}: AIHW.
\par AIHW: Rahman N, Bhatia K & Penm E 2005. Arthritis and musculoskeletal conditions in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}, 2005. Cat. no. PHE 67.
{\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}Canberra{\*\xmlclose}{\*\xmlclose}: AIHW.
\par Australian Health Ministers\rquote Conference 2005. A national action plan for osteoarthritis, rheumatoid arthritis and osteoporosis 2004\endash 2006. {\*\xmlopen\xmlns2{\factoidname City}}Canberra{\*\xmlclose}
: Australian Government Department of Health and Ageing}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13918576 ({\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}DoHA{\*\xmlclose}{\*\xmlclose})}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16152856 .
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2124298 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2124298
Britt H, Miller GC, Charles J, Pan Y, Valenti L, Henderson J et al. 2007. General practice activity in Australia 2005\endash 06. Cat. no. GEP 19. {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}Canberra{\*\xmlclose}
{\*\xmlclose}: AIHW.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16152856 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13918576
DoHA 2008. Better Arthritis and Osteoporosis Care initiative (2006\endash 07 to 2009\endash 10) and BAOC newsletters. {\*\xmlopen\xmlns2{\factoidname City}}Canberra{\*\xmlclose}: {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}
}DoHA{\*\xmlclose}{\*\xmlclose}. Viewed 17 July 2008, <}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13918576\charrsid15670104 www.health.gov.au/internet/main/publishing.nsf/Content/pq-arthritis-baoc-init}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13918576 >.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 Lidgren L 2003. The Bone and Joint Decade 2000\endash 2010. Bulletin of the World Health Organization 81:629.
\par National Health Priority Action Council 2006a. National chronic disease strategy. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15492670 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname
place}}Canberra{\*\xmlclose}{\*\xmlclose}: Australian Government Department of Health and Ageing.
\par National Health Priority Action Council 2006b. National service improvement framework for osteoarthritis, rheumatoid arthritis and osteoporosis. {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}Canberra{\*\xmlclose}
{\*\xmlclose}: Australian Government Department of Health and Ageing.
\par Weinstein SL 2000. 2000\endash 2010: the Bone and Joint Decade. Journal of Bone and Joint Surgery ({\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}America{\*\xmlclose}{\*\xmlclose}) 82:1\endash 3.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13510217 WHO (World Health Organization) 2004. Revised global burden of disease (GBD) 2002 estimates. Years lost due to disability (YLD). WHO: {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname
place}}Geneva{\*\xmlclose}{\*\xmlclose}. Viewed 5 September 2008, <}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13510217\charrsid13510217 http://www.who.int/healthinfo/bodgbd2002revised/en/index.html}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13510217 >.
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid10303413 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 {\*\bkmkstart _Toc216149648}2\tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 Overviews of the f}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 ocus areas{\*\bkmkend _Toc216149648}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 The focus of the arthritis and musculoskeletal conditions NHPA and the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid592029\charrsid592029 BAOC}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138\charrsid7569268 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7569268 i}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7569268\charrsid7569268 nitiative}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
is on four conditions, namely osteoarthritis, rheumatoid arthritis, juvenile idiopathic arthritis and osteop
orosis. Brief overviews of these conditions are provided below, and more detailed information on specific issues is presented throughout this report.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452
An overview of direct health expenditure on arthritis and osteoporosis is also included.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc216149649}Osteoarthritis{\*\bkmkend _Toc216149649}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Osteoarthritis is the most common form of arthritis, in which }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279 a range of factors leads to}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 cartilage }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279 loss, which impairs}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 the normal function}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279 ing of the joints
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 . Normally, the cartilage cushions the ends of the bones}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13775569 within joints}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 , allowing them to glide over ea
ch other, but when it }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279 is lost}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
the bones can rub together, causing pain and swelling, and limiting movement. This can result in disability and reduce the quality of life. The joints most commonly affected are }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13775569 those in }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid15221138 the hands}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13775569 and}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 spine, and weight-bearing joints such as the hips}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279 and knees}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 .
\par Osteoarthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279 most }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
commonly develops in people aged 45 years or over. The main symptoms are pain, stiffness and limitations in joint movement. Although the symptoms and their severity vary from person to person, in gene
ral the condition gradually worsens over time and often results in functional impairment. At first, pain is felt during and after activity, but as the condition worsens pain may be felt during minor movements or even at rest. The affected joints may becom
e enlarged and tender, which may affect fine motor skills and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13775569 lead to}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 difficulty in performing everyday activities.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Prevalence
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Self-reported data suggest that }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1461933 over 1.3 million Australians, or 6.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid6953153 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1461933 % of the population, have been diagnosed with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 osteoarthritis.
The condition is more common among women than men, and prevalence increases with age (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 2.1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
). Almost three-quarters of Australians who report having osteoarthritis are aged 55 years or over.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Causes, risk factors and determinants
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 The causes of osteoar
thritis are not completely understood, but a range of factors have been linked to its development. Older people and females are more likely to have osteoarthritis, and there is also a genetic component, with people who have a family history of the conditi
o
n being more likely to develop it. Modifiable risk factors for osteoarthritis include overweight (particularly for osteoarthritis of the knee), physical inactivity, joint trauma (such as dislocation or fracture) and repetitive joint-loading tasks (for exa
mple, kneeling, squatting and heavy lifting).
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3415541 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc267314801}Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 2.1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
: Prevalence of osteoarthritis, by age and sex, 2004\endash 05{\*\bkmkend _Toc267314801}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3415541 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3415541 Vertical bar chart showing, for males and females, per cent on y-axis and age (years) on x-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid3415541 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3415541\charrsid8282228 Notes\tab
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3415541 1.\tab Based on self-reported information about a doctor\rquote s or nurse\rquote s diagnosis of osteoarthritis.
\par 2.\tab Results for all ages have been age-standardised to the Australian population as at 30 June 2001.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3415541\charrsid3607568 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3415541 AIHW analysis of the 2004\endash 05 NHS CURF.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3415541\charrsid3415541
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Treatment}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14425456 and management}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 There is at present no cure f
or osteoarthritis, and management is primarily aimed at treating the symptoms: reducing pain, improving quality of life, preserving or improving joint function, and maintaining independence. In most cases medications are used for pain relief and to reduce
inflammation. These are often used in combination with other strategies including physiotherapy, occupational therapy, weight loss and exercise. Joint replacement surgery may be considered in cases where the symptoms are severe or do not respond to other
interventions.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452 More information about prevention, treatment and management of osteoarthritis is provided in Chapter 5. The effects of arthritis on functioning and quality of life are discussed in Chapter 3.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc216149650}Rheumatoid arthritis{\*\bkmkend _Toc216149650}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Rheumatoid arthritis is an autoimmune disease\emdash one where the body\rquote s immune system }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8270755
mistakenly }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 attacks its own tissues. In rheumatoid arthritis, the immune system attacks the tissues lining the joints (called the synovial membranes), causing inflammation, pain and swelling. This causes
progressive and irreversible joint damage, which can result in deformit}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279 y}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
and severe disability, and greatly reduce the quality of life. Often the joints are affected in symmetrical fashion (that is, the same joint on both sides of the body), with the hands being the most common site affected.
\par Rheumatoid arthritis is a systemic disease, meaning that the whole body, including the organs, is affected. This can lead to problems with the heart, respiratory system, nerves and eyes. The life expectancy of people
with rheumatoid arthritis is significantly lowered compared with the general population, by an average of 5\endash 10 years (Myllykangas-Luosujarvi et al. 1995).
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Prevalence
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Worldwide, about 1% of people are believed to have rheumatoid arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14880010 . S}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid15221138 elf-reported data indicat}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2889024 e}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 that around }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1461933 384}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 ,000 Australians (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6953153 2.0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 %) have}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1461933 been diagnosed with the condition}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid14880010 , but }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2889024 this is}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14880010 believed to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2889024 be an }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14880010 overestimate}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2889024 due to confusion between rheumatoid arthritis and \lquote rheumatism\rquote (a generic word describing pain in the joints and muscles, commonly used in the past)}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2889024 Rheumatoid arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
can occur at any age, although onset is most common between the ages of 30 and 55 years. More females than males are affected (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 2.2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 ).
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3415541 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 {\*\bkmkstart _Toc267314802}Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 2.2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254
: Prevalence of rheumatoid arthritis, by age and sex, 2004\endash 05{\*\bkmkend _Toc267314802}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3415541 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3415541 Vertical bar chart showing, for males and females, per cent on y-axis and age (years) on x-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid3415541 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3415541\charrsid3607568 Notes\tab
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3415541 1.\tab Based on self-reported information about a doctor\rquote s or nurse\rquote s diagnosis of rheumatoid arthritis.
\par 2.\tab Results for all ages have been age-standardised to the Australian population as at 30 June 2001.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3415541\charrsid3607568 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3415541 AIHW analysis of the 2004\endash 05 NHS CURF.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3415541 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3415541\charrsid3415541
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 Causes, risk factors and determinants
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16152856 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 The exact cause of rheumatoid arthritis is unknown. There is a strong genetic component, with the disease tending to \lquote run\rquote
in families, but a person with rheumatoid arthritis will not necessarily pass it on to his or her children. It is possible that some sort of environmental \lquote trigger\rquote
(such as an infection) may prompt development of the disease in those who are susceptible.
\par Other factors may also contribute to the development of rheumatoid arthritis. The most well-recognised of these is tobacco smoking. People who smoke are at increased risk of the disease, with the risk increasing as the duration of smoking increases
(Stolt et al. 2003). The female sex hormone, oestrogen, may also influence development of the disease, with incidence being higher than expected in women experiencing menopause and in the first year following childbirth, and lower during pregnancy (Kuipe
r et al. 2001). Evidence linking rheumatoid arthritis with obesity, caffeine consumption, air quality and various nutritional factors is inconclusive.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Treatment and management
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Goals of treatment for rheumatoid arthritis include pain relief, minimising joint
damage, maintaining function and maximising quality of life. Although there is no cure for the disease, early treatment with disease-modifying anti-rheumatic drugs (DMARDs) can greatly reduce its effects. Early diagnosis and prompt initiation of treatmen
t is therefore vital if the maximum benefits are to be obtained.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8270755 With new combination medications now available, inducing remission is becoming a valid treatment goal. }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138
\par Self-management education and regular follow-up to track disease activity and assess com
orbidities are important components of management for people with rheumatoid arthritis. Treatment may also include strengthening exercises, occupational therapy, and the use of other medications, such as non-steroidal anti-inflammatory drugs (NSAIDs) and
corticosteroids.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452 More information about the treatment and management of rheumatoid arthritis is provided in Chapter 5. The effects of arthritis on functioning and quality of life are discussed in Chapter 3.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc216149651}Juvenile idiopathic arthritis{\*\bkmkend _Toc216149651}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Juvenile idiopathic
arthritis (JIA) is the common term used to describe any of several forms of arthritis occurring in children under the age of 16 years. Other terms that may be used include juvenile rheumatoid arthritis, juvenile chronic arthritis or simply \lquote
juvenile arthritis\rquote . The various forms of juvenile arthritis are distinguished by the number and sites of the affected joints, other symptoms present, and the nature of disease onset (gradual or rapid).
\par The main symptoms of most forms of juvenile arthritis are swelling
, pain and stiffness in the affected joints. These symptoms may be accompanied by fever, skin rash and/or fatigue, and the child may feel generally unwell. For a diagnosis to be made, symptoms must have been present for at least 6 weeks. The type and seve
rity of symptoms may vary between children and from day to day.
\par In most cases, juvenile arthritis will last from a few months up to a few years and the child will gradually recover. However, the damage done to growing joints may lead to functional impairmen
t in adulthood. Around 15% of children diagnosed with juvenile arthritis may continue to have symptoms and active disease progression into adulthood and throughout life.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Prevalence
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Information from the 2004\endash 05 National Health Survey suggests }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1731898 that}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid15221138 around }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1731898 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1731898 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
00 people under the age of 16 years have }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1731898 been diagnosed with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 arthritis\emdash 530 boys and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1731898 1}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid15221138 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1731898 78}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 0 girls. Although arthritis can occur in very young children, no cases were reported in children under 5 years of age in 2004
\endash 05. The majority of children affected were girls aged 10\endash 15 years (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 2.3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 ).
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc267314803}Figure}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 2.3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
: Prevalence of arthritis in children under 16 years of age, by age and sex, 2004\endash 05{\*\bkmkend _Toc267314803}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 Vertical bar chart showing, for males and females, cases per 1,000 children on y-axis and age (years) on x-axis.
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid223177\charrsid3607568 Note:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid223177 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 Ba
sed on information reported by a parent or carer about a doctor\rquote s or nurse\rquote s diagnosis of arthritis.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid223177\charrsid3607568 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 AIHW analysis of the 2004\endash 05 NHS CURF.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Causes, risk factors and determinants
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 The causes of juvenile arthritis are unknown. A genetic factor is susp
ected, although there is often no apparent family history of the condition. No triggers, environmental or lifestyle factors have been found to explain development of the disease.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Treatment}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14425456 and management}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 As with adult forms of arthritis, treatment for juv
enile arthritis consists of medications for pain relief and to reduce inflammation, physical and occupational therapy to optimise joint function, and the use of aids to assist with everyday tasks}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8270755 ,}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 school activities}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8270755 and play}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 . Regular follow-up and contact w
ith a variety of specialists is important: children with some forms of juvenile arthritis are at increased risk of eye inflammation and vision problems, and others may develop dental problems if the jawbone is affected.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452 More detailed information about juvenile arthritis is provided in Chapter 4.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc216149652}Osteoporosis{\*\bkmkend _Toc216149652}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Osteoporosis (meaning \lquote porous bones\rquote
) is characterised by reduced bone density and strength, leading to increased risk of fracture. The condition most commonly presents clinically as a minimal trauma fr
acture, that is, a fracture sustained in an event where a healthy bone would not be expected to break. Such events might include a fall out of bed or from a chair, or a trip and fall while walking. These fractures may severely impact upon the quality of l
ife, through pain, disability, deformity, mobility impairment and loss of independence, and may even reduce life expectancy. Common fracture sites include the hip, wrist and spine.
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc267314804}Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 2.4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 : }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138\charrsid223177 Prevalence}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 of osteoporosis, by age and sex, 2004\endash 05{\*\bkmkend _Toc267314804}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 Vertical bar chart showing, for males and females, per cent on y-axis and age (years) on x-axis.
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid223177\charrsid223177 Notes\tab
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 1.\tab Based on self-reported information about a doctor\rquote s or nurse\rquote s diagnosis of osteoporosis.
\par 2.\tab Results for all ages have been age-standardised to the Australian population as at 30 June 2001.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid223177\charrsid223177 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 AIHW analysis of the 2004\endash 05 NHS CURF.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177\charrsid223177
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 Prevalence
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9843254 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 Osteoporosis is much more common among women than men, and mostly occurs in those aged 55 years or over (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16152856 2.4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 ). Women have a lower total bone mass than men, and t
he normal reduction in bone density with ageing is accelerated by the change in oestrogen levels following menopause (NAMSCAG 2004). Self-re}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1461933 ported data indicate that more than}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid9843254 58}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1461933 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 ,000 Australians (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6953153 3.0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 %) have }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid1461933 been diagnosed with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 osteoporosis, with 85% being female and 83% }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8916916 aged 55 years or over}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid9843254 . Among females, prevalence rises rapidly with age until 80\endash 84 years before falling slightly,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8916916 whereas}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 among males prevalence }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8916916 gradually increases with age}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 .
\par Because osteoporosis has no overt symptoms, it is often only diagnosed following a fracture. Therefore, it is likely that estimates based on self-reported information considerably underestimate the true prevalence of osteoporosis.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 Causes, risk factors and determinants
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9843254 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9843254 A variety of factors are associated with the devel
opment of osteoporosis, in addition to increasing age and female gender. These include a family history of the condition, low vitamin D levels, low intake of calcium, low body mass index (a measure of weight relative to height), smoking, excess alcohol co
nsumption, physical inactivity, long-term corticosteroid use and reduced oestrogen levels. People with certain health conditions, including rheumatoid arthritis, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15275959 chronic respiratory disease, }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid9843254 chronic liver disease and inflammatory bowel disease, are also more likely to develop osteoporosis.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6513745 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Treatment and management
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
Medications are the main therapy for established osteoporosis, and can be divided into two classes: those that reduce the absorption of minerals from the bones, and those that promote bone formatio
n. Other interventions include preventing fractures by reducing the risk of falls, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 for example, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
through improvements in muscle strength, balance and mobility, home modificatio}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 ns, and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7569268 appropriate management of medications}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138 .
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452 More information about osteoporosis and fractures is provided in Chapter 6.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid13572452 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 {\*\bkmkstart _Toc216149653}Expenditure on arthritis and osteoporosis{\*\bkmkend _Toc216149653}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13572452 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 This section provides information about }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452 direct health expenditure}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid791019 on arthritis and osteoporosis.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 Direct health expenditure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452
is monies spent by governments, private health insurers, companies and individuals to prevent, diagnose and treat }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084 health}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16673084 problems}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 The e}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452 stimates of expenditure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019
provided here }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452 do not include indirect costs (for example, travel costs, child}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7870325 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452
care costs or lost wages), the cost of purchasing or hiring aids and appliances or undertaking home modifications, intangible costs such as reductions in quality of life}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 , or the monies}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid13572452 allocated }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 by the Australian Government }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452 under the BAOC initiative.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11024375 Note that in 2004\endash 05, expenditure was only able to be allocated to the following health service areas:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid11024375 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid14380289 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11024375 hospital services for admitted patients
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid11024375 \loch\af37\dbch\af0\hich\f37 \'95\tab}out-of-hospital medical services
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid11024375 \loch\af37\dbch\af0\hich\f37 \'95\tab}prescription pharmaceuticals
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid11024375 \loch\af37\dbch\af0\hich\f37 \'95\tab}research.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13572452 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11024375 In previous years expenditure was also able to be allocated to hospital services for non-admitted patients, oth
er professional services and over-the-counter pharmaceuticals. It was not possible to allocate expenditure by disease group to these types of services in 2004\endash
05. Expenditure on high-level residential aged care services, also previously included as a component of direct health expenditure, are now }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14380289 considered a component of welfare expenditure}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid16673084 and are no longer included in estimates of direct health expenditure}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14380289 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11024375
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14380289 For comparison purposes, direct health expenditure by disease group for 2000\endash 01 for the four health service areas able to be allocated in 2004\endash 05 are provided in Table 2.1.
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14380289 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14380289 {\*\bkmkstart _Toc213486278}Table 2.1: Direct health expenditure}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9132595 for}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid14380289 arthritis and musculoskeletal conditions, 2000\endash 01{\*\bkmkend _Toc213486278}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil \cellx2160\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3600\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5040\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6480\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9000
\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14380289 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 Health service area\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 Osteoarthritis\cell Rheumatoid arthritis\cell Osteoporosis\cell All arthritis and musculoskeletal conditions\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid5533383\charrsid11228362 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil \cellx2160\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3600
\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5040\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6480\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9000\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil \cellx2160\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3600\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5040\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6480\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9000\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9132595 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 \cell \cell \cell }\pard \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5533383 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid5533383 $ million\cell }\pard \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9132595 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid5533383\charrsid11228362 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil \cellx2160\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3600\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5040\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6480\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9000\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil \cellx2160\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3600\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5040\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6480
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9000\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14380289 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383
Admitted hospital patients\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 493.5\cell 27.4\cell
31.8\cell 1,286.1\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid5533383 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil \cellx2160\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3600\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5040\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6480
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9000\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14380289 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383
Out-of-hospital medical services\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 124.6\cell 35.8
\cell 29.4\cell 878.7\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid5533383 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil \cellx2160\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3600\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5040\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6480
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9000\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14380289 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383
Prescription pharmaceuticals\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 102.7\cell 23.9
\cell 75.5\cell 467.9\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid5533383 \trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil \cellx2160\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3600\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5040\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6480
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9000\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14380289 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 Research\cell
}\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 14.1\cell 2.9\cell 2.6\cell 55.2\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid5533383 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil \cellx2160\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3600\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5040\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6480
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9000\row \ltrrow}\trowd \irow6\irowband6\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil \cellx2160\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3600
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5040\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6480\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9000\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14380289 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 Total\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\tx780\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid5533383 734.9\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 90.0\cell 139.3\cell 2,68
7.9\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid5533383\charrsid11228362 \trowd \irow6\irowband6\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2268\clshdrawnil \cellx2160\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3600
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5040\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx6480\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2520\clshdrawnil \cellx9000\row }\pard\plain \ltrpar
\s159\ql \li0\ri0\sb120\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16673084 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033
{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid16673084\charrsid16673084 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084 AIHW Disease Expenditure Database.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14380289
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid16673084 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084 Total expenditure on arthritis and musculoskeletal conditions
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13572452 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 In 2004\endash 05, {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
spent }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 more than }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 $}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 87}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 billion on health services, }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid5533383 almost 10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 % of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383 gross domestic product}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5533383
AIHW 2006}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 ). Around }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7292104 60}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019 % of this, or $52
.7 billion, was able to be allocated by disease group. Arthritis and other musculoskeletal conditions accounted for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1185435 just under $4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7292104 \~}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1185435 billion of this }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7870325 expenditure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1185435 (7.5%).}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11024375
Admitted patient services in hospitals were the biggest contributor to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7292104 overall }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11024375 expenditure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7292104 for these conditions
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11024375 (Figure 2.5).
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11024375 {\*\bkmkstart _Toc267314805}Figure 2.5: Direct health expenditure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9132595 ($ million) }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid11024375 on arthritis and musculoskeletal conditions, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4616754 by health service area, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11024375\charrsid223177 2004}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11024375 \endash 05{\*\bkmkend _Toc267314805} }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid791019
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 Pie chart showing: Admitted patient services $2003.2 (51%); out-of-hospital medical services
41,180.8 (30%); prescription pharmaceuticals $680.3 (17%); and research $91.6 (2%).
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid223177\charrsid11024375 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 AIHW Disease Expenditure Database.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid223177\charrsid223177
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid16673084 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid16673084 Expenditure on the focus conditions
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13572452 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid13572452\charrsid16673084 Osteoarthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084
accounted for the largest proportion of direct health expenditure on arthritis and musculoskeletal conditions in 2004\endash 05, at $1.2 billion }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7870325 (}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13572452\charrsid16673084 31%}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7870325 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 of the total}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4616754 (Figure 2.6)}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13572452\charrsid16673084 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid16673084 Admitted patient}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 services were the main component of this expenditure, at $}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid16673084\charrsid16673084 898}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 million (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid16673084 74}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13572452\charrsid16673084 %}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4616754 of expenditure on osteoarthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4616754 (Figure 2.7(a))}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 . Admission for surgical procedures, including joint replacement, is a major contributor to hospital expenditure for osteoarthritis.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 A little over }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid16673084 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 % }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7870325 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 $}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid16673084 175}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 million}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7870325 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 of the direct health expenditure on arthritis and musculoskeletal conditions in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid16673084 4}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid13572452\charrsid16673084 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid16673084 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 was attributed to }{\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid13572452\charrsid16673084 rheumatoid arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid16673084 Expenditure on }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6434591\charrsid16673084 prescription}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid16673084 pharmaceuticals}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15667253
accounted for more than half of}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 this}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15667253 (53%)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 , at $}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid16673084\charrsid16673084 92}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 million}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4616754 (Figure 2.7(b))}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452\charrsid16673084 .}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13572452
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9132595 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6842279\charrsid15667253 Direct health e}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138\charrsid15667253 xpenditure on }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid15221138\charrsid15667253 osteoporosis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138\charrsid15667253 was }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16673084\charrsid15667253 more than }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138\charrsid15667253 $}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid15667253 304}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138\charrsid15667253
million in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid15667253 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138\charrsid15667253 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid15667253 5}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138\charrsid15667253 , }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid15667253 almost 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138\charrsid15667253 % of the total direct health expenditure on arthritis and musculos}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid16673084\charrsid15667253 keletal conditions in that year}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138\charrsid15667253 . P}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16673084\charrsid15667253 rescription p}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid15221138\charrsid15667253 harmaceuticals accounted for the largest proportion of this expenditure, at $}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15667253\charrsid15667253 215}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15221138\charrsid15667253 million (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15667253\charrsid15667253 71}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138\charrsid15667253 %)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4616754 (Figure 2.7(c))}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid15221138\charrsid15667253 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9132595
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9132595\charrsid16673084 No information on direct health expenditure specifically for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9132595\charrsid16673084 juvenile arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid9132595\charrsid16673084 is available in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
. However, it is estimated that direct health expenditure on arthritis and musculoskeletal conditions in people less than 15 years of age amounted to slightly more than $94 million in 2004\endash 05. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9132595
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4616754 {\*\bkmkstart _Toc267314806}Figure 2.6: Direct health expenditure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9132595 ($ million) }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid4616754 on arthritis and musculoskeletal conditions, by condition, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4616754\charrsid223177 2004}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4616754 \endash 05{\*\bkmkend _Toc267314806}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 Pie chart showing: Osteoarthritis $1220.9 (31%); Rheumatoid arthritis $175.1 (4%); osteoporosis $304.3 (8%); and other $2,255.5 (57%).
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid223177\charrsid223177 Note:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177\charrsid223177 \lquote Other\rquote includ
es conditions such as back pain, slipped disc and occupational overuse syndrome.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid223177\charrsid223177 Source}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177\charrsid223177 : AIHW Disease Expenditure Database.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177\charrsid223177
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9132595 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9132595\charrsid9132595
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4616754 {\*\bkmkstart _Toc267314807}Figure 2.7: Direct health }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4616754\charrsid223177 expenditure}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid4616754 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9132595 ($ million) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4616754 on osteoarthritis, rheumatoid arthritis and osteoporosis, by health service area, 2004\endash 05
{\*\bkmkend _Toc267314807}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid223177 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 Three pie charts. The first is for osteoarthritis and shows: admitted patient services $898.5 (74%); ou}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1670980 t-of-hospital medical services $}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 188.6 (15%); prescription pharmaceuticals $105.5 (9%); and research $28.3 (2%).
\par The second is for Rheumatoid arthritis and shows: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1670980 admitted patient services $34.3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1670980 20}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid223177 %); out-of-}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1670980 hospital medical services $44.6 (25%);}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 prescription pharmaceuticals $}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1670980
92.1 (53%)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 ; and research $}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1670980 4.1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid223177 (2%).
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1670980 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1670980
The third is for Osteoporosis and shows: admitted patient services $35.0 (12%); out-of-hospital medical services $47.3 (16%); prescription pharmaceuticals $215.0 (70%); and research $7.0 (2%).
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6631519 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid6631519\charrsid11024375 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6631519 AIHW Disease Expenditure Database.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid223177\charrsid223177
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid3607568 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 {\*\bkmkstart _Toc216149654}References{\*\bkmkend _Toc216149654}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12849685 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7292104 AIHW (Australian Institute of Health and Welfare) 2006. Health expenditure Australia }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7292104 \line }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7292104 2004\endash 05. Cat. no. HWE 35. {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}Canberra{\*\xmlclose}{\*\xmlclose}: AIHW.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15221138 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 Kuiper S, van Gestel A, Swinkels H}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid6184328 , de Boo TM, da Silva JA & van Riel PL}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 2001. Influence of sex, age, and menopausal state on the course of early rheumatoid arthritis. Journal of Rheumatology 28:1809\endash 16.
\par Myllykangas-Luosujarvi R}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4656204 A}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138 , Aho K & Isomaki H}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4656204 A}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
1995. Mortality in rheumatoid arthritis. Seminars in Arthritis and Rheumatism 25:193\endash 202.
\par NAMSCAG (National Arthritis and Musculoskeletal Conditions Advisory Group) 2004. Evidence to support the national action plan for osteoart
hritis, rheumatoid arthritis and osteoporosis: opportunities to improve health-related quality of life and reduce the burden of disease and disability. {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}Canberra{\*\xmlclose}
{\*\xmlclose}: Australian Government Department of Health and Ageing.
\par Stolt P, Bengtsson C, Nordmark B}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6184328 , Lindblad S, Lundberg I, Klareskog L}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15221138
et al. 2003. Quantification of the influence of cigarette smoking on rheumatoid arthritis: results from a population based case-control study, using incident cases. Annals of the Rheumatic Diseases 62:835\endash 41.
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16152856 {\*\bkmkstart _Toc187477420}{\*\bkmkstart _Toc216149655}3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 \tab Arthritis}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid11080318 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 disability and quality of life{\*\bkmkend _Toc187477420}{\*\bkmkend _Toc216149655}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
Arthritis is a significant cause of disability and has considerable impact on quality of life. It often limits a person\rquote s mobility and can cause them to have difficulties in carrying out daily tasks in the home or at work. Quali
ty of life may be affected by chronic pain, limitations in physical functioning, and restrictions in the ability to work and interact socially. Functional limitations and disability associated with arthritis can also have a negative impact on emotional we
llbeing by affecting self-esteem and self-image. Family members of people with arthritis-associated disability may also be affected\emdash
they are the most common sources of care for people with disability and are often burdened with high health care expenses as well as the physical and emotional strain of caring.
\par This chapter provides an overview of the types of functional limitations and disability experienced by people with arthritis. It describes the kinds of assistance people need to overcome these limitation
s, and explores some of the effects that arthritis has on the quality of life}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7357621 of people with arthritis-associated disability and those who care for them}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 .
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc187477422}{\*\bkmkstart _Toc216149656}{\*\bkmkstart _Toc187477421}{\*\bkmkstart _Toc168307604}
{\*\bkmkstart _Toc162943285}Describing disability{\*\bkmkend _Toc187477422}{\*\bkmkend _Toc216149656}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 The term \lquote disability\rquote encompasses a wide variety of physical and mental impairm
ents, activity limitations, and participation restrictions }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
ADDIN EN.CITE AIHW200232510325AIHW20
02The International Classification of Functioning, Disability and Health (ICF)Disability data briefingCanberraAIHW20}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (AIHW 2002)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
. The type, extent and severity of disability is influenced by the health conditions a person has, as well as environmental and personal factors. Examining the interactions between disability, health conditions, wellbeing, and perso
nal and environmental factors provides a picture of the burden of disability in the Australian community, and can help to identify some of the factors that influence people\rquote s experience of disability.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc168307605}Data used in this chapter{\*\bkmkend _Toc168307605}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 The data used in this chapte
r were obtained from the 2003 Survey of Disability, Ageing and Carers (SDAC) and the 2004\endash 05 National Health Survey (NHS), both conducted by the Australian Bureau of Statistics.
\par The NHS is designed to collect information about the health status of Australians, their use of health services and facilities, and health-related aspects of their lifestyle }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 ADDIN EN.CITE ABS20061231ABS20062004–05 National health survey: summary of results, AustraliaCanberraABS}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (ABS 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 . To identify people with arthritis, respondents to the 2004\endash 05 NHS were asked \lquote Do you have, or have you ever had, arthritis?\rquote
. Those who answered positively were then asked which type of arthritis they had, whether it was diagnosed by a doctor or nurse, and if they still had the con
dition. NHS data in this chapter relate to people who reported that they had doctor-diagnosed arthritis.
\par The SDAC aims to create a comprehensive picture of disability in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
. It collects detailed information about three groups of Australians:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 people with disability
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11404955 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11404955 older people}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}those who provide care for older people or people with disability.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
Items within the SDAC collect data on health conditions, physical and mental impairments, activity limitations, problems with body functions and structures, need for assistance, care received, and personal and environmental factors }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
ADDIN EN.CITE ABS2004232323ABS20042003 Disability, ageing and carers: summary of findings, AustraliaCanberraABS}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 (ABS 2004)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 .
\par The SDAC generates information that can be used to identify diseases and conditions that contribute to disability in the Australian population. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
Due to the survey sample size, it is not possible to separate out respondents with different types of arthritis (such as osteoarthritis and rheumatoid arthritis) or similar disorders such as gout. These conditions are grouped together as \lquote
arthritis and related disorders\rquote .
\par SDAC data in this chapter relate to people who reported that arthritis or a related disorder was their }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid221621\charrsid11482658 main disabling condition}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 . Where survey
respondents had more than one disabling health condition, the main disabling condition was the one identified as causing the most problems. If only one disabling condition was reported, this was recorded as the main disabling condition. For convenience, t
hese people are referred to as having \lquote arthritis-associated disability\rquote .
\par The SDAC collects information about the nature and severity of specific activity limitations or restrictions in \lquote core activities\rquote (self-care, mobility and communication) and in schooli
ng and employment. Severity of core activity limitation is classified as:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 profound\emdash unable to do, or always needs help with, a core activity task
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}severe\emdash sometimes needs help with performing a core activity task
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}moderate\emdash does not need help, but has difficulty performing a core activity task
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}mild\emdash
does not need help or have difficulty with core activities, but uses aids and has difficulty or needs help with using public transport, walking 200m, bending or climbing stairs.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Data limitations
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Although the informati
on from the SDAC presented in this chapter pertains only to respondents reporting arthritis and related disorders as their main disabling condition, the limitations and restrictions reported are not necessarily due to or only affected by arthritis. People
may have had other health conditions that caused less severe problems than those caused by arthritis. Conversely, among people who reported conditions other than arthritis as their main disabling condition, some may have had limitations and restrictions d
ue to arthritis. It is likely that the true impact of arthritis and related disorders on disability is underestimated by these data, particularly for those people who have less severe restrictions.
\par Similarly, the information from the NHS in this chapter pertains to respondents that reported a doctor\rquote
s diagnosis of arthritis, but who may also have had other conditions that affected their physical and psychological health and health status. In both surveys, a large proportion of respondents (especially those
in the older age groups) also had other long-term or chronic conditions that would have contributed to various aspects of disability and affected quality of life. It is not possible}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6388719 ,}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid221621 based on these data}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6388719 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 to tease out the individual contribution of arthritis or any other condition.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc216149657}How arthritis leads to disability{\*\bkmkend _Toc187477421}{\*\bkmkend _Toc216149657}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
Arthritis is an inflammatory condition that affects the joints, causing damage to the joint structures and tissues. When this occurs, motion of the joint can become painful and/or restricted. Thi
s can lead to difficulties in performing the basic bodily movements necessary for daily activities, such as gripping, lifting, sitting down, standing up and walking. The structure of the joints and the effects that osteoarthritis and rheumatoid arthritis
have on a joint\rquote s physical components and function are described below.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Joints
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
A joint is a point where two or more bones meet. Most moveable joints in the body are synovial joints, in which the bones are connected by ligaments, allowing a wide range of movement (for example, the hips, knees, shoulders and wrists).}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid221621 The ends of the bones within a synovial joint are covered by articular cartilage, which protects the bone ends, reduces friction and absorbs the shock of movement }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 .1(a))}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14103634 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 The }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 joint is sur
rounded by a capsule of protective tissues, which is lined with a membrane (the synovial membrane, or synovium) that produces synovial fluid. This fluid nourishes the cartilage, removes waste,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
lubricates the joint and prevents friction. The joint is stabilised by the capsule and the surrounding muscles, tendons and ligaments. Damage to any of the joint structures can lead to problems with joint stability and motion.
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13982040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc185761012}{\*\bkmkstart _Toc267314808}Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 .1: Effects of osteoarthritis and rheumatoid arthritis on a synovial joint{\*\bkmkend _Toc185761012}{\*\bkmkend _Toc267314808}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13982040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13982040 Diagram of joints.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13982040\charrsid13982040
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
The other type of moveable joint in the body is a cartilaginous joint. In this type of joint, the bones are connected by layers or pads of cartilage that allow flexibility, but a smaller range of movement than at the synovial joints. The spine i
s a column of cartilaginous joints, with each of the vertebrae connected by a disc of cartilage (see }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6836620 Figure 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid15292158 in Chapter }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6513745 6}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 ). This arrangement enables the trunk and neck to bend and twist. A special pivot joint between the top two vertebrae allows the head to be turned from side to side independently of the spine.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Osteoarthritis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
Osteoarthritis is the result of degradation of the cartilage within a joint. Both synovial and cartilaginous joints can be affected. Cartilage is a living tissue and undergoes a c
ontinual process of breakdown and renewal by the body. With ageing, this process }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13057936 may beco}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
me out of balance, leading to a net loss of healthy cartilage tissue. The cartilage loses its elasticity and becomes more susceptible to damage. Over many years, it gradually degrades and roughens. It }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13641579 may}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 split, and pieces may break off or break down, exposing the underlying bone }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 (Figure}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 \~3}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (b)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 )}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 . The unprotected bone}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 can thin out, lose shape and thicken at the edges of the joint, producing bony spurs called osteophytes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .
The soft }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 tissues around the joint }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 may}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 become inflamed and swollen}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid221621 . Other bodily tissues, organs and structures are not directly affected.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 Unlike cartilage, which does not have a blood supply or nerves, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 other}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 tissues }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 within the joints }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 have many nerve endings}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621\charrsid14944916 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 W}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 hen affected by osteoarthritic degeneration and inflammation, these }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 tissues }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916
are the likely causes of the pain of osteoarthritis. Different sites in and around the joint will contribute to different types of pain at different times, so the symptoms of osteoarthritis can vary }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
considerably}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 over time}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 and from one person to another}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 .
\par As }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 osteoarthritic}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916
changes occur, the joint loses its smooth movement, becoming stiff and painful. Reduced use of the painful joint causes the muscles to weaken and lose bulk. This in turn increases the load }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
on the joint and decreases its stability, resulting in increased}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 damage to the cartilage, bone and soft tissues.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621\charrsid14944916 In advanced stages of osteoarthritis the space between the bones is reduced and bones can be in direct contact during movement. This results in increased pain and further joint damage}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 , leading to further reductions in joint function}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14944916 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Rheumatoid }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid1063631 arthriti}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 s
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Rheumatoid arthritis is an autoimmune disease, in which the body\rquote
s immune system attacks the synovial membranes, causing inflammation (known as synovitis). This leads to over-production of synovial fluid and swelling of the joint capsule (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 .1(c)). The space between the bones is reduced and the cartilage and underlying bone may be damaged (or \lquote eroded\rquote
). This process results in joints that are swollen, stiff and painful.
\par In most cases, rheumatoid arthritis affects multiple joints, usually in symmetric fashion (that is, the same joints on each side of the body). This leads to widespread pain and stiffness. Usuall
y the synovial joints only are affected, but the cartilaginous joints in the neck may also be involved. The main part of the spine is generally not affected. Muscles surrounding the inflamed joints may become weakened and lose bulk. Eventually the joints
can lose shape and become deformed. Other tissues and organs throughout the body may also become inflamed, which can cause serious complications such as respiratory problems and heart disease.
\par Unlike osteoarthritis, where symptoms and associated changes in
joint function occur gradually over many years, the symptoms of rheumatoid arthritis develop rapidly, often over a few weeks or months. In some cases, disease activity can cause severe damage to the joints in a relatively short period of time.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Different experiences of disability
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
As the symptoms and effects of arthritis vary between individuals and from one type of arthritis to another, so too do the resulting physical impairments and restrictions caused by reductions in joint function. There is, therefore,
wide variation in the type and severity of disability experienced by people with arthritis. For example, a person with mild osteoarthritis in one knee might find it difficult to walk long distances or play vigorous sports, but be otherwise unaffected by
the condition. In contrast, a person with severe and widespread rheumatoid arthritis may have difficulty with a range of activities}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8026273 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 such as brushing teeth or hair, holding a knife and fork, or walking one block.
\par Personal and environmental factors also have a role in determining the effect that arthritis has on a person\rquote
s life. For example, difficulty in climbing stairs would have a greater impact on a person who lived in a two-storey house than on a person whose house had few or no stairs. But people can o
vercome many of the limitations imposed by arthritis by learning new ways of doing everyday tasks, using assistive devices, modifying their environment and getting help from others. Through these adjustments, people with arthritis can participate in work
and social activities, maintain their independence and maximise their quality of life.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid10367286
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc216149658}{\*\bkmkstart _Toc168307606}{\*\bkmkstart _Toc187477423}{\*\bkmkend _Toc168307604}
Prevalence of arthritis-associated disability{\*\bkmkend _Toc216149658}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Arthritis-associated disability }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13641579
(that is, arthritis or a related disorder as the main disabling condition) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 affects an estimated 3% of the Australian population, or 561,000 people. It\~
is more often reported by females (4%) than males (2%), and becomes more common with age (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
.2). Among people aged 75 years or over, about 1 in 6 females and 1 in 11 males have disability caused mainly by arthritis or a related disorder.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid10171860 }{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13982040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc267314809}Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6513745
3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 .2: Prevalence of arthritis-associated disability, by age and sex, 2003{\*\bkmkend _Toc267314809}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13982040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040 Vertical bar chart showing, for males and females, per cent on y-axis and age on x-axis.
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13982040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid13982040\charrsid14825430 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040
AIHW analysis of the 2003 SDAC CURF.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040\charrsid13982040
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc216149659}Physical impairments{\*\bkmkend _Toc162943285}{\*\bkmkend _Toc168307606}
{\*\bkmkend _Toc187477423}{\*\bkmkend _Toc216149659}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
A physical impairment is a problem with or loss of a body function or structure. Arthritis can cause a range of physical impairments, such as inability to use or difficulty in using certain body parts, chronic or recurrent pain,
disfigurement, and deformity. The types of impairments experienced vary depending on the specific condition a person has, the area(s) of the body that are affected, and individual circumstances. The timing of onset, progression and severity of physical im
pairments are also affected by the type of arthritis a person has.
\par The most common physical impairments associated with arthritis and related disorders }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7808821 a}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
re restriction in physical activities or work and chronic or recurrent pain, with more than half of those with arthritis-associated disability in 2003 reporting these impairments (Table }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7808821 1}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 ). More than 40% of all people with arthritis-associated disability }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7808821 in 2003 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 reported difficulty gripping or holding things, twice the proportion reporting this impairment
among the general population of people with disability. Difficulty in gripping or holding was much more common among females than males, and females were also more likely than males to report incomplete use of arms and fingers. This may reflect the greate
r occurrence of rheumatoid arthritis and osteoarthritis of the hands in females than in males, or it might be associated with the lower natural grip strength in females, which makes females more susceptible to difficulty in gripping or holding things.
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc185761035}{\*\bkmkstart _Toc213486279}Table }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7808821 1}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11941855 :}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Physical impairments/limitations associated with arthritis and related disorders, 2003{\*\bkmkend _Toc185761035}
{\*\bkmkend _Toc213486279}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4140\clshdrawnil \cellx7380\clvmgf\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8820\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 Impairment/limitation\cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 People with arthritis as main disabling condition\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 All people with disability }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\lbr3\insrsid221621 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13057936 N}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 = 3,946,400)\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4140\clshdrawnil \cellx7380\clvmgf\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8820\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5940\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7380
\clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8820\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 Males}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\lbr3\insrsid221621 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13057936 N}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 = 181,800)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid11286999 \cell }{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Females}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\lbr3\insrsid221621 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13057936 N}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 = 379,500)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid11286999 \cell }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Persons}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\lbr3\insrsid221621 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13057936 N}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 = 561,300)}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621\charrsid11286999 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvmrg\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5940\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7380\clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8820\row
\ltrrow}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5580\clshdrawnil \cellx8820\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 \cell }\pard\plain \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 Per cent\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5580\clshdrawnil \cellx8820\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5940\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7380\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8820\pard\plain \ltrpar\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 Restriction in physical activities or work\cell }\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 53\cell 55\cell 54\cell 46\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500
\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5940\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7380\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8820\row \ltrrow}\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Chronic or recurrent pain or discomfort\cell }\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 52\cell 53\cell 53\cell 34\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500
\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5940\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7380\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8820\row \ltrrow}\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Difficulty gripping or holding things\cell }\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 32\cell 48\cell 43\cell 21\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500
\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5940\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7380\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8820\row \ltrrow}\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Incomplete use of feet or legs\cell }\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 26\cell 24\cell 25\cell 16\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500
\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5940\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7380\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8820\row \ltrrow}\trowd \irow7\irowband7\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5940\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7380\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8820\pard\plain \ltrpar\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 Incomplete use of arms or fingers\cell }\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 13\cell 17\cell 16\cell 11\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow7\irowband7\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5940\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7380\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8820\row }\pard\plain \ltrpar\s159\ql \li0\ri0\sb120\sa240\sl180\slmult0\keep\widctlpar
\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid221621 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 AIHW analysis of the 2003 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid14752139
SDAC }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7808821 {\*\bkmkstart _Toc168307607}Rheumatoid arthritis and p}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 hysical impairments{\*\bkmkend _Toc168307607}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
Physical impairments associated with rheumatoid arthritis include pain, reduced mobility, and fatigue. Pain can be ongoing and always pres
ent, or may be associated with certain activities; often both. Muscle weakness develops because of inactivity and as a side-effect of inflammation }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
ADDIN EN.CITE Hakkinen20061300130Hakkinen, A.Kautiainen, H.Hannonen, P.Ylinen, J.Makinen, H.Sokka, T.2006
Muscle strength, pain, and disease activity explain individual subdimensions of the Health Assessment Questionnaire disability index, especially in women with rheumatoid arthritisAnnals of the Rheumatic Diseases<
V
OLUME>65130–4Jan15901635disability RAhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&am
p;dopt=Citation&list_uids=15901635Department of Physical Medicine and Rehabilitation, Jyvaskyla Central Hospital, Finland. arja.hakkinen@ksshp.fi}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 (Hakkinen et al. 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 .
\par Rheumatoid arthritis is a chronic and unpredictable disease. Deterioration in physical functioning can occur rapidly in the first couple of years following diagnosis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 ADDIN EN.CITE Eberhardt19951340134Eberhardt, K. B.Fex, E.1995Functional impairment and disability in early rheumatoid arthritis—development over 5 yearsJournal of Rheumatology2261037–42Jun7674227disability RAhttp://www.ncbi.nlm.
nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=7674227Department of Rheumatology, Lund University Hospital, Sweden.}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (Eberhardt & Fex 1995)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 . The disease cour
se is variable, sometimes with rapid changes in disease severity and associated physical impairments, but generally there is increasing joint damage and functional disability over time }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 ADDIN EN.CITE Simpson20051270127Simpson, C.Franks, C.Morrison, C.Lempp, H.2005The patient's jou
r
ney: rheumatoid arthritisBritish Medical Journal3317521887–9Oct 1516223822disability RA
<
/KEYWORD>http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16223822Department of Rheumatology, King's College Hospital NHS Trust, London SE5 9RS.}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (Simpson et al. 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7808821 {\*\bkmkstart _Toc168307608}Osteoarthritis and p}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 hysical impairments {\*\bkmkend _Toc168307608}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Physical impairments associated with osteoarthritis result from pain, reduced mobility of joints, deformity or body stiffness.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 In osteoarthritis, pain is initially
felt in the joints during and after activity, but as the disease progresses it may occur with minimal movement or even during rest }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
ADDIN EN.CITE March19971540154March, L. M.1997OsteoarthritisMedical Journal of Australia166298–103J
a
n 209033568reviewepidemiologyhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=9033568Department of Rheumatology, Royal North Shore Hospital, Sydney, NSW. lmarc@nsw.doh.gov.au}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (March 1997)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 . Pain during rest can prevent a person from being able to sleep.}
{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 In general, osteoarthritis symptoms and associated physical impairments have a gradual onset and worsen over time.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc162943286}{\*\bkmkstart _Toc168307609}{\*\bkmkstart _Toc187477424}{\*\bkmkstart _Toc216149660}{\*\bkmkstart _Toc154285977}
{\*\bkmkstart _Toc150569852}Activity limitations{\*\bkmkend _Toc162943286}{\*\bkmkend _Toc168307609}{\*\bkmkend _Toc187477424}{\*\bkmkend _Toc216149660}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
The ability to perform activities of daily living and to participate in work and social activities can be affected by the physical impairments associat
ed with arthritis. Personal and environmental factors contribute to the extent and impact of activity limitations.
\par Many of the activities that become limited by arthritis are important for independent living. The activities considered to form the basis of daily living, referred to as \lquote core activities\rquote , are }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621\charrsid14624815 self}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14624815 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14624815 care}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
, mobility and communication. Different areas of daily living are affected in different individuals. The extent and type of activity limitations experienced is dependent on the type of disease, t
he body parts affected, the severity of disease, age and other conditions present.
\par {\*\bkmkstart _Toc185761036}For example, loss or limitation of hand and arm function may result in difficulty with self-care activities such as household chores, cooking and dressing. Problems with hip
or knee function may cause difficulty with bathing, dressing (especially dressing the lower half of the body), going up and down stairs, rising from a chair or bed, and walking. Devices or aids can help to resolve some of these difficulties; these are di
scussed later.
\par In some cases people have difficulty performing tasks but can still }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15497828 do}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 them, whereas other people need assistance to undertake a task. Table }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7808821 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
summarises the broad areas of activity where people with arthritis-associated disability reported either having difficulty or needing assistance.
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc213486280}Table }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6513745 3
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7808821 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11941855 :}{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Broad activities where people have difficulty or need assistance due to disability, people aged 15 years or over living in households, 2003{\*\bkmkend _Toc185761036}{\*\bkmkend _Toc213486280}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4500\clshdrawnil \cellx7200\clvmgf\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 Activity \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 People with arthritis as main disabling condition\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 All people with disability}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\lbr3\insrsid221621 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13057936 N}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 = 3,413,000) \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvmgf\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4500\clshdrawnil \cellx7200\clvmgf\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200
\clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 Males}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\lbr3\insrsid221621 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13057936 N}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 = 175,000)\cell Females}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\lbr3\insrsid221621 \line }{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13057936 N}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 = 361,000)\cell Persons}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\lbr3\insrsid221621 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13057936 N}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 = 536,000)\cell \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200
\clvmrg\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5940\clshdrawnil \cellx8640\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 \cell }\pard\plain \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 Per cent\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5940\clshdrawnil \cellx8640\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\pard\plain \ltrpar\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 Health care}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid221621 \cell }\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 39\cell 41\cell 40\cell 32\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320
\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row \ltrrow}\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Home maintenance or gardening}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid221621
\cell }\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 40
\cell 39\cell 39\cell 37\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1
\af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row \ltrrow}\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Mobility}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid221621 \cell }\pard \ltrpar
\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 31\cell 37\cell 37\cell 33
\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320
\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row \ltrrow}\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Household chores}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid221621 \cell
}\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 18\cell 38
\cell 34\cell 31\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0
\ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil
\cellx4320\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row \ltrrow}\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid5135015 Self-care}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid221621 \cell }\pard \ltrpar
\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 23\cell 31\cell 28\cell 24
\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320
\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row \ltrrow}\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Cognitive or emotional tasks}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid221621
\cell }\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 19
\cell 24\cell 21\cell 40\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1
\af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row \ltrrow}\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Public transport}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid221621 \cell
}\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 15\cell 21
\cell 19\cell 25\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0
\ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil
\cellx4320\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row \ltrrow}\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Private transport}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid221621 \cell
}\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 11\cell 17
\cell 15\cell 24\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0
\ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row \ltrrow}\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Meal preparation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid221621 \cell
}\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 6\cell 9
\cell 9\cell 10\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0
\ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow11\irowband11\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row \ltrrow}\pard\plain \ltrpar
\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Paperwork}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid221621 \cell }\pard \ltrpar
\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 5\cell 3\cell 4\cell 15
\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow12\irowband12\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320
\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row \ltrrow}\trowd \irow13\irowband13\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\pard\plain \ltrpar\s40\ql \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 Oral communication}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid221621 \cell }\pard \ltrpar\s40\qr \fi-284\li284\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin284\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 0**\cell 0*\cell 0*\cell 4\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid221621 \trowd \irow13\irowband13\lastrow \ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2808\clshdrawnil \cellx2700\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4320\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx5760\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7200\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx8640\row }\pard\plain \ltrpar
\s159\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\tx360\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 *\tab Estimate is subject to high standard errors (relative standard error of 25\endash 50%) and should be used with caution.
\par }\pard \ltrpar\s159\ql \li0\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\tx360\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 **\tab
Estimate is subject to sampling variability too high for practical purposes (relative standard error greater than 50%).}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid278374
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid221621\charrsid14178925 Note:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
Excludes people with disability living in establishments.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid221621 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 AIHW analysis of the 2003 }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid14752139 SDAC }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 .
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc168307610}
Health care, home maintenance and mobility were the most common areas that people with arthritis-associated disability }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15497828 in 2003 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
reported having difficulty or needing assistance }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15497828 with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (Table }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7808821 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 ). Females were more likely than males to report limitations in most areas of daily living, including mobility, household chores, }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid5135015 self-care}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 and transport. People with arthritis-associated disability were more likely than people with disability in general to report difficulty with activities involved with mobility, }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5135015 self-care}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 and health care, but less likely to report difficulty with cognitive tasks, paperwork or transport.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Self-care tasks{\*\bkmkend _Toc168307610}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Self-care tasks including showering, toileting and dressing are essential to maintain hygiene and wel
lbeing. Dressing was the most common self-care task that people with arthritis-associated disability reported needing assistance or }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14624815 having difficulty with}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 (Table }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7808821 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 ).
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc185761037}{\*\bkmkstart _Toc213486281}Table }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7808821 3}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11941855 :}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Difficulty with self-care tasks associated with arthritis and related disorders, people living in households, 2003}{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040\charrsid13982040 {\*\bkmkend _Toc185761037}{\*\bkmkend _Toc213486281} }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040 (Per cent)}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9050\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx1664\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3680\clshdrawnil \cellx5344\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3598\clshdrawnil \cellx8942\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Males\cell Females\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9050\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx1664\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3680\clshdrawnil \cellx5344\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3598\clshdrawnil \cellx8942\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9050\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx1664\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1756\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx5344\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx7144\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Self-care task\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Sometimes or always needs assistance\cell Has difficulty but does not need assistance\cell Sometimes or always needs assistance\cell Has difficulty but does not need assistance\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9050\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx1664\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1756\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx5344\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx7144\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row
\ltrrow}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9050\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx1664\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1756\clshdrawnil \cellx3420\clvertalc\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx5344\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx7144\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Showering/bathing\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040 6\cell 9\cell 4\cell 9\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9050\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx1664\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1756\clshdrawnil \cellx3420\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx5344\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx7144\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Dressing\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 9\cell 13\cell 7\cell 13\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9050\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx1664\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1756\clshdrawnil \cellx3420\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx5344\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx7144\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Eating\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 1*\cell 1**\cell \emdash *\cell 8\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9050\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx1664\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1756\clshdrawnil \cellx3420\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx5344\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx7144\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\trowd \irow5\irowband5\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9050\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx1664\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1756\clshdrawnil \cellx3420\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx5344\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx7144\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Toileting\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 2*\cell 3*\cell 1*\cell 7*\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow5\irowband5\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9050\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1772\clshdrawnil \cellx1664\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1756\clshdrawnil \cellx3420\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx5344\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx7144\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0
\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid10646279 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10646279\charrsid5121134 \emdash \tab Less than 1%
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\tx360\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 *\tab Estimate is subject to high standard errors (relative standard error of 25\endash 50%) and should be used with caution.
\par }\pard \ltrpar\s159\ql \li0\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\tx360\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 **\tab
Estimate is subject to sampling variability too high for practical purposes (relative standard error greater than 50%).}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid278374
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid221621\charrsid14178925 Note:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
Excludes people with disability living in establishments.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid221621 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 AIHW analysis of the 2003 }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid14752139 SDAC }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc168307611}Mobility{\*\bkmkend _Toc168307611}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Activities related to mobility include transferring from a bed t
o a chair, use of public transport and moving about within and outside the house. Difficulties with mobility can affect a person\rquote s ability to do other activities such as housework, shopping, preparing meals, managing medication and transportation.
\par About one-third of people with arthritis-associated disability in 2003 reported that they were unable to walk 200 met}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1910161 r}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
es or bend to pick up an object off the floor (Table }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7808821 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
). Almost half could not use stairs without a handrail. More than one-quarter reported having difficulty with transferring to and from a bed or chair. Females were more likely than males to report being unable to perform mobility tasks.
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid15497828 {\*\bkmkstart _Toc185761038}\page }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
{\*\bkmkstart _Toc213486282}Table }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid7808821 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11941855 :}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
Difficulty with mobility tasks associated with arthritis and related disorders, people aged 15 years or over living in households, 2003}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040\charrsid13982040
{\*\bkmkend _Toc185761038}{\*\bkmkend _Toc213486282} }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040 (Per cent)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx6120\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx9000\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Males\cell Females\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx6120\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2880\clshdrawnil \cellx9000\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx7380\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx9000\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Mobility task\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Unable to\~do\cell Needs assistance or has difficulty\cell Unable to\~do\cell Needs assistance or has difficulty\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx7380\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx9000\row
\ltrrow}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx7380\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx9000\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid1910161 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Walk 200 metres\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 24\cell 19\cell 16\cell 25\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx7380\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx9000\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Bend to pick up an object off the floor\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040 24\cell . .\cell 20\cell . .\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx7380\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx9000\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Use stairs without a handrail\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040 28\cell 26\cell 42\cell 17\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx7380\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx9000\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Mobility at place of residence\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040 0\cell 11\cell 0\cell 13\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx7380\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx9000\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Transferring to and from bed or chair\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040 . .\cell 28\cell . .\cell 31\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx7380\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx9000\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Mobility away from place of residence\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040 2**\cell 10\cell \emdash **\cell 17\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx7380\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx9000\row \ltrrow}\trowd \irow8\irowband8\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx7380\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx9000\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 Use of public transport\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040 7\cell 10\cell 9\cell 12\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid13982040 \trowd \irow8\irowband8\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13982040\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3348\clshdrawnil \cellx3240\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx4500\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx6120\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx7380\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx9000\row }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0
\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid10646279 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10646279\charrsid5121134 \emdash \tab Less than 1%
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\tx360\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 **\tab Estimate is subject to sampling variability too high for practical purposes (relative standard error greater than 50%).}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid221621\charrsid278374
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid221621\charrsid14178925 Note:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
Excludes people with disability living in establishments.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid221621 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 AIHW analysis of the 2003 }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid14752139 SDAC }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 .
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc162943290}{\*\bkmkstart _Toc168307612}{\*\bkmkstart _Toc187477425}{\*\bkmkstart _Toc216149661}Workforce participation
{\*\bkmkend _Toc162943290}{\*\bkmkend _Toc168307612}{\*\bkmkend _Toc187477425}{\*\bkmkend _Toc216149661}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15497828 Because of the physical impairments and activity limitations caused by their condition, m}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
any people with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15497828 arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
have difficulty participating fully in the workforce. As arthritis progresses, the capacity to work can be affected. A person may need to change jobs
or duties, reduce their hours, adapt to new circumstances or cease working altogether. For those with rheumatoid arthritis, employment restrictions may occur soon after disease onset, because of the rapid onset of symptoms and functional decline }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 ADDIN EN
.CITE Barrett20001220122Barrett, E. M.Scott, D. G.Wiles, N. J.Symmons,
D. P.2000The impact of rheumatoid arthritis on employment status in the early years of disease: a UK community-based studyRheumatology (Oxford)3912<
/
NUMBER>1403–9Dec11136885disability workhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list
_uids=11136885Norfolk Arthritis Register, St Michael's Hospital, Aylsham, Norfolk.}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (Barrett et al. 2000)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
. Employment restrictions due to osteoarthritis generally occur gradually, and mainly affect those aged 50\~years or over }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
ADDIN EN.CITE Arden20061550155Arden, N.Nevitt, M. C.2006Osteoarthritis: epidemiologyBest Practice and Research: Clinical Rheumatology2013–25Feb16483904
A
CCESSION_NUMBER>reviewepidemiologyhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16483904MRC Epidemiology Resou
rce Centre, University of Southampton, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK. nka@mrc.soton.ac.uk}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (Arden & Nevitt 2006)}}}
\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .
\par According to the 2003 SDAC, 71% of males and 64% of females with
arthritis-associated disability reported having employment restrictions. Of these, approximately half were permanently unable to work because of their disability. People with arthritis-associated disability were less likely to be employed full-time compa
red with people with disability in general or people without disability, and more likely to not be in the labour force (Table }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7808821 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 ).
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc213486283}Table }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid7808821 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 : Labour force status by disability status, people aged 15\endash 64 years living in households and not in full-time education, 2003}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13982040\charrsid13982040 {\*\bkmkend _Toc213486283} }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13982040 (Per cent)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13982040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx2212\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx4532\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx6852\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx9172\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Labour force status
\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 People with arthritis-associated disability
\cell All people with disability\cell People without disability\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13982040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx2212\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx4532\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx6852\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13982040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx2212\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx4532\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx6852\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil
\cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Employed full-time\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 23\cell 31\cell 54\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13982040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx2212\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx4532\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx6852\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Employed part-time\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 17\cell 18\cell 22\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13982040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx2212\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx4532\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx6852\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Looking for work\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 2\cell 5\cell 4\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13982040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx2212\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx4532\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx6852\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil
\cellx9172\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13982040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx2212\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx4532
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx6852\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Not in the labour force\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 57\cell 47\cell 19\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
\trowd \irow4\irowband4\lastrow \ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid13982040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx2212\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx4532\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx6852\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2320\clshdrawnil \cellx9172\row }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid221621\charrsid8337568 Note:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
People with a non-restricting disfigurement or deformity only are included in the group of people without disability.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid221621 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 AIHW analysis of the 2003 }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid14752139 SDAC }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid8337568
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 A diverse range of factors contribute to the development of employment restrictions (Table\~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7808821 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 ). These include employment factors, disease factors, and personal and environmental factors }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 ADDIN EN.CITE Frank20011230123Frank, A. O.Chamberlain, M. A.2001Keeping our patients at work: implications for the management of those with rheumatoid arthritis and musculoskeletal conditionsRhe
u
matology (Oxford)40111201–5Nov11709602disability workhttp://www.ncbi.nlm.nih.gov/entre
z
/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11709602de Croon20041520152de Croon, E.
M
.Sluiter, J. K.Nijssen, T. F.Dijkmans, B. A.Lankhorst, G. J.Frings-Dresen, M. H.2004Predictive factors of work disability in rheuma
t
oid arthritis: a systematic literature reviewAnnals of the Rheumatic Diseases63111362–7Nov15479885work disabilityhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15479885Coronel Institute for Occupational and Environmental Health, Academic
Medical Centre, Research Institute Amsterdam Centre for Health and Health Care Research, 1105 AZ Amsterdam, The Netherlands. e.m.decroon@amc.uva.nl}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
(de Croon et al. 2004; Frank & Chamberlain 2001)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
. In many cases it
is possible for the employer to make arrangements to help employees that have disability associated with arthritis to stay employed. This may include providing special equipment, training, allocation of different duties and altering the work environment.
Work disability affects both the employee and the employer, and efforts to minimise the impact of arthritis on work participation benefit both parties.
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc185761039}{\*\bkmkstart _Toc213486284}Table }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7808821 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 : Factors associated with employment restrictions{\*\bkmkend _Toc185761039}{\*\bkmkend _Toc213486284}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb
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\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2340\clshdrawnil \cellx6480\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2340\clshdrawnil \cellx8820\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Employment factors\cell Disease factors\cell Personal factors\cell Environmental factors\cell }\pard\plain \ltrpar
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\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2448\clshdrawnil \cellx2340\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx4140\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2340\clshdrawnil \cellx6480\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2340\clshdrawnil \cellx8820\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2448\clshdrawnil \cellx2340\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx4140\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2340\clshdrawnil \cellx6480\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2340\clshdrawnil \cellx8820\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13767593
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 type of job\cell type of disease\cell age at disease onset\cell time needed for health care\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2448\clshdrawnil \cellx2340\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx4140\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2340\clshdrawnil \cellx6480\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2340\clshdrawnil
\cellx8820\row \ltrrow}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblrsid13767593\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2448\clshdrawnil \cellx2340\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx4140\clvertalt\clbrdrt\brdrtbl
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Consultation with an occupational
therapist can help people with disability to remain in the workforce. Occupational therapists are allied health professionals that can evaluate the needs of people with functional limitations. They can assist individuals to reach and maintain their highe
st level of functioning, and maximise their level of independence in all aspects of daily living, both in the workplace and at home.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
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{\*\bkmkend _Toc216149662}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Social participation is another important component of life that is affected by arthritis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid221621 ADDIN EN.C
ITE Wikstrom20061330133Wikstrom, I.Book, C.Jacobsson, L. T.200
6
Difficulties in performing leisure activities among persons with newly diagnosed rheumatoid arthritis: A prospective, controlled studyRheumatology (Oxford)459
1162–6Sep16531435disability RAhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16531435
URL>Department of Rheumatology, Malmo University Hospital, S. Forstadsgatan 101, S-205 02 Malmo, Sweden. ingegerd.wikstrom@skane.se}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
(Wikstrom et al. 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
. Participation in social activities is a predictor of wellbeing }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
ADDIN EN.CITE Zimmer19971460146Zimmer, Z.Hickey, T.Searle, M. S.1997The pattern of change in leisure activity behavior among older adults with arthritisGerontologist373384–92Jun<
/
DATE>9203762participationhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=9203762Population Stu
dies Center, University of Michigan, Ann Arbor 48104-2590, USA.}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (Zimmer et al. 1997)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
. It enhances self-esteem and improves mental and physical competence. While undertaking leisure activities, wellbeing is improved by the sensations of losing the sense of time and enhanced awareness of the environment }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 ADDIN EN.CITE Zimmer19971460146Zi
mmer, Z.Hickey, T.Searle, M. S.1997The pattern of change in leisure activity behavior among older adults with arthritisGerontologist
373384–92Jun9203762participationhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dop
t=Citation&list_uids=9203762Population Studies Center, University of Michigan, Ann Arbor 48104-2590, USA.}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (Zimmer et al. 1997)}}}
\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
. Contact with a social network provides support and companionsh
ip that helps people to cope with stressful events. For people with arthritis, social participation improves perceptions of pain and the extent of disability, and improves psychological wellbeing }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 ADDIN EN.CITE Ethgen
20041490149Ethgen, O.Vanparijs, P.Delhalle, S.Rosant, S.Bruyere, O.Reginst
e
r, J. Y.2004Social support and health-related quality of life in hip and knee osteoarthritisQuality of Life Research132321–30
<
/PAGES>Mar15085904participationhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15085904WHO Collaborating Center for Public Health Aspects of Osteoarticular Disorders, University of Liege, CHU Sart Tilman, Avenue de l'Hopital, Batiment B23, Liege, Belgium.}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid221621 (Ethgen et al. 2004)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .
\par Physical impai
rments and disability associated with arthritis can pose a number of barriers that make participation in social activities difficult. Often people with arthritis need to change their activities to accommodate physical difficulties. Social participation ma
y
be reduced, and some people with arthritis cease social participation entirely. This can affect mental health and reduce the quality of life. According to the 2003 SDAC, more than 28% of people with disability associated with arthritis and related disord
ers could not go out as often as they would like because of their condition }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
ADDIN EN.CITE AIHW: Rahman200515314153AIHW: R
ahman, NBhatia, KPenm, E2005Arthritis and musculoskeletal conditions in Australia 2005: with a focus on osteoarthritis, rheumatoid arthritis and osteoporosis
CanberraAIHW1 74024 507 5
1833 0991http://www.aihw.gov.au/publications/index.cfm/title/10139}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
(AIHW: Rahman et al. 2005)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
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Mental}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 health{\*\bkmkend _Toc162943289}{\*\bkmkend _Toc168307614}{\*\bkmkend _Toc187477427}{\*\bkmkend _Toc216149663}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 The mental health of people with arthritis may be affected by chronic pain and other physical impairments. }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 The limitations and restrictions imposed by arthritis can be detrimental to a person\rquote s self-esteem and self-image. Psychological distress can include negative emotional states,
anxiety, depression and feelings of helplessness }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
ADDIN EN.CITE Sheehy20061250125Sheehy, C.Murphy, E.Barry, M.2006Depression in rheumatoid arthritis—underscoring the problemRheumatology (Oxford)45111325–7<
/
PAGES>Nov16908510disability RAhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16908510}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (Sheehy et al. 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .
\par Among respondents to the 2004\endash 05 NHS, psychological distress was much higher in people that reported having arthritis than among those with other types of long-term conditions (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid221621 .3).
\par About 10% of people with rheumatoid arthritis reported very high levels of psychological distress.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid13591605 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 For people with this type of arthritis, mental health may be further affected by the unpredictability of the disease and reactions to treatment }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 ADDIN EN.CITE Simp
son20051270127Simpson, C.Franks, C.Morrison, C.Lempp, H.2005<
T
ITLE>The patient's journey: rheumatoid arthritisBritish Medical Journal3317521887–9Oct 1516223822disability RAhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16223822Department of Rheumatology, King's College Hospital NHS Trust,
London SE5 9RS.}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (Simpson et al. 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
. New drug treatments can improve pain, mobility and fatigue, and they offer hope to people with rheumatoid arthritis. But each person reacts differently to the various types of
medication. Treatments may fail to improve functioning or may be effective only for a short period of time }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
ADDIN EN.CITE Plant20051260126Plant, M. J.O'Sullivan, M. M.Lewis, P. A.Camilleri, J. P.Coles, E. C.Jessop, J. D.2005What factors influence
f
unctional ability in patients with rheumatoid arthritis. Do they alter over time?Rheumatology (Oxford)4491181–5Sep15972357disability RAhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15972357The James Cook University Hospital, Middlesbrou
gh, UK. michael.plant@stees.nhs.uk}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (Plant et al. 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
. This causes anxiety and a high level of uncertainty when taking a new drug treatment }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
ADDIN EN.CITE Simpson20051270127Simpson, C.Franks, C.Morrison, C.Lempp, H.2005The patient's journey
:
rheumatoid arthritisBritish Medical Journal3317521887–9Oct 1516223822disability RAhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16223822Department of Rheumatology, King's College Hospital NHS Trust, London SE5 9RS.}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (Simpson et al. 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
. All of these factors can cause depression and can make planning for the future difficult.
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13982040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc185761013}{\*\bkmkstart _Toc267314810}Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 .3 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid13982040 Psychological}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 distress by arthritis status, people aged 15 years or over, 2004\endash 05{\*\bkmkend _Toc185761013}
{\*\bkmkend _Toc267314810}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13982040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13982040 Horizontal bar chart showing, for level of distress, arthritis status on y-axis and per cent on x-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid13982040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13982040 Notes
\par 1.\tab Age-standardised to the 2001 Australian population.
\par 2.\tab Arthritis status is based on self-reports of ever having a doctor\rquote s diagnosis of the condition.
\par 3.\tab Psychological
distress is measured using the Kessler Psychological Distress Scale, which involves ten questions about negative emotional states experienced in the previous 4 weeks. The scores are grouped into low (indicating little or no psychological distress), moder
ate, high and very high (indicating very high levels of psychological distress).
\par Source: AIHW analysis of the 2004\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040 NHS}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13982040\charrsid14752139 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13982040 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13982040 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13982040\charrsid13982040
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc168307615}{\*\bkmkstart _Toc187477428}{\*\bkmkstart _Toc216149664}{\*\bkmkstart _Toc162943287}
Environmental and personal factors that affect disability{\*\bkmkend _Toc168307615}{\*\bkmkend _Toc187477428}{\*\bkmkend _Toc216149664}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 Impairments and activity limitations are linked to, but don\rquote t always co
rrelate with, clinical measurements of disease (such as progressive joint damage seen on an X-ray). }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
This is because environmental and personal factors can also contribute to the impairments and activity limitations a person experiences. Environmental facto
rs include the layout of the home and public buildings (such as access to ramps), transport availability, and workplace requirements (such as physical demands of the job and pace of work). Personal factors can include attitudes towards illness, fear of de
formity and altered body image, and feelings about dependency and accepting help from others.
\par One personal factor which can greatly influence disability and quality of life is having other conditions in addition to arthritis. These are known as comorbid con
ditions. As arthritis mainly affects those aged 45 years or over, many people with arthritis also have other comorbid conditions. These may be other musculoskeletal conditions (for example, gout) or other chronic diseases such as heart disease or diabetes
. In a Dutch population study, those with more than one type of musculoskeletal condition reported having a lower quality of life than those with a single condition }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
ADDIN EN.CITE Picavet20041500150Picavet, H. S.Hoeymans, N.2004Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the D
M
C3 studyAnnals of the Rheumatic Diseases636723–9Jun15140781QOL
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15140781Department for Prevention and Health Services Research (PZO, pb 101), National Institute of Public Health and the Enviro
nment, PO Box 1, 3720 BA Bilthoven, Netherlands. susan.picavet@rivm.nl}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (Picavet & Hoeymans 2004)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .
\par In the 2004\endash 05 NHS, two-thirds of people with arthritis reported having four or more comorbid conditions. Self-rating
of very good or excellent health was strongly related to the number of long-term conditions a person reported. One-quarter of people with four or more long}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3545052 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
term conditions (in addition to arthritis) rated their general health as very good or excellent, compared with more than half of those with no other long-term conditions.
\par People with arthritis may also have coexisting mental health problems such as depression. Among people with rheumatoid arthritis, having a history of depression greatly impacts on the
ability to cope with pain, and the mental health of those with a history of depression is poorer than those without a history of depression }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
ADDIN EN.CITE Conner20061390139Conner, T. S.Tennen, H.Zautra, A. J.Affleck, G.Armeli, S.Fifield, J.2006Coping w
i
th rheumatoid arthritis pain in daily life: within-person analyses reveal hidden vulnerability for the formerly depressedPain1261-3198–209Dec 1516904829disability RAhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16904829Department of Psy
chiatry, University of Connecticut Health Center, 263 Farmington Avenue MC 6325, Farmington, CT 06030-6325, USA. conner@psychiatry.uchc.edu}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
(Conner et al. 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 . In the 2004\endash
05 NHS, about 16% of people reporting arth
ritis also reported that they had long-term depression, anxiety or other mood disorders. In comparison, 9% of people without arthritis reported these problems. Females with arthritis were around twice as likely as males with arthritis to report having dep
ression, anxiety or mood disorders.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc168307616}{\*\bkmkstart _Toc187477429}{\*\bkmkstart _Toc216149665}Impacts on quality of life
{\*\bkmkend _Toc168307616}{\*\bkmkend _Toc187477429}{\*\bkmkend _Toc216149665}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Health-related quality of life (HRQOL) is a measure of how a person\rquote
s health affects what they are able to do and how they feel. It is used to describe an individual\rquote s perception of how a disea
se or condition affects their physical, psychological and social wellbeing. Arthritis has been found to significantly affect HRQOL }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
ADDIN EN.CITE Woo20041400140Woo, J.Lau, E.Lee, P.Kwok, T.Lau, W. C.Chan, C.Chiu, P.Li, E.Sham, A.Lam, D.2004Impact of osteoarthritis on quality of life in a Hong Kong Chinese populationJournal of Rheumatology31122433–
8
Dec15570647QOLhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15570647Dep
a
rtment of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin NT, Hong Kong. jeanwoowong@cuhk.edu.hkCarmona20011410141Carmona, L.Ballina, J.Gabriel, R.Laffon, A.2001The burden of musculoskeletal diseases in the general po
p
ulation of Spain: results from a national surveyAnnals of the Rheumatic Diseases60111040–5Nov11602475QOLhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11602475Research Unit, Hospital Universitario de La Princesa, Madrid, Spain. lcarmona@
s
er.esPicavet20041500150Picavet, H. S.Hoeymans, N.2004Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 studyAnnals of the Rheumatic Diseases636723–9
J
un15140781QOLhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15140781Department for Pre
vention and Health Services Research (PZO, pb 101), National Institute of Public Health and the Environment, PO Box 1, 3720 BA Bilthoven, Netherlands. susan.picavet@rivm.nl}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 (Carmona et al. 2001; Picavet & Hoeymans 2004; Woo et al. 2004)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid221621 .
\par An individual\rquote s perception of health is affected by environmental and personal factors such as their beliefs, experiences and expectations. These factors influence the extent to which a disease or condition affects an individual, and
so impact upon HRQOL. Information about HRQOL can be used to describe and predict health outcomes, guide and assess clinical management, inform policy and direct the allocation of resources.
\par When the impact of arthritis on HRQOL was compared to other chron
ic diseases, such as allergies, chronic lung disease, congestive heart failure, diabetes, hypertension and ischaemic heart disease, arthritis was found to have the largest impact on physical components of HRQOL, and also to impact significantly on mental
health components }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
ADDIN EN.CITE Alonso20041420142Alonso, J.Ferrer, M.Gandek, B.Ware, J. E., Jr.Aaronson, N. K.Mosconi, P.Rasmussen, N. K.Bullinger, M.Fukuhara, S.Kaasa, S.Leplege, A.
2004Health-related quality of life associated with chronic conditions in eight countries: results from the International Quality of Life Assessment (IQOLA) ProjectQuality of Life Research13<
/
VOLUME>2283–98Mar15085901QOLhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&am
p
;list_uids=15085901Health Services Research Unit, Institut Municipal d'Investigacio Medica (IMIM-IMAS), Barcelona, Spain. jalonso@imim.esWoo20041400140Woo, J.Lau, E.Lee, P.Kwok, T.Lau, W. C.Chan, C.Chiu, P.Li,
E
.Sham, A.Lam, D.2004Impact of osteoarthritis on quality of life in a Hong Kong Chinese populationJournal of Rheumatology31
<
NUMBER>122433–8Dec15570647QOLhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_
uids=15570647Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin NT, Hong Kong. jeanwoowong@cuhk.edu.hk}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid221621 (Alonso et al. 2004; Woo et al. 2004)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 .
\par }\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\keepn\pagebb\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid13982040 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6836620 {\*\bkmkstart _Toc162943294}{\*\bkmkstart _Toc168307617}{\*\bkmkstart _Toc213487512}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname
Street}}Box{\*\xmlclose}{\*\xmlclose} 3.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 1{\*\xmlclose}{\*\xmlclose}: Measuring health-related quality of life{\*\bkmkend _Toc162943294}{\*\bkmkend _Toc168307617} (HRQOL){\*\bkmkend _Toc213487512}
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\keepn\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid13982040 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 A large number of different sets of questions or measures have been developed to assess HRQOL. A measure of HRQOL can be specific and focus on the impacts of specific diseases\emdash these are ofte
n used in clinical studies to measure variation within a study population. Alternatively, the measure can be general and collect information on the impacts relating to a broad ra}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15928113 n}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid221621 ge of health conditions\emdash these are the HRQOL measures most commonly used in population health surveys. A general measure that is frequently used is the 12-item Medical Outcomes Short-Form (SF-12) }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 ADDIN EN.CITE Ware1996159015
9Ware, J EKosinski, MKeller, S D1996A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validityMedical Care343220–233}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (Ware et al. 1996)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .
\par The SF-12 consists of 12 questions (or \lquote items\rquote ), from which information about the respondent\rquote s physica
l and mental health status can be derived. The physical health status items focus on limitations in physical functioning, role limitations due to physical health problems, bodily pain and general health. The mental health status items focus on role limita
t
ions due to emotional problems, social functioning, mental health and vitality. The items relating to physical and mental health status are combined to form physical and mental health scales that can be compared between individuals or population groups. T
he scales are weighted such that the general population has an average score of 50 and a standard deviation of 10. A lower score on a scale indicates lower health-related quality of life in that area.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Among people with arthritis-associated disability in 200
3, self-perceived physical health status decreased with increasing disability severity (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
.4). This is to be expected as the physical health scale is a measure of physical functioning. Those with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid659645 no limitations in core activities (self-care, mobility and communication) or }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid221621 restrictions in work or schooling only had an average physical health scale score of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid659645 42}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (see }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6836620 {\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}Box{\*\xmlclose}{\*\xmlclose} 3.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 1{\*\xmlclose}{\*\xmlclose}). This is }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid659645 higher}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11816200 than }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
that of people with profound or severe core activity limitations (average physical health scale score of 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid659645 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 ),
but less than the standardised Australian population average score of 50. People who reported no core activity limitations may still have limitations in other areas (such as home maintenance), which could account for their lower physical health score.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10831798 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15497828 In
comparison, self-perceived mental health status remained around the Australian population average score of 50 for all levels of arthritis-associated disability severity. Previous studies have shown a link between depression and disability in people with a
rthritis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15497828
ADDIN EN.CITE Hill20061510151Hill, C. L.Gill, T.Taylor, A. W.
Daly, A.Grande, E. D.Adams, R. J.2006Psychological factors and quality of life in arthritis: a population-based studyClinical Rheumatology<
V
OLUME>2671049–54July17047892QOLhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt
=Citation&list_uids=17047892Rheumatology Unit, The Queen Elizabeth Hospital, 28 Woodville Rd, Woodville, South Australia, 5011, Australia, Catherine.Hill@nwahs.sa.gov.au.}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15497828 (Hill et al. 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15497828 . In the 2003 SDAC around 5% of people with arthritis-associated disability also reported having depression; the mental health scale s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10831798 core among these people was 39.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid221621
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13982040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc185761014}{\*\bkmkstart _Toc267314811}Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 .4: Self-perceived physical and mental health status of people aged 15 years or over with arthritis-}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid13982040 associated}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
disability, by severity of core activity limitation, 2003{\*\bkmkend _Toc185761014}{\*\bkmkend _Toc267314811}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13982040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10831798 Vertical bar chart showing, for physical and mental health scales, mean score on y-axis and disability on x-axis.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13982040
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10831798 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10831798 Note: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10831798 A lower score on either scale represents poorer health. The \lquote standard\rquote
population score is 50, represented by the dotted line.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10831798 Source}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10831798 : AIHW analysis of the 2003 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10831798\charrsid14752139 SDAC }{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10831798 CURF.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10831798\charrsid13982040
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc162943295}{\*\bkmkstart _Toc168307618}{\*\bkmkstart _Toc187477430}{\*\bkmkstart _Toc216149666}Self-assessed health
{\*\bkmkend _Toc162943295}{\*\bkmkend _Toc168307618}{\*\bkmkend _Toc187477430}{\*\bkmkend _Toc216149666}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 The chronic, pervasive nature of arthritis is likely to have a strong impact upon people\rquote s perception of their ow
n health. Self-assessed health status is therefore a powerful descriptor of psychosocial health.
\par Self-assessed health status is a brief and general measure that can be used to examine the effect of disease, disability or other factors on a person\rquote s perception of their health. In the NHS, a person\rquote
s perception of their health status is assessed by the question: \lquote In general would you say that your health is: excellent, very good, good, fair or poor?\rquote .
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10831798 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Results from the 2004\endash 05 NHS indicate that most people wi
th arthritis perceive their health to be good, very good or excellent (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
.5). However, self-assessed health among people with arthritis was considerably poorer than that reported by people with other types of long-term conditions. A large proportion (45%) of people with rheumatoid arthritis, in particular, perceived their hea}
{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10831798 lth status to be poor or fair. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid15275959
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10831798 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc185761015}{\*\bkmkstart _Toc267314812}Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 .5: Self-}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid10831798 assessed}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 health, by arthritis status, 2004\endash 05{\*\bkmkend _Toc185761015}{\*\bkmkend _Toc267314812}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10831798 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10831798 Horizontal bar chart showing, for health level, arthritis status on y-axis and per cent on x-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid10831798 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10831798\charrsid10831798 Notes
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10831798 1.\tab Age standardised to the 2001 Australian population
\par 2.\tab Arthritis status is based on self-reports of ever having a doctor\rquote s diagnosis of the condition.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10831798\charrsid10831798 Source}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10831798 : AIHW analysis of the 2004\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10831798 NHS}{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10831798\charrsid14752139 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10831798 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10831798 .
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10831798 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10831798\charrsid10831798
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11080318 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11080318 {\*\bkmkend _Toc162943292}
{\*\bkmkend _Toc162943287}Self-assessed health is also affec
ted by the severity of any existing disability. Among people with arthritis-associated disability in 2003, more than 60% of people with severe or profound core activity limitations rated their health as fair or poor, compared with 17% of those who had sch
ooling or work restrictions only (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11080318 .6).
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9503317 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11080318 {\*\bkmkstart _Toc267314813}Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11080318 .6: Self-}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11080318\charrsid9503317 assessed}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11080318 health among people with arthritis-associated disability, by severity of disability, 2003{\*\bkmkend _Toc267314813}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9503317 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9503317 Horizontal bar chart showing, for self-assessed health level, disability type on y-axis and per cent on x-axis.
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9503317 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid9503317 {\*\xmlopen\xmlns2{\factoidname State}}{\*\xmlopen\xmlns2{\factoidname place}}CAL{\*\xmlclose}{\*\xmlclose}
core activity limitation
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid9503317 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9503317 AIHW analysis of the 2003 SDAC }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid9503317 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid9503317 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9503317\charrsid9503317
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc216149667}Assistance with everyday tasks{\*\bkmkend _Toc216149667}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
Not everyone with arthritis will be affected in the same way by their condition. Some will experience little or no limitation of the
ir daily activities, whereas others will be severely disabled. All along this continuum of abilities, people may require some form of assistance with the everyday tasks of life. This can range from something as simple as a device for opening jars, to mobi
lity aids such as a walking stick or frame, personal assistance with household tasks, or high-level residential care.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc162943288}{\*\bkmkstart _Toc168307620}{\*\bkmkstart _Toc162943293}Use of aids and home/office modifications
{\*\bkmkend _Toc162943288}{\*\bkmkend _Toc168307620}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 There are many specialised aids that can be used and modifications that can be made to the home a
nd work environment to allow a person with arthritis-associated disability to successfully undertake personal, work or household tasks. Some aids that are available to help people with these tasks or other activities are outlined in }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid6836620 {\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}Box{\*\xmlclose}{\*\xmlclose} 3.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 2{\*\xmlclose}{\*\xmlclose}.
\par Aids and modif
ications limit the impact of arthritis on daily activities and improve independence. In 2003, just over half of people with arthritis-associated disability reported using aids. They were used more commonly by people in older age groups and generally more
often by females than males (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11080318 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
). The most common activities that people with arthritis and related disorders used aids for were mobility (outside the home, 16%; within the home, 12%), showering (13%), toileting (8%) and rising from a bed or chair (6%).
\par }\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid221621 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6836620 {\*\bkmkstart _Toc213487513}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}Box{\*\xmlclose}{\*\xmlclose} 3.}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid221621 2{\*\xmlclose}{\*\xmlclose}: Aids used to manage limitations associated with arthritis and related disorders{\*\bkmkend _Toc213487513}
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx397\tx4536\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid221621 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0
\ltrch\fcs0 \b\insrsid221621 Dressing}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 \tab
\par button/ zipper aids\tab
\par sock aid\tab
\par shoe horn\tab
\par long}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11816200 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 handled comb or brush\tab
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid221621 Kitchen}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 \tab
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs160\insrsid221621 jar / bottle opener}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 \tab
\par ergonomic utensils (e.g. vegetable peeler)\tab
\par ergonomic cutlery\tab
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid221621 Garden}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 \tab
\par kneeling/sitting aid\tab
\par tall seedling trays}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9503317
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid9503317 Bathroom}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9503317
\par safety grips
\par seat for shower
\par long-handled scrub brush or loofah
\par tap and door handle turners
\par non-slip mats
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cs160\insrsid9503317 raised toilet seat
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\insrsid9503317 Office/workplace
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9503317 adjustable chairs and desks
\par document holders
\par ergonomic mouse and keyboard
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 special office supplies (e.g. pens, stapler, scissors)
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
Modifications to the home can help people with arthritis and related disorders to cope with common difficulties such as the use of stairs, sitting, standing, and reaching
. The installation of hand rails (10%) and ramps (2%), and changes to toilets, baths and laundries (7%) are the most common modifications to the home reported by people with disability associated with arthritis and related disorders }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 ADDIN EN.CITE AIHW: Rahman200515314153AIHW: Rahman, NBhatia, KPenm, E2005Arthritis and musculoskeletal conditions in Australia 2005: with a focus on osteoarthritis, rheumatoid arthritis and osteoporosisCanberraAIHW1 74024 507 5
1833 0991
http://www.aihw.gov.au/publications/index.cfm/title/10139}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (AIHW: Rahman et al. 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid13643561
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc185761016}{\*\bkmkstart _Toc267314814}Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11080318 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 : }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14689926 Use}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
of aids among people with arthritis-associated disability, 2003{\*\bkmkend _Toc185761016}{\*\bkmkend _Toc267314814}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 Vertical bar chart showing, for males and females, per cent on y-axis and age on x-axis.
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid14689926 Note: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926
Per cent of people with arthritis-associated disability that report using aids or assistive devices.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid14689926 Source}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 : AIHW analysis of the 2003 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14689926\charrsid14752139 SDAC }{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14689926 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926\charrsid14689926
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 {\*\bkmkstart _Toc168307621}{\*\bkmkend _Toc162943293}Care and assistance from others{\*\bkmkend _Toc168307621}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 To cope successfully with arthritis-associat
ed disability, people often need assistance from family, friends, medical professionals and support services. Care and support is most commonly provided by unpaid (that is, non-professional) carers such as family members and friends }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 ADDIN EN.CITE Carers Victoria200516016160Carers Victoria,2005Surviving the maze (fact sheets series)MelbourneCarers Victoria200714 MarchFact sheets2006PDFwww.carersvic.org.au/BCFC/BCFC.htm}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621 (Carers Victoria 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621
. Care for people in the home, in community settings and in residential care can also be provided by paid care workers and community support services. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
The frequency, type and duration of care or help needed by a person with disability will depend on the particular condition the person has, its severity, any comorbid conditions, and the type of physical and activity limitations experienced.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Carers
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 The Australian Bureau of Statistics defines a carer as \lquote a person of a
ny age who provides any informal assistance, in terms of help or supervision, to persons with disabilities or long-term conditions, or older persons (that is, aged 60 years or over)\rquote }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 ADDIN EN.CITE ABS2004232323ABS20042003 Disability, ageing and carers: summary of findings, AustraliaCanberra
ABS
}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (ABS 2004)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 . }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid221621 A person may have more than one carer. The carer who provides the most informal assistance with core activities (mobility, self-care and communication) is known as the primary carer. The 2003 SDAC
collected information from primary carers aged 15 years or over.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8324553 Of 475,000 primary carers identified by the 2003 SDAC, a}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 lmost 50,000 provided care to people with arthrit}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8324553
is-associated disability}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 . Almost two-thirds of these carers were the spouse of the pe
rson with disability, and over half provided more than 20 hours of care each week. Almost 40% had spent at least 10 years in the caring role.
\par }\pard\plain \ltrpar\s5\ql \li0\ri0\sb180\sa80\sl260\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel4\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc168307622}{\*\bkmkstart _Toc187477432}Impacts on carers{\*\bkmkend _Toc168307622}{\*\bkmkend _Toc187477432}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Carers of a person with arthritis may also be affected by any functional limitations or disability }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621\charrsid15083468 that th}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15083468 e}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 person }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15083468 they are caring for }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 experiences. Providing care comes with rewards and challenges for the carer. Rewards can include a sense of satisfaction with helping someone in need, strengthening relationships with family members, and receiving ack
nowledgment and appreciation }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
ADDIN EN.CITE Carers Victoria200516016160Carers Victoria,2005Surviving the maze (fact sheets series)MelbourneCarers Victoria200714 MarchFact sheets2006PDFwww.carersvic.org.au/BCFC/BCFC.htm}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (Carers Victoria 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
. Challenges can include the physical and emotional drain from caring, restrictions to social participation, a loss of freedom and spontaneity}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8324553 , and financial and legal implications}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid221621 .
\par The caring role places many physical and psychological demands on the carer. They may be required to assist with mobility, household tasks such as cleaning and cooking, and personal}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4073477 -}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid221621 care tasks such as dressing and bathing. In addition
to these physical tasks, the carer provides psychological support to a person who may be anxious, depressed or fearful. The nature of the caring role and its impact on the carer will vary depending on a range of factors, including:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 the age of the care recipient}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8324553 (s)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}the age of the carer
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}whether the carer lives in the same household as the care recipient}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid8324553 (s)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}the extent of disability and the particular needs of the care recipient}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid8324553 (s)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}the amount of support the carer receives from others (both other family members
and paid care workers)
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid8324553 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8324553 the length of the caring role
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid8324553 \loch\af37\dbch\af0\hich\f37 \'95\tab}multiple caring roles
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 the carer\rquote
s own health status (for example, any health conditions or disability that they have)
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid221621 \loch\af37\dbch\af0\hich\f37 \'95\tab}the economic circumstances of both parties.
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc185761018}{\*\bkmkstart _Toc267314815}Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11080318 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 : }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14689926 Ages}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 of primary carers and c
are recipients with arthritis-associated disability, 2003{\*\bkmkend _Toc185761018}{\*\bkmkend _Toc267314815}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 Horizontal bar chart showing, for age of care recipient, age of carer and number of carees in age group on y-axis and per cent on x-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid14689926\charrsid14689926 Notes
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 1.\tab Each bar shows the proportion of people of different ages being cared for by a carer of a certain age. For example, the bottom bar shows that 66% of people being cared for by a 15\endash
29-year-old carer were less than 30 years of age, and 34% were aged 60\endash 74 years.
\par 2.\tab No information about primary carers less than 15 years of age is available.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926\charrsid9531718
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid14689926\charrsid14689926 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 AIHW analysis of the 2003 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14689926\charrsid14752139 SDAC }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14689926 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 .
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926\charrsid14689926
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1842247 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1842247
In 2003, more than half of primary carers of people with arthritis-associated disability were aged 60 years or over, and most (91%) of these carers were caring for a person also aged 60 years or over (Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745
3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1842247
.8). Three-quarters of carers had at least one long-term condition, and more than half reported some degree of disability of their own. Common causes of disability among carers of people with arthritis-associated disability
included arthritis (20% of carers with disability), heart disease (14%) and back problems (9%).
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
Carers of people with arthritis-associated disability report a range of positive and negative impacts that their caring role has on their life. For example, 32
% reported that caring gave them a feeling of satisfaction, but 16% felt worried or depressed and 9% felt anger or resentment. For some, social and family relationships had suffered, with 19% reporting losing touch with friends and 8% reporting strained f
amily relationships. Many also felt financial effects; although 45% of carers reported that their income had not been affected, 18% reported decreased income, 26% had extra expenses and 27% were having difficulty meeting everyday living costs.
\par These impact
s can have substantial effects on the physical and mental health and quality of life of carers. Almost 20% of carers of people with arthritis-associated disability in 2003 reported that their physical or emotional wellbeing had changed due to their caring
role}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11080318 , and almost 25% rated their general health as fair or poor}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
. In turn, care recipients may feel like a burden, and become anxious or uncomfortable about asking for help. It is important that carers ask for assistance when they need it, and also take time out from the caring role }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
ADDIN EN.CITE Carers Victoria200516016160Carers Victoria,2005Surviving the maze (fact sheets series)MelbourneCarers Victoria200714 MarchFact sheets2006PDFwww.carersvic.org.au/BCFC/BCFC.htm}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 (Carers Victoria 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
. This can provide relief from the duties and worries of caring, allow personal time for relaxation and recreational activities, and enhance mental health and well
being. About one-third of carers of people with arthritis-associated disability in 2003 desired more support or improvements to assist them in their caring role. The most common types of support desired were financial assistance and respite care. A variet
y of support services are available to help people with caring or provide respite, ranging from a couple of hours to a few weeks at a time. More informa}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid942418 tion on these }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid221621 services can be obtained from }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8324553 Commonwealth Respite and Carelink Centres}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid942418 (freecall 1800 052 222)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Formal support services and residential care
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621
Support services and paid care workers can provide care in the home and in community settings. Services provided include home nursing, domestic assistance, delivered meals, respite care, garden and home ma
intenance, social support and transport. These services help people to maintain independence, and provide support for carers.
\par Around 3% (56,000) of people reporting arthritis in 2003 were living in residential care facilities; 30% of these people (almost
17,000) had arthritis-associated disability. People in residential care often have profound difficulties with mobility and/or other limitations, such as incontinence or memory and cognitive difficulties. Many carers continue to provide care for family mem
bers in residential care, but their caring role changes. Carers can supplement and complement the care provided by professional staff, and may be involved in activities such as feeding, personal care, and outings or holidays.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 Unmet need
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 The aim of care is
to meet the needs of people with disability. The severity of activity limitations experienced affects the ability of carers to meet those needs. In 2003, an estimated 345,000 people with arthritis-associated disability living in households needed assistan
c
e with one or more activities. More than 60% of these people had their needs for assistance fully met. Those with severe or profound limitations were the most likely to have unmet needs; 47% reported that their needs were only partly met or not met at all
(Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11080318 9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 ).
\par These data suggest that there are people with severe disability in the community that are only partly having their needs for assistance met. It is important that people with disability receive adequate support from carers, community services
and paid care workers, so that they can participate }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14228903 in the wider community }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 to the fullest extent possible and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926
maximise their quality of life.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4935187
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc185761017}{\*\bkmkstart _Toc267314816}Figure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11080318 .9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 : Extent to which needs were met among people with arthritis-associated disability living in households, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621\charrsid14689926 by}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid221621 severity of core activity restrictions, 2003{\*\bkmkend _Toc185761017}{\*\bkmkend _Toc267314816}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 Vertical bar chart showing, for extent needs were met, per cent on y-axis and severity on x-axis.
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid14689926 Notes: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 Per cent of people who had needs for assistance with any type of activity.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid14689926 Source}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 : AIHW analysis of the 2003 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14689926\charrsid14752139 SDAC }{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14689926 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926\charrsid14689926
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid221621 {\*\bkmkstart _Toc155688758}{\*\bkmkstart _Toc162943296}{\*\bkmkstart _Toc168307623}{\*\bkmkstart _Toc187477433}{\*\bkmkstart _Toc216149668}
{\*\bkmkend _Toc154285977}{\*\bkmkend _Toc150569852}References{\*\bkmkend _Toc155688758}{\*\bkmkend _Toc162943296}{\*\bkmkend _Toc168307623}{\*\bkmkend _Toc187477433}{\*\bkmkend _Toc216149668}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid221621 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \insrsid221621\charrsid14622597 ADDIN EN.REFLIST }}{\fldrslt {\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \insrsid221621 ABS }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \insrsid1842247
(Australian Bureau of Statistics) }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \insrsid221621 2004. 2003 Disability, ageing and carers: summary of findings, Australia. ABS cat. no. 4430.0. Canberra: ABS.
\par ABS 2006. 2004\endash 05 National health survey: summary of results, Australia. ABS cat. no. 4364.0. Canberra: ABS.
\par AIHW }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \insrsid1842247 (Australian Institute of Health and Welfare) }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \insrsid221621
2002. The International Classification of Functioning, Disability and Health (ICF). Disability data briefing series no. 20. Canberra: AIHW.
\par AIHW: Rahman N, Bhatia K & Penm E 2005. Arthritis and musculoskeletal conditions in Australia 2005: with a focus on osteoarthritis, rheumatoid arthritis and osteoporosis. Cat. no. PHE 67. Canberra: AIHW.
\par Alonso J, Ferrer M, Gandek B, Ware JE, Jr., Aaronson NK, Mosconi P
et al. 2004. Health-related quality of life associated with chronic conditions in eight countries: results from the International Quality of Life Assessment (IQOLA) Project. Quality of Life Research 13:283\endash 98.
\par Arden N & Nevitt MC 2006. Osteoarthritis: epidemiology. Best Practice and Research: Clinical Rheumatology 20:3\endash 25.
\par Barrett EM, Scott DG, Wiles NJ & Symmons DP 2000. The impact of rheumatoid arthritis on employment status in the early years of disease: a UK community-based study. Rheumatology (Oxford) 39:1403\endash 9.
\par Carers Victoria 2005. Surviving the maze (fact sheets series). Melbourne: Carers Victoria. Viewed 14 March 2007, <}{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \cf0\insrsid221621\charrsid15151123
HYPERLINK "http://www.carersvic.org.au/BCFC/BCFC.htm>" }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \cf0\insrsid680394\charrsid15151123 {\*\datafield
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b5600000068007400740070003a002f002f007700770077002e006300610072006500720073007600690063002e006f00720067002e00610075002f0042004300460043002f0042004300460043002e00680074006d00
3e0000000000}}}{\fldrslt {\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \cs79\cf0\insrsid221621\charrsid15151123 www.carersvic.org.au/BCFC/BCFC.htm>}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \cf0\insrsid221621\charrsid15151123 .}{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0
\insrsid221621
\par Carmona L, Ballina J, Gabriel R & Laffon A 2001. The burden of musculoskeletal diseases in the general population of Spain: results from a national survey. Annals of the Rheumatic Diseases 60:1040\endash 5.
\par Conner TS, Tennen H, Zautra AJ, Affleck G, Armeli S & Fifield J 2006. Coping with rheumatoid arthritis pain in daily life: within-person analyses reveal hidden vulnerability for the formerly depressed. Pain 126:198\endash 209.
\par de Croon EM, Sluiter JK, Nijssen TF, Dijkmans BA, Lankhorst GJ & Frings-Dresen MH 2004. Predictive factors of work disability in rheumatoid arthritis: a systematic literature review. Annals of the Rheumatic Diseases 63:1362\endash 7.
\par Eberhardt KB & Fex E 1995. Functional impairment and disability in early rheumatoid arthritis\emdash development over 5 years. Journal of Rheumatology 22:1037\endash 42.
\par Ethgen O, Vanparijs P, Delhalle S, Rosant S, Bruyere O & Reginster JY 2004. Social support and health-related quality of life in hip and knee osteoarthritis. Quality of Life Research 13:321\endash 30.
\par Frank AO & Chamberlain MA 2001. Keeping our patients at work: implications for the management of those with rheumatoid arthritis and musculoskeletal conditions. Rheumatology (Oxford) 40:1201\endash 5.
\par Hakkinen A, Kautiainen H, Hannonen P, Ylinen J, Makinen H & Sokka T 2006. Muscle strength, pain, and disease activity expla
in individual subdimensions of the Health Assessment Questionnaire disability index, especially in women with rheumatoid arthritis. Annals of the Rheumatic Diseases 65:30\endash 4.
\par Hill CL, Gill T, Taylor AW, Daly A, Grande ED & Adams RJ 2006. Psychological factors and quality of life in arthritis: a population-based study. Clinical Rheumatology 26:1049\endash 54.
\par March LM 1997. Osteoarthritis. Medical Journal of Australia 166:98\endash 103.
\par Picavet HS & Hoeymans N 2004. Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 study. Annals of the Rheumatic Diseases 63:723\endash 9.
\par Plant MJ, O'Sullivan MM, Lewis PA, Camilleri JP, Coles EC & Jessop JD 2005. What factors influence functional ability in patients with rheumatoid arthritis. Do they alter over time? Rheumatology (Oxford) 44:1181\endash 5.
\par Sheehy C, Murphy E & Barry M 2006. Depression in rheumatoid arthritis\emdash underscoring the problem. Rheumatology (Oxford) 45:1325\endash 7.
\par Simpson C, Franks C, Morrison C & Lempp H 2005. The patient's journey: rheumatoid arthritis. British Medical Journal 331:887\endash 9.
\par Ware JE, Kosinski M & Keller SD 1996. A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Medical Care 34:220\endash 33.
\par Wikstrom I, Book C & Jacobsson LT 2006. Difficulties in performing leisure activities among persons with newly diagnosed rheumatoid arthritis: A prospective, controlled study. Rheumatology (Oxford) 45:1162\endash 6.
\par Woo J, Lau E, Lee P, Kwok T, Lau WC, Chan C et al. 2004. Impact of osteoarthritis on quality of life in a Hong Kong Chinese population. Journal of Rheumatology 31:2433\endash 8.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6054753 {\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \insrsid221621
Zimmer Z, Hickey T & Searle MS 1997. The pattern of change in leisure activity behavior among older adults with arthritis. Gerontologist 37:384\endash 92.}}}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sl240\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6054753 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid5789278
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16152856 {\*\bkmkstart _Toc216149669}{\*\bkmkstart _Toc179624504}{\*\bkmkstart _Toc179624598}4}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 \tab Arthritis in children{\*\bkmkend _Toc216149669}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 Although arthritis is often thought of as a disease of ageing, young people can }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid920722 also have it}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
. There are some forms of arthritis that occur mainly or exclusively in children, and children can also be affected by most of the types of arthritis found in adults.
\par Arthritis is the most common chronic joint condition occurring in children}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171\charrsid221621 . Parental reports of a doctor\rquote
s diagnosis indicate that around 2,300 Australians under the age of 16 years (0.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid221621\charrsid221621 0}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713171\charrsid221621 6%) have some form of arthritis. A similar number of parents report that their child has arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid15293087 but}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171\charrsid221621
has not been diagnosed by a doctor. This suggests that up to 4,600 Australian children under 16 years of age (around 1 in 900) may be affected. In comparison, there are an estimated 5,400 Australians of this age with diabetes (around 1 in 800). }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid920722\charrsid221621 This}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid920722 suggests that, alt}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713171 hough }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid920722 arthritis is }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 not a common childhood disease,
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid920722 it}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 is by no means rare in the young}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid920722 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid920722 A}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713171 nd}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid920722 , as shown below,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
it can have significant effects on their health, development and quality of life.
\par The major form of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid920722 childhood }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 arthritis is called }{\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid10713171 juvenile idiopathic arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 (JIA). }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid920722 This}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 is a }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid920722 general}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
term used to describe any type of inflammatory arthritis of unknown cause }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7881190 where symptoms begin}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
before the sixteenth birthday. It may also be referred to as juvenile chronic arthritis (JCA), juvenile rheumatoid arthritis (JRA) or simply juvenile arthritis. In this report the acronym JIA and the }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid920722 term}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 \lquote juvenile arthritis\rquote are used interchangeably.
\par This chapter provides an overview of juvenile arthritis. It describe
s the most common types of JIA, and the impacts that JIA has on the physical and mental health and everyday life of the affected child and their family. The different treatment options and management strategies used to improve the quality of life of child
ren with JIA are also discussed.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid15355694 Detailed information about the impacts of juvenile arthritis on Australian children and adults can be found in }{\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid15355694 Juvenile arthritis in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid15355694
{\*\xmlclose}{\*\xmlclose} (AIHW 2008).}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid15355694\charrsid15355694
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 {\*\bkmkstart _Toc216149670}Types of juvenile arthritis{\*\bkmkend _Toc216149670}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 Juvenile arthritis is not a single condition, but a group of conditions }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid920722 with}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
some similar features. There are several different forms of JIA, distinguished by the number and site of joints affected during the first six months}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid920722 of onset}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 , and the presence of other symptoms. In Australia, the International League of Associations for Rheumatology (ILAR) classification system for JIA (outlined in }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid6836620 Box 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 1) is followed }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
ADDIN EN.CITE Petty200496096Petty, RESouthwood, TRManners, PBaum, JGlass, DNGoldenberg, JHe, XMaldonado-Cocco, JOrozco
-
Alcala, JPrieur, AMSuarez-Amazor, MEWoo, P2004International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision,
Edmonton, 2001Journal of Rheumatology312390–392}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713171 (Petty et al. 2004)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713171 . The features and symptoms of the major sub-groups of JIA within the ILAR classification system are described below.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid920722
Although we can estimate the overall number of Australian children with arthritis, there is no information about the incidence and prevalence }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13057936 in}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid920722 the different sub-groups.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 Oligoarthritis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 Oligoarthritis (a
lso known as pauciarticular arthritis) is the most common form of juvenile arthritis. It usually begins at around two or three years of age and affects girls more often than boys. This form of arthritis affects up to four joints (}{\rtlch\fcs1 \af0
\ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid10713171 oligo-}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid10713171 pauci-}{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 both mean \lquote few\rquote ), typically the larger joints such as the knees, elbows, wrists and ankles. In most cases, joints across the body will be affected non-symmetrically\emdash
for example, a knee and an elbow, rather than both knees or both elbows. Involvement of only one joint is common; this may be called \lquote monoarticular arthritis\rquote .
\par The most common symptoms of oligoarthritis are morning stiffness and contracture (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14515442 formation of fibrous tissues, causing }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713171 difficulty in straightening) of the affected joints. Joint deformity is uncommon, but the disease may }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14515442 affect the ends of the }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 long bones in the}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14515442 limbs, causing the}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713171 arms or legs to grow at different rates. This is most noticeable in children who have arthritis affecting one leg, as it can lead to uneven leg lengths and cause limping
. Children who have oligoarthritis are also at risk of an eye condition called uveitis (inflammation of the inner eye), and require regular eye checkups. Uveitis is often symptomless and, if untreated, may cause permanent eye damage and affect sight.
\par In some cases, additional joints may be affected after the first six months of disease. Where }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7881190 five or more}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713171 joints in total become involved, this is known as \lquote extended oligoarthritis\rquote . Cases where no more than four joints are involved may be referred to as \lquote persistent oligoarthritis\rquote .
\par The prognosis for children with oligoarthritis is very good, with 50\endash 80% of cases going into complete remission by adulthood }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
ADDIN EN.CITE Minden20001650165Minden, KKiessling, UListing, JNiewerth, MDoring, EMeincke, JSchontube, MZi
n
k, A2000Prognosis of patients with juvenile chronic arthritis and juvenile spondyloarthropathyJournal of Rheumatology2792256–
2
263Nigrovic20061690169Nigrovic, PAWhite, PH2006Care o
f
the adult with juvenile rheumatoid arthritisArthritis and Rheumatism552208–216Adib200597<
M
DL>097Adib, NSilman, AThomson, W2005Outcome following onset of juvenile idiopathic inflammatory arthritis: I. Frequ
ency of different outcomesRheumatology44955–1001}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
(Adib et al. 2005; Minden et al. 2000; Nigrovic & White 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713171 . Children with extended oligoarthritis generally have symptoms for longer than those without, and are less likely to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16084417 have}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 remission }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
ADDIN EN.CITE Arkela-Kautiainen20051660166Arkela-Kautiainen, MHaapasaari, JKautiainen, HVilkkumaa, IMälkiä, ELeirisalo-Repo, M2005Favourable social f
u
nctioning and health related quality of life of patients with JIA in early adulthoodAnnals of the Rheumatic Diseases64875–880Adib20
0
597097Adib, NSilman, AThomson, W2005Outcome following onset of juvenile idiopathic inf
lammatory arthritis: I. Frequency of different outcomesRheumatology44955–1001}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713171 (Adib et al. 2005; Arkela-Kautiainen et al. 2005)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 .
\par }\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6836620 {\*\bkmkstart _Toc213487514}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}Box{\*\xmlclose}{\*\xmlclose} 4.}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 1{\*\xmlclose}{\*\xmlclose}: International League of Associations for Rheumatology (ILAR) classification for juvenile idiopathic arthritis{\*\bkmkend _Toc213487514}
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 The ILAR classification system was first proposed in 1995, and is now used in many parts of the world, including in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
. The classification describes seven subtypes of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 juvenile idiopathic arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
, defined as arthritis of unknown cause beginning before the age of 16 years and lasting at least 6 weeks.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 Systemic arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \emdash arthritis with or preceded by daily fever for at least 2 weeks, with one or more of th
e following: rash; swollen lymph nodes; enlarged liver or spleen; inflammation of serous tissues.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 Oligoarthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \emdash arthritis affecting up to four joints during the first 6 months of disease.
\par }\pard \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx397\tx567\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab - }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 persistent}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 \emdash affects no more than four joints throughout the disease course.
\par \tab - }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 extended}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \emdash affects }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1836738 additional}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
joints after the first 6 months.
\par }\pard \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 Polyarthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \emdash
arthritis affecting five or more joints during the first 6 months of disease.
\par }\pard \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx397\tx567\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid1836738 \cbpat18 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1836738 \tab - }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid1836738 RF-positive}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1836738 \emdash tests for rheumatoid factor are positive on two occasions at least 3 months apart.
\par }\pard \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx397\tx567\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab - }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 RF}{\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid1836738 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 negative}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \emdash rheumatoid factor is not present.
\par }\pard \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 Enthesitis-related arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \emdash
arthritis and enthesitis, or either arthritis or enthesitis with at least two of the following: sacroiliac tenderness and/or inflammatory spinal pain; HLA* B27 present;
onset of arthritis in a male over 6 years of age; HLA B27-associated disease (such as ankylosing spondylitis or }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14957747 reactive arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ) in a first-degree relative.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 Psoriatic arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \emdash arthritis and psoriasis, or arthritis with at least two of the following sym
ptoms: dactylitis; nail abnormalities; psoriasis in a first-degree relative.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 Undifferentiated arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \emdash
arthritis of unknown cause, that persists for at least 6 weeks and either does not fulfil criteria for any of the above categories or fulfils criteria for more than one category.
\par * HLA = }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2714326 human}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 leukocyte antigen, a protein found on white blood cells, that is involved in activating the body\rquote s immune system.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i0\insrsid10713171\charrsid9141119 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Petty et al. 2004}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Pet
ty200496096Petty, RESouthwood, TRManners, PBaum, JGlass, DN
G
oldenberg, JHe, XMaldonado-Cocco, JOrozco-Alcala, JPrieur, AMSuarez-Amazor, MEWoo, P2004International League of As
s
ociations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001Journal of Rheumatology312390–392}}{\fldrslt }}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Polyarthritis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Polyarthritis, also called polyarticular arthritis (meaning \lquote many joints\rquote
), affects five or more joints within the first 6 months of onset. The joints are usually affected in symmetrical fashion\emdash that is, the same joints on each side
of the body. The small joints such as those in the hands and feet are the most commonly involved, but it may also affect the knees, hips, ankles, jaw and neck. As in oligoarthritis, limb growth may be altered.
\par Polyarthritis is more common in girls than boys, and is generally diagnosed in those aged 6\~
years or over. Other symptoms may include a mild fever, loss of appetite and anaemia (decreased number of red blood cells, causing weakness, faintness and fatigue).
\par Around 5\endash 10% of children with polyarthritis, mostly teenage girls, have an antibody called rheumatoid factor (RF) present in their blood. This antibody is also present in most (but not all) adults who have rheumatoid arthritis. }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid16084417 A large proportion of cases where rheumatoid factor is present (called \lquote RF-positive polyarthritis\rquote ) will have persistent disease activity in adulthood and may experience severe joint damage, }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1386464 which can result in}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16084417 permanent functional limitations and some loss of independence }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16084417
ADDIN EN.CITE Oen20021630163Oen, KMalleson, PNCabral, DARosenberg, AMPetty, RECheang, M<
/
AUTHOR>2002Disease course and outcome of juvenile rheumatoid arthritis in a multicenter cohortJournal of Rheumatology2991989–1999Foster20031670167Foster, HEMarshall, NMyers, ADunkley, PGriffiths, ID2003Outcome in adults with juvenile idiopathic arthritisArthritis and Rheumatism483767–775
<
/Cite>Nigrovic20061690169Nigrovic, PAWhite, PH2006Care of the adult with j
u
venile rheumatoid arthritisArthritis and Rheumatism552208–216Adib200597097Adib, NSilman, AThomson, W2005Outcome following onset of juvenile idiopathic inflammatory arthritis: I. Frequency of different
outcomesRheumatology44955–1001}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16084417
(Adib et al. 2005; Foster et al. 2003; Nigrovic & White 2006; Oen et al. 2002)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid16084417 . Early treatment is essential to help prevent this long-term damage to the joints }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16084417
ADDIN EN.CITE Manners200718916189Manners, PJ2007Arthritis in childrenAustraliaJuvenile Arthritis Association Inc.200712 Februarywww.kidsarthritis.org.au/pdfs/arthritis_in_children.pdf<
/MDL>}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16084417 (Manners 2007)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16084417 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par Up to 50% of cases of polyarthritis without rheumatoid factor }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1836738 (called \lquote RF-negative polyarthritis\rquote ) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
go into complete remission by adulthood and there is little permanent damage to the joints }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Fantini20031640164Fantini, FGerloni, VGattinara, MCimaz, RArnold
,
CLupi, E2003Remission in juvenile chronic arthritis: a cohort study of 683 consecutive cases with a mean 10 year followupJournal of Rheumatology30<
/
VOLUME>3579–584Oen20021630163Oen, KMalleson, PNCabral, DARosenberg, AMPetty, RECheang, M2002Disease course and outcome of juvenile rheumatoid arthritis in a multicenter cohortJournal of
Rheumatology2991989–1999Arkela-Kautiainen20051660166Arkela-Kautiainen, MHaapasaari, JKautiainen, HVilkkumaa, IMälkiä, ELeirisalo-Repo, M2005Favourable social functio
ning and health related quality of life of patients with JIA in early adulthoodAnnals of the Rheumatic Diseases64875–880}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 (Arkela-Kautiainen et al. 2005; Fantini et al. 2003; Oen et al. 2002)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Systemic arthritis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Systemic arthritis, also known as Still\rquote
s disease, is the least common but most serious form of juvenile arthritis. It not only affects the joints but also the rest of the body, including the org
ans, causing widespread inflammation, rashes, pain and fever. Boys and girls are equally likely to be affected, with onset generally between five and ten years of age. Onset in adulthood is rare.
\par Children with systemic arthritis usually display a character
istic pattern of daily fever, often peaking in the late afternoon or evening and accompanied at the peak by the appearance of a salmon-pink, non-itchy rash on the trunk, upper arms and thighs. The fever and the rash may come and go quite rapidly, and the
c
hild may cycle from feeling very unwell during fever periods to feeling fine at other times of the day. Other symptoms may include fatigue, aching limbs, abnormal enlargement of the liver and spleen, swollen lymph nodes, anaemia, and inflammation of the t
i
ssues lining the lungs, heart and abdomen. Joint and muscle pain is often felt in the legs and ankles. In some cases, the non-joint symptoms may occur several weeks or months in advance of any joint pain. Early symptoms may resemble other childhood illnes
ses such as measles and meningococcal infection, complicating the diagnosis.
\par Complete remission occurs in up to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1386464 half}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
of cases of systemic arthritis, with continuing symptoms more likely in those who develop the disease before five years of age }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CI
TE Minden20001650165Minden, KKiessling, UListing, JNiewerth, MDoring, EMeincke, JSchontube, MZink, A2000Prognosis of patients with juvenile chronic arthritis and juvenile spondyloarthropathyJour
n
al of Rheumatology2792256–2263Adib200597097
A
dib, NSilman, AThomson, W2005Outcome following onset of juvenile idiopathic inflammatory arthritis: I. Frequency of different outcomesRheumatology44955–1001}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Adib et al. 2005; Minden et al. 2000)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 . Up to 40% of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1386464
affected }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 children may have aggressive arthritis and experience severe joint damage}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14957747 , which can result in long-term disability }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Goldsmith20061910191Goldsmith, D2006Current concepts in juvenile
idiopathic arthritisArthritis PractitionerMalvern, PAHMP Communications2126–31Januarywww.arthritispractitioner.com/article/5116}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Goldsmith 2006)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Enthesitis-related arthritis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Enthesitis is inflammation at the places where the tendons and ligaments attach to the bones. Enthesitis-related arthritis (}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid14957747 sometimes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
called juvenile spondylitis) usually affects the large joints of the legs (hips, knees, ankles) and may later affect the spine. It is most common in boys and generally begins at around 9\endash 12 years of age.
\par Symptoms may include pain or tenderness in the sacroiliac region (the lower back and across the top of the buttocks) and spinal pain caused by inflammation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid867992 around the vertebrae}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 . The enthesitis itself is most common in the feet and ankles (plantar fascia and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2714326 Achilles}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 tendons). Children with enthesitis-re
lated arthritis are at risk of acute uveitis, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1386464 al}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 though }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1386464 because}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
the acute form usually presents with pain and reddening of the affected eye, it is easily detected and permanent eye damage is not common }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Arthritis Victor
ia200219016190Arthritis Victoria,2002Juvenile arthritisElsternwick, VICArthritis Victoria200713 Februarywww.arthritisvic.org.au/downloads/Juvenile%20Arthritis.pdfGoldsmith2006191<
R
EFERENCE_TYPE>0191Goldsmith, D2006Current concepts in juvenile idiopathic arthritisArthritis Practitioner
Malvern, PAHMP Communications2126–31Januarywww.arthritispractitioner.com/article/5116}}{\fldrslt {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 (Arthritis Victoria 2002; Goldsmith 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 .
\par The symptoms of enthesitis-related arthritis may disappear completely within a few months, or come and go throughout childhood and adolescence, and sometimes into adulthood }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Manners2007
18916189Manners, PJ2007Arthritis in childrenAustraliaJuvenile Arth
ritis Association Inc.200712 Februarywww.kidsarthritis.org.au/pdfs/arthritis_in_children.pdf}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Manners 2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 . Up to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1386464 half}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1386464 all }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 cases will go into remission by late adolescence or early adulthood }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Flatø20061880188Flatø, BHoffman-Vold, AMRei
ff, AFørre, ØLien, GVinje, O2006Long-term outcome and prognostic factors in enthesitis-related arthritis: a case-control studyArth
ritis and Rheumatism54113573–3582}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Flat\'f8 et al. 2006)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. Some children (mainly boys) go on to develop ankylosing spondylitis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Arthritis Victoria200219016190Arthritis Victoria,2002Juvenile arthritisElster
nwick, VICArthritis Victoria200713 Februarywww.arthritisvic.org.au/downloads/Juvenile%20Arthritis.pdf}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 (Arthritis Victoria 2002)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. This is a progressive disease involving inflammation of the spine, causing stiffening of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1386464 its}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
joints and ligaments, that may lead to fusion of the vertebrae and loss of mobility.
\par }\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid16214150 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16214150 {\*\bkmkstart _Toc213487515}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}Box{\*\xmlclose}{\*\xmlclose} 4.2{\*\xmlclose}
{\*\xmlclose}: A few words about inflammation{\*\bkmkend _Toc213487515}
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid16214150 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16214150 Inflammation is a sign of the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12800919 body}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16214150 \rquote s response to infect
ion, irritation or injury. The key features of inflammation are redness, heat, pain and swelling}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12800919 at the site of the injury or infection}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16214150
. There may also be loss of function of the inflamed part, limb or joint.
\par When the body is stimulated by injury or infection, white blood cells accumulate at the site and release certain chemicals. This is called the \lquote inflammatory response\rquote
. These chemicals cause increased blood flow to the area, resulting in redness and heat. Fluid may build up, causing localised swelling which may put pressure on surrounding nerves and cause pain.
\par Normally, inflammation is a short-term (acute) response that helps the body to heal; once the stimulus is gone, the inflammatory process stops. But sometimes the inflammation can be}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11404808 inappropriate}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16214150 or }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12800919 can become }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16214150 out of control, and this may result in serious problems. }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11404808
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12800919 One}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16214150 example of this is an allergic reaction, where the body is overly sensitive to some substance and produces an excessive inflammatory response. }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12800919 Another example is the case of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16214150 autoimmune diseases like juvenile arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12800919 .}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16214150 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12800919 In these diseases }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16214150 the immune system doesn\rquote t recognise the body\rquote
s own tissues, and so attacks them as if an injury or infection were present. This supposed injury or infection of course does not \lquote heal\rquote , so the immune system continues to respond. Chronic or recurrent inflammation is therefore a}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13057936 common feature of many autoimmune}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16214150 diseases.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Psoriatic arthritis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Psoriatic arthritis occurs in both girls and boys, with the most common ages of onset being before 6 years in girls and around puberty in boys }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Arthritis Victoria200219016190Arthritis Victoria,200
2Juvenile arthritisElsternwick, VICArthritis Victoria200713 Februarywww.arthritisvic.org.au/downloads/Juvenile%20Arthritis.pdf}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Arthritis Victoria 2002)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. It is an inflammatory arthritis of the joints accompanied by psoriasis (a }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15293087 common }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1386464 skin }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 condition }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid1386464 that is marked by }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 scaly }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1386464 and reddened areas of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
skin). The psoriasis may not become apparent }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1836738 until}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 some time after the joint symptoms}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1836738 begin}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 , making diagnosis difficult.
\par Most commonly, multiple joints are affected in non-symmetric fashion. Inflammation of the fingers and/or toes (dactylitis) is common, and nail pits (small depressions in the nail surface) may also occu
r. Children with psoriatic arthritis are at risk of uveitis and require regular eye tests.
\par Long-term outcomes for children with psoriatic arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1386464 vary}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. The arthritis may be mild and affect only a couple of joints, or it may be more severe and affect multiple joints }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Manners200718916189Manners, PJ2007Arthritis in children
AustraliaJuvenile Arthritis Association Inc.200712 Februarywww.kidsarthritis.org.au/pdfs/arthritis_in_children.pdf}
}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Manners 2007)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 . Psoriatic arthritis may remit completely after a short time, or recur throughout life }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Arthritis Victoria200219016190Arthritis Victoria,2002Juvenile arthritisElsternwick, VICArthritis Victoria200713 Februaryw
ww.arthritisvic.org.au/downloads/Juvenile%20Arthritis.pdf}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Arthritis Victoria 2002)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc216149671}Causes{\*\bkmkend _Toc216149671}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Juvenile arthritis is an autoimmune disease}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 , that is, a disease }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid3752519 where}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 the immune system }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1836738 mistakenly }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 attacks the body\rquote s own tissues}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1836738 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 The reason the body\rquote
s immune system turns on itself in this way is unknown. It is suspected that there is a genetic factor that prompts autoimmune action when exposed to a particular environmental trigger (such as a virus or bacterial infection). Because the c
auses of JIA have not yet been identified, it is not yet possible to prevent it or to predict who will develop it.
\par A family history of autoimmune diseases (for example, ankylosing spondylitis, multiple sclerosis, rheumatoid arthritis or Type 1 diabetes) is
more common among children with JIA than among other children. Particular genes, such as various forms of the human leukocyte antigen (HLA), do occur more commonly in people with autoimmune diseases, but they are not clear markers. For example, although
HLA type DR4 is often associated with JIA, not all children who have this gene develop JIA, and not all children with JIA have the gene }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Ravelli20071080108Ravelli, AMartini, A2007Juvenile idiopathic arthritisLancet369767–778<
DATE>3 March}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Ravelli & Martini 2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. It is still unclear exactly which genes are involved in increasing a person\rquote s chance of developing JIA.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc216149672}Diagnosis{\*\bkmkend _Toc216149672}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 There is no single test for diagnosing JIA. The diagnosis is one of excl
usion, meaning that other potential causes for the symptoms the child displays (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}{\*\xmlopen\xmlns2{\factoidname address}}
{\*\xmlopen\xmlns2{\factoidname Street}}Box{\*\xmlclose}{\*\xmlclose} 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\xmlclose}{\*\xmlclose}
) must be ruled out. Diagnosis involves taking a medical history of the child and their immediate family, and performing a physical examination. A variety of tests may b
e carried out in order to rule out other possible illnesses and to determine the particular type of JIA the child has. These may include }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid467767 X}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
-rays, bone scans, tests of tissues and joint fluid, and blood and urine tests. For a diagnosis of JIA to be made, symptoms must have been present for at least 6 weeks.
\par }\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6836620 {\*\bkmkstart _Toc213487516}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}Box{\*\xmlclose}{\*\xmlclose} 4.}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid6513745 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\xmlclose}{\*\xmlclose}: Potential causes of arthritic symptoms in children{\*\bkmkend _Toc213487516}
\par }\pard\plain \ltrpar\s33\ql \fi-369\li624\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx65\tx4820\tx5245\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin624\rtlgutter\itap0\pararsid10713171 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0
\ltrch\fcs0 \i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Bone }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2714326 tumours}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Lyme disease
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Broken bones\tab }{\rtlch\fcs1 \af0 \ltrch\fcs0
\i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Malignancy
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Crohn\rquote s disease\tab }{\rtlch\fcs1 \af0 \ltrch\fcs0
\i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15293087 Reactive arthritis}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Growing pains\tab }{\rtlch\fcs1 \af0 \ltrch\fcs0
\i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Rheumatic fever
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Infections\tab }{\rtlch\fcs1 \af0 \ltrch\fcs0
\i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Rickets
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Juvenile dermatomyositis\tab }{\rtlch\fcs1 \af0 \ltrch\fcs0
\i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Scleroderma
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Juvenile idiopathic arthritis \tab }{\rtlch\fcs1 \af0
\ltrch\fcs0 \i0\insrsid10713171\charrsid15547988 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Systemic lupus erythematosus (SLE)
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i0\lang3081\langfe3081\langfenp3081\insrsid10713171\charrsid9141119 Sources:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 Gardner-Medwin 2001}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE Gardner-Medwin200110010100Gardner-Medwin, J2001Current developments in juvenile arthritisRheumatic disease topical r
eviewsChesterfield, UKArthritis Research CampaignMay5}}{\fldrslt }}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ; Junnila & Cartwright 2006}
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE Junnila20061010101Junnila, JLCartwright, VW2006Chronic musculoskelet
al pain in children: Part II. Rheumatic causesAmerican Family Physician74293–300}}{\fldrslt }}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ; Ravelli & Martini 2007}
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE Ravelli20071080108Ravelli, AMartini, A2007Juvenile idiopathic ar
thritisLancet369767–7783 March}}{\fldrslt }}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 .
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc216149673}Impacts{\*\bkmkend _Toc216149673}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 The experience of a young person with arthritis is very different to that of a person who develop
s arthritis later in life. Physical, mental, social and academic development may all be affected. The arthritis causes pain, fatigue and disability during what is usually the most active time of life. Participation in }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid15547988 play, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 games, sports and other activiti
es can be difficult. Because the arthritic inflammation affects growing bones and joints, skeletal complications occur in children that are not seen in adult-onset arthritis. Family, peers and teachers can find it hard to accept the diagnosis in a person
t
hey consider too young to have arthritis, and may struggle to understand its impacts. And because arthritis is so much more common among older people, support and information relevant to young people may be difficult to obtain. This can all result in stre
ss, anxiety and poor health for both the affected child and their family.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Juvenile arthritis is an unpredictable condition, and its symptoms and effects can vary markedly from person to person and from day to day. Depending on their particular condition, a
child with juvenile arthritis may experience pain, stiff or swollen joints, fatigue, fever and lack of appetite. They may find everyday tasks difficult one day, but have no trouble with the same tasks the day after. This unpredictability can lead to feel
ings of frustration, helplessness and depression, and can make it hard for others to accept that there is a real problem. The physical and emotional effects of juvenile arthritis can impact upon the child\rquote
s schooling, leisure and social activities, family life, and relationships}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2714757 ;}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 these effects may persist into adulthood even if the arthritis itself does not.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 Some of the major impacts of juvenile arthritis on the affected child and their family are described below.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 Symptoms}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 The most common symptom of juvenil
e arthritis is joint inflammation. The synovial membranes that line the joints produce a fluid, called synovial fluid, that lubricates the joints and helps them to move smoothly. In arthritic joints, the synovial membrane becomes thickened and stiff, and
e
xtra synovial fluid is produced, causing swelling, tenderness, heat, stiffness and pain. The child may be reluctant to move the painful joint, and may stop participating in usual activities. Over time, the muscles around the joint may become stiff and wea
k from under-use, and the tendons may stiffen and tighten, making it difficult to straighten the affected joint. This is called joint contracture, and though it may cause functional problems, it does not generally cause additional pain.
\par Morning stiffness i
s another common symptom of juvenile arthritis. The joints may stiffen through lack of movement during sleep, and can take up to a couple of hours to return to normal movement. Stiffness can also occur after prolonged sitting or standing in one position,
for example when reading, watching television or doing schoolwork.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid8025026 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 Remission
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 People with juvenile arthritis go through periods of severe symptoms (called \lquote flare-ups\rquote
), mild to moderate symptoms, and remission (when there are no or very minor symptoms). These periods can last from a few days to a few months. It is impossible to predict when or for how long a child\rquote
s symptoms will go into remission. Data from the 2004\endash 05 National Health Survey }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6979250 (NHS) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 suggest that there are an estimated 3,300 people less than 1
6 years of age who had arthritis in the past but who are currently in remission. In contrast to the sex distribution of current arthritis, the majority of those reportedly in re}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329 mission are boys (Figure 4.1).
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026\charrsid1275763
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 {\*\bkmkstart _Toc267314817}Figure 4.1: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026\charrsid14689926 Current}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid8025026 and past arthritis in Australians aged less than 16 years, 2004\endash 05{\*\bkmkend _Toc267314817}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926 Vertical bar chart showing, for males and females, number per 100,000 children on y-axis and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329
current and past on x-axis.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14689926
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1516329 Note:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329 Based on parental reports of a doctor\rquote s or nurse\rquote s diagnosis of arthritis.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329\charrsid12853610
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1516329\charrsid286406 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329 AIHW analysis of the 2004\endash 05 NHS CURF.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14689926 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329\charrsid14689926
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid8025026 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4208768 Effects on g}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 rowth and skeletal development
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Arthritis has a major impact on the growing skeleton. Generalised growth retardation is common in children with polyarthritis or systemic arthritis. In all forms of juvenile arthr
itis, the long-term inflammation may speed up or slow down growth of the bones, causing uneven limb lengths. Bone mass may be reduced, and the proper development of the affected joints disrupted. Under-use of painful joints, reduced physical activity leve
ls and long-term use of corticosteroids may worsen these effects }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Gardner-Medwin200110010100Gardner-Medwin,
J2001Current developments in juvenile arthritisRheumatic disease topical reviewsChesterfield, UKArthritis Research CampaignMay5}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Gardner-Medwin 2001)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 , and can also increase the risk of osteoporosis in adulthood.
\par Erosive joint disease (where the joint surfaces are damaged) is common in those with polyarthritis. This can
cause pain and limitations in joint motion and mobility. Arthritis in the jawbone may affect the growth of the jaws and can lead to micrognathia (abnormal smallness of the jaw). This may result in an overbite and can cause dental problems. Good dental hyg
iene and regular dental check-ups are particularly important for children with JIA.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid8025026 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 Vision problems}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 I}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 nflammation of the inner eye}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 (uveitis}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ) is a cause of significant morbidity in people with juvenile arthritis. It is most common in those with oligoarthritis
, though it can also occur in polyarthritis, psoriatic arthritis and enthesitis-related arthritis. In }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 most cases}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
, uveitis is asymptomatic, but in young people with enthesitis-related arthritis, acute uveitis generally causes painful, reddened eyes that are sensitive to light.
\par Uveitis may result in permanent vision damage, most commonly in young children, but the prognosis for vision is generally good if the uveitis is identified and treated early. Potential vision-impairing complications resulting from chr
onic uveitis include cataracts, band keratopathy (deposit of calcium salts on the cornea) and glaucoma. Children with forms of juvenile arthritis that place them at high risk of uveitis require regular eye screening (up to 4\~times per year) }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE
Gardner-Medwin200110010100Gardner-Medwin, J2001Current developments in juvenile a
r
thritisRheumatic disease topical reviewsChesterfield, UKArthritis Research CampaignMay5Arthritis Aust
r
alia200611716117Arthritis Australia,2006Juvenile idiopathic arthritisConditions
a
nd treatmentsSydneyArthritis Australia200714 February23 May 2006www.arthritisaustralia.com.au/lonenode/nodeid/577/parent_node_i
d/521}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Arthritis Australia 2006; Gardner-Medwin 2001)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid8025026 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Other physical impacts
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid8025026 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Osteoporosis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Osteoporosis is clinically defined as significantly decreased bone mineral density (BMD) when compared with young adults of the same sex
(see Chapter }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1392943 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
of this report). People with JIA often show substantially reduced BMD and may develop osteoporosis later in life, particularly if they have been treated with corticosteroids }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Celiker2003<
/Year>1810181Celiker, RBal, SBakkaloðlu, AOzaydin, ECoskun, TCetin, ADinçer, F2003Factors playing a role in the development of decreased bone mineral density in juvenile chronic arthritis
TITLE>Rheumatology International233127–129}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Celiker et al. 2003)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. Long-term use of corticosteroids may affect the density of the bones\rquote internal, honeycomb-like structure (called trabecular bone) }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Pereira19981800180Pereira, RMCorren
te, JEChahade, WHYoshinari, NH1998Evaluation by dual X-ray absorptiometry (DXA) of bone mineral density in children with juvenile chronic arthritisClinical a
nd Experimental Rheumatology164495–501}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Pereira et al. 1998)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. However, even those not treated with corticosteroids show reduced BMD compared }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15547988 with}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 healthy controls }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Zak19991820182Zak, MHassager, CLovell, DJNielsen, S
Henderson, CJPedersen, FK1999Assessment of bone mineral density in adults with a history of juvenile chronic arthritis: a cross-sectional long-term followup studyArthritis and Rheumatism424790–798Henderson20001840184Henderson, CJSpecker, BLSierra, RICampaigne, BNLovell, DJ2000Total-body bone mineral content in non–corticosteroid-treated post
pubertal females with juvenile rheumatoid arthritisArthritis and Rheumatism433531–540}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 (Henderson et al. 2000; Zak et al. 1999)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 . Some studies have found reduced bone turnover in children with JIA, which may affect BMD }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Lien20051850185Lien, G<
/AUTHOR>Selvaag, AMFlatø, BHaugen, MVinje, OSørskaar, DDale, KEgeland, TFørre, Ø200
5
A two-year prospective controlled study of bone mass and bone turnover in children with juvenile idiopathic arthritisArthritis and Rheumatism523833–84
0
Zak19991820182Zak, MHassager, CLovell, DJNielsen, SHenderson, CJPedersen, FK1999Assessment of bone mineral density in adults with a history of juvenile chronic arthritis: a cross-sectional long-term followup studyArt
hritis and Rheumatism424790–798}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Lien et al. 2005; Zak et al. 1999)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. Increased risk of low BMD in people with juvenile arthritis has also been associated with longer duration of active disease, lower height and weight, greater number of joints involved, reduced physical activity and increased disability }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Lien2005185
0185Lien, GSelvaag, AMFlatø, BHaugen, MVinje, OSørskaar, DDale, KEgeland, T
<
/AUTHOR>Førre, Ø2005A two-year prospective controlled study of bone mass and bone turnover in children with juvenile idiopathic arthritisArthritis and Rheumatism523833–840Lien20031860186Lien, GFlat
F
8;, BHaugen, MVinje, OSørskaar, DDale, KJohnston, VEgeland, TFørre, Ø2003Frequency
of osteopenia in adolescents with early-onset juvenile idiopathic arthritis: a long-term outcome study of one hundred five patientsArthritis and Rheumatism4882214–2
2
23French20021870187French, ARMason, TNelson, AMCrowson, CS
<
/AUTHOR>O'Fallon, WMKhosla, SGabriel, SE2002Osteopenia in adults with a history of juvenile rheumatoid arthritis. A population based studyJourna
l
of Rheumatology2951065–1070Pereira19981800180Pereira, RMCorrente, JEChahade, WHYoshinari, NH1998Evaluation by dual X-ray absorptiometry (DXA) of bone mineral density in children with juvenile chronic arthriti
sClinical and Experimental Rheumatology164495–501}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
(French et al. 2002; Lien et al. 2003; Lien et al. 2005; Pereira et al. 1998)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid8025026 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 R}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ep}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 roductive problems}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1982359 Several}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 clinical studies have observed reproductive problems in females with JIA }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Ostensen20001930193Ostensen, MAlmberg, KKoksvik, HS2000Sex, reproduction and gynecological disease in young adults with a history of juvenile chronic arthritisJourn
a
l of Rheumatology2771783–1787Musiej-Nowakowska19991940194Musiej-Nowakowska, EPloski, R1999Pregnancy and early onset pauciarticular juvenile chronic arthritisAnnals of the Rheumatic Diseases58<
/VOLUME>475–480}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Musiej-Nowakowska & Ploski 1999; Ostensen et al. 2000)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. These problems include increased risk of pelvic inflammatory disease, ovarian cysts, irregular menstrual periods, difficulty conceiving and increased risk of miscarriage. Caesarean delivery may be required in those with hip involvement }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Packham20021730173Packham, JCHall, MA2002Long-term follow-up of 246 adults with juvenile idiopathic arthritis: social function, relationships and sexual activityRheumatology41121440–1443}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Packham & Hall 2002b)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. As with many autoimmune diseases, it is common for JIA to remit during pregnancy, but it may flare up after }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1982359 delivery}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 }{\field\fldedit{\*\fldinst {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CI
TE Musiej-Nowakowska19991940194Musiej-Nowakowska, EPloski, R1999P
r
egnancy and early onset pauciarticular juvenile chronic arthritisAnnals of the Rheumatic Diseases58475–480Ostensen19911960196Ostensen, M1991Pregnancy in patients with a history of juvenile rheumatoid arthritisArthritis and Rheu
m
atism347881–887Ostensen19921970197Ostensen,
M1992The effect of pregnancy on ankylosing spondylitis, psoriatic arthritis and juvenile rheumatoid arthritisAmerican Journal of Reproductive Immunology283–4235–237}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Musiej-Nowakowska & Ploski 1999; Ostensen 1991; 1992)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid8025026 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Amyloidosis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Amyloidosis is a group of diseases in which amyloid proteins accumulate in various parts of the body. There ar
e three main types: primary amyloidosis (type {\*\xmlopen\xmlns2{\factoidname State}}{\*\xmlopen\xmlns2{\factoidname place}}AL{\*\xmlclose}{\*\xmlclose}
); secondary or reactive amyloidosis (type AA); and hereditary or familial amyloidosis (type ATTR). It is the AA type that is generally found in people with JIA, most commonly in those with systemic arthritis or polyarthritis }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Nigrovic20061690169Nigrovic, PAWhite, PH2006
YEAR>Care of the adult with juvenile rheumatoid arthritisArthritis and Rheumatism552208–216}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 (Nigrovic & White 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par AA amylo
idosis occurs as a result of the long-term inflammation associated with conditions like JIA or rheumatoid arthritis. Inflammation is accompanied by changes in blood chemistry, including increases in the concentration of serum amyloid A protein (SAA). In a
small proportion of people, this protein is converted into amyloid fibrils, which accumulate in the body\rquote
s tissues. This can happen gradually over many years, or more rapidly. It is most common for the fibrils to accumulate in the spleen and kidneys, and t
he resulting damage may lead to kidney disease and ultimately to kidney failure. In later stages the liver and gut may also be affected. Controlling the underlying inflammatory disease can reduce the concentration of SAA, slowing, stopping or even reversi
ng the accumulation of amyloid fibrils and minimising damage to the kidneys and other organs }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE National Amyloidosis Centre200417716177<
/REFNUM>National Amyloidosis Centre,2004Management of systemic AA amyloidosisLondonUniversity College London200714 Junewww.ucl.ac.uk/medicine/amyloidosis/nac/nac8.htmlAmyloidosis Australia200717816178Amyloi
d
osis Australia,2007AmyloidosisFerntree Gully, VICAmyloidosis Australia200714 JunePatient information brochure
PDFwww.amyloidosisaustralia.org/articles/AMYLOIDOSIS_AUSTRALIA_brochure.pdf}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
(Amyloidosis Australia 2007; National Amyloidosis Centre 2004)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid8025026 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Cardiovascular }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8025026 problems}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid1982359 Y}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 oung adults with JIA }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid1982359 have been}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 found to have elevated triglyceride levels and low high-density lipoprotein (HDL}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid16123799 or \lquote good}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 cholesterol}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid16123799 \rquote )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 levels compared with age-matched controls }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE Ilowite19891740174Ilowite, NTSamuel, PBeseler, LJacobson, MS1989Dyslipoproteinemia in juvenile rheumatoid arthriti
sJournal of Pediatrics114823–826}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 (Ilowite et al. 1989)}}}
\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
. It is not known whether children with JIA have an increased risk of cardiovascular disease in the long term. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid1982359
Adults with rheumatoid arthritis have an increased risk of cardiovascular disease compared with those without rheumatoid arthritis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid1982359
ADDIN EN.CITE Maradit-Kremers20051760176Maradit-Kremers, HNicola, PJCrowson, CSBallman, KVGabriel, SE2005Cardiovascular dea
t
h in rheumatoid arthritis. A population-based studyArthritis and Rheumatism523722–732del Rincón20011750175del Rincón, IDWilliams, KStern, MPFreeman, GLEscalante, A2001High incidence of cardiovascular events in a rheumatoid arthritis cohort not explained by traditional cardiac risk factorsArthritis and Rheumatism44122737–
2745}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid1982359 (del Rinc\'f3n et al. 2001; Maradit-Kremers et al. 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid1982359 .}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Young people with systemic or enthesitis-related arthritis may experience aortic insufficiency. This is a problem with the valve linking the aorta to the heart, which can lead to abnormal back-flow of blood.
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Social interaction
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Children with arthritis may not interact socially as well as or as often as their peers. This may result from pain or functional limitations that make them unable to participate in all of the a
ctivities that their friends do, or it may be a conscious decision not to participate or engage with others.
\par Any young person with a chronic disease or disability can feel uncomfortable in social settings. They may be embarrassed about any real or perceived abnormalities or differences between themselves and others }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Gardner-Medwin200110010100Gardner-Medwin, J<
/AUTHOR>2001Current developments in juvenile arthritisRheumatic disease topical reviewsChesterfield, UKArthritis Research CampaignMay5}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Gardner-Medwin 2001)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
, for example a limp or a bone deformity, and they may be afraid that others will tease, bully or laugh at them, or that they will be excluded. Negative self-image and fear of
persecution can lead to social withdrawal. Arthritis NSW suggests encouraging positive self-image by focusing on the things the child is able to do, rather than the things they can\rquote t do }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 ADDIN EN.CITE Arthritis NSW20
0316116161Arthritis NSW,2003Juvenile arthritis: a resource for teachers, health professionals and studentsSutton, AnneliSydneyArthritis NSW200730 Marchhttp://yawa.arthritisnsw.org.au/jra/index.ht
ml}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Arthritis NSW 2003)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par Participating in sports and more active }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16123799 play}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 is an area where many young people with juvenile arthritis have difficulty and may feel excluded. Huygen at al. }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Huygen20001620162Huygen, ACJKuis, WSinnema, G2000Psychologic
al, behavioural and social adjustment in children and adolescents with juvenile chronic arthritisAnnals of the Rheumatic Diseases59276–282}}{\fldrslt
{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (2000)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
found
that children with JIA played with friends less frequently than children without JIA, and that adolescents with JIA were less likely than those without JIA to participate in sports. But there are a variety of ways that young people with arthritis can con
structively participate in these activities\emdash for example, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16123799 as the umpire or scorer}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 , or}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16123799 by}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 writing abou}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16123799 t or photographing events}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. Activities such as swimming, board games, chess, debating, book clubs or film societies can provide opportunities fo}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16123799 r social interaction in young people}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
whose arthritis prevents them from participating in more vigorous sports.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Schooling
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Most children with juvenile arthritis are able to attend school. Data from the 2003 Survey of Disability, Ageing and Carers (SDAC) show that all persons aged 5\endash
14 years with arthritis-associated disability were attending school, although most reported some difficulties or restrictions (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Table 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 1).
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\pagebb\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc213486285}Table 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 1: Schooling restrictions among people aged 5\endash
14 years with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13964408 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 arthritis-associated disability, 2003{\*\bkmkend _Toc213486285}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4619\clshdrawnil \cellx4534\clvertalb\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrnone
\cltxlrtb\clftsWidth3\clwWidth1703\clshdrawnil \cellx6237\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid13970850 Restriction\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid13970850 Per cent\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid13970850
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4619\clshdrawnil \cellx4534\clvertalb\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrnone
\cltxlrtb\clftsWidth3\clwWidth1703\clshdrawnil \cellx6237\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4619\clshdrawnil \cellx4534\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1703\clshdrawnil \cellx6237\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Needs at least one day off school each week\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 17\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4619\clshdrawnil \cellx4534\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1703\clshdrawnil \cellx6237\row \ltrrow}\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Needs special assistance from a person at school\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 17\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4619\clshdrawnil \cellx4534\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1703\clshdrawnil \cellx6237\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Needs special arrangements or equipment\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 54\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4619\clshdrawnil \cellx4534\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1703\clshdrawnil \cellx6237\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Difficulty sitting\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 54\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4619\clshdrawnil \cellx4534\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1703\clshdrawnil \cellx6237\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Difficulty fitting in socially\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 74\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4619\clshdrawnil \cellx4534\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1703\clshdrawnil \cellx6237\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Difficulty participating in sport\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 92\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4619\clshdrawnil \cellx4534\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1703\clshdrawnil \cellx6237\row \ltrrow
}\trowd \irow7\irowband7\lastrow \ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4619\clshdrawnil \cellx4534\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1703\clshdrawnil \cellx6237
\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Total with restrictions/difficulties in schooling\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 92\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow7\irowband7\lastrow \ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4619\clshdrawnil \cellx4534\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1703\clshdrawnil \cellx6237\row }\pard\plain \ltrpar\s159\ql \li0\ri0\sb120\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10713171 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 AIHW analysis of }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16279244 the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 2003 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16279244 SDAC CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Depending on the severity of their disease and the types of limitations they have, modifications or allowances may need to be made to accommodate the child\rquote s needs and abilities. These may include:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 an adjustable chair and desk to promote good posture and provide support for the joints
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}duplicate textbooks for home and school, so these do not have to be carried
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}extra time to move between classrooms
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}permission to move around as necessary during lessons, to avoid stiffness
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}
a rest area in the classroom, so the young person can rest or perform physical therapy (for example, stretching, or applying heat or ice packs) without being excluded
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}use of a laptop computer rather than notepads and pens
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}variations to physical education and sports activities
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}special stationery that is easier to grip and operate (scissors, pens, stapler, etc.)
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}a space for rest, physical therapy or seated activities with friends at break times.
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc267314818}Figure 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 2: }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid1516329 Arrangements}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 made by schools for students with arthritis-associated disability, 2003{\*\bkmkend _Toc267314818}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329 Vertical bar chart showing per cent on y-axis and arrangements on x-axis.
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1516329 Note:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329 \lquote Other\rquote includes special access arrangements.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1516329 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329 AIHW analysis of the 2003 SDAC CURF.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329\charrsid1516329
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1982359 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1982359
Respondents to the 2003 SDAC reported that various arrangements were made by schools to meet the needs of students with restrictions or disabilities due to arthritis (Figure 4.2).
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 It is important that teachers and other students underst
and the unpredictability of juvenile arthritis, and that its effects and the child\rquote
s needs and abilities may change from day to day, or even from morning to afternoon. Like parents, teachers may find it challenging to adapt to and meet the needs and abilit
ies of the child with arthritis, while not making the child feel singled out or making other students feel that the student with arthritis is receiving special treatment unfairly.
\par Children with juvenile arthritis may be absent from school more often than t
heir peers. Flare-ups of symptoms may require partial attendance (shortened days), bed rest or, in severe cases, hospitalisation. It may also be difficult to schedule medical appointments outside of school hours. Data from the 2004\endash 05 }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6979250 NHS}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 show that 33% of people aged 5\endash
15 years with arthritis had at least one day off school in the two weeks before the survey, compared with 15% of those without arthritis (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
3). Those with arthritis were also more likely than those without arthritis to have had other days of reduced activity during this period.
\par Children who are absent from school due to their arthritis may need to have worksheets or assignments sent home. For those who are in hospital or who expect to be absent for relatively long periods, home or in-h
ospital schooling may be used. Teaching staff are available at most major hospitals to help hospitalised students continue their education.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid14816339
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc267314819}Figure 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 3: Days off school and other days }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid1516329 of}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 reduced activity among children aged 5\endash 15 years, by arthritis status, 2004\endash 05{\*\bkmkend _Toc267314819}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329 Vertical bar chart showing, for children with and without arthritis, per cent on y-axis and days off on x-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329\charrsid1516329 Notes
\par 1.\tab Refers to days off school due to any illness (not necessarily arthritis) and other days of reduced activity in the two weeks before the survey.
\par 2.\tab \lquote Other days of reduced activity\rquote refers to days where the child\rquote s usual activities were reduced due to any illness (not necessarily arthritis), excluding days off school.
\par Source: AIHW analysis of the 2004\endash 05 NHS CURF.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Mental health
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 The
pain, chronic poor health, activity limitations, and real or perceived abnormalities in bodily form and functioning associated with juvenile arthritis can have detrimental effects on a young person\rquote s mental health }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Gar
dner-Medwin200110010100Gardner-Medwin, J2001Current developments in juvenile arthritisRheumatic disease topical reviewsChesterfield, UKArthritis Research CampaignMay5}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 (Gardner-Medwin 2001)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. People may experience
a wide range of emotional reactions to the disease and its effects, including anger, denial, embarrassment, poor self-image, frustration, feelings of isolation, insecurity or inadequacy, lack of confidence, sadness or depression, desire to be like their
p
eers, fear and lack of control. But many studies have demonstrated that young people with JIA in general have good psychological health and are as socially and emotionally confident as their peers, supported by cohesive families and strong social networks
}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Huygen20001620162Huygen, ACJKuis, WSinnema, G20
00Psychological, behavioural and social adjustment in children and adolescents with juvenile chronic arthritisAnnals of the Rheumatic Diseases59276–282
C
ite>Arkela-Kautiainen20051660166Arkela-Kautiainen, MHaapasaari, JKautiainen, HV
i
lkkumaa, IMälkiä, ELeirisalo-Repo, M2005Favourable social functioning and health related quality of life of patients with JIA in early adulthoodAnn
a
ls of the Rheumatic Diseases64875–880Flatø20032140214Fl
a
tø, BLien, GSmerdel, AVinje, ODale, KJohnston, VSørskaar, DMoum, TPloski, RFørre, Ø
;
2003Prognostic factors in juvenile rheumatoid arthritis: a case-control study revealing early predictors and outcome after 14.9 yearsJournal of Rheumatology302386–393Peterson19972130213Peterson, LSMason, TNelson, AMO'Fallon, WMGabriel, SE1997Psychosocial outcomes and health status of adults who have had juvenile rheumatoid arthritis: a controlled, population-based studyArthritis and Rheumatism40122235–2240}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Arkela-Kautiainen et al. 2005; Flat\'f8
et al. 2003; Huygen et al. 2000; Peterson et al. 1997)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 .
\par Poorer q
uality of life among people with JIA compared with healthy controls is generally attributed to the physical effects of the disease rather than emotional or social impacts. However, increased levels of anxiety and poor self-image have been found among thos
e who still have active arthritis in adulthood, particularly in people whose JIA began in adolescence rather than early childhood }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Nigrovic20061690169Nigrovic, PAWhite, PH2006Care of the adult with juvenile rheumatoid arthritisArthritis and Rheumatism552208–216Packham20021730173Packham, JCHall, MA
A
UTHORS>2002Long-term follow-up of 246 adults with juvenile idiopathic arthritis: social function, relationships and sexual activityRheumatology41121440
&
#x2013;1443Packham20021720172Packham, JCHall, MAPimm, TJ
<
YEAR>2002Long-term follow-up of 246 adults with juvenile idiopathic arthritis: predictive factors for mood and painRheumatology41121444–1449
MDL>}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Nigrovic & White 2006; Packham & Hall 2002b; Packham et al. 2002)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. Depressive symptoms are also relatively common and are more likely to occur in those with disease onset at 6\endash 12 years of age }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Sh
aw20062150215Shaw, KLSouthwood, TRDuffy, CMMcDonagh, JE2006Health-related quality of life in adolescents with juvenile idiopathic arthritisArthritis and Rheumatism552199–207Packham20021720172Packham, JCHall, MAPimm, TJ2002Long-term follow-up of 246 adults
with juvenile idiopathic arthritis: predictive factors for mood and painRheumatology41121444–1449}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 (Packham et al. 2002; Shaw et al. 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid10164734
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}Independence{\*\xmlclose}{\*\xmlclose}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Although many children will \lquote grow out of\rquote
juvenile arthritis and have no lasting disability, the majority of people affected by JIA will need some form of assistance during their symptomatic periods. Depending on the severity of symptoms,
a person with JIA may be mostly independent, needing help only with more strenuous tasks, or may require high-level care, including assistance with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid18513 personal}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid18513\charrsid531368 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid18513 care}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 activities such as bathing and dressing. The majority of people will fall between these extre
mes, and will need different amounts of help from day to day as their symptoms vary.
\par Often children will need some assistance with getting ready in the mornings as their joints may have stiffened up overnight. Bathroom items with long or thick handles, clothing that is easy to get on and off, and shoes that are slip-on or have }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2714326 Velcro}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 fastenings can make it easier to get ready without help.
\par Arthritis NSW suggests encouraging children and teenagers with arthritis to take on tasks or chores suited to their abilities, and to make decisions about their involvement in activities, in order to develop independence and a sense of control }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Arthritis NSW200316116161Arthritis NSW,2003Juvenile arthritis: a resource for teachers, health professionals and studentsSutton, AnneliSydneyArthritis NSW200730 Marchhttp://yawa.arthritisnsw.org.au/jra/index.html}}{\fldrslt {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 (Arthritis NSW 2003)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Family life
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
As with many chronic or serious childhood illnesses, the child with arthritis is not the only one affected by the condition. Parents, siblings and other family members also have to deal with the effects of arthritis symptoms, management and prognosis
. Family routine and activities can be disrupted, and younger children in particular may find it difficult to understand what is happening and why things have changed. Every family reacts differently to such challenges. Some find the experience brings the
m closer together}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8730541 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
while for others it can lead to strained relationships. Support for the whole family is important and can be obtained from a variety of sources including community health centres, patient support groups such as Arthritis {\*\xmlopen\xmlns2{\factoidname
country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}, and local medical and mental health professionals.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Effects on siblings without arthritis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15293087 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Siblings of children with JIA may experience a range of reactions to the initial diagnosis and the ongoing symptoms and management of the condition. These may include}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15293087 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 jealousy or resentment}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15293087 , anger, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 guilt}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15293087 , }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
fear or anxiety}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15293087 , }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 sadness}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15293087 , and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 helplessness.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
These reactions may manifest in various ways including changed behaviour (either better or worse), crying, withdrawing from family life, spending more time in or out of the home, mood swings, depression and general illness.
\par Like children diagnosed with JIA, siblings need to be involved in what is going on and encouraged to express their feelings about what is happening. The nature of the disease, its management and prognosis need t
o be explained to them honestly and in a way that they can understand, and any feelings of guilt or fear allayed. The Arthritis Australia offices in each state and territory run support groups and recreational activities that all family members can attend
and talk to other people in similar situations.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Effects on parents or carers
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Parents or carers of a child diagnosed with juvenile arthritis may experience many of the same feelings }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid12675659 that}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 siblings do. They may feel shock, denial or disbelief, or be relieved to put a name to their child\rquote s illness, especially if the diagnosis has been delayed.
\par To these are added the stress of having responsibility for the child\rquote s care and welfare. Parents or carers may be anxious}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8730541 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 not only about their child
\rquote s health and the ph
ysical tasks of caring, but also about the economic costs they might incur. These may range from paying for GP and specialist visits, physical therapy sessions and any medications, to the prospect of having to employ a professional carer or give up workin
g to look after their child. {\*\xmlopen\xmlns2{\factoidname City}}{\*\xmlopen\xmlns2{\factoidname place}}Reading{\*\xmlclose}{\*\xmlclose}
books, leaflets and websites about juvenile arthritis, talking to health professionals and contacting local or national support groups may be helpful for obtaining the information needed to make decisions for the future.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Adult life
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Although the prognosis varies depending on the particular type of juvenile arthritis a child has, many cases will not persist into adulthood. The majority of children will recover without significant damage to their joints and be able to lead
a normal, independent life. However, some children will continue to have active arthritis into adulthood and throughout life, and others may have ongoing functional limitations or disability even though the arthritis itself is in remission. In all cases,
management should address issues of personal independence, academic performance, occupational desires and abilities, to help individuals achieve their full potential }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Gardner-Medwin2001100<
/RecNum>10100Gardner-Medwin, J2001Current developments in juvenile arthritisRheumatic disease topical reviewsChesterfield, UKArthritis Research CampaignMay5}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Gardner-Medwin 2001)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 Adults with a history of JIA may experience higher rates of unemployment compared with their healthy peers}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid8730541 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 despite on average having equal or better academic achievement }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE Packham20021710171Packham, JCHall, MA2002Long-term follow-up of 246 adults with juvenile idiopathic arthritis: education and employmentRheumatology41121436–1439Oen20021630163Oen, KMalleson, PNCabral, DARosenberg, AMPetty, RECheang, M2002Disease course and outcome of juvenile rheumatoid arthritis in a multicenter cohortJournal o
f
Rheumatology2991989–1999Foster20031670167F
o
ster, HEMarshall, NMyers, ADunkley, PGriffiths, ID2003Outcome in adults with juvenile idiopathic arthritisArthritis and Rhe
u
matism483767–775Peterson19972130213Peterson
,
LSMason, TNelson, AMO'Fallon, WMGabriel, SE1997Psychosocial outcomes and health status of adults who have had juvenile rheumatoid arthritis: a
controlled, population-based studyArthritis and Rheumatism40122235–2240Flatø20032140214Flatø, BLien, GSmerdel, AVinje, ODale, KJohnston, VSørskaar, DMoum, TPloski, RFørre, Ø2003Prognostic factors in juvenile rheumatoid arthritis: a case-control study revealing early predictors and outcome after 14.9 yearsJournal of Rheumatology302386–393}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 (Flat\'f8
et al. 2003; Foster et al. 2003; Oen et al. 2002; Packham & Hall 2002a; Peterson et al. 1997)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 . Those who are unemployed tend to have greater physical disability, lower educational attainment and poorer coping strategies than those who are in the workforce }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE Foster20031670167Foster, HEMarshall, NMyers, ADunkley, PGriffiths, ID2003Outcome in adults with ju
v
enile idiopathic arthritisArthritis and Rheumatism483767–775Packham20021710171Packham, JCHall, MA2002Long-term follow-up of 246 adults with juvenile idiopathic arthritis: education and employmentRheumatology41121436–1439}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
(Foster et al. 2003; Packham & Hall 2002a)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 . Packham and Hall }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE Packham20021710171Packham, JCHall, MA2002Long-term follow-up of 246 adults with juvenile idiopathic art
hritis: education and employmentRheumatology41121436–1439}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 (2002a)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 found that around a quarter of people with current JIA reported experiencing discrimination in the workplace.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171\charrsid2179134
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6979250 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6979250 Information from the 2004\endash
05 NHS suggests there are around 54,000 Australians aged 16\~years or over who were diagnosed with arthritis as a child. More than 40% of these people are currently in remission. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12211444 Among thos
e of working age (16\endash 64 years), 54% are employed either full- or part-time, compared with 77% of people of this age without arthritis.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6979250
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
For young adults who continue to have active arthritis, maintaining therapy is vital. The transition from paediatric to g
eneral medical care, combined with other life events such as leaving home, taking up tertiary studies or starting work, can lead to a loss of contact with medical services and interruption of arthritis management. The costs of treatment may also deter you
n
g adults from accessing services they now need to pay for out of their own income. The loss of contact with trusted paediatric health professionals, while at the same time taking on the responsibility for their own care and self-management, can be challen
ging for any young person with a chronic condition. Medical professionals can help with relevant referrals and the transfer of patient records to new healthcare providers, but adequate \lquote handover\rquote
from the paediatric to the adult health team is also important }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Wallis20072120212Wallis, C2007Transition of care in children with
chronic diseaseBritish Medical Journal3341231–1232Editorial}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
(Wallis 2007)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid12855966 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12855966 Mortality
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12855966 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12855966 Juvenile arthritis is }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10441173 rarely }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12855966 recor
ded as a cause of death in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6370953 In the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid812724 10}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6370953 years }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid812724 1997}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6370953 \endash 2006 there were }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid812724 five}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6370953 deaths where juvenile arthritis was listed as the underlying cause of death }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10441173 (see Box 4.4) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6370953 and a further 1}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid812724 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6370953 deaths where it was listed as an associated cause. All of these deaths occurred in adults, with an average age at death of 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid812724 8}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid6370953 years.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12855966
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid812724 Among children under 16 years of age, there were five deaths over the period 1997\endash 2006 where arthritis (of any type) was listed as the underlying cause of death and 11 deaths where arthritis w
as listed as an associated cause.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4000754 Underlying causes of death recorded when arthritis was an associated cause included septicaemia, cancer}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2764885 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4000754
, cardiovascular diseases and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2764885 nervous system disorders.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4000754
\par }\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid12340981 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid12340981 {\*\bkmkstart _Toc213487517}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}Box{\*\xmlclose}{\*\xmlclose} 4.4{\*\xmlclose}
{\*\xmlclose}: Causes of death{\*\bkmkend _Toc213487517}
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid12340981 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid12340981 In {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}, deaths are certified by a medical practitioner or coroner and collated by the Registrar of Bi}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10441173 r}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981
ths, Deaths and Marriages within each state and territory. These data are forwarded to the Australian Bureau of Statistics for coding of the causes of death and compilation to produce national statistics}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10441173
about death and its causes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10441173 The AIHW also holds a copy of these data.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981
\par The }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid12340981\charrsid10441173 underlying cause of death}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981 is defined as the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981\charrsid8486397
condition, disease or injury }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981 that }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981\charrsid8486397 initiat}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981 ed}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid12340981\charrsid8486397 the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981 train}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981\charrsid8486397 of events leading }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981 directly }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid12340981\charrsid8486397 to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981 an individual\rquote s }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981\charrsid8486397 death}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981 \emdash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981\charrsid8486397 that is, the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981 condition believed to be the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981\charrsid8486397 primary cause}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid12340981 of death. Any other condition, disease or injury that is not the underlying cause, bu}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10441173 t}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981
is considered to have contributed to the death, is known as an }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid12340981\charrsid10441173 associated cause}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981 . }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid12340981\charrsid12855966
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc216149674}Management{\*\bkmkend _Toc216149674}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Although many children with juve
nile arthritis will experience natural remission of their disease, there are no treatments that can cure juvenile arthritis or bring on remission. Long-term management is the key to relieving symptoms, preventing or limiting joint damage, reducing the imp
act of the disease on the child\rquote s personal, social and academic development, and maximising quality of life.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 Management strategies are similar for all types of juvenile arthritis, being influenced mainly by the symptoms experienced and the severity of thes
e. Strategies generally incorporate a combination of:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 medication (for pain relief and to reduce inflammation and swelling)
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}exercise and physical therapy
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}a healthy, balanced diet
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}pain management (other than through medication)
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}joint care, and
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}psychosocial support.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Each of these components is described in turn below.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Medication
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
Although the majority of children with juvenile arthritis will take some form of medication, the kind of medication taken depends on the particular type of arthritis the child has, and
the severity of symptoms. There are five main groups of medications used in the management of juvenile arthritis:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 non-steroidal anti-inflammatory drugs (NSAIDs)
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}analgesics
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}corticosteroids
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}disease-modifying anti-rheumatic drugs (DMARDs), and
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}biological agents.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15684608 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15684608
Many of these medications are also used to manage other types of arthritis, such as rheumatoid arthritis and osteoarthritis. Management of these conditions is }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2714326 discussed}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15684608 in Chapter }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1392943 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15684608 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Non-steroidal anti-inflammatory drugs
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 Non-steroidal anti-inflammatory drugs (NSAIDs) are among the world\rquote
s most commonly used drugs. They help to manage the symptoms of arthritis by relieving fever and minimising inflammation, reducing pain, swelling, stiffness and heat in the affected joints. NSAIDs commonly used in the m
anagement of JIA include naproxen, ibuprofen, aspirin, celecoxib, meloxicam and diclofenac.
\par Different NSAIDs have different side-effects, and an individual may be more sensitive to one drug than to another. In some people, NSAIDs can affect the stomach, c
ausing gastric irritation, nausea, abdominal pain and loss of appetite. They also affect the platelets (blood cells involved in clotting), which makes bruising easier and mildly increases bleeding on injury. For this reason, people who regularly use NSAID
s are generally told to stop taking them a few days before undergoing any kind of surgery. Other side-effects may include rashes, high blood pressure, fluid retention and kidney problems }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE American College of Rheumatolog
y Drug Safety Committee200719916199American College of Rheumatology Drug Safety Committee,2007Information
for patients about NSAIDsAtlanta, GAAmerican College of Rheumatology200715 JuneJune 2007www.rheumatology.org/public/factsheets/nsaids.asp
}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 (American College of Rheumatology Drug Safety Committee 2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 .
\par Some NSAIDs, particularly aspirin and ibuprofen, also have analgesic properties and are sometimes included in the class of analgesic drugs.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Analgesics
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 Analgesics
(pain-killers) are taken alone or in addition to other medications to help manage pain. They cause pain relief by either blocking pain signals going to the brain, or interfering with the brain\rquote s response to pain signals }{\field\fldedit{\*\fldinst
{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE Eustice200720016200Eustice, CEustice, R2007The facts of analgesics (painkillers)Chicago, ILAbout Inc.200715 Junehttp://arthritis.about.com/od/analgesic/a/factsanalgesics.htm}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 (Eustice & Eustice 2007)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1
\af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 . There are three main types of analgesics: opiate narcotics (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid8730541 for example,}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 morphine, codeine); opioid narcotics (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid8730541 for example,}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 tramadol, pethidine); and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid465479 non-opioid (sometimes called }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 non-narcotic}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid465479 ) analgesics}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 (}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid8730541 for example,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 paracetamol). }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang3081\langfe3081\langfenp3081\insrsid10713171
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 Opiates are powerful pain-relievers derived from unripe poppy seeds, whereas opioids are synthetic narcotics derived from or resembling opiates. Often the word \lquote opioid
\rquote is used to refer to both the natural and the synthetic drugs. Both opiates and opioids work by mimicking the body\rquote s n
atural pain-relievers, endorphins. If necessary, very large doses can be tolerated, but only if the dose is increased gradually over time to allow the body to build up a tolerance to the side-effects (for example, decreased respiratory efficiency) }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN
EN.CITE Eustice200720016200Eustice, CEustice, R2007The facts of a
nalgesics (painkillers)Chicago, ILAbout Inc.200715 Junehttp://arthritis.about.com/od/analgesic/a/factsanalgesics.htm}
}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 (Eustice & Eustice 2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
. Common side-effects of these drugs include nausea, drowsiness, dry mouth and constipation.
\par Paracetamol (sometimes called acetaminophen) is the most commonly used non-}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid465479 opioid}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
analgesic, and is effective for relieving mild to moderate pa
in. It is believed to work by inhibiting the formation of prostaglandins (chemicals that trigger a range of bodily processes such as muscular contractions, constriction and dilation of the airways, and dilation of the blood vessels) (TGA 2005)}
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CI
TE TGA (Therapeutic Goods Administration)200520216202TGA (Therapeutic Goods Administratio
n
),2005Core paracetamol product informationCanberraTGA200715 Junewww.tga.gov.au/npmeds/pi-paracetamol.rtf<
/MDL>}}{\fldrslt }}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 . This interferes with the body\rquote
s response to pain. Paracetamol also reduces fever, but it has no clinically significant anti-inflammatory properties. It can be used alone or in combination with other drugs, and is an ingredient in ma
ny over-the-counter medications (such as cold and flu tablets, menstrual pain relievers, sinus medication and cough syrup).
\par Paracetamol is often considered safer than other medications, and side-effects are rare when taken at the recommended dosage. Howev
er, serious side-effects and adverse reactions may occur if too much is taken at once (overdose). Paracetamol is metabolised by the liver, and one of the by-products of this metabolisation is toxic to the liver. Small amounts of the toxin are easily neutr
alised, but liver damage can result if the toxin accumulates as a result of overdose (TGA 2005)}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
ADDIN EN.CITE TGA (Therapeutic Goods Administration)200520216202TGA (Therapeutic Goods Administration),2005Core paracetamol product informationCanberraTGA
PUBLISHER>200715 Junewww.tga.gov.au/npmeds/pi-paracetamol.rtf}}{\fldrslt }}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Corticosteroids
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 Corticosteroids are strong anti-inflammatory drugs. They can be used in several ways for managing juvenile a
rthritis. Given regularly as oral or intravenous medicine, corticosteroids can help to reduce stiffness, inflammation and fever. Corticosteroid creams may be used to reduce skin inflammation (for example, that caused by psoriasis), and eye drops containin
g corticosteroids can be very effective in treating uveitis. Finally, corticosteroids given by injection directly into an arthritic joint can be very effective in relieving inflammation for weeks or even months at a time.
\par Corticosteroids can have many side-effects, some of which can be serious. These can include weight gain, acne, high blood pressure, cataracts, fluid retention, bruising, stomach ulcers and osteoporosis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE Australian Rheumatology Association
200621016210Australian Rheumatology Association,2006Patient information on corticosteroidsSydne
yAustralian Rheumatology Association200715 Junehttp://www.rheumatology.org.au/community/documents/CORTICOSTEROIDSDec2006.pdf}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 (Australian Rheumatology Association 2006a)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
. Side-effects become more common as dosage and length of use increases. With the exception of those with systemic arthritis, children with juvenile arthritis do not usually take corticosteroids long-term }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE Manners200718916189Manners, PJ2007Arthritis in childrenAustraliaJuvenile Arthritis Association Inc.200712 Februarywww.kidsarthritis.org.au/pdfs/arthritis_in_children.pdf}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 (Manners 2007)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 .
\par Some corticosteroids commonly used in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose} are }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid9969448
prednisolone, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 dexamethasone, hydrocortisone and prednisone.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Disease-modifying anti-rheumatic drugs
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
Disease-modifying anti-rheumatic drugs, or DMARDs, are anti-inflammatory drugs that can also prevent damage to the joints and help reduce
the risk of long-term disability. They do not act to directly treat the symptoms of arthritis, but instead act on the immune system to interfere with the processes that cause the symptoms. This means that once a course of treatment begins, it may take we
eks or months before there are noticeable effects on symptoms.
\par Several different DMARDs are available, which act in different ways. The most commonly used DMARD is methotrexate. Methotrexate inhibits the action of an enzyme called folic acid reductase, caus
ing interference with tissue cell reproduction. In psoriatic arthritis, this reduces the extra growth of skin cells that causes psoriasis. Methotrexate also reduces the overactivity of the immune system, thereby decreasing the symptoms of inflammatio}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid11404808 n (including pain and swelling}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
) and minimising damage to the joints. Other DMARDs available in Australian include sulfasalazine, leflunomide, azathioprine and cyclosporin.
\par DMARDs can cause a range of side-effects, including nausea, vomiting, abdominal discomfort and diarrhoea. Regular blood and urine tests are required to check liver function, as in some cases this can be disrupted. Some DMARDs, including methotrexate, }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid15684608 may }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 make the skin extra-sensitive to sunlight, so adequate sun protection measures are require
d to avoid burning. Side-effects are more likely to occur at higher doses }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
ADDIN EN.CITE Cannon200620816208Cannon, M2006MethotrexateAtlanta, GAAmerican College of Rheumatology200715 Junewww.rheumatology.org/public/factsheets/methotr
e
xate.aspAustralian Rheumatology Association200620916209Australian Rheumatology Association,<
Y
EAR>2006Patient information on methotrexateSydneyAustralian Rheumatology Association200715 Junehttp://www.rheumatology.org.au/community/
documents/METHOTREXATEDec2006.pdf}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 (Australian Rheumatology Association 2006c; Cannon 2006)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 .
\par As DMARDs affect the immune system, there is some decrease in the body\rquote s ability to fight off infection, but the risk is very small at
the doses generally prescribed for children. However, live virus vaccinations (for example, measles/mumps/rubella (MMR), chicken pox or polio) are usually avoided, so medical advice regarding childhood immunisations should be obtained }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE Manners200718916189Manners, PJ2007Arthritis in childrenAustral
iaJuvenile Arthritis Association Inc.200712 Februarywww.kidsarthritis.org.au/pdfs/arthritis_in_children.pdf}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 (Manners 2007)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Biological agents
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 Biological agents (\lquote biologics\rquote
or biological disease-modifying anti-rheumatic drugs, bDMARDs) are engineered drugs that mimic chemicals found naturally in the body. They are relatively new treatments, having been used only in the last decade. Biologics act by interfering wit}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \f592\lang3081\langfe3081\langfenp3081\insrsid10713171
h the action of one of two cytokines (proteins involved in the immune response) that increase inflammation: either interleukin-1 (IL-1) or tumour necrosis factor alpha (TNF-\'e1
). By inhibiting or deactivating these cytokines, biologics reduce inflammatory sy}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 mptoms such as pain and swelling, and help to prevent joint damage }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
ADDIN EN.CITE Australian Rheumatology Association200621116211Australian Rheumatology Association,2006Patient information on etanerceptSydneyAustralian Rheumatology Association200715 Junehttp://www.rheumatology.org.au/community/documents/ETANERCEPTDec2006.pdf}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
(Australian Rheumatology Association 2006b)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 .
\par Biologics available in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid15495011 {\*\xmlclose}{\*\xmlclose} include etanercept}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 , infliximab}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid15495011 and adalimumab}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 . They are generally given by injection or intravenous infusion. Biologics are often used in combination with a DMARD (such as methotrexate).
\par Common side effects of biologic agents include headaches, stomach discomfort and mild infections (particularly upper respiratory tract infections, such as colds). As with DMARDs, live vaccines should not be given }{\field\fldedit{\*\fldinst {\rtlch\fcs1
\af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 ADDIN EN.CITE Australian Rheumatology Association200621116211Australian Rheumatology Association,2006Patient information on etanerceptSydneyAustralian Rheumatology Association200715 Junehttp://www.rheumatology.org.au/community/documents/ETANERCEPTDec2006.pdf}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
(Australian Rheumatology Association 2006b)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Exercise and physical therapy
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Regular exercise is vital for goo
d health, and is also essential for bone growth. Exercise keeps the joints and muscles flexible, builds strength, improves circulation and helps to maintain a healthy weight. In people with juvenile arthritis, movement of the joints through exercise is an
effective way of preventing or minimising disability }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Arthritis NSW200316116161Arthritis NSW,2003Juvenile arthritis: a resource for teachers, health professionals and studentsSutton, AnneliSydneyArthritis NSW200730 Marchhttp://yawa.arthritisnsw.org.au/jra/index.html}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Arthritis NSW 2003)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 . High}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4607812 -}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 impact exercise, however, may damage the arthritic joints, so the types of
exercise that are most suitable should be discussed with the doctor or specialist. Physiotherapists can recommend specific exercises to be done at home to keep the joints active, maintain the range of movement, build and maintain muscle strength, and make
movement easier and less painful. This can improve mobility and reduce functional limitations.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 In joints that are at risk of contracture, splinting may be used. Splints hold the joint in the uncontracted position for a period of time (often overnight) so
that the range of movement in the joint is maintained. The wrists and knees are the most common joints on which splints are used.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Healthy diet
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 A balanced diet is important to promote normal bone growth and development, maintain healthy weight, and reduce
the risk of conditions such as osteoporosis, heart disease and diabetes. For people with long-term conditions like arthritis, which require regular medication, a healthy diet can help to minimise the side-effects of this medication.
\par Children with juvenile arthritis sometimes have poor appetites when they feel ill or ti}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4607812 r}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ed, or they may be reluctant to eat if it is painful to do so (for example, if they have arthritis in the jawbone). Regular meals and snacks of nutrient-rich foods and drinks can help to provide sufficient nutrients for a child who eats little.
\par Conversely, limitations in activity and the side-effects of some medications may cause young people with arthritis to gain weight. This places additional stress on the joints and can increase pain and
activity limitations. A balanced diet combined with appropriate exercise can help in achieving and maintaining a healthy weight. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Pain management
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 Pain in juvenile arthritis is a response to damage, injury or strain of the affected joint(s). Therefore, it
is important to prevent pain}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid4607812 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
not just to avoid the physical sensation but to reduce the joint damage that causes it. Strategies that can help to manage pain include:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 applying heat by using heat packs (as advised by a doctor), hot water bottles, taking a warm bath or shower, and wearing warm clothes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4607812 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
including socks, gloves and scarves
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}gentle stretching, as advised by a doctor or physiotherapist
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}massage
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}use of splints and joint support bandages
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}meditation and relaxation
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}distraction, and
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}use of medications.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Joint care
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
Activities that put strain on the arthritic joints can lead to increased pain and joint damage. Often it is not clear how a joint will respond to a new activity, and determining what a person with JIA can and cannot do becomes a matter of trial
and error. Activities that cause pain may need to be done less vigorously, done in a different manner, or avoided altogether. Occupational therapists can suggest alternative ways of doing everyday tasks and recommend assistive devices. Arthritis NSW sugge
st}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid15495011 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
a range of strategies that can help to reduce strain on the joints and make it easier to perform various tasks. These include:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 alternating between heavy and lighter activities, to rest the joints and muscles
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}changing position often, to reduce stiffness
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}maintaining a healthy weight
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}using assistive devices, such as jar openers, pen grips and adjustable chairs, and
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}managing painful or inflamed joints appropriately }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Arthritis NSW200316116161Arthritis NSW,2003Juvenile arthritis: a resource for teachers, health professionals and studentsSutton, AnneliSydneyArthritis NSW200730 Marchhttp://yawa.arthritisnsw.org.au/jra/index.html}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Arthritis NSW 2003)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Psychosocial support
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
Children with arthritis and their families often need help and support in coping with the condition and its impacts. Dealing with pain, frustrations with activity limitations, depression about chronic illne
ss, anxiety about falling behind at school and fear of teasing or bullying are some of the issues that may be faced by}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid2915738 children }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 with juvenile arthritis. Societies such as Arthritis {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
and their affiliate offices in each state and territory provide a
dvice on many aspects of life with arthritis, and also organise family activity days and camps for children with arthritis. This enables affected children and families to learn more about the condition, to make contact with others like themselves and to r
ealise that they are not alone.
\par Support is also available from registered health professionals and counsellors, and from a variety of agencies including Kids Help Line, Beyondblue, Carers Australia, community services and Aboriginal medical services.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Management by general practitioners and specialists
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
The management of arthritis in persons less than 16 years of age was reported in relatively few general practitioner (GP) encounters in th}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171\charrsid491052 e 200}{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid491052\charrsid491052 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171\charrsid491052 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid491052\charrsid491052 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171\charrsid491052 BEACH GP survey}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid16540153 , }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid9374353 managed in}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid16540153 less than }{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid9374353 1 per 1,000}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid16540153 encounters for people of this age}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171\charrsid491052 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
This probably reflects the fact that juvenile arthritis is more likely to be managed by specialists such as paediatricians or rheumatologists. The BEACH data suggest that arthritis was managed in approximately }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171\charrsid3366093 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid16540153 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171\charrsid3366093 ,}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid16540153 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171\charrsid3366093 00 Medicare-paid GP consultations}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 among people less than 16 years of age in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid9437605 7}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid9437605 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 , equating to around }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid16540153 2.5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171\charrsid3366093 GP visits per child with arthritis.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang3081\langfe3081\langfenp3081\insrsid10713171
\par GPs employed a variety of management strategies during these consultations. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171\charrsid3366093 The most common was to prescribe or advise medications: p}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 aracetamol, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid3366093 methotrexate and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
meloxicam were the most frequently recorded medications.
\par Data from the 2004\endash 05 National Health Survey show that 23% of people under 16 years with arthritis had visited a GP or specialist for their arthritis in the 2 weeks
before the survey. No specific information is available regarding the number of specialist visits for juvenile arthritis, or the management strategies employed during these visits.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Hospital treatment
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Children with juvenile arthritis sometimes need to be a
dmitted to hospital. This may be for treatment of a severe flare-up of their symptoms, for specialised forms of therapy such as injections into the joint, or (rarely) for surgery such as soft tissue release or joint replacement (see }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid6836620 {\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}{\*\xmlopen\xmlns2{\factoidname address}}{\*\xmlopen\xmlns2{\factoidname Street}}Box{\*\xmlclose}{\*\xmlclose} 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid12340981 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\xmlclose}{\*\xmlclose}).
\par }\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid13194871 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6836620 {\*\bkmkstart _Toc213487518}Box 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12340981 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13194871 : Procedures }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6513745 used in}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13194871 juvenile arthritis{\*\bkmkend _Toc213487518}
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid13194871 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid13194871 Joint aspiration}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13194871
involves taking fluid out of the joint with a needle and syringe. This can be a diagnostic procedure (where a sample of fluid is sent for testing to determine if there is infection in the joint or to conf
irm a diagnosis) or a therapeutic procedure. Draining of a badly swollen joint can relieve pain and improve joint mobility.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid13194871 Joint injections}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13194871 deliver medication directly into the joint. These are usually corticosteroids, which are anti-inflammatory drugs t
hat slow down the accumulation of cells that cause inflammation. Often both joint aspiration and joint injection procedures will be recorded in the same }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2915738 hospital visit}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13194871 . A joint injection will not be performed if the joint is infected, so aspiration may be performed first to make sure there is no infection in the joint.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid13194871 Soft tissue release}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13194871
is a treatment to relieve severe joint contracture. It involves division of the nerves and lengthening or division of the muscles and tendons around the affected joint. Th
is allows the joint to regain movement and can improve posture and mobility. Soft tissue release may be performed in children with congenital or acquired joint disorders, cerebral palsy and synovitis as well as in those with arthritis. }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid13194871\charrsid13194871 Almost 1,700 such procedures were performed on children under 16 years of age in 2006\endash 07. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13194871
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid13194871 Joint replacement}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13194871
refers to the replacement of damaged joint structures with artificial components. It is sometimes necessary in people with JIA, but is usually performed in adulthood o
nce skeletal growth has stopped. Joint replacement in older teenagers is occasionally required in those with more severe arthritis where substantial joint damage has occurred. The hip is the most common joint replaced in people with JIA. }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid13194871\charrsid12468586 A small number of joint replacement procedures in people aged less than 16 years were recorded in 2006\endash 07, however none of these had the principal diagnosis of juvenile or rheumatoid arthritis}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13194871 . Thirteen cases of joint replacement for juvenile or rheumatoid arthritis were recorded in people aged 16\endash 24 years in 2006\endash 07, including 5 hip and 4 knee replacements.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 In }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4138806 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4138806\charrsid4138806 6}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4138806 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4138806\charrsid4138806 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4138806 there were }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid4138806\charrsid4138806 780}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4138806 hospital}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
separations of people less than 16 years of age with the principal diagnosis of juvenile or rheumatoid arthritis. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid6894624 The most common procedures}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
or interventions recorded during these separations were joint injections, other administration of medications, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8741719 allied health interventions}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 and }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid8741719 joint aspiration }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Table 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 2).
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc213486286}Table 4.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
2: Most common interventions provided in hospital separations for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8741719 juvenile or rheumatoid }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 arthritis in people under 16 years, 200}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid8741719 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8741719 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkend _Toc213486286}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4054\clshdrawnil \cellx3969\clvertalb\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrnone
\cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx6946\clvertalb\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2203\clshdrawnil \cellx9149\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid13970850 Procedure/intervention\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid13970850 Number of procedures performed}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid10713171\charrsid6500108 (a)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid13970850 \cell
Per cent of separations}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid10713171\charrsid6500108 (b)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid13970850 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid13970850
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth4054\clshdrawnil \cellx3969\clvertalb\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrnone
\cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx6946\clvertalb\clbrdrt\brdrs\brdrw10\brdrcf1 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2203\clshdrawnil \cellx9149\row \ltrrow
}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4054\clshdrawnil \cellx3969\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx6946\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2203\clshdrawnil \cellx9149\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Joint injection
\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4138806\charrsid8741719 361}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid8741719 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12075167\charrsid12075167 46}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid12075167 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid12075167
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4054\clshdrawnil \cellx3969\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx6946\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2203\clshdrawnil \cellx9149\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Other administration of medication}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid10713171 (c)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4138806\charrsid8741719 205}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid8741719 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12075167\charrsid12075167 26\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid12075167
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4054\clshdrawnil \cellx3969\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx6946\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2203\clshdrawnil \cellx9149\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8741719 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Allied health interventions\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8741719 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8741719\charrsid8741719 160}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid8741719 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid12075167 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12075167\charrsid12075167 5}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid12075167 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid12075167 \trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4054\clshdrawnil \cellx3969\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx6946\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2203\clshdrawnil \cellx9149\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8741719 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8741719 \tab }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 Physiotherapy\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8741719 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid8741719\charrsid8741719 98}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid8741719 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12075167\charrsid12075167 13}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid12075167 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
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\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4054\clshdrawnil \cellx3969\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx6946\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2203\clshdrawnil \cellx9149\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2059342 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6894624 \tab
Occupational therapy\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2059342 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6894624\charrsid8741719 15\cell }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6894624\charrsid6894624 2\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6894624\charrsid6894624 \trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid2059342\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4054\clshdrawnil \cellx3969\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx6946\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2203\clshdrawnil \cellx9149\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8741719 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8741719 \tab }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 Pharmacy\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8741719 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid8741719\charrsid8741719 14}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid8741719 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6894624\charrsid6894624 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid6894624 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid6894624 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4054\clshdrawnil \cellx3969\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx6946\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2203\clshdrawnil \cellx9149\row \ltrrow}\trowd \irow7\irowband7\lastrow \ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8419180\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4054\clshdrawnil \cellx3969\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx6946
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2203\clshdrawnil \cellx9149\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8419180 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8741719\charrsid6894624
Joint aspiration\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8419180 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8741719\charrsid6894624 147\cell 1}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6894624\charrsid6894624 9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8741719\charrsid6894624 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8741719\charrsid6894624 \trowd \irow7\irowband7\lastrow \ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1
\trbrdrb\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8419180\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4054\clshdrawnil \cellx3969\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2977\clshdrawnil \cellx6946\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10\brdrcf1 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2203\clshdrawnil \cellx9149\row }\pard\plain \ltrpar
\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (a)\tab
Total number of times each procedure was recorded. A person may have more than one procedure, and any procedure may be performed more than once within a separation. See Appendix 2 Table A2.2 for codes used.
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid10713171 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (b)\tab
Per cent of separations in which the procedure was performed, based on }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4138806 a total of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4138806\charrsid4138806 780}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid4138806 separations.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par (c)\tab Includes medications }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8741719 (excluding operative anaesthetics and sedatives) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 administered via any method other than injection directly into the joint.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6894624 This includes intravenous, intramuscular, subcutaneous, oral and other forms of administration. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10713171 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\xmlopen\xmlns2{\factoidname PlaceName}}{\*\xmlopen\xmlns2{\factoidname PlaceName}}
{\*\xmlopen\xmlns2{\factoidname place}}AIHW{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceName}}National{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname PlaceType}}Hospital{\*\xmlclose}{\*\xmlclose}{\*\xmlclose} Morbidity Database.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid9389606 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9389606 Treatment by other health professionals
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9389606 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9389606 Along with the GP and specialist, a variety of other health professionals may be involved in the management of juvenile arthritis.
\par Allied health professionals such as physiotherapists and massage therapists can assist with maintaining joint mobility, releasing tight muscles and lig
aments, and recommending stretches and exercises that can be done between visits to keep the joints supple and build muscle strength. Occupational therapists can teach alternative ways of doing things, including recommending assistive devices, so that the
child with juvenile arthritis can undertake daily activities without putting too much strain on their arthritic joints.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 Pharmacists can provide advice on medications, assistive devices, and joint}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid9450767 -}{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171 care products like supports, braces and splints. They can al
so discuss options for pain relief, such as over-the-counter medications, heat and cold packs, and alternative therapies. However, it is important that any non-prescription medications or natural remedies do not replace medications prescribed by the docto
r or specialist, and that both the doctor and the pharmacist are made aware of all the medications the young person is taking so that possible interactions or side-effects can be managed.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang3081\langfe3081\langfenp3081\insrsid10713171
Children with arthritis affecting the jawbone may have jaw misalignment, and have trouble with eating and brushing teeth, which can affect dental hygiene. Dentists and orthodontists can help to manage these problems. In the 2004\endash
05 NHS, 79% of children with arthritis aged 2\endash 15 years had visited a dentist in the previous 12 months, compared with 63% of children of this age without arthritis.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16072854 \page }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc216149675}References{\*\bkmkend _Toc216149675}
\par }\pard\plain \ltrpar\ql \li0\ri0\sb40\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4656204 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4656204 ADDIN EN.REFLIST }}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid11356217
Adib N, Silman A & Thomson W 2005. Outcome following onset of juvenile idiopathic inflammatory arthritis: I. Frequency of different outcomes. Rheumatology 44:955\endash 1001.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid15355694 AIHW }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid13660385 (Australian Institute of Health and Welfare) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid15355694
2008. Juvenile arthritis in Australia. Arthritis series no. 7. Cat. no. PHE 101. Canberra: AIHW.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid15355694\charrsid11356217
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid11356217 American College of Rheumatology Drug Safety Committee 2007. Information for patients about NSAIDs. Atlanta, GA: American College of Rheumatology. Viewed 15 June 2007, <}
{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid1211217 HYPERLINK "http://www.rheumatology.org/public/factsheets/nsaids.asp>" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid680394\charrsid1211217 {\*\datafield
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65006500740073002f006e00730061006900640073002e006100730070003e0000000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs79\fs22\insrsid4656204\charrsid1211217 www.rheumatology.org/public/factsheets/nsaids.asp>}}}\sectd
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\par Amyloidosis Australia 2007. Amyloidosis. Ferntree Gully, VIC: Amyloidosis Australia. Viewed 14 June 2007, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid1211217 <}{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\fs22\insrsid4656204\charrsid1211217 HYPERLINK "http://www.amyloidosisaustralia.org/articles/AMYLOIDOSIS_AUSTRALIA_brochure.pdf>" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid680394\charrsid1211217 {\*\datafield
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6c00650073002f0041004d0059004c004f00490044004f005300490053005f004100550053005400520041004c00490041005f00620072006f00630068007500720065002e007000640066003e000000000c}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs79\fs22\insrsid4656204\charrsid1211217
www.amyloidosisaustralia.org/articles/AMYLOIDOSIS_AUSTRALIA_brochure.pdf>}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \fs22\insrsid4656204\charrsid1211217 .
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid11356217 Arkela-Kautiainen M, Haapasaari J, Kautiainen H, Vilkkumaa I, M\'e4lki\'e4
E & Leirisalo-Repo M 2005. Favourable social functioning and health related quality of life of patients with JIA in early adulthood. Annals of the Rheumatic Diseases 64:875\endash 80.
\par Arthritis Australia 2006. Juvenile idiopathic arthritis. Sydney: Arthritis Australia. Viewed 14 February 2007, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid1211217 <}{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\fs22\insrsid4656204\charrsid1211217 HYPERLINK "http://www.arthritisaustralia.com.au/lonenode/nodeid/577/parent_node_id/521>" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid680394\charrsid1211217 {\*\datafield
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6e006f00640065002f006e006f0064006500690064002f003500370037002f0070006100720065006e0074005f006e006f00640065005f00690064002f003500320031003e0000000025}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs79\fs22\insrsid4656204\charrsid1211217
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid11356217 Celiker R, Bal S, Bakkalo\'f0lu A, Ozaydin E, Coskun T, Cetin A et al. 2003. Factors playing a role in the deve
lopment of decreased bone mineral density in juvenile chronic arthritis. Rheumatology International 23:127\endash 9.
\par del Rinc\'f3n ID, Williams K, Stern MP, Freeman GL & Escalante A 2001. High incidence of cardiovascular events in a rheumatoid arthritis cohort not explained by traditional cardiac risk factors. Arthritis and Rheumatism 44:2737\endash 45.
\par Eustice C & Eustice R 2007. The facts of analgesics (painkillers). Chicago, IL: About Inc. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid1211217 Viewed 15 June 2007, <}{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid11356217 Fantini F, Gerloni V, Gattinara M, Cimaz R, Arnold C & Lupi E 2003. Remission in juvenile chronic arthritis: a cohort study of 683 consecutive cases with a mean 10 year fol
lowup. Journal of Rheumatology 30:579\endash 84.
\par Flat\'f8 B, Hoffman-Vold AM, Reiff A, F\'f8rre \'d8, Lien G & Vinje O 2006. Long-term outcome and prognostic factors in enthesitis-related arthritis: a case-control study. Arthritis and Rheumatism 54:3573\endash 82.
\par Flat\'f8 B, Lien G, Smerdel A, Vinje O, Dale K, Johnston V et al. 2003. Prognostic factors in juvenile rheumatoid arthritis: a case-control study revealing early predictors and outcome after 14.9 years. Journal of Rheumatology 30:386\endash 93.
\par Foster HE, Marshall N, Myers A, Dunkley P & Griffiths ID 2003. Outcome in adults with juvenile idiopathic arthritis. Arthritis and Rheumatism 48:767\endash 75.
\par French AR, Mason T, Nelson AM, Crowson CS, O'Fallon WM, Khosla S et al. 2002. Osteopenia in adults with a history of juvenile rheumatoid arthritis. A population based study. Journal of Rheumatology 29:1065\endash 70.
\par Gardner-Medwin J 2001. Current developments in juvenile arthritis. Rheumatic disease topical reviews series no. 5. Chesterfield, UK: Arthritis Research Campaign.
\par Goldsmith D 2006. Current concepts in juvenile idiopathic arthritis. Arthritis Practitioner 2:26\endash 31.
\par Henderson CJ, Specker BL, Sierra RI, Campaigne BN & Lovell DJ 2000. Total-body bone mineral content in non}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid1211217 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid11356217
corticosteroid-treated postpubertal females with juvenile rheumatoid arthritis. Arthritis and Rheumatism 43:531\endash 40.
\par Huygen ACJ, Kuis W & Sinnema G 2000. Psychological, behavioural and social adjustment in children and adolescents with juvenile chronic arthritis. Annals of the Rheumatic Diseases 59:276\endash 82.
\par Ilowite NT, Samuel P, Beseler L & Jacobson MS 1989. Dyslipoproteinemia in juvenile rheumatoid arthritis. Journal of Pediatrics 114:823\endash 6.
\par Junnila JL & Cartwright VW 2006. Chronic musculoskeletal pain in children: Part II. Rheumatic causes. American Family Physician 74:293\endash 300.
\par Lien G, Flat\'f8 B, Haugen M, Vinje O, S\'f8rskaar D, Dale K et al. 2003. Frequency of osteopenia in adolescents with early-onset juvenile idiopathic arthritis: a long-term outcome study of one hundred five patients. Arthritis and Rheumatism 48:2214
\endash 23.
\par Lien G, Selvaag AM, Flat\'f8 B, Haugen M, Vinje O, S\'f8rskaar D et al. 2005. A two-year prospective controlled study of bone mass and bone turnover in children with juvenile idiopathic arthritis. Arthritis and Rheumatism 52:833\endash 40.
\par Manners P 2007. Arthritis in children. Australia: Juvenile Arthritis Association Inc. Viewed }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid1211217 12 February 2007, <}{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
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\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid11356217 Maradit-Kremers H, Nicola PJ, Crowson CS, Ballman KV & Gabriel SE 2005. Cardiovascular death in rheumatoid arthritis. A population-based study. Arthritis and Rheumatism 52:722\endash 32.
\par Minden K, Kiessling U, Listing J, Niewerth M, Doring E, Meincke J et al. 2000. Prognosis of patients with juvenile chronic arthritis and juvenile spondyloarthropathy. Journal of Rheumatology 27:2256\endash 63.
\par Musiej-Nowakowska E & Ploski R 1999. Pregnancy and early onset pauciarticular juvenile chronic arthritis. Annals of the Rheumatic Diseases 58:475\endash 80.
\par National Amyloidosis Centre 2004. Management of systemic AA amyloidosis. London: University College London. Viewed 14 June 2007, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid1211217 <}{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0
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\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid1211217 .
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid11356217 Nigrovic PA & White PH 2006. Care of the adult with juvenile rheumatoid arthritis. Arthritis and Rheumatism 55:208\endash 16.
\par Oen K, Malleson PN, Cabral DA, Rosenberg AM, Petty RE & Cheang M 2002. Disease course and outcome of juvenile rheumatoid arthritis in a multicenter cohort. Journal of Rheumatology 29:1989\endash 99.
\par Ostensen M 1991. Pregnancy in patients with a history of juvenile rheumatoid arthritis. Arthritis and Rheumatism 34:881\endash 7.
\par Ostensen M 1992. The effect of pregnancy on ankylosing spondylitis, psoriatic arthritis and juvenile rheumatoid arthritis. American Journal of Reproductive Immunology 28:235\endash 7.
\par Ostensen M, Almberg K & Koksvik HS 2000. Sex, reproduction and gynecological disease in young adults with a history of juvenile chronic arthritis. Journal of Rheumatology 27:1783\endash 7.
\par Packham J & Hall M 2002a. Long-term follow-up of 246 adults with juvenile idiopathic arthritis: education and employment. Rheumatology 41:1436\endash 9.
\par Packham J & Hall M 2002b. Long-term follow-up of 246 adults with juvenile idiopathic arthritis: social function, relationships and sexual activity. Rheumatology 41:1440\endash 3.
\par Packham J, Hall M & Pimm T 2002. Long-term follow-up of 246 adults with juvenile idiopathic arthritis: predictive factors for mood and pain. Rheumatology 41:1444\endash 9.
\par Pereira RM, Corrente JE, Chahade WH & Yoshinari NH 1998. Evaluation by dual X-ray absorptiometry (DXA) of bone mineral density in children with juvenile chronic arthritis. Clinical and Experimental Rheumatology 16:495\endash 501.
\par Peterson LS, Mason T, Nelson AM, O'Fallon WM & Gabriel SE 1997. Psychosocial outcomes and health status of adults who have had juvenile rheumatoid arthritis: a controlled, population-based study. Arthritis and Rheumatism 40:2235\endash 40.
\par Petty RE, Southwood TR, Manners P, Baum J, Glass DN, Goldenberg J et al. 2004. International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001. Journal of Rheumatology 31:390\endash 2.
\par Ravelli A & Martini A 2007. Juvenile idiopathic arthritis. Lancet 369:767\endash 78.
\par Shaw KL, Southwood TR, Duffy CM & McDonagh JE 2006. Health-related quality of life in adolescents with juvenile idiopathic arthritis. Arthritis and Rheumatism 55:199\endash 207.
\par TGA (Therapeutic Goods Administration) 2005. Core paracetamol product information. Canberra: TGA. Viewed 15 June 2007, <}{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4656204\charrsid1211217
HYPERLINK "http://www.tga.gov.au/npmeds/pi-paracetamol.rtf>" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid680394\charrsid1211217 {\*\datafield
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\fs22\insrsid4656204\charrsid11356217
\par Wallis C 2007. Transition of care in children with chronic disease. British Medical Journal 334:1231\endash 2.
\par Zak M, Hassager C, Lovell DJ, Nielsen S, Henderson CJ & Pedersen FK 1999. Assessment of bone mineral density in adults with a history of juvenile chronic arthritis: a cross-sectional long-term followup study. Arthritis and Rheumatism 42:790\endash 8.}{
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{\*\bkmkend _Toc179624504}{\*\bkmkend _Toc179624598}5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 \tab Reducing the burden of arthritis{\*\bkmkend _Toc216149676}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
Arthritis is a very common condition, and one that makes a significant contribution to pain, functional limitation, disability and reduced quality of life. Health expenditure attributable to arthritis, through medical and allied health consultatio
ns, the use of medications and surgical procedures, is also substantial. However, the burden of arthritis can be reduced through intervention at various points along the disease continuum, including prevention, early diagnosis, prompt initiation of treatm
ent, ongoing management and timely access to joint replacement.
\par This chapter highlights opportunities for reducing the burden of arthritis in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
, by examining the various points at which intervention can be undertaken. The discussion centres on osteoarthritis and rheumatoid arthritis, as these are the two most common forms of arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14044660 ,}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 as well as being targets of public health strategies under the National Health Priority Area of arthritis and musculoskeletal conditions.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624505}{\*\bkmkstart _Toc179624599}{\*\bkmkstart _Toc216149677}The disease continuum{\*\bkmkend _Toc179624505}
{\*\bkmkend _Toc179624599}{\*\bkmkend _Toc216149677}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 In their report }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10310235 Preventing chronic disease: a strategic }{\rtlch\fcs1 \af0 \ltrch\fcs0
\i\insrsid10310235\charrsid14356913 framework}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE NPHP200129410294NPHP
2001Preventing chronic disease: a strategic frameworkMelbourneNPHP}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (NPHP 2001)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14356913 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 t}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14356913 he}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 National Public Health Partnership described a generic model of chro
nic disease prevention and control, which illustrated various intervention points across the continuum of care and identified the health services that could contribute at each stage. Drawing on this generic model, the arthritis-specific model shown below
highlights potential intervention points for arthritis and identifies the health service areas responsible for these (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
1). This new model provides a framework for the following discussion of opportunities for reducing the burden of arthritis in {\*\xmlopen\xmlns2{\factoidname country-region}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624506}{\*\bkmkstart _Toc179624600}{\*\bkmkstart _Toc216149678}Preventi{\*\bkmkend _Toc179624506}{\*\bkmkend _Toc179624600
}on{\*\bkmkend _Toc216149678}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Understanding the causal mechanisms that lead to a disease, and identifying factors that increase the likelihood of developing it (known as
\lquote risk factors\rquote ), are vital elements for its prevention. In terms of public health strategies for d
isease prevention, targeting of modifiable risk factors (that is, those that are able to be changed) can result in widespread health benefits. Many public health strategies for chronic disease prevention are centred on encouraging positive lifestyle choic
es\emdash for example, undertaking regular physical activity, consuming a balanced diet and maintaining healthy weight. These actions promote general good health and wellbeing}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14044660 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 as well as reducing the risk of a range of chronic diseases including Type 2 diabetes, osteoarthritis, cardiovascular disease, osteoporosis and some forms of cancer }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 ADDIN EN.CITE AIHW200225714257AIHW,2002Chronic diseases and associated risk factors in Australia, 2001CanberraAIHW}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 (AIHW 2002)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Although some risk factors (for example,
family history, age or sex) are not able to be modified and so are not in themselves able to be the targets of prevention strategies, these factors can help to identify people or groups at high risk of developing a disease so that prevention strategies a
nd relevant medical services can be targe}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329 ted and located to best effect.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14356913
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc267314820}Figure 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 1: A model for arthritis prevention and management
{\*\bkmkend _Toc267314820}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329 Flow chart diagram.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329\charrsid1516329
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624507}{\*\bkmkstart _Toc179624601}Risk factors for osteoarthritis{\*\bkmkend _Toc179624507}{\*\bkmkend _Toc179624601}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 In recent years, increased understanding of some of the causes of and ri
sk factors for osteoarthritis has helped to develop public health strategies to prevent or delay its onset. Several potentially modifiable risk factors have been identified. In addition to the positive lifestyle choices outlined above, avoiding or limitin
g repetitive load-bearing activities and preventing joint trauma are beneficial. The links between some of these factors and the development of osteoarthritis are outlined below.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624508}{\*\bkmkstart _Toc179624602}Overweight and obesity{\*\bkmkend _Toc179624508}{\*\bkmkend _Toc179624602}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Being overweight or obese can contribute to osteoarthritis, particularly in females }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 ADDIN EN.CITE Sandmark19992520252Sandmark, H.Hogstedt, C.
Lewold, S.Vingard, E.1999Osteoarthrosis of the knee in men and women in association with overweight, smoking, and hormone therapyAnnals of the Rheumatic Diseases583151–5Mar10364912risk factorshttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=Pub
Med&dopt=Citation&list_uids=10364912Department of Occupational Health, Karolinska Hospital, Stockholm, Sweden.}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
(Sandmark et al. 1999)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. Osteoarthritis develops gradually over many years,
with the degenerative process beginning long before any symptoms are noticed. Exposure to risk factors early in life, therefore, influences health status at older ages. The Framingham Study, for example, predicted knee osteoarthritis among obese people as
early as three decades in advance of its onset }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Felson19882310231Felson, D. T.Anderson, J.
J.Naimark, A.Walker, A. M.Meenan, R. F.1988Obesity and knee osteoarthritis. The Framingham StudyAnnals of Internal Medicine109118–24Jul 13377350obesity and kneehttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=
PubMed&dopt=Citation&list_uids=3377350Boston City Hospital, Massachusetts.}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Felson et al. 1988)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par Obesity increases the load across the weight-bearing joints, thus increasing the stress on the cartilage and ligaments. It is more strongly associated with osteoarthritis of the knee than the hip, although it is related to both }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 ADDIN EN.CITE Lievense20022410<
/REFERENCE_TYPE>241Lievense, A. M.Bierma-Zeinstra, S. M.Verhagen, A. P.van Baar, M. E.Verhaar, J. A.Koes, B. W.
2
002Influence of obesity on the development of osteoarthritis of the hip: a systematic reviewRheumatology (Oxford)41101155–62Oct12364636obesityhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=12364636Department of General Prac
tice, Erasmus Medical Centre, Rotterdam, The Netherlands.}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Lievense et al. 2002)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. However, obesity has also been associated with osteoarthritis of non}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1211217 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 weight-bearing joints such as the joints of the hand. This sugges
ts that obesity may cause metabolic changes that can promote osteoarthritis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Eaton20042300230Eaton, C. B.
AUTHOR>2004Obesity as a risk factor for osteoarthritis: mechanical versus metabolicMedicine and Health, Rhode Island877201–4Jul15354794obesityhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15354794Department
of Family Medicine Memorial Hospital of RI 111 Brewster St. Pawtucket, RI 02860, USA. Charles_Eaton@mhri.org}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Eaton 2004)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par Osteoarthritis can in turn contribute to overweight and obesity. The painful joints may lim
it physical activity, causing weight gain. However, exercise is an important part of the management of osteoarthritis, and the type and length of exercise undertaken can be modified to avoid pain and minimise the strain on the joints. This is discussed in
more detail later in this chapter.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624509}{\*\bkmkstart _Toc179624603}History of joint trauma or injury{\*\bkmkend _Toc179624509}{\*\bkmkend _Toc179624603}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Individuals with a history of joint trauma or injury are more likely to develop osteoarthritis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10310235 ADDIN EN.CITE Gelber2000235<
MDL>0235Gelber, A. C.Hochberg, M. C.Mead, L. A.Wang, N. Y.Wigley, F. M.Klag, M. J.2000Joint injury in young adults and risk for subsequent knee and hip osteoarthritisAnnals of Internal Medicine1335321–8Sep 5<
A
CCESSION_NUMBER>10979876joint injuryhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=10979876Johns Hopkins Univer
s
ity, University of Maryland, and Veterans Affairs Medical Center, Baltimore, USA.Lau20002400240Lau,
E
. C.Cooper, C.Lam, D.Chan, V. N.Tsang, K. K.Sham, A.2000Factors associated with osteoarthritis of the hip and knee in Hong Kong Chi
n
ese: obesity, joint injury, and occupational activitiesAmerican Journal of Epidemiology1529855–62Nov 111085397risk factorshttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11085397Department of Community and Family Medicine, The Chinese Uni
versity of Hong Kong. edithlau@cuhk.edu.hk}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Gelber et al. 2000; Lau et al. 2000)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. Injury damages the tissues within the joint, which can increase the stress on the cartilage. The process of osteoarthritis then develops slowly over many years before it starts to cause symptoms of pain or stiffness in the previously injured joint.
\par Joint injuries associated with increased risk of osteoarthritis include dislocation, contusion, fracture, and tears of the menisci or ligaments. These injuries are common in sporting and recreational activities that place }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1074138 repeated}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 high impacts or torsional }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1074138 (twisting) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
loads on the joints (for example, football, netball and basketball); the knee is frequently injured in this manner. However, par
ticipation in moderate exercise has many health benefits and does not of itself increase osteoarthritis risk. In fact, regular physical activity may actually decrease the risk of osteoarthritis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 ADDIN EN.CITE Rogers20
022710271Rogers, LQMacera, CAHootman, JMAinsworth, BEBlair, S. N.2
0
02The association between joint stress from physical activity and self-reported osteoarthritis: an analysis of the Cooper Clinic dataOsteoarthritis and Cartilage108617–622}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Rogers et al. 2002)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
, and strong muscles may protect against cartilage loss in middle age }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Foley20073130<
/REFERENCE_TYPE>313Foley, SDing, C.Cicuttini, F.Jones, G.2007Physical activity and knee structural change: a longitudinal study usi
ng MRIMedicine and Science in Sports and Exercise39426–434}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Foley et al. 2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. Case-control studies have found that the sports-related increase in risk of osteoarthritis can be explained by joint injury }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Sutton20012680268Sutton, A JMuir, K
RMockett, S.Fentem, P2001A case-control study to investigate the relation between low and moderate levels of physical activity and osteoarthritis of the knee using data collected as
p
art of the Allied Dunbar National Fitness SurveyAnnals of the Rheumatic Diseases60756–764Thelin2006269
<
REFERENCE_TYPE>0269Thelin, NHolmberg, SThelin, A2006Knee injuries account for the sports-related increased risk of knee osteoarthri
tisScandinavian Journal of Medicine and Science in Sports165329–333}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
(Sutton et al. 2001; Thelin et al. 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par Joint trauma caused by surgery (such as meniscectomy, the surgical removal of the meniscus) can also increase the risk of osteoarthritis at the site of surgery later in life }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Felson20002330233Felson, D. T.Lawrence, R. C.Dieppe, P. A.Hirsch, R.Helmick, C. G.Jordan, J. M.Kington, R. S
.
Lane, N. E.Nevitt, M. C.Zhang, Y.Sowers, M.McAlindon, T.Spector, T. D.Poole, A. R.Yanovski, S. Z.Atesh
i
an, G.Sharma, L.Buckwalter, J. A.Brandt, K. D.Fries, J. F.2000Osteoarthritis: new insights. Part 1: the disease and its risk factorsAnnals of Internal Medicine1338635–46Oct 1711033593reviewepidemiologyhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11033593Boston University School of Medicine, 715 Albany Street, Room A203, Boston, MA 02118, USA.}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Felson et al. 2000)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624510}{\*\bkmkstart _Toc179624604}Repetitive joint-loading tasks{\*\bkmkend _Toc179624510}{\*\bkmkend _Toc179624604}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
Repetitive movements that involve placing abnormal strain, stress or heavy loads on the joints increase the risk of osteoarthritis. These types of movements are often required in ce
rtain manual occupations, such as jobs in the building industry. Jobs involving continuous kneeling, squatting, and climbing stairs are associated with higher rates of knee osteoarthritis, whereas jobs that require heavy lifting, including farming and con
struction, are associated with higher rates of hip osteoarthritis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Felson20002330233Felson, D. T.Lawrence, R. C.Dieppe, P. A.Hirsch, R.Helmick, C. G.Jordan, J. M.Kington, R. S.Lane, N. E.Nevitt, M. C.Zhang, Y.<
/
AUTHOR>Sowers, M.McAlindon, T.Spector, T. D.Poole, A. R.Yanovski, S. Z.Ateshian, G.Sharma, L.Buckwalter, J. A.B
r
andt, K. D.Fries, J. F.2000Osteoarthritis: new insights. Part 1: the disease and its risk factorsAnnals of Internal Medicine1338635–46Oct 1711033593reviewepidemiologyhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&
;
dopt=Citation&list_uids=11033593Boston University School of Medicine, 715 Albany Street, Room A203, Boston, MA 02118, USA.Lau20002400240Lau, E. C.Cooper, C.Lam, D.Chan, V. N.Tsang, K. K.Sham, A.2000Factors
a
ssociated with osteoarthritis of the hip and knee in Hong Kong Chinese: obesity, joint injury, and occupational activitiesAmerican Journal of Epidemiology1529855–62
<
/PAGES>Nov 111085397risk factorshttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11085397Department of Community and Family Medicine, The Chinese University of Hong Kong. edithlau@cuhk.edu.hk}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Felson et al. 2000; Lau et al. 2000)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624511}{\*\bkmkstart _Toc179624605}Joint misalignment{\*\bkmkend _Toc179624511}{\*\bkmkend _Toc179624605}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Congenital abnormalities (conditions that are p
resent at birth) can cause an abnormal load distribution across the joint due to an alteration of the mechanical alignment of the joint during movement }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Arden20061550155Arden, N.Nevitt, M. C.2006Osteoarthritis: epidemiologyBest Practice and Research: Clinical Rheumatology2013–25Feb16483904reviewepidemiologyhttp://www.ncbi.nlm.nih.gov/entrez/query.
f
cgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16483904MRC Epidemiology Resource Centre, University of Southampton, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK. nka@mrc.soton.ac.uk}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Arden & Nevitt 2006)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. The alignment of a joint affects the load across the cartilage and other tissues. Areas of cartilage under high load or pressure can degrade faster or be damaged by joint movement, increasing the risk of early-onset osteoarthritis.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624512}{\*\bkmkstart _Toc179624606}Non-modifiable influences on osteoarthritis{\*\bkmkend _Toc179624512}
{\*\bkmkend _Toc179624606}
\par }\pard\plain \ltrpar\s5\ql \li0\ri0\sb180\sa80\sl260\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel4\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624513}{\*\bkmkstart _Toc179624607}Age{\*\bkmkend _Toc179624513}{\*\bkmkend _Toc179624607}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
The prevalence of osteoarthritis in all joints increases sharply with age. Radiological and autopsy surveys show a steady rise in osteoarthritic changes in joints from age 30 yea
rs onwards. By age 65 years, around 80% of the population have some radiographic evidence of osteoarthritis, though only one-quarter report any pain or disability }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Nuki199945745Nuki, GRalston, SLuqmani, R1999Diseases of the connective tissues, joints and bonesHaslett, CChilvers, EHunter, JABoon, NADavidson's principles and pra
ctice of medicineEdinburghChurchill Livingstone801–7618th edition}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 (Nuki et al. 1999)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. Possible mechanisms for the influence of age on osteoarthritis include diminished capacity for cartilage repair, hormonal changes and the cumulative effects of environmental exposures }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 ADDIN EN.CITE Petersson20022480248Petersson, I. F.Jacobsson, L. T.2002Osteoarthritis of the peripheral jointsBest Practice and Research, Cli
n
ical Rheumatology165741–60Dec12473271reviewepidemiologyhttp://www.n
c
bi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=12473271Spenshult Hospital for Rheumatic Diseases, S-313 92, Oskarstrom, Sweden. ingemar.petersson@spenshult.se}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Petersson & Jacobsson 2002)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par }\pard\plain \ltrpar\s5\ql \li0\ri0\sb180\sa80\sl260\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel4\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624514}{\*\bkmkstart _Toc179624608}Gender{\*\bkmkend _Toc179624514}{\*\bkmkend _Toc179624608}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Females are at higher risk of developing osteoarthritis of the hand and knee than males }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10310235 ADDIN EN.CITE Arden20061550155Arden, N.Nevitt, M. C.2006Osteoarthritis: epidemiologyBest Practice and Research: Clinical Rheumatology2013–25Feb16483904reviewepidemiologyhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrie
v
e&db=PubMed&dopt=Citation&list_uids=16483904MRC Epidemiology Resource Centre, University of Southampton, Southampton General Hospital, Tremona Road, Southampton SO16 6YD, UK. nka@mrc.soton.ac.ukSrikanth20053140314Srikanth, V KFryer, J LZhai, GZWinzenberg, T MHosmer DJones, G.2005A meta-analysis of sex differences in prevalence, incidence and severity of osteoarthritisOsteoarthritis and Cartilage139769–781}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Arden & Nevitt 2006; Srikanth et al. 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. They are affected more frequently, more severely, and at more sites. Females have a higher rate of knee cartilage tissue loss than mal
es (Ding et al. 2007), though the reasons for this are unknown. Factors that might contribute to the increased risk of osteoarthritis in females include the effects of female sex hormones and growth factors, the different distribution of weight in females
compared to males, and the possible advantages of the larger bone and body size of males on the volume of cartilage tissue at certain joints }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Ding20033070307Ding, C.Cicuttini, F.Scott, F.Glisson, MJones, G.2003Sex differences in knee cartilage volume in a
dults: role of body and bone size, age and physical activityRheumatology42111317–1323}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 (Ding et al. 2003)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par }\pard\plain \ltrpar\s5\ql \li0\ri0\sb180\sa80\sl260\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel4\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624515}{\*\bkmkstart _Toc179624609}Family history and genetics{\*\bkmkend _Toc179624515}{\*\bkmkend _Toc179624609}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
Osteoarthritis appears to run in families. Children of parents with early-onset osteoarthritis, or osteoarthritis involving more than one joint, are at increased risk of developing the disease }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 ADDIN EN.CITE Loughlin
20022420242Loughlin, J.2002Genome studies and linkage in primary osteoarthritisRheumatic Diseas
e
s Clinics of North America28195–109Feb11840700Geneticshttp://www.ncbi.nlm.nih.gov/entr
e
z/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=11840700Nuffield Department of Clinical Laboratory Sciences, Institute of Molecular Medicine, University of Oxford, Oxford, United Kingdom. john.loughlin@ndcls.o
x.ac.uk}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Loughlin 2002)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par Genetic factors can affect cartilage repair mechanisms and joint alignment. Twin studies have shown that genetic factors account for 60\endash 65% of the variation in osteoarthritis of the hands and hips, and 40\endash 50% in osteoarthritis of the knees }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE March20042440244March, L. M.Bagga, H.
AUTHOR>2004Epidemiology of osteoarthritis in AustraliaMedical Journal of Australia1805 SupplS6–10Mar 114984356reviewepidemiologyhttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=14984356Flora
nce and Cope Professorial Department of Rheumatology, Royal North Shore Hospital, St. Leonards, NWS, Australia. lynmar@med.usyd.edu.au}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (March & Bagga 2004)}
}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. Multiple genes are involved, but their roles in affecting an individual\rquote s risk of osteoarthritis have not yet been clarified }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Lally20042390239Lally, E. V.2004Genetic aspects of osteoarthritisMedicine and Health, Rhode Island877210–2Jul15354796Genetichttp://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=15354796Department of Medicine, Roger Williams Medical Center, Prov
idence, RI 02908, USA.}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Lally 2004)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624516}{\*\bkmkstart _Toc179624610}Risk factors for rheumatoid arthritis{\*\bkmkend _Toc179624516}
{\*\bkmkend _Toc179624610}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Although recent advances in the understanding of disease progression in rheumatoid arthritis have led to the development of new treatment opt
ions (for example, biologic drugs), the causes or triggers of the autoimmune response that leads to the disease have not yet been isolated. Only one modifiable factor relating to the development of rheumatoid arthritis\emdash tobacco smoking\emdash
has been clearly iden
tified, and its nature as a disease trigger is complex. Other factors such as diet, obesity and the use of oral contraceptives have been linked to increased or decreased risk of rheumatoid arthritis in some studies, but the evidence is not conclusive.
\par Giv
en the uncertainty surrounding modifiable risk factors for rheumatoid arthritis, primary prevention of the disease itself is not yet a reality. However, secondary prevention (that is, preventing progression of disease in people who have already been diagn
osed) through early diagnosis and prompt initiation of treatment, can reduce the extent of disability and functional limitations generally associated with rheumatoid arthritis. This is discussed in detail later in this chapter.
\par Some influences on rheumatoid arthritis risk are described below.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624517}{\*\bkmkstart _Toc179624611}Tobacco smoking{\*\bkmkend _Toc179624517}{\*\bkmkend _Toc179624611}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
Tobacco smoking is the only modifiable influence on rheumatoid arthritis that has been clearly identified to date. Exactly how smoking increases the risk of the disease is unclear, but may relate to its
effect as a trigger of immune response for certain proteins, its effect on sex hormone levels and its propensity to cause damage to a variety of bodily tissues }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Klareskog2006296<
MDL>0296Klareskog, LStolt, PLundberg, KKällberg, HBengtsson, CGrunewald, JRö
n
nelid, JHarris, H EUlfgren, A-KRantapää-Dahlqvist, SEklund, APadyukov, LAlfredsson, LEpidmiological Investigation of Rheumatoi
d
Arthritis Study Group,2006A new model for an etiology of rheumatoid arthritisArthritis and Rheumatism54138–46<
/
Cite>Harrison20022990299Harrison, B J2002Influence of cigarette smoking on disease outcome
in rheumatoid arthritisCurrent Opinion in Rheumatology14293–97}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
(Harrison 2002; Klareskog et al. 2006b)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. Only certain subtypes of rheumatoid arthritis are related to smoking, namely the anticitrulline antibody}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11746781 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
positive form and the seropositive (or rheumatoid factor positive) form.
\par Smoking has not been found to independently increase the risk of rheumatoid arthritis in the general population, but rather to interact with certain genetic factors associated with rheumatoid arthritis and lead to high risk in people with these factors }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 ADDIN EN.CITE Klareskog20062980298Klareskog, LPadyukov, LRönnelid, JAlfredsson, L2006Genes, environment and immunity in the developmen
t of rheumatoid arthritisCurrent Opinion in Immunology186650–655}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
(Klareskog et al. 2006a)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624518}{\*\bkmkstart _Toc179624612}Genetic factors{\*\bkmkend _Toc179624518}{\*\bkmkend _Toc179624612}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Family studies indicate the
high heritability of rheumatoid arthritis. Severe rheumatoid arthritis is found at approximately four times the expected rate in first-degree relatives of people with the disease. Approximately 10% of people with rheumatoid arthritis have an affected fir
st-degree relative }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Silman20012661266Silman, A JHochberg, M C2001<
/YEAR>Epidemiology of the rheumatic diseases, 2nd editionOxfordOxford University Press2nd}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 (Silman & Hochberg 2001)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. The disease also exhibits a higher concordance rate in identical twins than in fraternal twins }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Silman19932650265Silman, AJMacGregor, AJThomson, WHolligan, SCarthy, DFarhan, AOllier, We1993Twin concordance rates for rheumatoid arthritis: results
from a nationwide studyBritish Journal of Rheumatology3210903–907}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
(Silman et al. 1993)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. Certain genes (including a particular combination of human leukocyte antigens, referred to as the HLA-DR shared epitope) have been found to be highly associated with rheumatoid arthritis.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624519}{\*\bkmkstart _Toc179624613}Gender (hormonal factors){\*\bkmkend _Toc179624519}{\*\bkmkend _Toc179624613}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Rheumatoid arthritis is more common among females than males. This may be due to the role of female sex hormones, particularly }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid1074138 during menopause}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Kuiper2001505Kuiper, Svan Gestel
, ASwinkels, Hde Boo, T Mda Silva, J Avan Riel, P L2001Influence of sex, age, and menopausal state on the course of early rheumatoid arthritisJournal of Rheumatology2881809–16}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Kuiper et al. 2001)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. Other factors that may be involved in the higher incidence of rheumatoid arthritis in females include their low levels of the male sex hormones and high levels of prolactin (a protein involved in milk production) }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 ADDIN EN.CITE Brennan19952600260Brennan, PSilman, A1995Why the gender difference in susceptibility to rheumatoid arthritis?Annals of the Rheumatic Diseases54694–695}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Brennan & Silman 1995)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 . Pregnancy also influences the timing of the disease, with the
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1074138 period}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1074138 just }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
after childbirth being a high-risk time for developing first symptoms }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 ADDIN
EN.CITE Silman19922610261Silman, AKay, ABrennan, P1992Timing of pregnancy in relation to the onset of rheumatoid arthritisArthritis and Rheumatism352152–155}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Silman et al. 1992)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624520}{\*\bkmkstart _Toc179624614}Environmental factors{\*\bkmkend _Toc179624520}{\*\bkmkend _Toc179624614}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
The presence of high-risk genes is not sufficient to develop rheumatoid arthritis. Additional environmental factors are required to expose this susceptibility\emdash in other words, something must }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4595479 happen}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 to trigger the onset of the disease. Exposure to an infectious agent, such as a virus or bacteria, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4595479
is suspected, though none have been clearly linked with the disease}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 . However, any infectious agent involved is merely a trigger, and not a cause: rheumatoid arthritis is not transmissible from per
son to person.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624521}{\*\bkmkstart _Toc179624615}Other influences{\*\bkmkend _Toc179624521}{\*\bkmkend _Toc179624615}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
In addition to the above-mentioned genetic, environmental and biochemical factors, several other factors such as socioeconomic status, education and psychosocial wellbeing may play a role in the development and progression of rheumatoid arthritis }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Callahan19882630263Callahan, L FPincus, T1988Formal education level as a significant marker of clinical status in rheumatoid arthritisArthritis and Rheumatism31111346–1357Symmons20032620262Symmons, DP2003Environmental factors and the outcome of rheumatoid arthr
itisBest Practice and Research, Clinical Rheumatology175717–727}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
(Callahan & Pincus 1988; Symmons 2003)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par Rheumatoid arthritis is not as common in less developed countries }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Woolf2003707Woolf, ADPfleger, B2003Burden of major musculoskeletal conditionsBulletin of the World Health Organization819646–56}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Woolf & Pfleger 2003)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 . It is also less common in rural areas }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Symmons2002404Symmons, D2002Epidemiology of rheumatoid arthritis: determinants of onset, persistence and outcomeBest Practice and Research: Clinical Rheumatology165707–22}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Symmons 2002)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10310235
, although the differences between rural and non-rural areas are small. Among some populations where the prevalence of rheumatoid arthritis is naturally very low (for example, among tribal African communities), increased preval
ence in urbanised groups compared with those still living traditionally has been documented }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE Solomon19752900290Solomon, LRobin, GValkenburg, H A1975Rheumatoid arthritis in an urban South African Negro populationAnnals of the Rheumatic Diseases34128–135}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Solomon et al. 1975)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. The reasons for this variation are not well understood, and likely relate to a combination of genetic, sociological and environmental factors.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624522}{\*\bkmkstart _Toc179624616}{\*\bkmkstart _Toc216149679}Detection and diagnosis{\*\bkmkend _Toc179624522}
{\*\bkmkend _Toc179624616}{\*\bkmkend _Toc216149679}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
Pain and stiffness are often the first symptoms of arthritis. However, musculoskeletal symptoms can have many causes, and sometimes it can be difficult to distinguish the symptoms of arthritis from those of other diseases and conditions. For this reason
, diagnosis usually involves a combination of investigations including a medical history, physical examination, and pathology and imaging tests. The main symptoms of osteoarthritis and rheumatoid arthritis, and the ways these conditions are diagnosed, are
described below.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid1134388
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624523}{\*\bkmkstart _Toc179624617}Symptoms{\*\bkmkend _Toc179624523}{\*\bkmkend _Toc179624617}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 The }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10310235\charrsid15025136 osteoarthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
process occurs gradually over many years, and symptoms tend to come on gradually. They may vary from day to day and between individuals, but generally include the following symptoms in the affected joints:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10310235 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 pain (generally worse when moving, and eased by rest)
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10310235 \loch\af37\dbch\af0\hich\f37 \'95\tab}tenderness
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10310235 \loch\af37\dbch\af0\hich\f37 \'95\tab}stiffness (generally worse after rest, and improved by movement)
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10310235 \loch\af37\dbch\af0\hich\f37 \'95\tab}limitation of movement
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10310235 \loch\af37\dbch\af0\hich\f37 \'95\tab}swelling
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10310235 \loch\af37\dbch\af0\hich\f37 \'95\tab}a creaking sound or sensation on movement (known as \lquote crepitus\rquote ).
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 By comparison, the symptoms of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10310235\charrsid15025136 rheumatoid arthritis}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10310235 usually develop quite quickly, over a few weeks to months or in some cases over just a few days. The main joint symptoms are:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10310235 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 pain (usually worse in the morning or after long periods of rest)
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10310235 \loch\af37\dbch\af0\hich\f37 \'95\tab}stiffness (generally worse in the morning and lasting more than an hour)
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10310235 \loch\af37\dbch\af0\hich\f37 \'95\tab}heat
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10310235 \loch\af37\dbch\af0\hich\f37 \'95\tab}swelling
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10310235 \loch\af37\dbch\af0\hich\f37 \'95\tab}weakening of the surrounding muscles
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10310235 \loch\af37\dbch\af0\hich\f37 \'95\tab}painless lumps }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4595479 under the skin }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (called \lquote nodules\rquote ).
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 People with rheumatoid arthritis also often experience a general feeling of being unwell.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624524}{\*\bkmkstart _Toc179624618}Diagnosis{\*\bkmkend _Toc179624524}{\*\bkmkend _Toc179624618}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 A diagnosis of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10310235\charrsid6052406 osteoarthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
is generally based on a description of symptoms, physical examination and medical history. Occasionally, pathology tests may be ordered; these are to rule out other potential causes of the symptoms displayed and not to detect osteoarthritis itself. X-ra
ys are sometimes used, but as cartilage does not show up on X-rays these only show results when the osteoarthritis is severe and the bone itself has been damaged. Other imaging techniques such as ultrasound and magnetic resonance imaging (MRI) are being u
sed in clinical studies to see if they are able to detect osteoarthritic changes at an earlier stage.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10310235\charrsid6052406 Rheumatoid arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
can be difficult to diagnose in its early stages, as symptoms vary in appearance and severity. There is no single test that can detect
rheumatoid arthritis, and since the symptoms may be similar to those of other joint disorders it can take time to rule out other conditions. An accurate diagnosis is obtained through a combination of blood tests, joint X-rays, physical examination and th
e use of other imaging techniques such as MRI and ultrasound. MRI and ultrasound are very sensitive tools for detecting early joint symptoms and erosions, and may help to diagnose rheumatoid arthritis at an early stage }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 ADDIN EN.CITE Oliver20053000300Oliver, J SKladosek, AWeiler, VCzembirek, HBoeck, MStiskal, M2005Rheumatoid arthritis: a practical guide to state-of-the-art imaging, image interpretation and clinical implicationsRadioGraphics25381–398}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Oliver et al. 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 , but these techniques are not yet in routine clinical use.
\par Diagnostic criteria for rheumatoid arthritis have been developed by the American College of Rheumatology (ACR) (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Box 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 1) }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 AD
DIN EN.CITE Arnett19883080308Arnett, F CEdworthy, S MBloch, D AMcShane
,
D JFries, J FCooper, N SHealy, L AKaplan, S RLiang, M HLuthra, H SMedsger, T A JrMitchell, D. M.Neust
a
dt, D HPinals, R SSchaller, J GSharp, J TWilder, R LHunder, G G1988The American Rheumatism Association 1987 revised criteria for th
e classification of rheumatoid arthritisArthritis and Rheumatism313315–324}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
(Arnett et al. 1988)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 . These criteria identify \lquote
definite\rquote rheumatoid arthritis, and are used to classify the disease in epidemiological studies and clinical trials. Initiating treatment in patients with undifferentiated inflammatory arthritis or \lquote probable\rquote
rheumatoid arthritis before the ACR criteria are met may be beneficial in many cases }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
ADDIN EN.CITE van Dongen20073200320van Dongen, Hvan Aken, JL
ard, L RVisser, KRonday, H KHulsmans, T MSpeyer, IWestedt, M LPeeters, A JAllaart, C FToes, R EBreedve
l
d, F CHuizinga, T W2007Efficacy of methotrexate treatment in patients with probably rheumatoid arthritis: a double-bline, randomized, placebo-controlled trialArthritis and Rh
eumatism5651424–1432}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (van Dongen et al. 2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par }\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\pagebb\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid1516329 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6836620 {\*\bkmkstart _Toc213487519}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Box{\*\xmlclose}{\*\xmlclose} 5.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10310235 1{\*\xmlclose}{\*\xmlclose}: ACR 1987 revised criteria for the diagnosis of rheumatoid arthritis{\*\bkmkend _Toc213487519}
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10310235 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 Rheumatoid arthritis is defined by the presence of any four of the following:
\par }\pard\plain \ltrpar\s33\ql \fi-369\li624\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx65\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin624\rtlgutter\itap0\pararsid10310235 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 1.\tab morning stiffness in and around the joints, lasting at least 1 hour and present for at least 6\~weeks
\par 2.\tab arthritis of three or more joints including the elbows, wrists, hands, knees, ankles or feet, present for at least 6 weeks
\par 3.\tab arthritis of hand or wrist joints present for at least 6 weeks
\par 4.\tab symmetrical arthritis of joints listed in criterion 2, present for at least 6 weeks
\par 5.\tab rheumatoid nodules
\par 6.\tab serum rheumatoid factor positive
\par 7.\tab radiographic changes in the hand or wrist joints, including erosions or bony decalcification.
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10310235 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i0\insrsid10310235\charrsid5848259 Source: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid10499219 Arnett et al. 1988.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i0\insrsid10310235\charrsid5848259 }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\i0\insrsid10310235 ADDIN EN.CITE Arnett19883080308Arnett, F CEdworthy, S MBloch, D AMcShane, D JFries, J FCooper, N SHealy, L AKaplan, S RLiang, M HLuthra, H SMedsger, T A JrMitchell, D. M.Neustadt, D HPinals, R SSchaller, J GSharp, J TWilder, R L<
/
AUTHOR>Hunder, G G1988The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritisArthritis and Rheumatism313315–324}}{\fldrslt }}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1
\af0 \ltrch\fcs0 \i0\insrsid10310235\charrsid5848259
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624525}{\*\bkmkstart _Toc179624619}Importance of early diagnosis and intervention for rheumatoid arthritis
{\*\bkmkend _Toc179624525}{\*\bkmkend _Toc179624619}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Early diagnosis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4595479 of rheumatoid arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
is important for reducing the severity of symptoms and preventing disability. Degeneration occurs early in the course of disease, so before this }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4595479 happens}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
it is important to make a diagnosis and begin treatment. Treatment with disease-modifying anti-rheumatic drugs (DMARDs), if appropriate, is commenced as early as possible.
Treatment with these drugs aims to reduce joint pain and swelling and prevent joint damage. The type of DMARD used is determined by the likely prognosis or history of the condition, based on how the person presents initially. Careful monitoring by a docto
r or specialist is required to achieve optimal results and minimise side effects.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid5535186
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6836620 {\*\bkmkstart _Toc267314821}Figure 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 2: Management framework }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid1516329 for}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 arthriti}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6509576 s{\*\bkmkend _Toc267314821}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1516329 Flow chart diagram.
\par
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9466318 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318
The goals of treatment for rheumatoid arthritis are controlling symptoms, preventing or limiting degenerati
on of the joints and minimising subsequent disability. Recently, combination therapies (a biologic plus a DMARD; for example, etanercept with methotrexate) have been shown to be effective in improving symptoms, reducing disease progression and inducing re
mission in a large proportion of patients }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318
ADDIN EN.CITE Goekoop-Ruiterman20073190319Goekoop-Ruiterman, Y
de Vries-Bouwstra, J KAllaart, C Fvan Zeben, DKerstens, P J S MHazes, J M WZwinderman, A HPeeters, A Jde Jonge-Bok, J M
M
alleé, Cde Beus, W Mde Sonnaville, P B JEwals, J A P MBreedveld, F CDijkmans, B. A.C.2007Comparison of treatment strategies in
early rheumatoid arthritis: a randomized trialAnnals of Internal Medicine146406–415van der Heijde20063180318van der Heijde, DKlareskog, LRodriguez-Valverde, VCodreanu, CBolosiu, HMelo-Gomes, JTornero-Molina, JWajdula, JPedersen, RFatenejad, Sfor the TEMPO Study Investigators2006Comparison of etanercept and methotrexate, alone and combin
e
d, in the treatment of rheumatoid arthritisArthritis and Rheumatism5441063–1074Breedveld20063170317Breedveld, F CWeisman, M HKavanaugh, A FCohen, S BPavelka, K.van Vollenhoven, RSharp, JPerez, J LSpencer-Green, G Tfor the PREMIER Investigators,2006The PREMIER study: a multicenter, randomized, double-blind clinical trial of combination t
h
erapy with adalimumab plus methotrexate versus methotrexate alone or adalimumab alone in patients with early, aggressive rheumatoid arthritis who had not had previous methotrexate treatmentArthritis and Rheumatism54126–37}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 (Breedveld et al. 2006; Goekoop-Ruiterman et al. 2007; van der Heijde et al. 2006)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 . Remission is now considered a realistic treatment goal }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 ADDIN EN.CITE Montecucco20063210321Montecucco, C2006Remission, a therapeutic goal in inflammatory arthropath
ies? Clinical data from adalimumab studiesDrugs66141783–1795}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318
(Montecucco 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318
, although therapy usually needs to be maintained.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid9466318 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 {\*\bkmkstart _Toc179624526}{\*\bkmkstart _Toc179624620}{\*\bkmkstart _Toc216149680}Arthritis management{\*\bkmkend _Toc179624526}
{\*\bkmkend _Toc179624620}{\*\bkmkend _Toc216149680}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9466318 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318
Effective management of arthritis involves a variety of health practitioners. Treatment options are complex: a combination of physical therapy, medication and lifestyle modification is required to limit pain, maximise function and optimise
quality of life. In some cases, joint replacement surgery may be necessary to relieve pain and improve function at a badly affected joint; this is more common in osteoarthritis. Improvements in surgical and anaesthetic techniques have meant that joint rep
lacement surgery is now more widely available, particularly for those at older ages.
\par People with arthritis seek health care both for acute flare-ups of symptoms and for the ongoing management of their condition. A person\rquote s knowledge about the condition, se
lf-management skills and confidence, access to primary health care services, disease severity, symptoms and personal beliefs can affect their help-seeking behaviour and influence their choice of health professional.
\par The general practitioner sees the largest volume of people with arthritis; they }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7109254 can refer to and coordinate care with}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318
specialists and other health professionals (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318
2). Guidelines for the diagnosis and management of osteoarthritis and rheumatoid arthritis have been developed by the {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Royal{\*\xmlclose}
{\*\xmlopen\xmlns2{\factoidname place}}Australian{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}College{\*\xmlclose}{\*\xmlclose}{\*\xmlclose}
of General Practitioners (see ). Specialists such as rheumatologists and orthopaedic surgeons are important for diagnosis of rheumatoid arthritis and surgical treatment of osteoarthritis. Allied health practitioners (su
ch as physiotherapists, occupational therapists and podiatrists) also play key roles in the management team.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid9466318 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 {\*\bkmkstart _Toc179624527}{\*\bkmkstart _Toc179624621}Management options{\*\bkmkend _Toc179624527}{\*\bkmkend _Toc179624621}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9466318 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 Arthritis cannot be cured. The aims of management are therefore to relieve pain, reduce inflammation, protect the joints from d
amage, maintain joint function and (for rheumatoid arthritis) to prevent or reduce involvement in other parts of the body. Early prevention of joint damage and induction of remission are key goals in rheumatoid arthritis. Management generally comprises a
combination of medication, physical therapy, self-management education and (where necessary) surgery.
\par The most common management actions reported by people with arthritis in the 2004\endash 05 National Health Survey (NHS) were taking vitamin and mineral supplements and using pharmaceuticals (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Table 5.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318
1). A range of physical therapies were also reported, with exercise being the most common. Approximately 30% of people with arthritis reported that they took no actions or treatments for arthritis in the 2 weeks before
the survey was conducted. Note that not all of the treatments described below are recommended for all types of arthritis.
\par Medications and physical therapy act through different mechanisms to treat arthritis. Medications act by suppressing pain, providing
non-specific suppression of the immune system or inflammatory process, or preventing progressive damage to joint structures. Physical therapy strengthens and maintains mobility of the muscles and ligaments surrounding the joint, protecting the joint from
further damage and improving functioning. Physical activity also improves mental health.
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\pagebb\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6836620 {\*\bkmkstart _Toc213486287}Table 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 1: Management actions taken for arthritis, 2004\endash 05{\*\bkmkend _Toc213486287}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387
\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Action\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Per cent\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387
\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Exercised most days\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 18.8\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row \ltrrow
}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Strength or resistance training\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 5.5\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Water therapy\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 3.7\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Weight loss\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 5.2\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Change of diet or eating pattern\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 3.5\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Massage\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 6.3\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Used physical aids\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 2.3\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Used vitamin/mineral supplements\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 39.0\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Used pharmaceutical medication\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 37.4\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Visited a GP or specialist\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 10.8\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Visited an allied health professional\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 4.4\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow11\irowband11\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Other actions\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 1.8\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow12\irowband12\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row \ltrrow
}\trowd \irow13\irowband13\lastrow \ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 No action\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 29.5\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \trowd \irow13\irowband13\lastrow \ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10
\trftsWidth3\trwWidth5495\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10310235\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth2410\clshdrawnil \cellx5387\row
}\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid10310235 Notes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
\par 1.\tab Includes people that self-reported a doctor\rquote s or nurse\rquote s diagnosis of any form of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11344935 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 arthritis. Data were not reliable enough to allow separation into specific types of arthritis.
\par 2.\tab More than one action may be reported.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid10310235 Source}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 : AIHW analysis of }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 2004\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244
NHS}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 CURF.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624528}{\*\bkmkstart _Toc179624622}Exercise{\*\bkmkend _Toc179624528}{\*\bkmkend _Toc179624622}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Exercise can have many benefits for people with arthritis and is an essential }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 part}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10310235 of therapy. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7109254 In addition to reducing joint stiffness and maintaining mobility, regular exercise can reduce the risk of developing ot
her chronic diseases such as diabetes and cardiovascular disease. In people who already have other chronic conditions, exercise can help manage these conditions and reduce the risk of complications.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 The main types of exercise recommended }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7109254 for people with arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 are aerobic fitness, quadriceps}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid9466318 (thigh)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
muscle strengthening and resistance exercises. People with arthritis may find it difficult to exercise, or they may be reluctant to do so because of the pain experienced in the joints. However, exercise progr
ams can be tailored to suit the needs and abilities of a person with arthritis and to provide support for the affected joints\emdash
for example, by exercising in water. No matter what type of exercise is performed, to obtain the greatest benefit it is important that it is done regularly.
\par Exercise for people with rheumatoid arthritis is directed at maintaining muscle strength and joint mobility without }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 increasing}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
joint inflammation. Regular aerobic and resistance exercises are beneficial for people with rheumatoid arthritis, and have been shown to reduce symptoms and disease activity, and increase functional capacity }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10310235 ADDIN EN.CITE Hakkinen20013150315Hakkinen, A.Sokka, T.Kotaniemi, AHannonen, P.2001A randomized two-year study of the effects of dynamic strength training on muscle strength, disea
se activity, functional capacity and bone mineral density in early rheumatoid arthritisArthritis and Rheumatism443515–522}}{\fldrslt
{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Hakkinen et al. 2001)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624529}{\*\bkmkstart _Toc179624623}Self-management{\*\bkmkend _Toc179624529}{\*\bkmkend _Toc179624623}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
Educating people with arthritis about their condition, how they can best manage it and how to reduce the risk of exacerbation or complications is known as self-management. Self-management courses can provide counselling, encour
agement and a support network. These courses can also advise on the appropriate use of aids, joint protection (that is, how to avoid aggravating the joint and causing further injury), the likely progression of the condition and the purpose of and options
for treatment.
\par Informing patients about their condition can lead to improvements in pain, functioning and quality of life. In {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
, arthritis-specific self-management courses are offered by the Arthritis Australia affiliates in each state and territory (freecall 1800 011 041), }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 and}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
general chronic disease self-management courses are offered by community and Aboriginal health centres, and through some general practices.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624530}{\*\bkmkstart _Toc179624624}Aids to realign joints{\*\bkmkend _Toc179624530}{\*\bkmkend _Toc179624624}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 When the bones are out of alignment in a joint, certain surfaces of cartilage are put under higher load, causing osteoarthritis in that }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 part}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
of the joint. Realignment of knee joints can be achieved through the use of orthotics and taping. There is no clear evidence for whether this practice can actually prevent osteoarthritis from developing, but it may reduce symptoms.
\par In people with osteoarthritis in one side of the knee, a wedged insole may help take pressure off the affected side and put the knee joint into better alignment. This can reduce pain and improve functi
oning of the joint. An Australian trial is currently assessing the effectiveness of wedged insol}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 es in people with medial (inner}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 ) knee osteoarthritis }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 ADDIN EN.CITE Bennell20073220322Bennell, KBowles, K-APayne, CCicuttini, F.Osborne, R.Harris, AHinman, R2007Effects of laterally wedged insoles on symptoms and disease progression in medial knee osteoarthritis: a protocol for a randomised, double-blind, placebo controlled trialBMC Musculoskeletal Disordersdoi: 10.1186/1471-2474-8-96}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 (Bennell et al. 2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par When the area behind the kneecap (patella) is affected, symptoms may be improved by taping the kneecap into correct alignment. Taping can be used along with exercises to strengthen the muscles that hold the patella in the correct alignment.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624531}{\*\bkmkstart _Toc179624625}Weight loss and reduction of joint loading{\*\bkmkend _Toc179624531}
{\*\bkmkend _Toc179624625}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Carrying excess body weight or performing certain repetitive movements puts additional pressure (or \lquote load\rquote ) on the joints, particu
larly the hips and knees. In people with osteoarthritis, this causes pain and increases the rate of cartilage breakdown. Reducing the load on the joints is therefore an important }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 part}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10310235 of osteoarthritis treatment.
\par In people who are overweight, weight loss helps to reduce the pain and disability associated with knee osteoarthritis, can slow the progression of the disease and may even reverse cartilage damage }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 ADDIN EN.CITE Ding20063160316Ding, C.Cicuttini, F.Scott, F.Cooley, HBoon, CJones, G.2006Natural
history of knee cartilage defects and factors affecting changeArchives of Internal Medicine1666651–658}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10310235 (Ding et al. 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. Similarly, avoiding prolonged standing, kneeling and squatting can improve symptoms in people with knee or hip osteoarthritis. This may be difficult because these activities are often part of a person\rquote
s job. In these cases, an occupational therapist can advise on appropriate activities and recommend }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 different}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 ways of }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid9466318 doing}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 tasks so that the load on the affected joints is minimised.
\par For people with arthritis affecting the hands, flexible splinting of some joints in the hand can reduce unwanted motion and pain and may be useful for short periods, but }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid18513 used long}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid13660385 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid18513 term}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 this can cause muscle wasting that is detrimental to joint function.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624532}{\*\bkmkstart _Toc179624626}RICE therapy{\*\bkmkend _Toc179624532}{\*\bkmkend _Toc179624626}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 RICE therapy (rest, ice, compression and elevation) is used to manage acute }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9466318 flare-ups}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 of arthritis symptoms. It is generally
undertaken in the first 48 hours after an injury or flare-up of symptoms, to reduce pain and swelling. The joint is rested and kept in an elevated position, ice is applied for 10 minutes every 1\endash
2 hours, and compression bandages or strapping are used to support the joint. Heat therapy should not be used during this time, but can be applied for pain relief after the initial 48-hour period.
\par Rest can}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10321338 also}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 improve symptoms }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10321338 of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 rheumatoid arthritis.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624533}{\*\bkmkstart _Toc179624627}{\*\bkmkstart _Toc179624534}{\*\bkmkstart _Toc179624628}Use of medications
{\*\bkmkend _Toc179624533}{\*\bkmkend _Toc179624627}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Medications are an }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10321338 important}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10321338 part}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 of the man
agement of arthritis. Prescribing, advising or supplying medications is the most common management action taken by general practitioners in consultations for osteoarthritis and rheumatoid arthritis. A wide variety of medications for the treatment of arthr
itis are available in {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}.
\par Medications can be obtained either by prescription or over the counter (that is, without a prescription). The major types of prescription and over-the-counter medications used in arthritis management are described in Chapter }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1392943 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 . Natural and herbal supplements, vitamins and minerals (\lquote complementary medicines\rquote ) are also widely available and commonly used, though}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10310235\charrsid14503900 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 evidence for the effectiveness of these types of medicines is limited. The complementary medicines most commonly used
by people with arthritis are glucosamine and chondroitin (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname
place}}Box{\*\xmlclose}{\*\xmlclose} 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 2{\*\xmlclose}{\*\xmlclose}).
\par In the 2004\endash 05 NHS, 19% of people with osteoarthritis and 47% of those with rheumatoid arthritis reported that they were taking at least one pharmaceutical (that is, medications other tha
n complementary medicines) for their condition. Use of complementary medicines was reported by 28% of people with osteoarthritis and 19% of those with rheumatoid arthritis.
\par Pharmaceuticals commonly used for osteoarthritis include paracetamol and other analgesics, and non-steroidal anti-inflammatory drugs (NSAIDs) such as }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10321338 celecoxib}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
. For rheumatoid arthritis, commonly used pharmaceuticals include paracetamol and other analgesics, NSAIDs, corticosteroids and disease-modifying anti-rheumatic drugs (DMARDs) such as methotrexate.
\par }\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10321338 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6836620 {\*\bkmkstart _Toc213487520}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Box{\*\xmlclose}{\*\xmlclose} 5.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10321338 2{\*\xmlclose}{\*\xmlclose}: Glucosamine and chondroitin: complementary medicines commonly used for arthritis{\*\bkmkend _Toc213487520}
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10321338 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10321338 Glucosamine and chondroitin are the building blocks of one of the components of cartilage. Taking dietary supplements of these compounds may reduc
e pain in people with mild to moderate symptoms of osteoarthritis, although evidence for the effectiveness of these supplements is limited.
\par Glucosamine comes in two forms: glucosamine sulphate and glucosamine hydrochloride. It is made from crab, lobster o
r shrimp shells, so it can have adverse affects in people allergic to seafood. Glucosamine can cause gastrointestinal upsets and be a problem for people with abnormal glucose tolerance.
\par Chondroitin is made from animal cartilage and can cause adverse effects in people taking blood-thinning agents such as heparin and warfarin.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Trends in pharmaceutical use{\*\bkmkend _Toc179624534}{\*\bkmkend _Toc179624628}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Between 2000 and 2005 there were significant changes in the type of NSAID prescriptions supplied with a subsidy from the Australian Government
\rquote s Pharmaceutical Benefits Scheme (PBS) or Repatriation PBS (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 3). This occurred because of the introduction of two COX-2 specific NSAIDs\emdash
rofecoxib (also known as Vioxx}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid10321338 \'ae}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 ) and celecoxib\emdash into the schemes. The number of subsidised prescriptions filled for rofecoxib
peaked in 2003, but in late 2004 the drug was recalled from the market because of increased risks of cardiovascular and renal complications. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10321338 Over the following 12 months}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 , the supply of celecoxib prescriptions decreased, while the supply of meloxicam increased. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9133047
Over 2006 and 2007 the supply of celecoxib continued to decrease, but the number of meloxicam prescriptions was stable. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
The number of subsidised prescriptions filled for other NSAIDs (piroxicam, naproxen, diclofenac, ketoprofen and ibuprofen) declined between 2000 and 2001, but have since remained relatively steady.
\par Trends in the use of other subsidised pharmaceuticals commonly taken for osteoarthritis, including paracetamol, opioids and corticosteroids, are not shown here. These types of drugs can be
used for many different conditions, and so the trend in supply may not be related to the treatment of osteoarthritis.
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6836620 {\*\bkmkstart _Toc267314822}Figure 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 3: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid1516329 Supply}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
of subsidised non-steroidal anti-inflammatory drugs (NSAIDs) commonly used for osteoarthritis, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid9133047 2000\endash 200}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid9133047 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 {\*\bkmkend _Toc267314822}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1516329 Vertical bar chart showing, for type of drug, prescriptions filled (million) on y-axis and year on x-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid1516329 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1516329\charrsid1516329 Notes
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329 1.\tab Only includes prescriptions for which a subsidy was paid under the Pharmaceutical Benefits Scheme or Repatriation Pharmaceutical Benefits Scheme.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1516329 2.\tab Medications shown are commonly used for osteoarthritis but may not have been prescribed for this condition.
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid14319407 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid1516329\charrsid1516329 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1516329 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329
Pharmaceutical Benefits Scheme item statistics (Medicare Australia 2008).}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1516329\charrsid14319407
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 {\*\bkmkstart _Toc179624535}{\*\bkmkstart _Toc179624629}Complications{\*\bkmkend _Toc179624535}
{\*\bkmkend _Toc179624629} and comorbidities
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 \lquote Complications\rquote in this sense are hea
lth problems or other diseases a person may have as a result of their arthritis. These problems may be related to the disease process itself, or they may be a side}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10888561 -}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 effect of arthritis treatment.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Complications in osteoarthritis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 As previously noted, osteoar
thritis involves only the joints and the osteoarthritic process does not directly affect other parts of the body. As age increases, people with osteoarthritis are likely to also have other diseases, known as comorbid conditions. Although the presence of t
hese comorbid conditions may affect the way that osteoarthritis is managed (for example, the type of medication taken), they are not complications of osteoarthritis.
\par One problem }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10888561 to which}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 osteoarthritis may contribute is obesity. Joint pain and stiffness ma
y make people with osteoarthritis reluctant to exercise, or they may have difficulty doing so}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7109254 , and this can lead to weight gain}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7109254 As well as putting extra stress on the weight-bearing joints, obesity is a risk factor for many chronic diseases including hear
t disease, stroke and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10888561 T}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7109254 ype 2 diabetes, so maintaining a healthy weight is important.}{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7109254 A}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10321338 s described above, }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 exercise and weight loss are essential therapies for arthritis, and activities can be tailored to ensure affected joints are properly supported.
\par Some o
f the medications used to manage osteoarthritis may cause adverse side effects, such as high blood pressure, heart failure, nausea and peptic ulcers. These are complications of osteoarthritis treatment. To reduce the risk of these side effects, medication
should be used as instructed and monitored by a health professional. The types of medication used for arthritis are described in detail in Chapter }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1392943 4}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Complications in rheumatoid arthritis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 In addition to joint deformities and associated disability, people w
ith rheumatoid arthritis may experience a range of complications, resulting both from the disease process and from the medications used}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10321338 to manage it}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 .
\par The underlying autoimmune process may attack tissues throughout the body, including the lungs, the membra
nes surrounding the heart, the eyes and occasionally the blood vessels. This can lead to potentially serious complications such as heart failure, heart attack, myocarditis (inflammation of the heart muscle), breathing difficulties and anaemia. Regular mon
itoring for signs of these conditions is necessary so that appropriate treatment or preventive action can be initiated as early as possible. Aggressive control of cardiovascular risk factors }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10321338 (blood pressure and cholesterol levels) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 is recommended }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 ADDIN EN.
CITE RACGP200732416324RACGP2007Rheumatoid arthritis: guidelines (draft)MelbourneRACGP20085 February16 May 2007http://www.racgp.org.au/Content/NavigationMenu/ClinicalResources/RACGPGuidelines/Arthritis/}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 (RACGP 2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 .
\par The medications used to manage rheumatoid arthritis can also have adverse side effects. These may include ulcers, osteoporosis, nausea, kidney problems, headaches and disruption of liver function. Some of the medications may depre
ss the immune system, leading to increased risk of infections and immune-related diseases such as cancer }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
ADDIN EN.CITE Sihvonen20042930293Sihvonen, SKorpela, MLaippala, PMustonen, JPasternack, A2004Death rates and causes of death in patients with rheumatoid arthritis:
a population-based studyScandinavian Journal of Rheumatology334221–227}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 (Sihvonen et al. 2004)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 . Careful monitoring of medication use, regular testing for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid18513 side}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid18513\charrsid14303628 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid18513 effects}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
and early treatment of complications is needed }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
ADDIN EN.CITE RACGP200732416324RACGP2007Rheumatoid arthritis: guidelines (draft)MelbourneRACGP20085 February16 May 2007http://www.racgp.or
g.au/Content/NavigationMenu/ClinicalResources/RACGPGuidelines/Arthritis/}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 (RACGP 2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
. Detailed information about the various types of medication used in rheumatoid arthritis management is provided in Chapter }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1392943 4}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 .
\par People with rheumatoid arthritis have an increased risk of premature death, with a life expectancy on average 5\endash 10 years younger than the general population }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 ADDIN EN.CITE Kvien2004606Kvien, T K2004Epidemiology and burden of illness of rheumatoid arthritisPharmacoeconomics222 Suppl.<
/NUMBER>1–12}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 (Kvien 2004)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 . Begg et al. }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
ADDIN EN.CITE Begg200732310323Begg, SVos, TBarker, BStevenson, CStanley, LLopez, A D2007The burden of disease and injury in Australia 2003CanberraAIHW}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 (2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
estimated that more than 1,600 years of life lost in}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10321338 Australia in}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
2003 could be directly attributed to rheumatoid arthritis. Cardiovascular disease and cancers are the most common causes of death in people with the disease.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid13389667
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 {\*\bkmkstart _Toc179624536}{\*\bkmkstart _Toc179624630}Management by GPs and specialists
{\*\bkmkend _Toc179624536}{\*\bkmkend _Toc179624630}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
General practitioners play a central role in the management of arthritis in the community. This role includes assessment, prescription, education, referral an
d review. Specialist services are also important, particularly for people with rheumatoid arthritis and among those for whom surgery is being considered.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8415040 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 In the 2004\endash
05 NHS, 6% of males and 7% of females with osteoarthritis reported that they had visited a GP or specialist for their condition in the 2 weeks before the survey was conducted (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 5.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10310235 4). Among people with rheumatoid arthritis, 12% of males and 21% of females reported visiting a GP or specialist for their condi}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 tion during that 2-week period.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10310235\charrsid13177010
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14319407 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc267314823}Figure 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
4: GP and specialist visits among people with arthritis, 2004\endash 05{\*\bkmkend _Toc267314823}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14319407 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14319407 Vertical bar chart showing, for males and females, per cent on y-axis and types of arthritis on x-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid8415040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid8415040\charrsid8415040 Notes }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid8415040 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 1.\tab
Proportion of people with condition who reported that they had visited a GP or specialist for the condition in the 2 weeks before the survey.\line 2.\tab
Includes people who self-reported that they had been diagnosed with the condition by a doctor or nurse.\line 3.\tab Age standardised to the Australian population as at 30 June 2001.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid8415040\charrsid8415040 Source}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 : AIHW analysis of the 2004\endash 05 NHS CURF.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624537}{\*\bkmkstart _Toc179624631}Services provided by GPs{\*\bkmkend _Toc179624537}{\*\bkmkend _Toc179624631}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14380558 The BEACH survey of general practice found that osteoarthritis was the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1077048 eigh}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14380558 th most common problem managed by GPs in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9133047\charrsid14380558 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14380558 \endash 0}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9133047\charrsid14380558 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14380558 }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16072854 ADDIN EN.CITE Britt200832614326Britt, HMiller, G CCharles, JHenderson, JPan, YValenti, LBayram, CO'Halloran, JHarrison, CFahridin, S2008General practice activity in Australia 2007–08CanberraAIHWAIHW}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16072854 (Britt et al. 2008)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14380558 . }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235\charrsid12665602 Osteoarthritis made up 1.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12665602\charrsid12665602 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid12665602 % of all problems managed by GPs in that year, }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10310235\charrsid2949620 and was managed in 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15078204\charrsid2949620 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid2949620 out of every 1,000
encounters (more than one problem can be managed at each encounter). This equates to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2949620\charrsid2949620 almost}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid2949620 2.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid9374353 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid2949620 million Medicare-paid GP consultations between 1 April 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2949620\charrsid2949620 7}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235\charrsid2949620 and 31 March 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2949620\charrsid2949620 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid2949620 . Of osteoarthritis problems managed by GPs, }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2949620\charrsid2949620 20}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid2949620 % were new problems (that is, the first presentation of the problem to a medical practitioner). }{\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid10310235\charrsid12592883
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid12665602
Rheumatoid arthritis is less commonly managed by GPs than osteoarthritis. This most likely reflects the lower prevalence of rheumatoid arthritis and the greater role of specialists in its management. Rheumatoid arthritis made up 0.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid12665602\charrsid12665602 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid12665602 % of problems managed by GPs in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12665602\charrsid12665602 7}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235\charrsid12665602 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12665602\charrsid12665602 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid12665602 , managed}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid2949620
at 5 out of every 1,000 encounters. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2949620\charrsid2949620 Twelve}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid2949620 per cent of rheumatoid arthritis problems managed by GPs were new problems. }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid10310235\charrsid12592883
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc213486288}Table 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 2: Management provided by general practit
ioners for osteoarthritis and rheumatoid arthritis, 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2949620 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2949620 8}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235 {\*\bkmkend _Toc213486288}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3004\clshdrawnil \cellx5524\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3418\clshdrawnil \cellx8942\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid8415040 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid8415040 Osteoarthritis (OA)\cell Rheumatoid arthritis (RA)\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f1\fs16\cf1\lang1033\langfe1033\langnp1033\insrsid8415040 \trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3004\clshdrawnil \cellx5524\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3418\clshdrawnil \cellx8942\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 Type of management\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 Per cent}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid8415040 (a)}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 of all OA encounters}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\lbr3\insrsid8415040 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid8415040 (n = 2,474)\cell Per cent}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid8415040 (a)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040
of new OA encounters}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid8415040 (b)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\lbr3\insrsid8415040 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 (n = 485)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040\charrsid7150242 \cell }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 Per cent}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid8415040 (a)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040
of all RA encounters }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\lbr3\insrsid8415040 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 (n = 435)\cell Per cent}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\super\langnp1033\insrsid8415040 (a)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 of new RA encounters}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid8415040 (b)}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\lbr3\insrsid8415040 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 (n = 53)}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040\charrsid7150242 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil
\cellx7144\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid8415040 Medications\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11814514 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid2949620 70\cell 63\cell 69\cell 70\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs16\cf1\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid2949620 \trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11814514 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid8415040 Referrals\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11814514 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid2949620 11\cell 13\cell 14\cell 34\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040\charrsid2949620 \trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 Orthopaedic surgeon\cell }\pard \ltrpar\s44\qr \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 5\cell 4\cell 0\cell 0\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\pard\plain \ltrpar
\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 Physiotherapist\cell }\pard \ltrpar\s44\qr \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 3\cell 5\cell 2\cell 12\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 Rheumatologist\cell }\pard \ltrpar\s44\qr \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 1\cell 2\cell 9\cell 23\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11814514 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 Pathology\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11814514 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040\charrsid2949620 2\cell 3\cell 18\cell 16\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 \trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil
\cellx7144\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 C-reactive protein\cell }\pard \ltrpar\s44\qr \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \emdash \cell 1\cell 6\cell 6\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\pard\plain \ltrpar
\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 Erythrocyte sedimentation rate\cell }\pard \ltrpar\s44\qr \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \emdash \cell \emdash \cell 8\cell 9\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 Full blood count\cell }\pard \ltrpar\s44\qr \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \emdash \cell 2\cell 15\cell 9\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\pard\plain \ltrpar
\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 Liver function test\cell }\pard \ltrpar\s44\qr \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \emdash \cell 1\cell 9\cell 2\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \trowd \irow11\irowband11\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960\clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 Rheumatoid factor\cell }\pard \ltrpar\s44\qr \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid11814514 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \emdash \cell \emdash \cell 2\cell 6\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 \trowd \irow12\irowband12\ltrrow\ts11\trgaph108\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row \ltrrow}\trowd \irow13\irowband13\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil
\cellx7144\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid8415040 Imaging\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11814514 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid2949620 14\cell 36\cell 6\cell 24\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f1\fs16\cf1\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid2949620 \trowd \irow13\irowband13\lastrow \ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid3021998\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2628\clshdrawnil \cellx2520\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx3960
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1564\clshdrawnil \cellx5524\clvertalc\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx7144\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1798\clshdrawnil \cellx8942\row }\pard\plain \ltrpar
\s159\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 \emdash \tab less than 1%
\par }\pard \ltrpar\s159\ql \li0\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11873953 (a)\tab
Per cent of encounters where at least one management action of this type was undertaken. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13833077 Where m}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11873953
ore than one such action }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13833077 has been}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11873953 undertaken in a single encounter}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13833077 it has been counted once}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11873953 , for example, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13833077 if }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11873953 two medications }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13833077 were}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11873953
prescribed}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13833077 at a single encounter it was counted once}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11873953 .
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11873953 b}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 )\tab }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid12665602 Encounters where the problem}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid12665602 was}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 being presented to a medical practitioner for the first time.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235\charrsid6906073
\par }\pard \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid10310235 Source}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 : AIHW analysis of the 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2949620 7}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2949620 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 BEACH survey.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7687104 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7687104\charrsid2949620 GPs manage osteoarthritis and rheumatoid arthritis using a variety of strategies (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7687104
Table 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7687104\charrsid2949620 2). Medication is the most common management strategy employed for arthritis by GPs, with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9374353 at least one }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7687104\charrsid2949620 medication being prescribed, advised or supplied in 70% of encounters for osteoarthritis and 69% of those for rheumatoid arthritis in 2007\endash 08. As might be expected, imaging and }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7687104 referrals }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7687104\charrsid2949620 were more commonly used for new problems than for existing problems.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7687104
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid16719498 The mos
t common medications prescribed, advised or supplied for osteoarthritis were paracetamol (prescribed/advised in 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16719498\charrsid16719498 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid16719498
% of encounters), meloxicam (1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16719498\charrsid16719498 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid16719498 %) and celecoxib (8%), with methotrexate (2}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16719498\charrsid16719498 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid16719498 %}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9374353 of rheumatoid arthritis encounters}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid16719498
), paracetamol (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16719498\charrsid16719498 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid16719498 %) and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16719498\charrsid16719498 meloxicam}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10310235\charrsid16719498 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16719498\charrsid16719498 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid16719498
%) being the most commonly prescribed, advised or supplied medications for rheumatoid arthritis (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Table 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid16719498 3). }{\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid10310235\charrsid12592883
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6836620 {\*\bkmkstart _Toc213486289}Table 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235\charrsid11814514 3: Top 10 medications prescribed, advised or supplied by GPs for osteoarthritis and rheumatoid arthritis, 200}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11814514\charrsid11814514 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid11814514 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11814514\charrsid11814514 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid11814514 {\*\bkmkend _Toc213486289}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4428\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4444\clshdrawnil \cellx8764
\pard\plain \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 Osteoarthritis (n = 2,474)\cell Rheumatoid arthritis (n = 435)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\highlight7\langnp1033\insrsid8415040\charrsid12592883 \trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4428\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4444\clshdrawnil \cellx8764\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx6244\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 Medication \cell Class\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 Per cent}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid8415040\charrsid11814514 (a)\cell }\pard \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 Medication\cell
Class\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid11814514 Per cent}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid8415040\charrsid11814514 (a)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\highlight7\langnp1033\insrsid8415040\charrsid12592883 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx6244\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764\row \ltrrow}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil
\cellx6244\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Paracetamol\cell Non-opioid analgesic\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 23}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Methotrexate\cell DMARD\cell }\pard \ltrpar
\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 0}
{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\highlight7\langnp1033\insrsid8415040\charrsid12592883 \trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600
\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx6244\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764\row \ltrrow}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx6244\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Meloxicam\cell NSAID (COX-2)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 13}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Paracetamol\cell Non-opioid analgesic\cell }\pard \ltrpar
\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514
\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
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\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx6244\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764
\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Celecoxib\cell NSAID (COX-2)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Meloxicam \cell NSAID (COX-2)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\highlight7\langnp1033\insrsid8415040\charrsid12592883 \trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx6244\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764
\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Paracetamol/Codeine\cell Opioid analgesic\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Prednisolone\cell Corticosteroid\cell }\pard \ltrpar
\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514
\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\highlight7\langnp1033\insrsid8415040\charrsid12592883 \trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx6244\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764
\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Tramadol \cell Opioid analgesic\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 Hydroxychloroquine sulphate}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 DMARD}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\highlight7\langnp1033\insrsid8415040\charrsid12592883 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx6244\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764
\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Diclofenac sodium systemic\cell NSAID \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Celecoxib\cell NSAID (COX-2)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\highlight7\langnp1033\insrsid8415040\charrsid12592883 \trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx6244\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764
\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Glucosamine\cell Natural medicine\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Diclofenac sodium systemic\cell NSAID\cell }\pard \ltrpar
\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514
\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\highlight7\langnp1033\insrsid8415040\charrsid12592883 \trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx6244\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764
\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Oxycodone \cell Opioid analgesic\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 Sulfasalazine digestive}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid8415040 DMARD}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\highlight7\langnp1033\insrsid8415040\charrsid12592883 \trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx6244\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764
\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Naproxen\cell NSAID\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 Tramadol}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid8415040 Opioid analgesic}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\highlight7\langnp1033\insrsid8415040\charrsid12592883 \trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil \cellx6244\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764
\row \ltrrow}\trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil
\cellx6244\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 Buprenorphine}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040
Opioid analgesic}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid8415040 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 Prednisone\cell Corticosteroid\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid12518203 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid11814514 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\highlight7\langnp1033\insrsid8415040\charrsid12592883 \trowd \irow11\irowband11\lastrow \ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth8872\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid8415040\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1908\clshdrawnil \cellx1800\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1800\clshdrawnil \cellx3600\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4320\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1924\clshdrawnil
\cellx6244\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1676\clshdrawnil \cellx7920\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth844\clshdrawnil \cellx8764\row }\pard\plain \ltrpar\s159\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid11814514 (a)\tab Per cent of encounters for the condition in which t
he medication was prescribed, advised or supplied}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1462405 for that condition}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid11814514 .
\par }\pard \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 {\rtlch\fcs1 \ai\af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid10310235\charrsid16719498 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid16719498 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1462405
AIHW analysis of the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid16719498 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16719498\charrsid16719498 7}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235\charrsid16719498 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16719498\charrsid16719498 8}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235\charrsid16719498 BEACH survey.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624538}{\*\bkmkstart _Toc179624632}Use of allied health services{\*\bkmkend _Toc179624538}{\*\bkmkend _Toc179624632}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Allied health and complementary practitioners (such as physiotherapists, podiatrists, occupational thera
pists, pharmacists, massage therapists, osteopaths and chiropractors) play important roles in the management of arthritis. The treatment that allied health professionals provide is generally aimed at improving body structure or function. They may also rec
o
mmend or provide information about self-management (including exercises, activities and other therapies) and suggest environmental adjustments that can be made to help people overcome functional limitations, maintain independence and reduce the risk of in
jury.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8415040 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Among respondents to the 2004\endash
05 NHS who reported a diagnosis of rheumatoid arthritis or osteoarthritis, few people (2% and 4%, respectively) reported that they visited allied health professionals for their condition in the 2 weeks before the survey was conducted (}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid6836620 Figure 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 5).}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid10310235
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8415040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc267314824}Figure 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 5: Allied health }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235\charrsid8415040 care}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 visits among people with arthritis, 2004\endash 05{\*\bkmkend _Toc267314824}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8415040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 Vertical bar chart showing, for males and feelings, per cent on y-axis and type of arthritis on x-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid8415040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 Notes
\par 1.\tab Proportion of people with condition who reported that they had visited an allied health professional for the condition in the 2\~weeks before the survey.
\par 2.\tab Includes people who self-reported that they had been diagnosed with the condition by a doctor or nurse.
\par 3.\tab Age standardised to the Australian population as at 30 June 2001.
\par Source: AIHW analysis of the 2004\endash 05 NHS CURF.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040\charrsid8415040
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624539}{\*\bkmkstart _Toc179624633}Surgery{\*\bkmkend _Toc179624539}{\*\bkmkend _Toc179624633}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
Surgery can be a very useful and successful form of management for arthritis, particularly in people with severe disease. A number of procedures are available (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Box{\*\xmlclose}{\*\xmlclose} 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 3{\*\xmlclose}{\*\xmlclose}
), of which joint replacement (also called \lquote arthroplasty\rquote ) is the most common.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid12518203 In 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518203\charrsid12518203 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid12518203 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid12518203\charrsid12518203 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid12518203 , }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid732439\charrsid732439 almost}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid732439 9}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid732439\charrsid732439 9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid732439 ,000 surgical procedures were performed on people with the principal diagnosis of osteoarthriti}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235\charrsid13907808 s, and over 5,000 procedures were performed on people with the principal diagnosis of rheumatoid arthritis (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Table 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235\charrsid13907808 4). The average length of stay in hospital was }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13907808\charrsid13907808 6.9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid13907808 days for }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1077048 surgery due to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid13907808 osteoarthritis and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6514668 10.5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid13907808 days for }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid1077048 surgery due to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid13907808 rheumatoid arthritis. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6514668 K}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid13907808
nee and hip }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6514668 replacements }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid13907808 were the most common procedures performed for osteoarthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13907808\charrsid13907808 , whereas knee}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid13907808 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6514668 replacement}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13907808\charrsid13907808 and }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6514668 excision of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6514668\charrsid13907808 lesion}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6514668 of}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6514668\charrsid13907808 }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13907808\charrsid13907808 soft tissue }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid13907808 were the most common procedures performed for rheumatoid arthritis.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
\par }\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid14511539 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6836620 {\*\bkmkstart _Toc213487521}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Box{\*\xmlclose}{\*\xmlclose} 5.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10310235 3{\*\xmlclose}{\*\xmlclose}: Common surgical procedures for arthritis{\*\bkmkend _Toc213487521}
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid14511539 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid10310235\charrsid14511539 Osteotomy:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539 to cut or reshape bone. It is performed to slow the progression of disease, especially when wear is occurring on a single disc of cartilage.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10310235\charrsid14511539 Arthroscopy:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539
to look inside the joint. This procedure is used in the early stages of osteoarthritis for temporary symptom relief and to know what is happening in the joint. This procedure may be accompanied with a meniscectomy, where }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid732439\charrsid14511539 all or part of a torn}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539 meniscus is }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12518203\charrsid14511539 removed}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235\charrsid14511539 , and other repairs such as debridement, osteoplasty or chrondroplasty }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid732439\charrsid14511539 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539 described below}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid732439\charrsid14511539 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539 .
\par }\pard\plain \ltrpar\s33\ql \fi-369\li624\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx65\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin624\rtlgutter\itap0\pararsid8415040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10310235\charrsid14511539 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16676838 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10310235\charrsid14511539 Debridement:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539
the surgical removal of lacerated, devitalized, or contaminated tissue.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16676838 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10310235\charrsid14511539 Osteoplasty:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539
replacement of lost bone tissue or reconstruction of defective bony parts.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16676838 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10310235\charrsid14511539 Chrondroplasty:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539 shaving of articular cartilage.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16676838 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10310235\charrsid14511539 Incision:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539 a cut or wound of body tissue made esp
ecially in surgery}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14303628\charrsid14511539 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16676838 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10310235\charrsid14511539 Excision:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539 surgical removal}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2915738\charrsid14511539 of all or part of diseased tissue or organ}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539 .
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200\brdrcf1 \brdrl\brdrs\brdrw10\brsp200\brdrcf1 \brdrb\brdrs\brdrw10\brsp200\brdrcf1 \brdrr\brdrs\brdrw10\brsp200\brdrcf1
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid14511539 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid10310235\charrsid14511539 Arthrodesis:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539 where bones within a joint are fused together. This procedure can successfully }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid12592883\charrsid14511539 relieve}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539 pain and is most commonly performed in the spine and in the small joints of the wrist, hand and foot.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10310235\charrsid14511539 Arthroplasty:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539
Joint replacement, or to replace some or all of the bones in the joint with artificial components. It is the most common surgical treatment of the osteoarthritic hip, knee and shoulder joint; the pai
n and disability of severe osteoarthritis can be reduced, restoring some patients to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6715883\charrsid14511539 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539 near}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6715883\charrsid14511539 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid14511539 normal function.
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\pagebb\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8415040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6836620 {\*\bkmkstart _Toc213486290}Table 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 4: Most common surgical procedures performed in separations with the principal diagnosis of osteoarthritis or rheumatoid arthritis, 2005\endash 06{\*\bkmkend _Toc213486290}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Principal diagnosis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888 Procedure}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13907808 Number}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\super\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Per cent}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\super\langnp1033\insrsid14889888\charrsid732439 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid13907808 a}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\super\langnp1033\insrsid14889888\charrsid732439 )\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil
\cellx9000\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Osteoarthritis\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Total arthroplasty of knee, unilateral\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 24,462}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 25}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil
\cellx9000\row \ltrrow}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Total arthroplasty of hip, unilateral\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 17,829}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 18}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\row \ltrrow
}\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Arthroscopic meniscectomy of knee with debridement, osteoplasty or chrondroplasty \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 9,344}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\row \ltrrow
}\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb
\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrnone
\clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000
\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888 Hemiarthroplasty}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 of knee\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 3,208}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb
\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrnone
\clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\row
\ltrrow}\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000
\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2059342 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2059342 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Arthroscopic debridement of knee\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2059342 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 2,033}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\row \ltrrow
}\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb
\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrnone
\clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000
\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888 Other}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 41,893}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 42}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb
\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrnone
\clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\row
\ltrrow}\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt
\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Total\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 9}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 769}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13907808 100}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt
\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\row \ltrrow}\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil
\cellx9000\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Rheumatoid arthritis\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2059342 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Total arthroplasty of knee, unilateral\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 312}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil
\cellx9000\row \ltrrow}\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2059342 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Excision of lesion of soft tissue, not elsewhere classified\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 245}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\row \ltrrow
}\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2059342 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Administration of agent into joint or other synovial cavity, not elsewhere classified\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 225}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\row \ltrrow
}\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid2059342 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Arthrodesis of 1st metatarsophalangeal joint\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 177}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow11\irowband11\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\row \ltrrow
}\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888 Aspiration of joint or other synovial cavity, not elsewhere classified}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard \ltrpar
\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 173}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow12\irowband12\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\row \ltrrow
}\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888 Other}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13907808 4,303}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13907808 79}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow13\irowband13\ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil \cellx9000\row \ltrrow
}\trowd \irow14\irowband14\lastrow \ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil
\cellx9000\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 Total\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid10310235 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 5,}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14889888 435}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13907808 100}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14889888\charrsid732439 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\lang1033\langfe1033\langnp1033\insrsid14889888 \trowd \irow14\irowband14\lastrow \ltrrow\ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10
\trftsWidth3\trwWidth9108\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14889888\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5024\clshdrawnil \cellx6300\clvertalb\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1440\clshdrawnil \cellx7740\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1260\clshdrawnil
\cellx9000\row }\pard\plain \ltrpar\s159\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13907808 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 (a) Per cent of total surgical procedures performed for the }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13907808 condition}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 .
\par }\pard \ltrpar\s159\ql \li0\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid10310235\charrsid12846729 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}AIHW{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}National{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}Hospital{\*\xmlclose}{\*\xmlclose}{\*\xmlclose} Morbidity Database}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11344935 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 {\*\bkmkstart _Toc179624540}{\*\bkmkstart _Toc179624634}Joint replacement{\*\bkmkend _Toc179624540}{\*\bkmkend _Toc179624634}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 Joint replacement has been one of the most significant advancements in the management of osteoarthritis during the
last few decades. This procedure has become more accessible because of improvements in surgical techniques and anaesthesia, and better blood products used during surgery. Total joint replacement is generally indicated when a person no longer responds to l
ess invasive forms of management and the pain and/or loss of function experienced }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12592883 makes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 normal daily living}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12592883
difficult}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 .
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8415040 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
Rates of primary total knee and hip replacement in people with the principal diagnosis of osteoarthritis are highest in the 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4089610 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 \endash 79 years age group (}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235 6). The procedure rate among females is higher than among males, particularly for knee replacement. This is most likely a result of the }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10310235\charrsid14495032 higher prevalence of osteoarthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8415040 in females.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid4089610
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8415040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6836620 {\*\bkmkstart _Toc267314825}Figure 5.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235\charrsid6514668 6: Primary }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid8415040 total}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid6514668
knee and hip replacements for osteoarthritis, 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6514668\charrsid6514668 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid6514668 \endash 0}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6514668\charrsid6514668 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 {\*\bkmkend _Toc267314825}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8415040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040
Stacked line chart showing, for sex and knee and hip replacements, procedures per 100,000 population on y-axis and age (years) on x-axis.
\par }\pard\plain \ltrpar\s42\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8415040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040 Note: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040
Based on counts of primary total knee and hip replacements performed in separations with the principal diagnosis of osteoarthritis. See Appendix 2 Table A2.2 for codes used.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid8415040\charrsid13389667
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid8415040 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040 {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}AIHW
{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}National{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}Hospital{\*\xmlclose}{\*\xmlclose} Morbidity Database.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8415040 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid8415040\charrsid8415040
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 {\*\bkmkstart _Toc179624541}{\*\bkmkstart _Toc179624635}{\*\bkmkstart _Toc216149681}References
{\*\bkmkend _Toc179624541}{\*\bkmkend _Toc179624635}{\*\bkmkend _Toc216149681}}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 ADDIN EN.REFLIST }}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033
{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 AIHW (Australian Institute of Health and Welfare) 2002. Chronic diseases and associated risk factors in Australia, 2001. Cat. no. PHE 33. Canberra: AIHW.
\par Arden N & Nevitt MC 2006. Osteoarthritis: epidemiology. Best Practice and Research: Clinical Rheumatology 20:3\endash 25.
\par Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS et al. 1988. The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis and Rheumatism 31:315\endash 24.
\par Begg S, Vos T, Barker B, Stevenson C, Stanley L & Lopez AD 2007. The burden of disease and injury in Australia 2003. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1842247 Cat. no. PHE 82. }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10310235 Canberra: AIHW.
\par Bennell K, Bowles K-A, Payne C, Cicuttini F, Osborne R, Harris A et al. 2007. Effects of laterally wedged insoles on symptoms and disease progression in medial knee osteoarthritis: a protocol for a randomised, do
uble-blind, placebo controlled trial. BMC Musculoskeletal Disorders doi: 10.1186/471-2474-8-96.
\par Breedveld FC, Weisman MH, Kavanaugh AF, Cohen SB, Pavelka K, van Vollenhoven R et al. 2006. The PREMIER study: a multicenter, randomized, double-blind clinical
trial of combination therapy with adalimumab plus methotrexate versus methotrexate alone or adalimumab alone in patients with early, aggressive rheumatoid arthritis who had not had previous methotrexate treatment. Arthritis and Rheumatism 54:26\endash 37.
\par Brennan P & Silman A 1995. Why the gender difference in susceptibility to rheumatoid arthritis? Annals of the Rheumatic Diseases 54:694\endash 5.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11746781 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11746781
Britt H, Miller GC, Charles J, Henderson J, Pan Y, Valenti L et al. 2008. General practice activity in Australia 2007\endash 08. Cat. no. GEP 22. Canberra: AIHW.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11746781
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2124298 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2124298
Britt H, Miller GC, Charles J, Pan Y, Valenti L, Henderson J et al. 2007. General practice activity in Australia 2005\endash 06. Cat. no. GEP 19. Canberra: AIHW.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
Callahan LF & Pincus T 1988. Formal education level as a significant marker of clinical status in rheumatoid arthritis. Arthritis and Rheumatism 31:1346\endash 57.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1400071 Ding C, Cicuttini F, Blizzard L, Scott F & Jones G 2007. A longitudinal study of the effect of sex and age on rate of change in knee cartilage volume in adults. Rheumato
logy 46(2):273\endash 9.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 Ding C, Cicuttini F, Scott F, Cooley H, Boon C & Jones G 2006. Natural history of knee cartilage defects and factors affecting change. Archives of Internal Medicine 166:651
\endash 8.
\par Ding C, Cicuttini F, Scott F, Glisson M & Jones G 2003. Sex differences in knee cartilage volume in adults: role of body and bone size, age and physical activity. Rheumatology 42:1317\endash 23.
\par Eaton CB 2004. Obesity as a risk factor for osteoarthritis: mechanical versus metabolic. Medicine and Health, Rhode Island 87:201\endash 4.
\par Felson DT, Anderson JJ, Naimark A, Walker AM & Meenan RF 1988. Obesity and knee osteoarthritis. The Framingham Study. Annals of Internal Medicine 109:18\endash 24.
\par Felson DT, Lawrence RC, Dieppe PA, Hirsch R, Helmick CG, Jordan JM et al. 2000. Osteoarthritis: new insights. Part 1: the disease and its risk factors. Annals of Internal Medicine 133:635\endash 46.
\par Foley S, Ding C, Cicuttini F & Jones G 2007. Physical activity and knee structural change: a longitudinal study using MRI. Medicine and Science in Sports and Exercise 39:426\endash 34.
\par Gelber AC, Hochberg MC, Mead LA, Wang NY, Wigley FM & Klag MJ 2000. Joint injury in young adults and risk for subsequent knee and hip osteoarthritis. Annals of Internal Medicine 133:321\endash 8.
\par Goekoop-Ruiterman Y, de Vries-Bouwstra JK, Allaart CF, van Zeben D, Kerstens PJSM, Hazes JMW et al. 2007. Comparison of treatment strategies in early rheumatoid arthritis: a randomized trial. Annals of Internal Medicine 146:406\endash 15.
\par Hakkinen A, Sokka T, Kotaniemi A & Hannonen P 2001. A randomized two-year
study of the effects of dynamic strength training on muscle strength, disease activity, functional capacity and bone mineral density in early rheumatoid arthritis. Arthritis and Rheumatism 44:515\endash 22.
\par Harrison BJ 2002. Influence of cigarette smoking on disease outcome in rheumatoid arthritis. Current Opinion in Rheumatology 14:93\endash 7.
\par Klareskog L, Padyukov L, R\'f6nnelid J & Alfredsson L 2006a. Genes, environment and immunity in the development of rheumatoid arthritis. Current Opinion in Immunology 18:650\endash 5.
\par Klareskog L, Stolt P, Lundberg K, K\'e4llberg H, Bengtsson C, Grunewald J et al. 2006b. A new model for an etiology of rheumatoid arthritis. Arthritis and Rheumatism 54:38\endash 46.
\par Kuiper S, van Gestel A, Swinkels H, de Boo TM, da Silva JA & van Riel PL 2001. Influence of sex, age, and menopausal state on the course of early rheumatoid arthritis. Journal of Rheumatology 28:1809\endash 16.
\par Kvien TK 2004. Epidemiology and burden of illness of rheumatoid arthritis. Pharmacoeconomics 22:1\endash 12.
\par Lally EV 2004. Genetic aspects of osteoarthritis. Medicine and Health, Rhode Island 87:210\endash 2.
\par Lau EC, Cooper C, Lam D, Chan VN, Tsang KK & Sham A 2000. Factors associated with osteoarthritis of the hip and knee in Hong Kong Chinese: obesity, joint injury, and occupational activities. American Journal of Epidemiology 152:855\endash 62.
\par Lievense AM, Bierma-Zeinstra SM, Verhagen AP, van Baar ME, Verhaar JA & Koes BW 2002. Influence of obesity on the development of osteoarthritis of the hip: a systematic review. Rheumatology (Oxford) 41:1155\endash 62.
\par Loughlin J 2002. Genome studies and linkage in primary osteoarthritis. Rheumatic Diseases Clinics of North America 28:95\endash 109.
\par March LM & Bagga H 2004. Epidemiology of osteoarthritis in Australia. Medical Journal of Australia 180:S6\endash 10.
\par Montecucco C 2006. Remission, a therapeutic goal in inflammatory arthropathies? Clinical data from adalimumab studies. Drugs 66:1783\endash 95.
\par NPHP (National Public Health Partnership) 2001. Preventing chronic disease: a strategic framework. Melbourne: NPHP.
\par Nuki G, Ralston S & Luqmani R 1999. Diseases of the connective tissues, joints and bones. In: Haslett C, Chilvers E, Hunter J & Boon N (eds). Davidson's principles and practice of medicine, 18th edition. Edinburgh: Churchill Livingstone, 801\endash 76.
\par Oliver JS, Kladosek A, Weiler V, Czembirek H, Boeck M & Stiskal M 2005. Rheumatoid arthritis: a practical guide to state-of-the-art imaging, image interpretation and clinical implications. RadioGraphics 25:381\endash 98.
\par Petersson IF & Jacobsson LT 2002. Osteoarthritis of the peripheral joints. Best Practice and Research, Clinical Rheumatology 16:741\endash 60.
\par RACGP (Royal Australian College of General Practitioners) 2007. Rheumatoid arthritis: guidelines (draft). Melbourne: RACGP. Viewed 5 February 2008, <}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid10310235
www.racgp.org.au/}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\lbr3\insrsid10310235 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235\charrsid10310235 Content/NavigationMenu/ClinicalReso
urces/RACGPGuidelines/Arthritis/>}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 .
\par Rogers L, Macera C, Hootman J, Ainsworth B & Blair SN 2002. The association between joint stress from physical activity and self-reported osteoarthritis: an analysis of the Cooper Clinic data. Osteoarthritis and Cartilage 10:617\endash 22.
\par Sandmark H, Hogstedt C, Lewold S & Vingard E 1999. Osteoarthrosis of the knee in men and women in association with overweight, smoking, and hormone therapy. Annals of the Rheumatic Diseases 58:151\endash 5.
\par Sihvonen S, Korpela M, Laippala P, Mustonen J & Pasternack A 2004. Death rates and causes of death in patients with rheumatoid arthritis: a population-based study. Scandinavian Journal of Rheumatology 33:221\endash 7.
\par Silman A, Kay A & Brennan P 1992. Timing of pregnancy in relation to the onset of rheumatoid arthritis. Arthritis and Rheumatism 35:152\endash 5.
\par Silman A, MacGregor A, Thomson W, Holligan S, Carthy D, Farhan A et al. 1993. Twin concordance rates for rheumatoid arthritis: results from a nationwide study. British Journal of Rheumatology 32:903\endash 7.
\par Silman AJ & Hochberg MC 2001. Epidemiology of the rheumatic diseases, 2nd edition. Oxford: Oxford University Press.
\par Solomon L, Robin G & Valkenburg HA 1975. Rheumatoid arthritis in an urban South African Negro population. Annals of the Rheumatic Diseases 34:128\endash 35.
\par Srikanth VK, Fryer JL, Zhai G, Z}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6434591 w}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235
inzenberg TM, D H & Jones G 2005. A meta-analysis of sex differences in prevalence, incidence and severity of osteoarthritis. Osteoarthritis and Cartilage 13:769\endash 81.
\par Sutton AJ, Muir KR, Mockett S & Fentem P 2001. A ca
se-control study to investigate the relation between low and moderate levels of physical activity and osteoarthritis of the knee using data collected as part of the Allied Dunbar National Fitness Survey. Annals of the Rheumatic Diseases 60:756\endash 64.
\par Symmons D 2002. Epidemiology of rheumatoid arthritis: determinants of onset, persistence and outcome. Best Practice and Research: Clinical Rheumatology 16:707\endash 22.
\par Symmons D 2003. Environmental factors and the outcome of rheumatoid arthritis. Best Practice and Research, Clinical Rheumatology 17:717\endash 27.
\par Thelin N, Holmberg S & Thelin A 2006. Knee injuries account for the sports-related increased risk of knee osteoarthritis. Scandinavian Journal of Medicine and Science in Sports 16:329\endash 33.
\par van der Heijde D, Klareskog L, Rodriguez-Valverde V, Codreanu C, Bolosiu H, Melo-Gomes J et al. 2006. Comparison of etanercept and methotrexate, alone and combined, in the treatment of rheumatoid arthritis. Arthritis and Rheumatism 54:1063\endash 74.
\par van Dongen H, van Aken J, Lard LR, Visser K, Ronday HK, Hulsmans TM et al. 2007. Efficacy of methotrexate treatment in patients with probably rheumatoid arthritis: a double-}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid5661283
blind}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10310235 , randomized, placebo-controlled trial. Arthritis and Rheumatism 56:1424\endash 32.
\par Woolf A & Pfleger B 2003. Burden of major musculoskeletal conditions. Bulletin of the World Health Organization 81:646\endash 56.
\par }\pard \ltrpar\s15\ql \fi-720\li720\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid10310235 }}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\sb60\sl240\slmult0
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\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235\charrsid11494991
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
\par }\pard\plain \ltrpar\ql \li0\ri0\sb40\sa40\sl280\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10310235 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10310235
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\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16152856 {\*\bkmkstart _Toc216149682}6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
\tab Osteoporosis and fractures{\*\bkmkend _Toc160608200}{\*\bkmkend _Toc216149682}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Osteoporosis (meaning \lquote porous bones\rquote
) is a condition in which the bones weaken and lose structural integrity, resulting in high risk of fractu
re. People with osteoporosis may have substantially decreased bone mass, clinically defined as bone mineral density (BMD) a certain amount below the average level in young adults. The decrease in bone mass makes the bones more fragile and they are broken
more easily than bones of \lquote normal\rquote mass.
\par A major feature of osteoporosis is fractures that occur following little or no trauma, known as \lquote minimal trauma fractures\rquote . These fractures may affect bodily movement and functioning, which can result in disability,
affect social interaction and quality of life, and lead to a loss of independence. Hip fractures in older people are a common result of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid14495032 longstanding}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 osteoporosis and are associated with high levels of morbidity and increased mortality.
\par This chapter provides an overview of the nature, impacts and treatment of osteoporosis. It also describes some of the more common osteoporotic fractures, and outlines various fracture prevention strategies.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608201}{\*\bkmkstart _Toc216149683}Prevalence and detection of osteoporosis{\*\bkmkend _Toc160608201}
{\*\bkmkend _Toc216149683}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Self-reported data indicate
that almost 581,000 Australians have been diagnosed with osteoporosis, with the vast majority being over 55 years of age. Women are much more likely to report osteoporosis than men. However, osteoporosis has no outward symptoms, and people often do not k
now that they have the condition until a fracture occurs. It is believed that the number of people who have osteoporosis, and who are therefore at high risk of fracture, is much larger than the estimates obtained from self-reported information.
\par Osteoporosis is most commonly diagnosed when a person visits a doctor, clinic or hospital following a minimal trauma fracture (also known as a \lquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid14495032 low}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid14495032\charrsid6770170 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid14495032 impact fracture\rquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 , \lquote fragility fracture\rquote or \lquote osteoporotic fracture\rquote
). This is a fracture sustained in an event which would not be expected to fracture a healthy bone\emdash for example, a trip and fall while walking. Some of the more common osteoporotic fracture sites are the hip, wrist and spine.
\par Osteoporosis may also be diagnosed by measuring bone mineral density (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}Box{\*\xmlclose}{\*\xmlclose} 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 1{\*\xmlclose}{\*\xmlclose}). Howeve
r, not all people with low bone mineral density will experience minimal trauma fractures, and vice versa. Factors that increase the risk of fractures are discussed later in this chapter.
\par The turnover of bone causes various molecules (such as osteocalcin) to be released into the bloodstream or excreted in the urine. Although they are not specific enough to be used alone as a diagnostic tool, some of these biochemical \lquote markers
\rquote can be useful in determining the rate of bone loss or bone formation, which can help to estimate a person\rquote s risk of osteoporosis or assess their response to treatment }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 ADDIN EN.CITE Sambrook200260060Samb
rook, PNSeeman, EPhillips, SREbeling, PR2002Preventing osteoporosis: outcomes of the Australian Fracture Prevention SummitMedical Journal of
Australia176Suppl.S1–S1615 April}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Sambrook et al. 2002)}}}\sectd
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\par }\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6836620 {\*\bkmkstart _Toc213487522}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Box{\*\xmlclose}{\*\xmlclose} 6.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 1{\*\xmlclose}{\*\xmlclose}: Diagnosing osteoporosis using bone mineral density testing{\*\bkmkend _Toc213487522}
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 The \lquote gold standard\rquote method for measuring bone mineral density (BMD) is dual-energy }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid948297 X}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
-ray absorptiometry, also known as DXA or DEXA. Low-dose }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid948297 X}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 -ray beams are aimed at the bones, and bone density can be determined from the amount of }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid948297 X}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 -rays that are absorbed. This is the most common method used in clinical practice, with measurements usually taken at the hip and/or spine.
\par BMD results can be divided into three categories:
\par }\pard\plain \ltrpar\s33\ql \fi-369\li624\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx65\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin624\rtlgutter\itap0\pararsid10713171 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 \tab {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Normal{\*\xmlclose}{\*\xmlclose}
:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 BMD less than 1 standard deviation below the average BMD in young adults of the same sex.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 \tab Osteopenia (literally \lquote poor bones\rquote ):}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 BMD between 1 and 2.5 standard deviations below the average BMD in young adults of the same sex.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 \tab Osteoporosis:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
BMD more than 2.5 standard deviations below the average BMD in young adults of the same sex.
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 Other methods used
for measuring BMD include quantitative computed tomography (QCT) and quantitative ultrasound (QUS). QUS is the screening test often seen at pharmacies or shopping centres, where the measurement is taken at the heel. This test can help to identify persons
who might need further investigation, but is not used alone for diagnosis or monitoring as its responsiveness to therapy or change over time is uncertain.
\par }\pard \ltrpar\s32\ql \li255\ri255\sb60\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i0\insrsid10713171 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 WHO Scientific Group 1994}
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE WHO Scientific Group1994351035WHO Scientific Group,1994Assessment of fracture risk and its application
to screening for postmenopausal osteoporosisWHO Technical ReportGenevaWHO843}}{\fldrslt }}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608210}{\*\bkmkstart _Toc160608211}{\*\bkmkstart _Toc160608202}Osteoporotic fractures{\*\bkmkend _Toc160608210}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Almost any of the body\rquote
s 206 adult bones can be affected by osteoporosis, and therefore more easily fractured than would normally be the case. However, fractures are more likely to occur at some sites than at others. The most common fractures in people with osteoporosis inc
lude bones that are under strain because they bear weight (such as the spine, pelvis and hips) or that take the stress when a person catches him- or herself when falling (such as the wrists, forearms and upper arms). Some features of these common fracture
sites are described below.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Hip and pelvis{\*\bkmkend _Toc160608211}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
The hip joint is an example of a ball-and-socket joint, the most mobile type of joint in the body. At the upper end of the femur (thigh bone) the bone projects inward and forms a ball (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 6.}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 1). This ball sits inside a cup-like socket at the side of the pelvis, and allows a wide range of movements of the legs.
\par The two most common types of hip fractures, as shown on the right side of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 1, are:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid10713171 femoral neck fractures}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 , occurring in the narrow section of bone between the main shaft of the femur and the ball
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 intertrochanteric hip fractures}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 , where the shaft of the femur breaks just below the femoral neck.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Fractures may also occur slightly further down the shaft of the femur; these are known as subtrochanteric fractures and are less common.
\par Fractures to the hip or pelvis are normally caused by a fall, but may also result from impact to the hip. In people whose bones are weakened from osteoporosis, relatively minor impacts (such as bumping into a piece of furnitu
re) may be enough to cause a hip fracture. This type of fracture is the most serious osteoporotic fracture, and has the most complications.
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1639394 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc267314826}Figure 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 1: Bones of the hip and sites of hip fractures
{\*\bkmkend _Toc267314826}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1639394 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1639394 Diagram of hip bones.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1639394\charrsid1639394
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608214}{\*\bkmkstart _Toc160608212}Wrist and forearm{\*\bkmkend _Toc160608214}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Falls are the most c
ommon cause of fractures of the wrist and forearm, both in people with osteoporosis and in people with normal bone density. The sudden force applied when a person catches him- or herself after a fall puts great stress on the bones in this region, and can
cause one or more of them to fracture. However, the severity of fall required to cause a wrist or forearm fracture in a person with osteoporosis is much less than in a person with normal bone density, due to the greater fragility of the bones.
\par The two most common types of wrist fracture are:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid10713171 Colles\rquote fracture}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \emdash this is a fracture to the lower end of the radius, and very common in people with osteoporosis.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid10713171 Scaphoid fracture}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 \emdash the scaphoid is a wedge-shaped bone located on the thumb side of the wrist, just where it meets the radius. These fractures are less commonly related to osteoporosis.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Spine{\*\bkmkend _Toc160608212}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
The spine is made up of 24 individual bones, called vertebrae. These are stacked on top of one another and are separated by discs of tissue. The spine can be separated into
three regions: the cervical spine (the neck), consisting of seven vertebrae; the thoracic spine (upper and middle back), made up of 12 vertebrae; and the lumbar spine (lower back), made up of five vertebrae. At the lower end of the lumbar spine are the s
acrum and coccyx, or tail bone.
\par The most common type of spinal fracture (also known as a \lquote vertebral fracture\rquote ) in people with osteoporosis is called a wedge or compression fracture. These generally occur in the thoracic region of the spine (particularly at
the lower end) or the upper end of the lumbar region. In this type of fracture, one or more of the vertebrae collapses, most commonly at the front, forming a wedge shape (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 6.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 2(a)). This can cause curvature of the spine, and people who have had a number of spinal compression fractures may display a characteristic bent-forward, hunched posture known as kyphosis (sometimes called a }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid948297 \rquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 widow\rquote s or dowager\rquote s hump}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid948297 \rquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
), and have a noticeable loss of height (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 2(b) and (c)). Kyphosis can also result from degenerative spinal disease.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1639394 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
In people with severe osteoporosis, a spinal fracture may be caused by simple movements such as lifting a light object, sneezing, or even just bending forward. In people with less severe osteoporosis, more force may be required,
for example, a fall or lifting a heavy object. In many cases, compression fractures may cause no pain, or minor, indistinct pain, which may be mistaken for arthritis or muscular symptoms, meaning t}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1639394
{\*\bkmkstart _Toc160608213}{\*\bkmkstart _Toc160608215}hey often remain undiscovered. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6239026
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1639394
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1639394 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6239026 {\*\bkmkstart _Toc207091468}{\*\bkmkstart _Toc267314827}Figure 6.2: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6239026\charrsid1639394 Vertebral}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6239026 compression fracture and curvature of the spine{\*\bkmkend _Toc207091468}{\*\bkmkend _Toc267314827}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1639394 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1639394 Diagram
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid1639394 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1639394 (a)\tab
Vertebral compression fracture. Note the wedge-like shape of the fractured middle bone compared with the more constant heights of the other vertebrae.
\par (b)\tab Progressively increasing kyphosis. Note the exaggerated curve of the upper back and the decreased height of the middle and right figures compared with the normal spine on the left.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1639394 Source: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1639394\charrsid15616796 Figures were produced using Servier Medical Art.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1639394\charrsid1639394
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Ankle{\*\bkmkend _Toc160608213}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Fractures to the ankle usually involve a break at the bot
tom of one or both of the two lower leg bones (tibia and fibula). The lower ends of these bones wrap around the sides of the ankle bone (talus); these are the bony lumps (called the malleoli) that can be felt on either side of the ankles.
\par Ankle fractures can occur when the ankle rolls in or out, putting stress on the joint. In many cases, rolling of the ankle will injure only the surrounding muscles or ligaments; this is a sprain or \lquote twisted ankle\rquote
. But in some cases the end of the tibia or fibula will be broken. Fractures of the bones under the ankle joint may also occur, but are less common.
\par Although ankle fractures are relatively common in older people, they are not generally related to osteoporosis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Greenfield20013010301Greenfield, DMEastell, R2001Risk factors for ankle fracture
Osteoporosis International12297–103Seeley19963020302Seeley, DGKelsey, JJergas, MNevitt, M. C.1996Predictors of ankle and foot fractures in older women. The Study of Osteoporotic Fractures Research GroupJournal of Bone and Mineral Research1191347–1355Hasselman20033030303Hasselman, CTVogt, MTStone, KLCauley, JAConti, SF2003Foot and ankle fractures in elderly white women. Incid
ence and risk factorsJournal of Bone and Joint Surgery (America)855820–824}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
(Greenfield & Eastell 2001; Hasselman et al. 2003; Seeley et al. 1996)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 . Rather, fractures of the ankle are more common in people with a history of falls and in those who are overweight }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Seeley19963020302Seeley, DGKelsey, JJergas, MNevitt, M. C.1996Predictors of ankle and foot fractures in older women. The Study of Osteoporotic Fr
a
ctures Research GroupJournal of Bone and Mineral Research1191347–1355Hasselman2003303
<
REFERENCE_TYPE>0303Hasselman, CTVogt, MTStone, KLCauley, JAConti, SF2003Foot and ankle fractures
in elderly white women. Incidence and risk factorsJournal of Bone and Joint Surgery (America)855820–824}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 (Hasselman et al. 2003; Seeley et al. 1996)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Shoulder
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 The shoulder consists of three bones: the upper arm bone (humerus), the shoulder blade (scapula) and the }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid14495032 collarbone}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (clavicle). Like the hip, the shoulder joint is a ball-and-socket joint, with the upper arm bone ending in a ball th
at fits into a shallow socket in the shoulder blade. The socket is surrounded by a fibrous ring of cartilage that helps to hold the arm bone in place and stabilise the joint, assisted by the surrounding muscles.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa240\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11344935 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Fractures to the shoulder normally involve either the }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11680146 collarbone}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
or the neck of the humerus (the region just below the ball). Falls are the most common cause of fractures at either of these sites. Fractures of the upper humerus are commonly associated with osteoporosis.
\par \ltrrow}\trowd \irow0\irowband0\lastrow \ltrrow\ts11\trleft-5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth9074\clcbpatraw18 \cellx9069\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0
\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620
{\*\bkmkstart _Toc213487523}{\*\bkmkend _Toc160608215}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Box{\*\xmlclose}{\*\xmlclose} 6.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 2{\*\xmlclose}{\*\xmlclose}: Bone development and loss{\*\bkmkend _Toc213487523}
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\intbl\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
The likelihood that a person will develop osteoporosis is related to the way their bones develop and are maintained over the life span. Throughout life, minerals such as calcium and phosphorous are constantly deposited and absorbed from the bones. Th
is is a normal part of healthy bone growth and maintenance. At different periods throughout life, the rates of deposition and absorption change. Deposition levels are at their highest during childhood and adolescence, when large amounts of bone are formed
during \lquote growth spurts\rquote . By the age of around 20\endash 30 years, bone mass has reached its peak. Factors affecting peak bone mass include diet, calcium intake, exercise levels and genetics.
\par For around the next 20 years of life, bone is absorbed at about the same rate as it is deposited, maintaining the skeletal structure. After the age of about 40\endash
50 years, the rate of absorption increases and bone mass is lost. Various factors, including diet, calcium intake, activity levels and hormonal changes, can influence the rate of loss.
\par }\pard \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\intbl\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid1639394 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 3 shows the effects of different patterns of bone growth and loss on the development of osteoporosis. Person 1 represents a person without osteoporosis; he achieves a good peak bone mass and has a modest rate of bone loss with ag
e. Person 2 reaches \lquote normal\rquote peak bone mass, but has a relatively high rate of bone loss and eventually develops osteoporosis. Person 3 has a \lquote normal\rquote rate of bone loss, but reaches the osteoporotic level due to her }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1639394 relatively low peak bone mass. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow0\irowband0\lastrow \ltrrow\ts11\trleft-5\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat18\cltxlrtb\clftsWidth3\clwWidth9074\clcbpatraw18 \cellx9069\row }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0
\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1639394 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1639394 {\*\bkmkstart _Toc267314828}Figure 6.3: Patterns of bone growth and loss through life}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6239026 {\*\bkmkend _Toc267314828}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1639394 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1639394 Stacked line chart, showing for person 1-3, bone mass on y-axis and age (years) on x-axis.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1639394\charrsid1639394
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc216149684}Risk factors for osteoporosis{\*\bkmkend _Toc160608202} and fractures{\*\bkmkend _Toc216149684}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 A number of modifiable and non-modifiable factors increase the risk of osteoporosis and osteoporotic fractures (}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6836620 Table 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
1). These include older age, being physically inactive, having a family history of osteoporosis or minimal trauma fractures, poor calcium intake, vitamin D deficiency and (in women) being post-menopausal. W
here possible, reducing exposure to these factors can help to prevent osteoporosis. Some prevention strategies are discussed later in this chapter.
\par Since minimal trauma fractures are an outcome of having low bone mineral density (BMD), the factors that in
crease the risk of having low BMD also increase the risk of a fracture. However, low BMD is not the only contributor to fracture risk. In fact, a person can experience a minimal trauma fracture without having BMD in the osteoporotic range. Factors that ca
n increase the risk of fracture independently of BMD include a history of falls and high propensity to fall. These and other risk factors are described briefly below.
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc213486291}Table 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 1: Risk factors for osteoporosis and fracture
{\*\bkmkend _Toc213486291}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2126\clshdrawnil \cellx5103\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2831\clshdrawnil \cellx7934\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Biomedical and genetic factors\cell Behavioural factors\cell Other factors\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2126\clshdrawnil \cellx5103\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2831\clshdrawnil \cellx7934\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2126\clshdrawnil
\cellx5103\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2831\clshdrawnil \cellx7934\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Female sex, particularly after menopause \cell Smoking\cell Systemic illnesses (e.g. rheumatoid arthritis)\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2126\clshdrawnil
\cellx5103\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2831\clshdrawnil \cellx7934\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2126\clshdrawnil \cellx5103\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2831\clshdrawnil \cellx7934\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Excessively low body weight\cell Physical inactivity\cell Metabolic disorders\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2126\clshdrawnil \cellx5103\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2831\clshdrawnil \cellx7934\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Older age\cell
Poor calcium intake\cell Long-term corticosteroid use\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2126\clshdrawnil \cellx5103\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2831\clshdrawnil \cellx7934\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Action of genes associated with skeletal maintenance\cell Lack of sunlight exposure\cell Physical disabilities that restrict weight-bearing exercise\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2126\clshdrawnil \cellx5103\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2831\clshdrawnil \cellx7934\row \ltrrow}\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 White or Asian heritage\cell \cell History of falls\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2126\clshdrawnil \cellx5103\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2831\clshdrawnil \cellx7934\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Previous minimal trauma fractures\cell \cell Propensity to fall\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2126\clshdrawnil \cellx5103\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2831\clshdrawnil \cellx7934\row \ltrrow}\trowd \irow7\irowband7\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2126\clshdrawnil \cellx5103
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2831\clshdrawnil \cellx7934\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Family history of
osteoporosis or fractures\cell \cell Disorders involving malabsorption (e.g. coeliac disease)\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow7\irowband7\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3085\clshdrawnil \cellx2977\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2126\clshdrawnil \cellx5103
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2831\clshdrawnil \cellx7934\row }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar
\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 {\*\bkmkstart _Toc160608203}Biomedical and genetic factors{\*\bkmkend _Toc160608203}
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 Women are at greater risk of osteoporosis than men, particularly once they have reached menopause. Total bone mass in females is naturally
lower than in males, and the normal decrease in bone mass with age is accelerated in post-menopausal women due to their decreased oestrogen levels.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Weight is related to bone mineral density, as having a higher body mass means that more weight is borne by
the bones, which then strengthen in response to this stress. People who are significantly underweight tend to have lower bone mineral density, which may lead to increased risk of osteoporosis and fractures. Weight loss is also associated with increased bo
ne loss.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}
People with a family history of osteoporosis or minimal trauma fracture are also at increased risk. Daughters of women with osteoporosis of the spine tend to have decreased bone mass. A maternal history of hip fracture doubles the risk of hip fract
ure in women and increases the risk of spinal deformities in men }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Cummings199543043Cummings, SRNevitt, MCBrowner, WSStone, KFox, KMEnsrud, KECauley, JBlack, DVogt, TM1995Risk factors for
h
ip fracture in white womenNew England Journal of Medicine33212767–73Diaz199744044Diaz, MNO'Neill, TWSilman, AJ1997The influence of family history of hip fracture on the risk of vertebral deformity
in men and women: the European Vertebral Osteoporosis StudyBone20145–9}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
(Cummings et al. 1995; Diaz et al. 1997)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}People from certain population group
s may be more likely to develop osteoporosis. White and Asian populations tend to have a lower average bone mass than black or Hispanic groups }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Cumming1997420
42Cumming, RGNevitt, MCCummings, SR1997Epidemiology of hip fracturesEpidemiological Reviews19244–56}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Cumming et al. 1997)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Several genes have been found to be associated with skeletal maintenance, and genetic variation has been found to account for a large proportion of the variation in bone mineral density }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 ADDIN EN.CITE Nuki199945745Nuki, GRalston, SLuqmani, R1999Diseases of the connective tissues, joints and bonesHaslett, CChilvers, EHunter, JABoon, NADavidson's principles and practice of medicineEdinburghChurchill Livingstone801
2013;7618th edition}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Nuki et al. 1999)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. However, it is difficult to identify relevant genetic pathways due to the large number of genes interacting with each other and with environmental factors.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171\charrsid9450158 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid9450158
People}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 who have had a minimal trauma fracture are at increased risk of subsequent fractures, an effect known as the \lquote fracture cascade\rquote
. Data from the Dubbo Osteoporosis Epidemiology Study show that the increase in risk persists for up to 10 years, and that 40% of women and 60% of men will experience a second fracture within this period }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Center20071120112Center, JRBliuc, DNguyen, TVEisman, JA2007Risk of subsequent fracture after low-trauma fracture in men and womenJournal of the American Medical Association
SECONDARY_TITLE>2974387–94}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Center et al. 2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. Although almost all fracture types are associated with an increased risk of further fractures, men aged 60\endash 69 years with hip or vertebral fractures are at greatest risk.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608204}Behavioural factors{\*\bkmkend _Toc160608204}
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 Smokers tend to have a lower bone mass than non-smokers. It is believed that smoking lowers body weight, interferes with the hormones that affect bone strength and may have a detrimental effect directly on the bones}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid8660839 }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8660839
ADDIN EN.CITE Wong20073340334Wong, PKChristie, JJWark, JD2007The effects of smoking on bone healthClinical Science1135233–241}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid8660839 (Wong et al. 2007)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}Exercise is
important in building and maintaining bone mass. Low physical activity levels during childhood and adolescence result in lower peak bone mass, so bone loss later in life more quickly reaches the level of osteoporosis.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}Calcium is essential for bone format
ion. The body cannot make calcium so it must be obtained from the diet. Low calcium intake is associated with low bone mineral density.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Vitamin D helps the body to absorb calcium and is needed to regulate bone formation. Although small amounts of vitamin
D may be obtained from the diet, the majority is synthesised by the body via exposure of the skin to sunlight. People who are institutionalised or housebound, or those who wear clothing that covers most of the body, may be particularly at risk of having l
ow vitamin D levels.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608205}Other factors{\*\bkmkend _Toc160608205}
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 Some systemic illnesses affect bone metabolism and increase the risk of osteoporosis. These include rheumatoid arthritis, chronic kidney disease, metastatic cancer and thyrotoxicosis (a condition resulting from excessive a
mounts of thyroid hormones).
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}
The metabolic disorders hypogonadism (abnormally decreased activity of the ovaries or testes, which retards growth and sexual development) and hyperparathyroidism (over-production of parathyroid hormone, which leads to increas
ed absorption of calcium from the bones) are associated with decreased bone mass.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}
In a similar manner to people who are underweight, people with physical disabilities may be at increased risk of osteoporosis if they are unable to perform weight-bearing ex
ercise to build and maintain bone mass. This may be particularly the case for those who are affected by disability in the peak bone formation periods of childhood and adolescence. People who have disabilities affecting their mobility may also be more like
ly to fall, putting them at increased risk of fractures.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Long-term use of corticosteroid medications increases the risk of fractures. Conditions that may require long-term corticosteroid treatment include asthma and rheumatoid arthritis.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171 \loch\af37\dbch\af0\hich\f37 \'95\tab}Malabsorption redu
ces calcium absorption and vitamin D levels, increasing the risk of osteoporosis. Causes of malabsorption include coeliac disease and inflammatory bowel disease.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171\charrsid13132565 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid13132565
People who have a propensity or predisposition to falling are also more likely to experience fractures. There are many reasons why a person may be more likely to fall, including problems with balance, use of medications causi}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 ng dizziness}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid13132565 and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 problems with mobility.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid13132565
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid10713171\charrsid8399802 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid8399802
A history of falls is associated with increased risk of fractures, regardless of BMD
. Data from the Dubbo Osteoporosis Epidemiology Study showed that among men and women whose BMD was not in the osteoporotic range, those who had had a fall in the previous 12 months were twice as likely to experience a fracture as those who had not fallen
}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Nguyen20071110111Nguyen, NDEisman, JACenter, JRNguyen,
TV2007Risk factors for fracture in non-osteoporotic men and womenJournal of Clinical Endocrinology and Metabolism923955–962
PAGES>}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Nguyen et al. 2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid8399802
. The study also found that women who fell were at high risk of subsequent falls, and that each fall further increased the risk of a fracture }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid8399802
ADDIN EN.CITE Nguyen2001
1100110Nguyen, TVCenter, JRSambrook, PNEisman, JA2001Risk factors for
proximal humerus, forearm and wrist fractures in elderly men and women. The Dubbo Osteoporosis Epidemiology studyAmerican Journal of Epidemiology1536587–595}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Nguyen et al. 2001)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid8399802 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Markers of increased risk
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
A number of other factors, which are not in themselves direct risk factors, can act as markers to indicate people with an increased risk of fracture. These include loss of height, poor quadriceps strength and}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid7238146 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 body sway. Although not direct risk factors, these three indicators are easily measured in clinical practice and are highly correlated with fracture risk.
\par Loss of height may indicate that a person has suffered several vertebral co
mpression fractures. As these fractures may cause no pain, or only moderate, non-specific pain that may be mistaken for a muscular strain, disc problem or arthritis, the loss of height and stooping posture caused by compression of the spine may be the onl
y recognisable sign that fractures have occurred. People who have experienced vertebral fractures are at high risk of further fractures }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Center20071120112Center, JRBliuc, DNguyen, TVEisman, JA2007Risk of subsequent fracture after low-trauma fracture in men and womenJournal of the American Medical Association2974387–94}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Center et al. 2007)}}}
\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par Poor quadriceps strength is a risk factor for falls, but not for fractures. Data from the Dubbo Osteoporosis Epidemiology Study show associations between lower quadriceps strength, falls in the previous 12 months, and recent fall-related fractures }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Lord19941160116Lord, SRSambrook, PNGilbert, CKelly, PJNguyen, TWebster, IWEi
s
man, JA1994Postural stability, falls and fractures in the elderly: results from the Dubbo Osteoporosis Epidemiology StudyMedical Journal of Australia160684–6916 June}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Lord et al. 1994)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. The association between poor quadriceps strength and fractures is mediated by an increased risk of falling }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Nguyen2
0071110111Nguyen, NDEisman, JACenter, JRNguyen, TV2007Risk factors fo
r fracture in non-osteoporotic men and womenJournal of Clinical Endocrinology and Metabolism923955–962}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 (Nguyen et al. 2007)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par \lquote Body sway\rquote
describes the extent to which a person sways (in any direction) while standing still on a flat surface. Significant body sway may indicate physical instability, muscle weakness, side-effects of medication or problems with balance. All of these can incr
ease a person\rquote s risk of falling and hence of experiencing a fracture.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608206}\page {\*\bkmkstart _Toc216149685}Impacts of {\*\bkmkend _Toc160608206}osteoporotic fractures
{\*\bkmkend _Toc216149685}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Since osteoporosis has no symptoms, its impacts are mainly seen in terms of the fractures and the effects these have on functioning and quality of lif
e. Apart from the pain and loss of function associated with the fracture event itself, there can also be more long-term impacts on physical and mental health and functioning. These may include not only ongoing pain, physical impairments and disability, bu
t also reduced social interaction, emotional distress, and self-limitation caused by the fear of falling and fracturing a bone. In a small proportion of cases the fracture and its after-effects may lead to death.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608217}{\*\bkmkstart _Toc160608207}Pain{\*\bkmkend _Toc160608217}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 In most cases, the pain associated with breaking a bone is the patient\rquote
s most immediate concern. The amount of pain felt varies widely between individuals and depends on the site and severity of the fracture.
\par In the case of spinal fracture, the event may be nearly or completely painless, and the fracture may go undetected }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Haczynski200185085Haczynski, JJakimiuk, AJ2001Vertebral fractures: a hidden problem of osteoporosisMedical Science Monitor751108–1117}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Haczynski & Jakimiuk 2001)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 . It has been suggested that up to two-thirds of spinal fractures may not receive medical attention }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Cooper199247047Cooper, CAtkinson, EJO'Fallon, WMMelton LJ 3rd,1992Incidence of clinically diagnosed vertebral fractures: a population-based study in Rochester
, Minnesota, 1985–1989Journal of Bone and Mineral Research7221–7}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Cooper et al. 1992)
}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. The sudden onset of low back pain in a person with osteoporosis may be a sign of spinal fracture.
\par People who have experienced fractures may have ongoing or chronic pain well after the bone has healed. This pain can result from the changes in posture and strain on muscles, ligaments and joints that occurs to com
pensate for the injury. Untreated or persistent pain may lead to sleeplessness and depression, and reduce the quality of life }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Oglesby200349049Oglesby, AKMinshall, MEShen, WXie, SSilverman, SL2003The impact of incident vertebral and non-vertebral fragilit
y
fractures on health-related quality of life in established postmenopausal osteoporosis: results from the teriparatide randomized, placebo-controlled trial in postmenopausal womenJournal of Rheumatology30
<
/VOLUME>71579–83Silverman200150050Silverman, SLMinshall, ME
A
UTHOR>Shen, WHarper, KDXie, S2001The relationship of health-related quality of life to prevalent and incident vertebral fractures in postmenopausal women with osteoporosis: r
e
sults from the Multiple Outcomes of Raloxefine Evaluation StudyArthritis and Rheumatism44112611–19Lukert199452052Lukert, BP1994Vertebral compression fractures: how to manage pain, avoid disabilityGeriatrics49715}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Lukert 1994; Oglesby et al. 2003; Silverman et al. 2001)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608218}Functional limitations and disability{\*\bkmkend _Toc160608218}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Different types of fractures are associated with varying degrees an
d types of functional limitation. For example, fractures involving the shoulder, arm, wrist or hand may affect the ability to write, prepare meals, manage household chores and perform personal}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11680146 -}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 care activities (such as dressing or brushing teeth and hair).
Fractures involving the spine, hips, legs or feet affect mobility as well as the ability to perform personal and household tasks. Spinal fractures may also interfere with actions such as bending, reaching, lifting, and pulling or pushing, particularly if
several fractures have occurred.
\par Data from the 2003 Survey of Disability, Ageing and Carers suggest that around 50,000 Australians aged 35 years or over have a disability caused mainly by osteoporosis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Rahman<
Year>2007781478Rahman, NBhatia, K2007Impairments and disability associated with arthritis and osteoporo
sisCanberraAIHWAIHW}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
(AIHW: Rahman & Bhatia 2007)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. Almost half of these people have severe or profound core activity limitations\emdash
that is, they require assistance with one or more activities of daily living (such as self-care or mobility). Various assistive devices (for example, walking frames, grab bars, special tooth brushes and long-handled reacher
s) are available to enable people with functional limitations to perform their daily activities. More than half of people aged 35 years or over who have osteoporosis as their main disabling condition report using such devices }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Rahman2007781478Rahman, NBhatia, K2007Impairments and disability associated wit
h arthritis and osteoporosisCanberraAIHWAIHW}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 (AIHW: Rahman & Bhatia 2007)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. Additional assistance from family, friends, community volunteers or paid care workers may also be required.
\par Hip fracture is among the top }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2126299 10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
causes of burden of disease among women in developed countries, estimated to account for 1.4% of disability-adjusted life years }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDI
N EN.CITE Johnell200472072Johnell, OKanis, JA2004An estimate of t
he worldwide prevalence, mortality and disability associated with hip fractureOsteoporosis International15897–902}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 (Johnell & Kanis 2004)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. Cooper }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDI
N EN.CITE Cooper199777077Cooper, C1997The crippling consequences o
f fractures and their impact on quality of lifeAmerican Journal of Medicine1032A12S–17S}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 (1997)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
reported that one year after hip fractu
re, 30% of women were unable to walk independently, 60% had difficulty with at least one activity of daily living, and 80% were limited in activities such as driving and shopping. Long-term functional limitations are also common: Willig and colleagues fou
n
d that people who had had a hip fracture were significantly less likely than age- and sex-matched controls to be able to perform basic activities of daily living (such as using the bath or toilet, dressing, cooking and doing housework) seven years after t
he event }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Willig200186086Willig, RKeinanen-Kuikaaniemi, SJalovaara, P2001Mortality and quality of life after trochanteric hip fracturePublic Health115323–327}}{\fldrslt {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 (Willig et al. 2001)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608219}Social isolation{\*\bkmkend _Toc160608219}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 The immediate effects of a fracture on mobility and performing usual activities can also affect a person\rquote
s social life. For example, they may be temporarily unable to participate in games, sports or hobbies, or find it difficult to travel to meeting places, clubs or friends\rquote
homes. In the longer term, any ongoing functional limitations or disability can extend these immediate effects on social participation for months or years. At a seven-year follow-up of people with trochanteric hip fracture,
74% reported they were unable to visit friends }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Willig200186086Willig, RKeinanen-Kuikaani
emi, SJalovaara, P2001Mortality and quality of life after trochanteric hip fracturePublic Health115323–327}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Willig et al. 2001)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. This can reduce the quality of life and lead to feelings of frustration, loneliness and depression. In the 2003 Survey of Disability, Ageing and Carers, around one-third of people aged 35 years or over who had osteoporosi
s as their main disabling condition reported that they could not go out as often as they would like due to their condition }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Rahman2007781478Rahman, NBhatia, K2007Impairments and disability associated with arthritis and osteoporosisCanberraAIHWAIHW}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (AIHW: Rahman & Bhatia 2007)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par People who have had a fracture may be anxious about or afraid of the potential consequences of further fractures, such as l
oss of independence and the possibility of needing permanent care. Those who have had a fracture due to falling may also be fearful of having another fall }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Salkeld200064064Salkeld, GCameron, IDCumming, RGEaster, SSeymour, JKurrle, SEQuine, S
<
YEAR>2000Quality of life related to fear of falling and hip fracture in older women: a time trade off studyBritish Medical Journal3207231341–6}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Salkeld et al. 2000)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. People who have such fears may limit their participation in social activities in an effort to reduce their risk }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Fletcher200479079Fletcher, PCHirdes, JP2004Restriction in activity associated with fear of falling among community-based seniors using home care s
e
rvicesAge and Ageing33273–279Gold200163063<
A
UTHOR>Gold, DT2001The nonskeletal consequences of osteoporotic fractures. Psychologic and social outcomesRheumatic Diseases Clinics of North America271255–62}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Fletcher & Hirdes 2004; Gold 2001)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608220}Quality of life and mental health{\*\bkmkend _Toc160608220}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 The physical effects of a fracture can have a substantial impact on a person\rquote s quality of life and mental wellbeing. The
pain, functional limitations and need for assistance with daily activities can lead to feelings of anger, sadness, hopelessness and helplessness, reduced self-confidence and self-esteem, embarrassment and loss of dignity }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Haczynski200185085Haczynski, JJakimiuk, AJ2001Vertebral fractures: a hidden problem
o
f osteoporosisMedical Science Monitor751108–1117Sitoh200587087Sitoh, YYLau, TCZochling, JSchwarz, JChen, JSMarch, LMCumming, RGLord, SRSam
b
rook, PNCameron, ID2005Determinants of health-related quality of life in institutionalised older persons in northern SydneyInternal Medicine Journal
352131–134}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Haczynski & Jakimiuk 2001; Sitoh et al. 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. In addition, the person may experience fear and anxiety about their future and the risk of further fractures }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE <
EndNote>Salkeld200064064Salkeld, GCameron, IDCumming, RGEaster, SSeymour, JKurrle, SEQuine, S2000Quality of life related to fear of falling and hip fracture in older women: a time trade off studyBritish Medical Journal
SECONDARY_TITLE>3207231341–6}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Salkeld et al. 2000)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par Although quality of life is generally reduced in the period immediately following a fracture, regardless of the type of frac
ture sustained, in the long term people with more severe fractures or fractures in sites resulting in greater limitations continue to experience poorer quality of life compared with people with less severe fractures or without fractures }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Hallberg200488088Hallberg, IRosenqvist, AMKartous, LLöfman, OWahlström, OToss, G2004Health-related quality of life after osteoporotic fracturesOsteoporosis International15834
13;841}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Hallberg et al. 2004)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. Two years after fracture, people with forearm or upper arm fractures report similar health-related quality of life to the general population, but people with hip and spinal fractures report poor
er quality of life across a range of domains including physical functioning, bodily pain and social functioning }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Hallberg200488088Hallberg, IRosenqvist, AMKartous, LLöfman, OWahlström, OToss, G2004Health-related quality of life
after osteoporotic fracturesOsteoporosis International15834–841}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Hallberg et al. 2004)}}}
\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608221}Loss of independence{\*\bkmkend _Toc160608221}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 The limitations in activity and possible long-term disability resulting from a fracture can seriously affect a person\rquote
s independence. Depending on the site and severity of the injury, the person may need assistance with household tasks (such as cleaning and cooking), transport, mobility, or personal}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11680146 -}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171
care tasks (such as bathing, toileting and dressing). In some cases (for example, if the effects of the injury are long-term or if the person has no-one to assist them until they recover) the person may need to temporarily or permanently move from thei
r own home into a rehabilitation unit, nursing home or aged care facility. People who move to a nursing home following a fracture tend to be older and in poorer pre-fracture health than those who remain in their own homes }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Osnes200476076Osnes, EKLofthus, CMMeyer, HEFalch, JANordsletten, LCappelen, IKristiansen, IS2004Consequences of hip fracture on activities of daily life and residential needsOsteoporosis International15<
/VOLUME>567–574}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Osnes et al. 2004)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par In }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9859162 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 % of hospital}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9859162 isations}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
for minimal trauma fracture among Australians aged 40 years or over in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15743385 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15743385 7}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 , the patient was discharged to an aged care facility where this had n
ot previously been their usual residence. This was most common for fractures of the hip and pelvis: patients previously resident in the community were discharged to an aged care facility in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9859162 10}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 % of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9859162 cases}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 . People who have had a hip fracture are significantly
less likely to be living in their own home seven years later than people of the same age without hip fracture }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Willig200186086Willig, RKeinanen-Kuikaaniemi, SJalovaara, P2001Mortality and quality of life after trochanteric hip fracturePublic Health115323–327}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Willig et al. 2001)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par The need for assistance with daily activities and the need to move from their own home may greatly affect the person\rquote s self-esteem, social contact and emotional wellbeing.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608222}Mortality{\*\bkmkend _Toc160608222}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Fractures are recorded as an associated cause of around }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11358805 2}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11358805 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 00 deaths in {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
each year. (Coding standards specify that injuries should not be reported as the underlying cause of death.) More than }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11358805 80%}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 of these are deaths in peo
ple aged 75 years or over. High trauma events (such as motor vehicle accidents) account for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9050606 around }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 10% of cases; of the remainder}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6901750 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 about}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9050606 25% are accidents caused by low}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11680146 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9050606
trauma events, 20%}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 are accidents caused by \lquote exposure to an unspecified factor\rquote , and the rest are attributed to various diseases and conditions}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9050606
and other external causes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 . The fracture sites most commonly reported on death certificates are the hip and pelvis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9050606 , accounting for around 70% of cases}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par Almost all types of minimal trauma fractures are associated with increased mortality over the following 12 months }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE NAMSCAG (National Arthritis and Musculoskeletal Conditions Advisory Group)2004101010NAMSCAG (National Arthritis and Musculoskeletal Conditions Advisory Group),2004Evidence to support the national action plan for osteoarthritis, rheumatoid arthritis and oste
o
porosis: opportunities to improve health-related quality of life and reduce the burden of disease and disabilityCanberraAustralian Government Department of Health and AgeingJohnell200469069Johnell, OKanis, JAOdén, ASernbo, IRedlund-Jo
h
nell, IPetterson, CDe Laet, CJönsson, B2004Mortality after osteoporotic fracturesOsteoporosis International15
<
/VOLUME>35–42Center19991090109Center, JRNguyen, TVSchneider,
D
Sambrook, PNEisman, JA1999Mortality after all major types of osteoporotic fracture in men and women: an observational studyLancet35
3878–88213 March}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Center et al. 1999; Johnell et al. 2004; NAMSCAG 2004)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. However, fractures of the hip and pelvis are the most commonly associated with an increased risk of death. The majo
rity of deaths occur within the first few months, although the mortality rate in people who have had a hip fracture is still higher than expected up to 5 years after the event }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Empana20049
3093Empana, JPDargent-Molina, PBreart, GEPIDOS Group,2004Effect of hip fracture on m
ortality in elderly women: the EPIDOS prospective studyJournal of the American Geriatric Society525685–690}}{\fldrslt {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 (Empana et al. 2004)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid9859162 In 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9859162 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid9859162 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9859162 7}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171\charrsid9859162 , 1,1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9859162\charrsid9859162 63}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid9859162 separations for minimal trauma hip or pelvic fracture (}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid9859162 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid9859162 %) resulted in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14490283 death }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid9859162 in}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid14490283 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid9859162 hospital.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid9859162 In 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9859162\charrsid9859162 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid9859162
, a hip or pelvic fracture was recorded as an associated cause of 1,5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9859162\charrsid9859162 16}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid9859162 deaths in {\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}. Almost all of these deaths occurred }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 in persons aged 65 years or over, with }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid9859162\charrsid11410704 63}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 % (94}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9859162\charrsid11410704 9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704
deaths) among people aged 85 years or over. In cases where hip or pelvic fracture was an associated cause of death, the most commonly recorded underlying causes of death were }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9859162\charrsid11410704
falls (accounting }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11410704\charrsid11410704 for 24% of deaths)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 and diseases of the circulatory system (2}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11410704\charrsid11410704 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 %). }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11410704\charrsid11410704 \lquote Exposure to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11410704 an }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid11410704\charrsid11410704 unspecified factor\rquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 was recorded as the underlying cause of death in 1}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11410704\charrsid11410704 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 % of cases (26}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11410704\charrsid11410704 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11410704 \~}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid11410704 deaths), and osteoporosis was recorded as the underlying cause of 4 deaths. Analysis by the National Injury Statistics Unit suggests that the majority of deaths from \lquote exposure to an unspecified factor
\rquote where a fracture was also recorded would have involved falls }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704
ADDIN EN.CITE Kreisfeld2005381438Kreisfeld, RHarrison, J2005Injury deaths, Australia, 1999AdelaideAIHWAIHWhttp://www.nisu.flinders.edu.au/pubs/reports/2005/injcat67.php}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704
(AIHW: Kreisfeld & Harrison 2005)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 .}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5125395 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par It has been suggested that the contribution of injuries to deaths may be underestimated due to the tendency to record \lquote natural\rquote
causes (for example, cardiovascular disease) in preference to external causes as the underlying cause of death for elderly persons }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Kreisfeld2006391439Kreisfeld, RNewson, R2006Hip fracture injuriesAdelaide
P
LACE_PUBLISHED>AIHWAIHWhttp://www.nisu.flinders.edu.au/pubs/reports/2006/injcat93.phpCalder199640040Calder, SAnderson, GHGregg, PJ1996Certification of cause of death in patients dying soon after
proximal femoral fracture [comment]British Medical Journal31270451515Roberts199641041Roberts, IBenbow, EW1996Certification of cause of death in patients dying soon after proximal femoral fracture. Postmortem examination shoul
d always be carried out for deaths due to trauma [comment]British Medical Journal3137061879}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 (AIHW: Kreisfeld & Newson 2006; Calder et al. 1996; Roberts & Benbow 1996)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 . The extent to which this might affect estimates of mortality due to osteoporosis and minimal trauma fractures is unknown.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608223}{\*\bkmkstart _Toc216149686}{\*\bkmkstart _Toc160608208}{\*\bkmkend _Toc160608207}
Prevention of osteoporosis and fractures{\*\bkmkend _Toc160608223}{\*\bkmkend _Toc216149686}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Avoiding or (where possible) altering exposure to risk factors f
orms the basis of many prevention strategies. For osteoporosis this includes getting enough calcium and vitamin D, keeping physically active, maintaining a healthy weight and not smoking. Preventing falls is also an important component of fracture prevent
ion strategies, particularly among people who have a low bone mineral density or who are frail. In addition, there is some evidence that protecting the bones during a fall or other impact may help to prevent fractures.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Preventing osteoporosis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 A good diet is
essential for good health. Adequate intake of foods containing calcium (such as dairy products, green leafy vegetables and fish with edible bones) is important for bone formation. Children, adolescents, pregnant or breastfeeding women, postmenopausal wom
en, and men aged 70 years or over require higher than average amounts of calcium to build bone mass and offset bone and calcium losses }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE NHMRC (National Health and Medical Research Council of Australia)200
31061106NHMRC (National Health and Medical Research Council of Australia),2003Dietary guidelines for Australian adults
TITLE>CanberraNHMRC}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (NHMRC 2003)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par A balanced diet will also help to maintain a healthy weight. Excessively low body weight or weight loss may result in low bone mineral densi
ty and increased risk of osteoporosis and fractures. People who are overweight tend to have a lower risk of fracture due to their higher bone density, and also because the additional soft tissue provides protection for the bones during a fall or other low
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14490283 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
trauma impact. However, since being overweight or obese may increase the risk of other conditions, such as osteoarthritis, Type 2 diabetes and heart disease, it is important to maintain a healthy weight throughout life.
\par Vitamin D is necessary for the absorption of calcium. Although there are some dietary sources of vitamin D (for example, oily fish, liver and eggs), the majority of Australians obtain most to all of their vitamin D through exposure to sunlight }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Nowson20021040104Nowson, CAMargerison, C2002Vitamin D intake and vitamin D status of Australians<
/TITLE>Medical Journal of Australia177149–152}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Nowson & Margerison 2002)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. In people with moderately fair skin, exposure of the hands, face and arms for up to 10 minutes per day during summer and up to 45 minutes per day during winter (depending on latitude) is recommended for adequate vitamin D synthesis }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Working Group of the Australian and New Zealand Bone and Mineral Socie
ty20051050105Working Group of the Australian and New Zealand Bone and Mineral Society,Endocrine Society of Australia,<
A
UTHOR>Osteoporosis Australia2005Vitamin D and adult bone health in Australia and New Zealand: a position statementMedical Journal of Australia182281&
#x2013;285}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Working Group of the Australian and New Zealand Bone and Mineral Society et al. 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. However, it is important to avoid excessive sun exposure, and limit exposure to the early morning or late afternoon periods, to reduce the risk of skin cancer.
\par Exercise in childhood and adolescence is also vital for building strong bones and achieving a high peak bone mass. Continuing to exercise throughout life can help to maintain bone mass by slowing the normal loss experience
d with age. Although all types of exercise are valuable for improving general health, muscle strength and cardiovascular fitness, high-impact weight-bearing exercise (such as brisk walking, running, skipping and aerobics) is particularly beneficial for bo
ne health.
\par Hormone replacement therapy (HRT) can increase bone mineral density and decrease the risk of fractures in postmenopausal women }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Cauley20031140114Cauley, JARobbins, JChen, ZCummings, SRJackson, RDLaCroix, AZLeBoff, MLewis, CE
<
AUTHOR>McGowan, JNeuner, JPettinger, MStefanick, MLWactawski-Wende, JWatts, NB2003Effects of oestrogen plus progestin on risk of fr
acture and bone mineral density. The Women's Health Initiative randomised trialJournal of the American Medical Association2901729–1738}
}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Cauley et al. 2003)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 . However, the long-term use of HRT for the prevention of osteoporosis is not recommended in Australia, due to the risks of HRT in relation to breast cancer and cardiovascular disease }{\field\fldedit{\*\fldinst {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE NHMRC (National Health a
nd Medical Research Council of Australia)200511510115NHMRC (National Health and Medical Research Council of Australia),
2005Making decisions: should I use hormone replacement therapy?CanberraNHMRC}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (NHMRC 2005)}}}
\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par Raising awareness about osteoporosis and its effects, and educating people about how they can reduce their risk, are also important components of population-wide prevention strategies.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608224}Fall prevention{\*\bkmkend _Toc160608224}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 A wide range of factors may influence an individual\rquote s risk of falling (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620
{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Box{\*\xmlclose}{\*\xmlclose} 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 3{\*\xmlclose}
{\*\xmlclose}). Environmental hazards (for example, uneven or slippery surfaces, loose rugs and poor lighting) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12411847 may be}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid12411847 thought of as }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 the most }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12411847 obvious}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
causes of falls, but individual factors play a significant role. Older people are more prone to falls because of the general deterioration in bodily function
associated with ageing. This may include muscular weakness, poor circulation (which may cause temporary dizziness when getting up out of a chair or bed) and changes in cognitive function. People with certain chronic illnesses, congenital conditions or di
s
abilities that affect muscular strength, balance, consciousness or mobility are also at higher risk of falling. Other factors that increase risk include problems with eyesight, use of sleeping pills, and side-effects of some medications (for example, dizz
iness and drowsiness).
\par As with osteoporosis prevention, the focus of most fall prevention activities is to target modifiable risk factors. These include }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020
changing or adapting behaviours to limit the risk posed by individual factors, and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 removing or limiting
exposure to environmental hazards (for example, by installing grab rails and non-slip floor strips). Regular physical activity is important as this can help to strengthen the muscles and improve balance and mobility. In particular, Tai Chi has been found
to be effective in improving muscular strength and balance and reducing the incidence of falls }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Voukelatos20073040304Voukelatos, ACumming, RGLord, SRRissel, C2007A randomised, controlled trial of tai chi for the prevention of falls: the Central Sydney tai chi trialJournal of the American Geriatrics Society5581185–1191Li20043050305Li, FHarmer, PFisher, KJMcAuley, E2004Tai Chi: improving function balance and predicting subsequent falls in older personsMedicine and Science in Sports and Exercise36122046–2052Choi20053060306Choi, JHMoon, JSSong, R2005Effects of Sun-style Tai Chi exercise on physical fitness and fall prevention in fall-prone older adultsJournal of Advanced Nursing512150–157}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
(Choi et al. 2005; Li et al. 2004; Voukelatos et al. 2007)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 Appropriate management of medications is another key }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020\charrsid14495032 fall}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid14495032\charrsid14495032 -}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020\charrsid14495032 prevention}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 strategy. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Some strategies for preventing falls in the home are outlined in }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Box{\*\xmlclose}{\*\xmlclose} 6.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 4{\*\xmlclose}{\*\xmlclose}.
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth3\trwWidth9072\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4640\clcbpatraw18 \cellx4640\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth4432\clcbpatraw18 \cellx9072\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid14096889 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc213487524}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Box{\*\xmlclose}{\*\xmlclose} 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 3{\*\xmlclose}{\*\xmlclose}: Risk factors for falling{\*\bkmkend _Toc213487524}\cell
}\pard\plain \ltrpar\ql \li0\ri0\sb40\sa40\sl280\slmult0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft0
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth3\trwWidth9072\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4640\clcbpatraw18 \cellx4640\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth4432\clcbpatraw18 \cellx9072\row \ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10
\trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9072\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind108\tblindtype3 \clvertalt
\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4640\clcbpatraw18 \cellx4640\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth4432\clcbpatraw18 \cellx9072\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\intbl\tx397\tx459\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid14096889 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 \tab Chronic illness\cell }\pard \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\intbl\tx397\tx497\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
{\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Depression\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth3\trwWidth9072\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4640\clcbpatraw18 \cellx4640\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth4432\clcbpatraw18 \cellx9072\row \ltrrow}\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\intbl\tx397\tx459\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid14096889
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 \tab Balance, gait or mobility problems\cell }\pard \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\intbl\tx397\tx497\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid14096889 {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Blackouts/fits\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth3\trwWidth9072\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4640\clcbpatraw18 \cellx4640\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth4432\clcbpatraw18 \cellx9072\row \ltrrow}\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\intbl\tx397\tx459\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid14096889
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 \tab Visual impairment\cell }\pard \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\intbl\tx397\tx497\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Indoor and outdoor hazards\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth3\trwWidth9072\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4640\clcbpatraw18 \cellx4640\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth4432\clcbpatraw18 \cellx9072\row \ltrrow}\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\intbl\tx397\tx459\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid14096889
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 \tab Cognitive impairment\cell }\pard \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\intbl\tx397\tx497\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab Use of medications or other drugs that \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth3\trwWidth9072\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4640\clcbpatraw18 \cellx4640\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrs\brdrw10
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth4432\clcbpatraw18 \cellx9072\row \ltrrow}\trowd \irow5\irowband5\lastrow \ltrrow\ts11\trgaph108\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth3\trwWidth9072\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind108\tblindtype3
\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4640\clcbpatraw18 \cellx4640\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth4432\clcbpatraw18 \cellx9072\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\intbl\tx397\tx459\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid14096889 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 \tab General deterioration associated with ageing
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 History of falls
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3614381 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3614381 Fear of falling\cell }\pard \ltrpar\s32\ql \li497\ri255\sb60\sa20\sl240\slmult0
\widctlpar\intbl\tx397\tx459\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin497\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 cause dizziness or drowsiness
\par }\pard \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\intbl\tx397\tx497\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\pararsid5320020 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 {\field{\*\fldinst SYMBOL 183 \\f "Symbol"
\\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 Physical inactivity
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3614381 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3614381 Foot problems}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9192814 .}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid3614381 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \trowd \irow5\irowband5\lastrow \ltrrow\ts11\trgaph108\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10
\trftsWidth3\trwWidth9072\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrnone \clcbpat18\cltxlrtb\clftsWidth3\clwWidth4640\clcbpatraw18 \cellx4640\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10
\clcbpat18\cltxlrtb\clftsWidth3\clwWidth4432\clcbpatraw18 \cellx9072\row }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar
\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 Using hip protectors
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
If a person with osteoporosis does experience a fall or other impact, the use of hip protectors may help to prevent factures of the hip or pelvis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Sinaki200453053Sinaki, M2004Falls, fractures and hip padsCurrent Osteoporosis Reports24131–7}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Sinaki 2004)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. These protectors generally take the form of padded leggings or shorts, and are designed to absorb the impact that could otherwise have broken a bone. However, compliance with wearing hi
p protectors has been found to be variable; people may find them uncomfortable, difficult to put on and take off, and irritating to the skin, and may consider them to be unattractive }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 ADDIN EN.CITE van Schoor200262062van Schoor, NMDevillé, WLBouter, LMLips, P2002Acceptance and com
pliance with external hip protectors: a systematic review of the literatureOsteoporosis International1312917–24}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (van Schoor et al. 2002)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171
. A recent systematic review has suggested that, although hip protectors may help to prevent hip fractures in people living in nursing or residential care settings, they may be ineffective for persons living in their own home because of poor compliance }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Parker200661061Parker, MJGillespie, WJGillespie, LD2006Effectiveness of hip protectors for preventing hip fractures in elderly people: systematic reviewBritish Medical Journal332571–4
}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Parker et al. 2006)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 . Hip protectors are only effective if they are worn correctly.
\par }\pard\plain \ltrpar\s34\ql \li255\ri255\sb120\sa60\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6836620 {\*\bkmkstart _Toc213487525}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Box{\*\xmlclose}{\*\xmlclose} 6.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 4{\*\xmlclose}{\*\xmlclose}: Preventing falls in the home{\*\bkmkend _Toc213487525}
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171 A few relatively simple adjustments can decrease the risk of falls in the home and garden:
\par }\pard\plain \ltrpar\s33\ql \fi-369\li624\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx65\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin624\rtlgutter\itap0\pararsid5320020 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid5320020 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 \tab stay active, and include some exercises to help with balance and posture
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 \tab attend a falls prevention class
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 \tab
have medications reviewed by a doctor or chemist, as some may cause dizziness and increase the risk of falling
\par }\pard \ltrpar\s33\ql \fi-369\li624\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx65\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin624\rtlgutter\itap0\pararsid10713171 \cbpat18 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 \tab remove or repair trip hazards in walkways (for example, loose rugs, electrical cords, unsecured carpet edges, and uneven paving or tiles)
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab
use bright lighting, have bedside lamps for use during the night, and install sensor lights in walkways
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid14495032 install}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 railings in the bathroom and toilet to assist with sitting, rising and general balance
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab
wear sensible, well-fitting shoes (avoid backless slippers, high heels and thongs), and ensure hems of skirts and trousers are above the floor
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab
install non-slip safety strips in the bath and shower, near the bathroom, kitchen and laundry sinks, and on uncarpeted or outdoor stairs
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab avoid excessive alcohol intake
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab use a walking aid if required
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\field{\*\fldinst SYMBOL 183 \\f "Symbol" \\s 10.5}{\fldrslt\f3\fs21}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab have eyesight checked regularly}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5320020 .}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par }\pard\plain \ltrpar\s32\ql \li255\ri255\sb60\sa20\sl240\slmult0\widctlpar\brdrt\brdrs\brdrw10\brsp200 \brdrl\brdrs\brdrw10\brsp200 \brdrb\brdrs\brdrw10\brsp200 \brdrr\brdrs\brdrw10\brsp200
\tx397\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin255\lin255\rtlgutter\itap0\pararsid10713171 \cbpat18 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f37\fs21\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i0\insrsid10713171 Sources:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Adapted from }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid14635195 Osteoporosis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Australia 2006}
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN EN.CITE Osteoporosis Australia2006361636Osteoporosis Australia,2006Managing osteoporosisSydneyOsteoporosis Australia200625 Julywww.osteoporosis.org.au/html/aboutosteo_prevention.php}}{\fldrslt }}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 and National Osteoporosis Foundation 2006}
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 ADDIN E
N.CITE National Osteoporosis Foundation2006371637National Osteoporosis Foundation,2006Fall preventionWashington, D.C.National Osteoporosis Foundation200631 Octoberwww.nof.org/patientinfo/fall_preventio
n.htm}}{\fldrslt }}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc216149687}Treatment and management of osteoporosis{\*\bkmkend _Toc160608208} and osteoporotic fractures
{\*\bkmkend _Toc216149687}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Osteoporosis is generally managed with medication, including prescription drugs and vitamin and mineral supplements. The most commonly used medications
are calcium supplements, calcium combined with vitamin D, and bisphosphonates. All of these medications act to reduce the rate of bone loss.
\par Two drugs that increase bone formation are currently available in {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}: parathyroid hormone and strontium ran
elate. Parathyroid hormone is given as daily injections. Although continuously having excess amounts of this hormone in the blood (as in people with hyperparathyroidism) can actually cause osteoporosis, small amounts given intermittently as a daily inject
ion stimulate the formation of new bone }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE Cranney200634034Cranney, APapaioannou, A<
AUTHOR>Zytaruk, NHanley, DAdachi, JGoltzman, DMurray, THodsman, Afor the Clinical Guidelines Committee of Osteoporosis Canada,20
0
6Parathyroid hormone for the treatment of osteoporosis: a systematic reviewCanadian Medical Association Journal175152–9review}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (Cranney et al. 2006)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
. The precise mechanism by which this occurs is not yet fully understood. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 Parathyroid injections are not currently subsidised under the }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713711\charrsid11410704 Pharmaceutical}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 Benefits Scheme (PBS).}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Strontium ranelate is als
o taken daily, but in oral form. It both stimulates bone formation and reduces bone resorption. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13528591 S}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
trontium ranelate is subsidised under the PBS for treatment of osteoporosis in postmenopausal women with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12535693 previous }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 minimal trauma fractures}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid13528591 and in women aged }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13528591\charrsid12535693 70}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12535693 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13528591\charrsid12535693 years}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid13528591 or over with a BMD T-score of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13057800 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13528591 3.0 or less}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid881379 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Regular exercise in people with established osteoporosis can help to reduce further decreases in BMD, as well as assisting in maintaining a healthy weight. Exercise can also help to increase and maintain m
obility and balance, which can reduce the risk of falling (a major cause of osteoporotic fractures). Tai Chi has been found to be particularly effective in reducing falls and fractures among older people. A healthy diet, incorporating sufficient calcium a
nd other nutrients, is also important for maintaining healthy weight and reducing further bone loss.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid881379
As previously noted, a medications review may be beneficial to reduce the risk of medication side-effects leading to a fall. These reviews are subsidised th
rough Medicare for eligible persons; more than 75,000 home medicines reviews were provided under Medicare during 2007}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13057800 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid881379
08 at a cost to the Australian Government of over $8.5 million (Medicare Australia 2008).
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 A major component of management of people with o
steoporosis is the prevention of falls, and the treatment of any fractures that occur. Fracture treatment includes appropriate follow-up, investigation of the causes of the fracture in people who have not previously been diagnosed with osteoporosis, and i
n
itiation of osteoporosis treatment if necessary. There are a number of places where treatment for a fracture may be received, including GP surgeries, clinics, and at hospitals, either in the emergency department or as an admitted patient. However, at all
points in the continuum of patient care, the majority of osteoporotic fractures are both under-diagnosed and under-treated }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
ADDIN EN.CITE NAMSCAG (National Arthritis and Musculoskeletal Conditions Advisory Group)2004
Year>101010NAMSCAG (National Arthritis and Musculoskeletal Conditions Advisory Group),2004Evidence to support the national acti
o
n plan for osteoarthritis, rheumatoid arthritis and osteoporosis: opportunities to improve health-related quality of life and reduce the burden of disease and disabilityCanberraAustralian Government De
partment of Health and Ageing}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (NAMSCAG 2004)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608209}Management by general practitioners{\*\bkmkend _Toc160608209}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid6050527
General practitioners (GPs) are the first line of care for people with osteoporosis, advising on diet and exercise, treating minor fractures and prescribing appropriate medications. Osteoporosis was managed }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1201303
at a rate of 9 per 1,000}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid6050527 encounters reported to the BEACH (Bettering the Evaluation and Care of Health) GP survey in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6050527\charrsid6050527 7}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid6050527 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6050527\charrsid6050527 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid6050527 . This equates to around }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1201303 98}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid6050527 0,000 Medicare-paid GP consultations for osteoporosis between April 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6050527\charrsid6050527 7}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid6050527 and March 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6050527\charrsid6050527 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid6050527 . One in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1201303 five}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid6050527 encounters were for \lquote new\rquote cases of osteoporosis (that is, the person had not previously seen a medical practitioner for osteoporosis). The vast majority (99%) of encounters where osteoporosis
was managed were for people aged 40 years or over; osteoporosis was managed }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1201303 at}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid6050527 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1201303 15 per 1,000 }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid6050527 encounters among people of this age. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid10713171\charrsid12522430
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid13269271 The most common action taken by GPs to manage osteoporosis was to prescribe, advise or supply medication. Calcium supplements,
vitamin D supplements, and the bisphosphonates alendronate and risedronate were the most frequent medications reported. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4939839 Bone mineral density tests and }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15942214 X}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4939839 -rays of the chest/spine were ordered }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1201303 for}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4939839 21% and }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4939839\charrsid4939839 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4939839 % of new osteoporosis cases, respectively. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid10713171\charrsid12522430
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4273384 Fractures were managed }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13570488 at a rate of}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4273384 6 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid13570488 per}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4273384 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13570488 1,000 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4273384
encounters for persons aged 40 years or over reported to the BEACH GP survey in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4939839\charrsid4273384 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4273384 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid4939839\charrsid4273384 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4273384 , equating to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1201303 more than}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4273384 }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid4273384\charrsid4273384 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1201303 90}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4273384 ,000 Medicare-paid GP consultations. }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid4273384\charrsid4273384 Thirty-eight}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4273384 per cent of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2062655 fractures managed}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4273384
were new fractures (that is, the first time the patient had seen a medical practitioner for that fracture).
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5443350 Fractures of the spine or wrist/forearm were the most common fractures managed among persons aged 40 years or over in 2005\endash 06, accounting for 2}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid5443350\charrsid5443350 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5443350 % and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5443350\charrsid5443350 15}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2062655 % of new fracture problems}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171\charrsid5443350 , respectively. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13570488 At least one m}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid2695196 edication w}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13570488 as}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid2695196 prescribed, advised or supplied in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2695196\charrsid2695196 84}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid2695196
% of encounters for new fractures, with analgesics (painkillers) being the most common drugs recorded. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid12331642 X-rays}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12331642 , CT scans or ultrasound scans}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid12331642 of the fracture site were ordered in 47% of new cases, and bone mineral density testing was requested in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12331642\charrsid12331642 9}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid12331642 % of new cases. Note that although an encounter may be for a new fracture, the person may have already been diagnosed with osteoporosis and so diagnostic tests such as bone min
eral density scans may not be required.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2300511 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkstart _Toc160608228}Emergency department attendances{\*\bkmkend _Toc160608228} for fractures
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Data relating to services provided in hospital emergency departments are limited. The national administrative data collection (the }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 Non-Admitted Patient Emergency Depar
tment Care Database, held at the AIHW) does not include any diagnostic information, and so national data on emergency department attendances for particular conditions or injuries are not able to be generated. However, some information on fractures is avai
lable at the state and territory level.
\par Over 27,000 fractures among people aged 40 years or over were reported to the New South Wales Emergency Department Data Collection in 2004\endash 05, with 61% of these occurring in women (}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid6836620 Figure 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 4). Reliable information o
n the cause of the fracture was not available. Fractures of the wrist and forearm were the most common, followed by fractures of the hip and pelvis. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\highlight7\langnp1033\insrsid10713171
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 Data from the Victorian Emergency Minimum Dataset show that 20,198 fractures in persons aged 40 years or over presented to Victorian emergency departments during 2004\endash
05 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6836620 Figure 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
4). The proportion of these fractures that were the result of minimal trauma is unknown. Fractures were more common among females than males, with the most common fracture sites being the wrist and forearm.
\par Although these emergency department data do not specify whether fractures were the result of minimal trauma, it is likely that the majority of fractures in people aged 40 years or over would be related to osteoporosis.
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16743752 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid6836620 {\*\bkmkstart _Toc160608229}{\*\bkmkstart _Toc267314829}Figure 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713171 4: Emergency department attendances for fractures, persons aged 40 years or over, NSW and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid16743752 Victoria}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713171 , 2004\endash 05{\*\bkmkend _Toc267314829}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16743752 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16743752 Horizontal bar chart showing, for bone fractured, }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid16608708 sex and state on y-axis ad per cent of fracture attendances on x-axis.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16743752
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid16608708\charrsid16608708 Notes\tab
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708 1.\tab Data refer to all fracture attendances, not just attendances for minimal trauma fractures. Reliable information on the cause of injury was not available.
\par 2.\tab Data for NSW relate to 63 hospitals, representing over 76% of emergency department attendances in that state.
\par 3.\tab Data for {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Victoria{\*\xmlclose}{\*\xmlclose} include all emergency departments in that state.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid16608708\charrsid16608708 Sources:\tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708 NSW Emergency Department Data Collection and Victorian Emergency Minimum Dataset.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16743752 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16608708\charrsid16743752
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171
Patients presenting to the emergency department may be formally admitted to the hospital for further treatment or care. In this case they will also be included in counts of admitted patient episodes, as presented in the next section. }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171 The decision to admit a person with a fracture to hospital depends on the type of treatment required, the severity of the
injury and whether the patient would be able to care for him- or herself (or has somebody to care for them) at home. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 The numbers in }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid6836620 Figure 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713171 4 include all cases presenting to emergency departments, regardless of whether or not they were later admitted to
hospital.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb240\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid9192814 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Hospital services{\*\bkmkend _Toc160608229} for fractures
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 In 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11410704\charrsid11410704 6}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid11410704 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11410704\charrsid11410704 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 there were }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11410704\charrsid11410704 50}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11410704\charrsid11410704 993}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704
hospital separations for minimal trauma fractures in persons aged 40 years or over. (Cases where the patient was transferred between hospitals have been counted only once.) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2059342\charrsid2059342 More than t
hree-quarters}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid2059342 of these separations (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11214783\charrsid2059342 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2059342\charrsid2059342 7}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid2059342 %) involved}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704
fractures at one of the major sites described above (hip/pelvis, wrist/forearm, spine, ankle or shoulder), with hip and pelvic fractures accounting for }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11214783\charrsid11410704 4}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11410704\charrsid11410704 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 % of minimal trauma fracture separations }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11214783\charrsid11410704 in this age group }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid11410704 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Table 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704 2). These data substantially underestimate the number of minimal trauma fractures occurring in
{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7172149 {\*\xmlclose}{\*\xmlclose},}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid11410704
as the majority will not be treated in hospital. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid10713171\charrsid12522430
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb120\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9192814 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc213486292}Table 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
2: Hospital separations for minimal trauma fractures, persons aged 40 years or over, 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \endash 0}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid11738931\charrsid5121134 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 {\*\bkmkend _Toc213486292}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx7481\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172
\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Fracture region and site}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid10713171\charrsid5121134 (a)\cell }\pard \ltrpar
\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Males\cell Females\cell Persons\cell Per cent
\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx7481\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx7481\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Ankle\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid11738931\charrsid5121134 824}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 2,377}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 3,201}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 6}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx4100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx7481\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
Hip and pelvis\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 5,294}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 15,209}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11738931\charrsid5121134 20,503}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 40}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Femoral neck fracture\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 2,362}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 6,400}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 8,762}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 17}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Intertrochanteric fracture\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 1,337}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 3,659}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 4,996}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 10}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Pelvic fracture\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 751}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 3,185}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 3,936}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 8}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Other\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid5121134\charrsid5121134 844}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 1,965}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 2,809}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 6}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
Shoulder\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 990}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 3,154}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134
4,145}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid5121134\charrsid5121134 (b)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 8}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Fracture of clavicle\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 197}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 258}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 456}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid5121134\charrsid5121134 (b)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid10713171\charrsid5121134 \cell }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow8\irowband8\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Fracture of neck of humerus\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 722}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 2,782}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 3,504}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 7}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow9\irowband9\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Other\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid5121134\charrsid5121134 71}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 114}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 185}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 \emdash }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow10\irowband10\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
Spine\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 863}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 1,915}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134
2,778}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
\trowd \irow11\irowband11\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Wrist and forearm\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 1,381}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 7,442}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 8,823}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 17}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow12\irowband12\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Colles fracture\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 428}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 3,786}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 4,214}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 8}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow13\irowband13\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Scaphoid fracture\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 56}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 52}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 108}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 \emdash }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow14\irowband14\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Other\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid5121134\charrsid5121134 897}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 3,604}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 4,501}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 9}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow15\irowband15\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
Other }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11214783\charrsid5121134 or multiple }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 sites\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 4,154}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11738931\charrsid5121134 7,389}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 11,543}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 23}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow16\irowband16\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil
\cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow17\irowband17\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 Total\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid11738931\charrsid5121134 13,506}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 37,486}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11738931\charrsid5121134 50,993}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid5121134\charrsid5121134 (b)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid10713171\charrsid5121134 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11738931\charrsid5121134 100}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 \trowd \irow17\irowband17\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2518\clshdrawnil \cellx2410\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx4100
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx5791\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1690\clshdrawnil \cellx7481\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1691\clshdrawnil \cellx9172\row }\pard\plain \ltrpar
\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 \emdash \tab Less than 1%
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid5121134 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 (a)\tab Based on pri}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11214783\charrsid5121134 ncipal diagnosis. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 (b)\tab Includes one case where the sex of the patient was not recorded.
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid10713171 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10713171\charrsid5121134 Notes}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid5121134 \tab
\par 1.\tab A separation for minimal trauma fracture was defined as any separation of a person aged 40 years or over with the principal diagnosis of a fracture and an external cause code indicating minor trauma (see Appendix 2 Table A2.1 for codes used).
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid9192814 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 2.\tab
Separations where the patient was transferred from another hospital were excluded (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid5121134\charrsid5121134 298}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 cases, or approximately 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5121134\charrsid5121134 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134
% of all minimal trauma fracture separations). This provides a more accurate estimate of the number of fractures that required hospital treatment as an admitted patient.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9192814 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10713171\charrsid5121134 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid5121134 {\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}AIHW{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}National{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}Hospital{\*\xmlclose}{\*\xmlclose}{\*\xmlclose}
Morbidity Database.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Interventions provided during separations for minimal trauma fractures range from simple immobilisation of the fracture area or limb to
surgical realignment and fixation of the fractured bone. In some cases involving fracture at a joint, total or partial replacement of the joint is undertaken. People with hip fractures are the most likely to undergo joint replacement; }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid7607807 over 4,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7607807\charrsid7607807 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid7607807 00 partial hip replacements for }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7547587\charrsid7607807 minimal trauma hip }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid7607807 fractures were undertaken in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7607807\charrsid7607807 6}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid7607807 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7607807\charrsid7607807 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid7607807 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par Allied health interventions are very common in people with minimal trauma fractures, particularly where the fractures involve the spine, hip, pelvis or lower limbs. These intervent
ions can help people to regain movement, improve mobility, adapt to any functional limitations caused by their injury, and reduce their risk of further fractures and falls}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid2977067
. The most common types of allied health intervention provided are physiotherapy (provided in 65% of separations for minimal trauma fractures in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2977067\charrsid2977067 6}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid2977067 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid1074550 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2977067\charrsid1074550 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid1074550
), occupational therapy (3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1074550\charrsid1074550 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid1074550 %), social work (19%) and dietetics (12%) (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Table 6.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid1074550 3).}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10713171 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc213486293}Table 6.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
3: Interventions provided in separations for minimal trauma fractures, persons aged 40 years or over, 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2977067 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2977067 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 {\*\bkmkend _Toc213486293}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx2985\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx6078\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3094\clshdrawnil \cellx9172\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Intervention\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid2977067 Number}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid10713171\charrsid2977067 (a)\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid2977067 Per cent (n=5}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2977067\charrsid2977067 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid2977067 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2977067\charrsid2977067 291}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid2977067 )\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid10713171\charrsid12522430 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx2985\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx6078\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3094\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx2985\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx6078\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3094\clshdrawnil \cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Immobilisation or non-surgical fixation\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid4460425 63}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4460425\charrsid4460425 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4460425 \cell 1.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4460425\charrsid4460425 1}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid4460425 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16\highlight7\insrsid10713171\charrsid12522430 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx2985\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx6078\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3094\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Reduction}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid10713171 (b)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 with or without fixation\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4460425 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15492458\charrsid4460425 5}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid4460425 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15492458\charrsid4460425 937}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid4460425 \cell 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4460425\charrsid4460425 4.5}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171\charrsid4460425 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16\highlight7\insrsid10713171\charrsid12522430 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx2985\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx6078\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3094\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
Arthroplasty (joint replacement)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15492458\charrsid15492458 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid15492458 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15492458\charrsid15492458 295}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid15492458 \cell 10.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15492458\charrsid15492458 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid15492458 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16\highlight7\insrsid10713171\charrsid12522430 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx2985\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx6078\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3094\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Partial arthroplasty of hip\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid3284761 4,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3284761\charrsid3284761 77}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid3284761 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid10713171\charrsid12522430
\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid2977067 8.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2977067\charrsid2977067 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid10713171\charrsid12522430 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0
\fs16\highlight7\insrsid10713171\charrsid12522430 \trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx2985\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx6078\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3094\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Allied health
interventions\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2977067\charrsid2977067 40}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171\charrsid2977067 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2977067\charrsid2977067 120}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid2977067 \cell 68.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2977067 8}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid10713171\charrsid2977067 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0 \fs16\highlight7\insrsid10713171\charrsid12522430 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx2985\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx6078\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3094\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 Physiotherapy\cell }\pard \ltrpar\s43\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14096889 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713171\charrsid2977067 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2977067\charrsid2977067 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid2977067 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2977067\charrsid2977067 835}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10713171\charrsid2977067 \cell 64.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2977067\charrsid2977067 9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171\charrsid2977067 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0\afs16 \ltrch\fcs0
\fs16\highlight7\insrsid10713171\charrsid12522430 \trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14096889\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx2985\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3093\clshdrawnil \cellx6078\clvertalb
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(a)\tab Refers to the number of separations in which the intervention was provided. Interventions may have been provided more than once within a separation, and multiple interventions may have been provided. See Appendix 2 Table A2.2 for codes used.
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid10713171 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 (b)\tab
Adjusting the alignment of the broken ends of the bone, to help it heal correctly. This can be done surgically or non-surgically. The ends of the bone can then be held in place (\lquote fixed\rquote
) non-surgically with a cast or splint, or surgically by inserting pins, plates, screws or rods through or along the bone.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid10713171 Notes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171 \tab
\par 1.\tab A separation for minimal trauma fracture was defined as any separation of a person aged 40 years or over with the principal diagnosis of a fracture and an external cause code indicating minor trauma (see Appendix 2 Table A2.1 for codes used).
\par 2.\tab Separations where the patient was transferred from another hospital have been included in order to capture all treatment provided.
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\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4656204 : Kreisfeld R & Harrison J 2005. Injury deaths, Australia, 1999. Cat. no. INJCAT 67. Adelaide: AIHW.
\par AIHW: Kreisfeld R & Newson R 2006. Hip fracture injuries. Cat. no. INJCAT 93. Adelaide: AIHW.
\par AIHW: Rahman N & Bhatia K 2007. Impairments and disability associated with arthritis and osteoporosis. Cat. no. PHE 90. Canberra: AIHW.
\par Calder S, Anderson GH & Gregg PJ 1996. Certification of cause of death in patients dying soon after proximal femoral fracture. British Medical Journal 312:1515.
\par Cauley JA, Robbins J, Chen Z, Cummings SR, Jackson RD, LaCroix AZ et al. 2003.
Effects of oestrogen plus progestin on risk of fracture and bone mineral density. The Women's Health Initiative randomised trial. Journal of the American Medical Association 290:1729\endash 38.
\par Center J, Nguyen T, Schneider D, Sambrook P & Eisman J 1999. Mortality after all major types of osteoporotic fracture in men and women: an observational study. Lancet 353:878\endash 82.
\par Center JR, Bliuc D, Nguyen TV & Eisman JA 2007. Risk of subsequent fracture after low-trauma fracture in men and women. Journal of the American Medical Association 297:387\endash 94.
\par Choi JH, Moon JS & Song R 2005. Effects of Sun-style Tai Chi exercise on physical fitness and fall prevention in fall-prone older adults. Journal of Advanced Nursing 51:150\endash 7.
\par Cooper C 1997. The crippling consequences of fractures and their impact on quality of life. American Journal of Medicine 103:12S\endash 7S.
\par Cooper C, Atkinson EJ, O'Fallon WM & Melton LJ 3rd 1992. Incidence of clinically diagnosed vertebral fractures: a population-based study in Rochester, Minnesota, 1985\endash 1989. Journal of Bone and Mineral Research 7:221\endash 7.
\par Cranney A, Papaioannou A, Zytaruk N, Hanley D, Adachi J, Goltzman D et al. 2006. Parathyroid hormone for the treatment of osteoporosis: a systematic review. Canadian Medical Association Journal 175:52\endash 9.
\par Cumming RG, Nevitt MC & Cummings SR 1997. Epidemiology of hip fractures. Epidemiological Reviews 19:244\endash 56.
\par Cummings SR, Nevitt MC, Browner WS, Stone K, Fox KM, Ensrud KE et al. 1995. Risk factors for hip fracture in white women. New England Journal of Medicine 332:767\endash 73.
\par Diaz MN, O'Neill TW & Silman AJ 1997. The influence of family history of hip fracture on the risk of vertebral deformity in men and women: the European Vertebral Osteoporosis Study. Bone 20:145\endash 9.
\par Empana JP, Dargent-Molina P, Breart G & the EPIDOS Group 2004. Effect of hip fracture on mortality in elderly women: the EPIDOS prospective study. Journal of the American Geriatric Society 52:685\endash 90.
\par Fletcher PC & Hirdes JP 2004. Restriction in activity associated with fear of falling among community-based seniors using home care services. Age and Ageing 33:273\endash 9.
\par Gold D 2001. The nonskeletal consequences of osteoporotic fractures. Psychologic and social outcomes. Rheumatic Diseases Clinics of North America 27:255\endash 62.
\par Greenfield DM & Eastell R 2001. Risk factors for ankle fracture. Osteoporosis International 12:97\endash 103.
\par Haczynski J & Jakimiuk AJ 2001. Vertebral fractures: a hidden problem of osteoporosis. Medical Science Monitor 7:1108\endash 17.
\par Hallberg I, Rosenqvist AM, Kartous L, L\'f6fman O, Wahlstr\'f6m O & Toss G 2004. Health-related quality of life after osteoporotic fractures. Osteoporosis International 15:834\endash 41.
\par Hasselman CT, Vogt MT, Stone KL, Cauley JA & Conti SF 2003. Foot and ankle fractures in elderly white women. Incidence and risk factors. Journal of Bone and Joint Surgery (America) 85:820\endash 4.
\par Johnell O, Kanis J, Od\'e9n A, Sernbo I, Redlund-Johnell I, Petterson C et al. 2004. Mortality after osteoporotic fractures. Osteoporosis International 15:35\endash 42.
\par Johnell O & Kanis JA 2004. An estimate of the worldwide prevalence, mortality and disability associated with hip fracture. Osteoporosis International 15:897\endash 902.
\par Li F, Harmer P, Fisher KJ & McAuley E 2004. Tai Chi: improving function}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2490730 al}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4656204 balance and predicting subsequent falls in older persons. Medicine and Sci
ence in Sports and Exercise 36:2046\endash 52.
\par Lord SR, Sambrook P, Gilbert C, Kelly PJ, Nguyen T, Webster IW et al. 1994. Postural stability, falls and fractures in the elderly: results from the Dubbo Osteoporosis Epidemiology Study. Medical Journal of Australia 160:684\endash 91.
\par Lukert BP 1994. Vertebral compression fractures: how to manage pain, avoid disability. Geriatrics 49:15.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid881379 Medicare Australia 2008. MBS online statistics: MBS item reports. Canberra: Medicare Australia. Accessed 12 September 2008, <}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid881379\charrsid881379 https://www.m
edicareaustralia.gov.au/statistics/mbs_item.shtml}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid881379 >.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid881379\charrsid881379
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4656204 NAMSCAG (National Arthritis and Musculoskeletal Conditions Advisory Group) 2004. Evidence to support the national action plan for osteoarthritis, rheumatoid arthritis and osteoporosis: opportunities to im
prove health-related quality of life and reduce the burden of disease and disability. Canberra: Australian Government Department of Health and Ageing.
\par National Osteoporosis Foundation 2006. Fall prevention. Washington, D.C.: National Osteoporosis Foundation. Viewed 31 October 2006, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf0\insrsid4656204\charrsid1211217 <}{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0
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\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf0\insrsid4656204\charrsid1211217 .
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4656204 Nguyen ND, Eisman JA, Center JR & Nguyen TV 2007. Risk factors for fracture in non-osteoporotic men and women. Journal of Clinical Endocrinology and Metabolism 92:955\endash 62.
\par Nguyen T, Center J, Sambrook P & Eisman J 2001. Risk factors for proximal humerus, forearm and wrist fractures in elderly men and women. The Dubbo Osteoporosis Epidemiology study. American Journal of Epidemiology 153:587\endash 95.
\par NHMRC (National Health and Medical Research Council of Australia) 2003. Dietary guidelines for Australian adults. Canberra: NHMRC.
\par NHMRC 2005. Making decisions: should I use hormone replacement therapy? Canberra: NHMRC.
\par Nowson CA & Margerison C 2002. Vitamin D intake and vitamin D status of Australians. Medical Journal of Australia 177:149\endash 52.
\par Nuki G, Ralston S & Luqmani R 1999. Diseases of the connective tissues, joints and bones. In: Haslett C, Chilvers E, Hunter J & Boon N (eds). Davidson's principles and practice of medicine, 18th edition. Edinburgh: Churchill Livingstone, 801\endash 76.
\par Oglesby AK, Minshall ME, Shen W, Xie S & Silverman SL 2003. The impact of incident vertebral and non-vertebral fragility fractures on health-related
quality of life in established postmenopausal osteoporosis: results from the teriparatide randomized, placebo-controlled trial in postmenopausal women. Journal of Rheumatology 30:1579\endash 83.
\par Osnes EK, Lofthus CM, Meyer HE, Falch JA, Nordsletten L, Cappelen I et al. 2004. Consequences of hip fracture on activities of daily life and residential needs. Osteoporosis International 15:567\endash 74.
\par Osteoporosis Australia 2006. Managing osteoporosis. Sydney: Osteoporosis Australia. Viewed 25 July 2006, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf0\insrsid4656204\charrsid1211217 <}{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
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\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4656204 .
\par Parker MJ, Gillespie WJ & Gillespie LD 2006. Effectiveness of hip protectors for preventing hip fractures in elderly people: systematic review. British Medical Journal 332:571\endash 4.
\par Roberts I & Benbow EW 1996. Certification of cause of death in patients dying soon after proximal femoral fracture. Postmortem examination should always be carried out for deaths due to trauma. British Medical Journal 313:879.
\par Salkeld G, Cameron ID, Cumming RG, Easter S, Seymour J, Kurrle SE et al. 2000. Quality of life related to fear of falling and hip fracture in older women: a time trade off study. British Medical Journal 320:341\endash 6.
\par Sambrook PN, Seeman E, Phillips SR & Ebeling PR 2002. Preventing osteoporosis: outcomes of the Australian Fracture Prevention Summit. Medical Journal of Australia 176:S1\endash S16.
\par Seeley D, Kelsey J, Jergas M & Nevitt MC 1996. Predictors of ankle and foot fractures in older women. The Study of Osteoporotic Fractures Research Group. Journal of Bone and Mineral Research 11:1347\endash 55.
\par Silverman SL, Minshall ME, Shen W, Harper KD & Xie S 2001. The relationship of health-related quality of life to prevalent and incident vertebral fractures in postm
enopausal women with osteoporosis: results from the Multiple Outcomes of Raloxefine Evaluation Study. Arthritis and Rheumatism 44:2611\endash 19.
\par Sinaki M 2004. Falls, fractures and hip pads. Current Osteoporosis Reports 2:131\endash 7.
\par Sitoh YY, Lau TC, Zochling J, Schwarz J, Chen JS, March LM et al. 2005. Determinants of health-related quality of life in institutionalised older persons in northern Sydney. Internal Medicine Journal 35:131\endash 4.
\par van Schoor NM, Devill\'e9 WL, Bouter LM & Lips P 2002. Acceptance and compliance with external hip protectors: a systematic review of the literature. Osteoporosis International 13:917\endash 24.
\par Voukelatos A, Cumming RG, Lord SR & Rissel C 2007. A randomised, controlled trial of tai chi for the prevention of falls: the Central Sydney tai chi trial. Journal of the American Geriatrics Society 55:1185\endash 91.
\par WHO }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11868451 (World Health Organization) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4656204
Scientific Group 1994. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. WHO Technical Report series no. 843. Geneva: WHO.
\par Willig R, Keinanen-Kuikaaniemi S & Jalovaara P 2001. Mortality and quality of life after trochanteric hip fracture. Public Health 115:323\endash 7.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8660839 Wong P, Christie J & Wark J 2007. The effects of smoking on bone health. Clinical Science 113:233\endash 41.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4656204 Working G
roup of the Australian and New Zealand Bone and Mineral Society, Endocrine Society of Australia & Osteoporosis Australia 2005. Vitamin D and adult bone health in Australia and New Zealand: a position statement. Medical Journal of Australia 182:281\endash
5.
\par }}}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4656204 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid6509576
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10713171
\par }\pard\plain \ltrpar\s1\ql \fi-709\li709\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin709\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16152856 {\*\bkmkstart _Toc216149689}7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1735165 \tab
Trends and patterns in arthritis and osteoporosis{\*\bkmkend _Toc216149689}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
The number of people who have a particular disease or condition is generally not constant between different population groups or geographic areas, or over time. Factors that affect the distribution of disease include:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid1735165 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 variations in exposure to risk factors or causes of disease
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid1735165 \loch\af37\dbch\af0\hich\f37 \'95\tab}changes in population structure (for example, increased numbers of older people)
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid1735165 \loch\af37\dbch\af0\hich\f37 \'95\tab}differences in access to treatment
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid1735165 \loch\af37\dbch\af0\hich\f37 \'95\tab}changes in treatment practices
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid1735165 \loch\af37\dbch\af0\hich\f37 \'95\tab}variations in genetic susceptibility to disease
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid1735165 \loch\af37\dbch\af0\hich\f37 \'95\tab}the effects of disease prevention and awareness strategies.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
For these reasons and others (for example, differences in help-seeking behaviour), rates of health service use also vary. Examining variation in disease rates and service use across t
he population and over time can give us insights into the risk factors for and causes of disease, and the effects of public health strategies and interventions. It can also help to identify population groups that are at high risk or who have high rates of
a disease so that interventions and health services can be located and targeted appropriately.
\par This chapter uses the national indicators for osteoarthritis, rheumatoid arthritis and osteoporosis as a basis for looking at trends and patterns in arthritis and osteoporosis in {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place
}}Australia{\*\xmlclose}{\*\xmlclose}. National data for each indicator (the most recent year available, by age group and sex) can be found in Appendix 1.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 {\*\bkmkstart _Toc216149690}Trends over time{\*\bkmkend _Toc216149690}
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Prevalence
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 The prevalence of a disease (that is, the number of cases existing in the populati
on) may change over time as exposure to risk factors changes, treatments improve (or are discovered) or death rates vary. For arthritis and osteoporosis\emdash diseases that are more common in older people, rarely cause death directly and are not curable
\emdash the main factors influencing prevalence are population ageing and exposure to risk factors. Two risk factors for which time series data are available are physical inactivity in adults, and overweight and obesity in adults and children.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid1144957
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Physical inactivity}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid1841200 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Exercis
e is essential for building and maintaining healthy bones. It also helps to improve and maintain balance, strength and joint flexibility, improves cartilage health, and may reduce the risk of falls. Although the exact amount of exercise required for bone
h
ealth is unclear, Australian and international guidelines recommend that adults undertake at least 30 minutes of moderate physical activity (such as brisk walking) on at least 5 days of the week for good health. Self-reported information from the Australi
a Bureau of Statistics\rquote National Health Surveys (NHS) suggests that around 60% of Australian adults undertake less than this amount of activity,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid5651675 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 and that this has not changed significantly since 1989\endash 90 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Table 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 1).
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc213486294}Table 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 1: Proportion of adults undertaki
ng insufficient physical activity, 1989\endash 90 to 2004\endash 05{\*\bkmkend _Toc213486294}
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\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx7057\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1874\clshdrawnil \cellx8931
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \cell }\pard\plain \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 1989\endash 90
\cell 1995\cell 2001\cell 2004\endash 05\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1546\clshdrawnil \cellx1438\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx3311
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx5184\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx7057\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1874\clshdrawnil \cellx8931\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1546\clshdrawnil \cellx1438\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx3311\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx5184\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx7057\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1874\clshdrawnil \cellx8931\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 58\cell 58\cell 57\cell 58\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
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\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1546\clshdrawnil \cellx1438\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx3311\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx5184\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx7057\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1874\clshdrawnil \cellx8931\row \ltrrow}\trowd \irow2\irowband2\ltrrow
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\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx5184\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx7057
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1874\clshdrawnil \cellx8931\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Females\cell
}\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 65\cell 65\cell 64\cell 64\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1546\clshdrawnil \cellx1438\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil
\cellx3311\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx5184\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx7057\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1874\clshdrawnil \cellx8931\row \ltrrow}\trowd \irow3\irowband3\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1546\clshdrawnil \cellx1438\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx3311
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx5184\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx7057\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1874\clshdrawnil \cellx8931\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Total\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 62\cell 62\cell 60\cell 61\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \trowd \irow3\irowband3\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1546\clshdrawnil \cellx1438\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx3311
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx5184\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1873\clshdrawnil \cellx7057\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1874\clshdrawnil \cellx8931\row }\pard\plain \ltrpar
\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033
{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid1735165\charrsid4980752 Notes
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid1735165 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1735165 1.\tab
Classified as undertaking less than 300 minutes of leisure-time activity during the two weeks prior to the survey, based on self-reported information.
\par 2.\tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2915738 Proportion of}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1735165 people aged 18 years or over.
\par 3.\tab Age-standardised to the Australian population as at 30 June 2001.
\par }\pard\plain \ltrpar\s159\ql \fi-425\li425\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin425\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid1735165\charrsid4980752 Source}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid1735165 s}{\rtlch\fcs1
\af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid1735165\charrsid4980752 :}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1735165 AIHW analysis of the 1989\endash 90, 1995, 2001 and 2004\endash 05 }{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 NHS CURFs}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid1735165 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Overweight and obesity
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
Although body mass is a factor in building strong bones, being overweight or obese increases the risk of osteoarthritis, particularly in the knees. Excess weight is also a risk factor for other chronic conditions such as heart disease and Type 2 diabetes.
Self-reported information from the NHS suggests that the number of Australians who are overweight or obese is rising. Between 1989\endash 90 and 2004\endash
05, the proportion of adults who were overweight or obese increased from 45% to 67% in men and from 32% to 48% in women (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 1(a)).
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc267314830}Figure 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 1}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165\charrsid8093356 : }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Overweight and obesity in Australian adults and children{\*\bkmkend _Toc267314830}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708
Stacked line chart showing, for males and females, per cent on y-axis and year on x-axis for adults aged 18 years or over. Vertical bar chart showing, for boys and girls per cent on y-axis an year on x-axis, for children aged 5-17 years.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid16608708\charrsid16608708 Notes
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708\charrsid2520447 1.\tab Overweight and obesity in adults is classified as body mass index (BMI = weight/height}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid16608708\charrsid11690347 2}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid16608708\charrsid2520447 ) of 25 or greater, based on self-reported height and weight.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708\charrsid1865743 .\tab Overweight and obesity }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708 in children is }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16608708\charrsid1865743 classified using age- and sex-specific BMI values as determined by Cole et al. }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708
ADDIN EN.CITE Cole200031031Cole, T JBellizzi, M CFlegal, K MDietz, W H2000Establishing a standard definition for child overweight and obesity worldwide: international surv
eyBritish Medical Journal3201–6}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708\charrsid1865743 (2000)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708 , and based on measured height and weight}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid16608708\charrsid1865743 .
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708\charrsid2520447 .\tab Rates for adults are age-standardised to the Australian population as at 30 June 2001.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16608708\charrsid4980752 Source}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16608708 s}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid16608708\charrsid4980752 :}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16608708 AIHW analysis of the 1989\endash 90, 1995, 2001 and 2004\endash
05 NHS CURFs (adults) and Magarey et al. 2001 (children)}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16608708
ADDIN EN.CITE Magarey200132032Magarey, A MDaniels, L ABoulton, T J C2001Prevalence of overweight and obesity in Australian children an
d adolescents: reassessment of 1985 and 1995 data against new standard international definitionsMedical Journal of Australia174561–4}}{\fldrslt }}
\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16608708 .
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708\charrsid16608708
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Overweight and o
besity among Australian children and adolescents is also believed to be increasing. The most recent national data show that the proportion of 5\endash 17}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11494552 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 year}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11494552 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 olds who were overweight or obese doubled between 1985 and 1995 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 1(b)). More recent data collected in New South Wales and Western Australia suggest that the upward trend has continued }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
ADDIN EN.CITE Hands2004951095Ha
nds, BParker, HGlasson, CBrinkman, SRead, H2004Results of Western Australian child and adolescent physical activity and nutrition survey 2003 (CAPAN
S
)Physical activity technical reportPerthWestern Australian GovernmentBooth2006941094Booth, MOkely, A DDenney-Wilson, EYang, BHardy, LDobbins, T2006N
SW schools physical activity and nutrition survey (SPANS) 2004SydneyNSW Department of Health}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
(Booth et al. 2006; Hands et al. 2004)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Arthritis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 The prevalence of osteoarthritis in people aged 25 years or over (based on self-reported information) increased slightly between 1995 and 2004
\endash 05, from 8% to 9% among men and from 13% to 14% among women (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 2(a)). Over the same period, the prevalence of rheumatoid arthriti
s stayed relatively constant among males but decreased slightly in females.
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc267314831}Figure 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 2}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165\charrsid8093356 : }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16608708 Prevalence}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid8093356 of arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 and osteoporosis}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid8093356 , 1995 to 2004\endash 05}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 {\*\bkmkend _Toc267314831}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708 Two stacked line charts. The first for osteoarthritis and rheumatoid arthritis showing, for sex and arthritis
type, per cent on y-axis and year on x-axis. The second for osteoporosis showing, for males and females, per cent on y-axis and year on y-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708\charrsid8093356 Notes\tab
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708 1.\tab Based on self-reported information.
\par 2.\tab Data for osteoarthritis includes people aged 25 years or over; data for rheumatoid arthritis includes all ages; data for osteoporosis includes people aged 40 years or over.
\par 3.\tab Age-standardised to the Australian population as at 30 June 2001.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708\charrsid8093356 Source}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708\charrsid8093356 :}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708
AIHW analysis of the 1995, 2001 and 2004\endash 05 NHS CURFs.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708\charrsid16608708
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 It is beli
eved that self-reported information may overestimate the prevalence of rheumatoid arthritis. The similarity to the word \lquote rheumatism\rquote
(which is a generic term describing painful, inflamed joints and muscles) may cause confusion and lead to reporting of rheu
matoid arthritis in people who do not actually have the disease. Some of the apparent decrease in the prevalence of rheumatoid arthritis seen in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
2(a) could be due to a better understanding of these terms in the population.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Osteoporosis
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Self-reported information suggests that the prevalence of osteoporosis in women aged 40 years or over increased rapidly between 2001 and 2004
\endash 05 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 2(b)). It is likely that such a sharp increase is the result of greater awareness of osteoporosis among women and health professionals}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11494552 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
leading to more cases being diagnosed, rather than a real increase in the number of cases. The prevalence of osteoporosis among men aged 40 years or over has also been increasing, but at a much slower rate.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Health service use
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Many
factors influence the amount of health services used for a particular disease or condition. These include disease incidence and prevalence, disease severity, treatment patterns, and health service availability and accessibility, as well as cultural and pe
rsonal choices about seeking and accepting medical assistance. The use of health services will vary as these factors change, both over time and across different population groups.
\par Two major forms of health service use for arthritis and osteoporosis are hip
and knee replacements (mainly used for osteoarthritis) and hospital treatment of hip fractures (often the result of osteoporosis). This section presents information on changes in the use of these services over the past decade; variation in service use acr
oss the population is discussed later in this chapter.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Hip and knee replacements
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
When osteoarthritis is severe and conventional treatments (such as medications and physical therapies) do not provide sufficient relief, surgical replacement of the affected jo
int(s) with artificial components may be considered. These procedures can restore joint function, relieve pain and improve the quality of life, and have been shown to be a cost-effective treatment. The hips and knees are by far the most common joints repl
aced.
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc267314832}Figure 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 3: }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165\charrsid16608708 Primary}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 total hip and knee replacement rates, 1993\endash 94 to 2006\endash 07{\*\bkmkend _Toc267314832}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708 Stacked line chart showing, for sex and hip or knee, procedures per 100,000 on y-axis and year on x-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708\charrsid16608708 Note:\tab Rates are based on a count of all primary total hip replacemen
t or primary total knee replacement procedures performed in separations \line with the principal diagnosis of arthritis (see Appendix 2 table A2.1 for codes used). More than one such procedure may have been performed within a single separation.
\par Source: {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}AIHW{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}National{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}Hospital{\*\xmlclose}{\*\xmlclose}
Morbidity Database.\tab
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid16608708 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16608708\charrsid16608708
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
Demand for hip and knee replacement surgery is increasing worldwide, and {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose} is no exception (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620
Figure 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 3). The number of primary total hip replacements for arthritis increased by 92% between 1993\endash 94 and 2006\endash 07 (f
rom 9,532 to 18,316), while the number of primary total knee replacements more than doubled over the same period (from 10,959 to 27,295). Rates of hip and knee replacements have increased significantly in both the younger and oldest age groups, reflecting
the rising demand for surgery at younger ages and improvements in medical techniques and outcomes enabling major surgery to be successfully undertaken }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11494552 o}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
n older persons.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Hip fractures
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 A large proportion of minimal trauma fractures are treated in clinics or hospital emergency departments. Unfortunately data on these services in
{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
are limited and it is not possible to determine the total number of minimal trauma fractures that occur. However, due to the severe nature of hip fractures, people with thes
e fractures are almost always admitted to hospital for treatment, and so the number of minimal trauma hip fractures can be deter}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 mined with reasonable accuracy.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165\charrsid1800152
\par }\pard\plain \ltrpar\s35\ql \li0\ri0\sb360\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc267314833}Figure 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
4: Hospital separations for minimal trauma hip fracture, persons aged 40 years or over, 1995\endash 96 to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid7874121 2006}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \endash 07{\*\bkmkend _Toc267314833
}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 Stacked line chart showing, for males and females, separations per 100,000 population on y-axis and year on x-axis.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid7874121 Notes\tab
\par 1.\tab Classified as separations with the principal diagnosis of hip fracture and an external cause code indicating a minimal trauma event (see Appendix 2 table A2.1 for codes used).
\par 2.\tab Separations where the patient was transferred from another hospital were excluded. This provides a more accurate estimate of the number of fractures that required hospital treatment as an admitted patient.
\par 3.\tab Age-standardised to the Australian population as at 30 June 2001.
\par Source: {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}AIHW{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}National{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}Hospital{\*\xmlclose}{\*\xmlclose} Morbidity Databa
se.\tab
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid7874121
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Between 1995\endash 96 and 1999\endash
00 the rate of hospital separations for minimal trauma hip fracture }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1800152 was relatively stable}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 . From 1999\endash 00 to 2006\endash 07 the rate decreased by 1}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1800152 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 % in men (from 131 to 11}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1800152 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 separations per 100,000 population) and
15% in women (from 234 to 198 per 100,000) (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Figure 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 4).
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Mortality
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Arthritis and musculoskeletal conditions are not major contributors to mortality in {\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}, accounting for around 1% of deaths. However, around 20% of these deaths are attributed to rhe
umatoid arthritis. People with rheumatoid arthritis are at increased risk of premature death, with a lifespan on average 5\endash 10 years shorter than the general population }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
ADDIN EN.CITE Kvien2004606Kvien, T K2004Epidemiology and burden of illness of rheumatoid arthritisPharmacoeconomics22
2 Suppl.1–12}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 (Kvien 2004)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
. The systemic nature of the disease can lead to life-threatening complications of the cardiovascular and respiratory systems }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 ADDIN EN.CITE Gabriel20032910291Gabriel, S ECrowson, C SKremers, H MDoran, M FTuresso
n
, CO'Fallon, W MMatteson, E L2003Survival in rheumatoid arthritis. A population-based analysis of trends over 40 yearsArthritis and Rheumatism48154–58}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 (Gabriel et al. 2003)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
. In addition, some of the treatments for rheumatoid arthritis can depress the immune system, leading to increased susceptibility to infection and the risk of immune-system}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4816459 -}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 related diseases such as cancer }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
ADDIN EN.CITE Young20072920292Young, A.Koduri, GBatley, MKulinskaya, EGough, A.Norton, SDixey, J.2007Mortality in rheumatoid arthritis. Increased in the early course of
disease, in ischaemic heart disease and in pulmonary fibrosisRheumatology462350–357Sihvonen2004293<
/
RecNum>0293Sihvonen, SKorpela, MLaippala, PMustonen, JPasternack, A2004Death
rates and causes of death in patients with rheumatoid arthritis: a population-based studyScandinavian Journal of Rheumatology334221–227}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 (Sihvonen et al. 2004; Young et al. 2007)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj
{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid7616179
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Death rates for rheumatoid arthritis as the underlying or an associated cause of death did not vary greatly between 1999 and 2006 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Table 7.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1735165 2). Females were more likely than males to have rheumatoid arthritis recorded on their death certificate.
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc213486295}Table 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 2: Death rates for rheumatoid arthritis, 1999 to 2006
{\*\bkmkend _Toc213486295}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth3712\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3712\clshdrawnil \cellx9172\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165\charrsid4816459 RA as the underlying cause of death\cell RA as an associated cause of death\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3712\clshdrawnil \cellx5460\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3712\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx3604
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx7316\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx9172\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Year\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 Males\cell Females\cell Males\cell Females\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx3604
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx7316\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7424\clshdrawnil \cellx9172
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \cell }\pard\plain \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
Deaths per million population\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7424\clshdrawnil \cellx9172\row \ltrrow
}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil
\cellx3604\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx7316\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 1999\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 7\cell 12\cell 24\cell 37
\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx3604\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx7316
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 2000\cell
}\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 6\cell 12\cell 23\cell 38\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil
\cellx3604\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx7316\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 2001\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 6\cell 10\cell 23\cell 37\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx3604\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx7316
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 2002\cell
}\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 6\cell 11\cell 23\cell 38\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil
\cellx3604\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx7316\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 2003\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 6\cell 11\cell 21\cell 38\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx3604\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx7316
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 2004\cell
}\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 6\cell 11\cell 21\cell 34\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil
\cellx3604\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx7316\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx9172\row \ltrrow}\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 2005\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 4\cell 11\cell 20\cell 31\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \trowd \irow9\irowband9\ltrrow
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\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx3604\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx7316
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow10\irowband10\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx3604
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx7316\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx9172\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 2006\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 5\cell 10\cell 25\cell 32\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 \trowd \irow10\irowband10\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx1748\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx3604
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx5460\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx7316\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1856\clshdrawnil \cellx9172\row }\pard\plain \ltrpar
\s159\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 RA\tab rheumatoid arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid4741332
\par }\pard \ltrpar\s159\ql \li0\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1735165 Note: }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165 Age-standardised to the Australian population as at 30 June 2001.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid4741332
\par }\pard \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1735165\charrsid16676670 Source:}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1735165 AIHW National Mortality Database.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 {\*\bkmkstart _Toc216149691}Population variation{\*\bkmkend _Toc216149691}
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 Rural and remote Australians
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5186466
Australians living in rural and remote areas generally experience poorer health than their major city counterparts. On average, people living in more inaccessible regions of Australia are disadvantaged with
regard to educational and employment opportunities, income, access to goods and services and, in some areas, access to basic necessities such as clean water and fresh food}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3159726 }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3159726 ADDIN EN.CITE AIHW200833214332AIHW2008Rural, regional and remote health: indicators of health status and determinants of healthCanberraAIHW}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3159726 (AIHW 2008b)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5186466 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
Other factors including the types of work available, socioeconomic status of residents and cultural or societal \lquote norms\rquote may also influence the health of people living in different areas of {\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}.
\par Men and women living in outer regional, remote or very remote areas (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4816459 \lquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 outer areas}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7279442 \rquote }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid1735165 ) are more likely to be overweight or obese than those in major cities, and men in outer areas are more likely to undertake insufficient physical activity (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Table 7.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
3). But despite these risk factors, people in outer areas are not significantly more likely than those in major cities to self-report having been diagnosed with arthritis or osteoporosis. In fact, women in the outer areas are less likely to se
lf-report that they have been told by a doctor that they have osteoporosis. It is possible that people living in the outer areas may be less likely to attend a doctor and so obtain a diagnosis of arthritis or osteoporosis. However, people living outside m
ajor cities are more likely to have }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11936059 primary total }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
hip and knee replacements than those in major cities. This difference has been reported in several international studies and may be related to the higher proportion of people with manual occupations (such as farming) in non-urban areas }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
ADDIN EN.CITE Dunsmuir19963270327Dunsmuir, RAAllan, DBDav
idson, LA1996Increased incidence of primary total hip replacement in rural communitiesBritish Medical Journal31370691370Willis20003280328Willis, CEKee, FBeverland, DWatson, JD2000Urban–rural differences in total hip replacements: the next stageJournal of Public Health Medicine223435–438Thelin20073290329Thelin, AHolmberg, S2007Hip osteoarthritis in a rural male p
opulation: A prospective population-based register studyAmerican Journal of Industrial Medicine508604–607}}{\fldrslt {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid1735165 (Dunsmuir et al. 1996; Thelin & Holmberg 2007; Willis et al. 2000)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 .
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc213486296}Table 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 3: Indicators}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10560121 for arthritis and osteoporosis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 by sex and geographic area of residence{\*\bkmkend _Toc213486296}
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\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 Males\cell Females\cell }\pard\plain \ltrpar
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\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 Indicator
\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 \cell MC\cell IR\cell Outer}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid7874121\charrsid1604524 (a)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 \cell \cell MC\cell IR\cell Outer}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid7874121\charrsid1604524 (a)}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid7874121 \trowd \irow2\irowband2\ltrrow
\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
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\cellx3960\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx5400\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvmrg\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684\clvertalb
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3528\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx3960\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil
\cellx5400\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 Insufficient physical activity }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
(per cent of people aged 18 years or over)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121 56\cell 1.00\cell 1.05\cell *1.16}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid15624065 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 64\cell 1.00\cell 1.00\cell 1.00\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
\trowd \irow3\irowband3\ltrrow\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3528\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx3960\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx5400\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684\clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 Overweight or obese }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
(per cent of people aged 18 years or over)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121 60\cell 1.00\cell 1.02\cell *1.12\cell 43\cell 1.00\cell *1.09\cell *1.10\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 \trowd \irow4\irowband4\ltrrow
\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3528\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx3960\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil
\cellx5400\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\row \ltrrow}\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 Prevalence of osteoarthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
(per cent of people aged 25 years or over)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121 7\cell 1.00\cell 1.21\cell 0.98\cell 12\cell 1.00\cell 1.15\cell 0.88\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 \trowd \irow5\irowband5\ltrrow
\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3528\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx3960\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil
\cellx5400\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\row \ltrrow}\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 Prevalence of rheumatoid arthritis (per cent) \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 1\cell 1.00\cell 1.38\cell 1.09\cell 2\cell 1.00\cell 1.41\cell 1.32\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
\trowd \irow6\irowband6\ltrrow\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3528\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx3960\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx5400\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684\clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 Prevalence of osteoporosis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
(per cent of people aged 40 years or over)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121 2\cell 1.00\cell 1.08\cell 0.84\cell 11\cell 1.00\cell 0.86\cell *0.65\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 \trowd \irow7\irowband7\ltrrow
\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3528\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx3960\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil
\cellx5400\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\row \ltrrow}\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 Primary total hip replacements for arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121 (number per 100,000 population)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121 75\cell 1.00\cell *1.37}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid7874121\charrsid3625287 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *1.27\cell 102\cell 1.00\cell *1.12\cell 1.01\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
\trowd \irow8\irowband8\ltrrow\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3528\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx3960\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx5400\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684\clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 Primary total knee replacements for arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121 (number per 100,000 population)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121 98\cell 1.00\cell *1.38\cell *1.27\cell 146\cell 1.00\cell *1.14\cell *1.09\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 \trowd \irow9\irowband9\ltrrow
\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3528\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx3960\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil
\cellx5400\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\row \ltrrow}\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 Minimal trauma hip fractures (number per 100,000 population aged 40 years or over)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid7874121 (b)}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid7874121\charrsid10638082 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid7874121 100\cell 1.00\cell 1.00\cell 1.02\cell 246\cell 1.00\cell *1.04\cell *1.16\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 \trowd \irow10\irowband10\ltrrow
\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3528\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx3960\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil
\cellx5400\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\row \ltrrow}\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid4545424 Rheumatoid arthritis as underlying cause of death (deaths per million population)\cell }\pard \ltrpar
\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 3}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121\charrsid4545424 \cell 1.00\cell 1.21\cell *2.67}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid7874121\charrsid4545424 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid4545424
\cell 1.00\cell *1.60\cell 1.33\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 \trowd \irow11\irowband11\ltrrow
\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3528\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx3960\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil
\cellx5400\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\row \ltrrow
}\trowd \irow12\irowband12\lastrow \ltrrow\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3528\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx3960\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx5400\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid4545424 Rheumatoid arthritis as associated cause of death (deaths per million population)\cell
}\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986\yts127 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid4545424 19\cell 1.00\cell 1.16\cell
1.04\cell 36\cell 1.00\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid4545424 1.21\cell *1.38\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
\trowd \irow12\irowband12\lastrow \ltrrow\ts127\trgaph108\trleft-108\trftsWidth3\trwWidth9412\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3528\clshdrawnil \cellx3420\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth540\clshdrawnil \cellx3960\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx4680\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx5400\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx6300\clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth664\clshdrawnil \cellx6964\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx7684
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth720\clshdrawnil \cellx8404\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth900\clshdrawnil \cellx9304\row }\pard\plain \ltrpar\s159\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 MC major cities
\par }\pard \ltrpar\s159\ql \li0\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 IR}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11564598 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 inner regional
\par * Significantly different from the rate in major cities.
\par (a) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11936059 Hospital and mortality data i}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 nclude outer regional, remote and very remote areas.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11936059
Data for physical activity, overweight and obesity, and disease prevalence does not include very remote areas.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
\par (b) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid10638082 Separations where the patient was transferred from another hospital were excluded. This provides a more accurate estimate of the
number of fractures that required hospital treatment as an admitted patient.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1735165\charrsid11011061 Note}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1735165 s
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 1.\tab Rate ratios are a comparison of the number of events (or people self-reporting the characteristic) observed compared with the number that would be expected if the rate i
n major cities applied in all areas. See Appendix 2 for further information.
\par 2.\tab Area of residence is classified using the Australian Standard Geographic Classification devised by the ABS. See }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid14768931 Appendix }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
2 for further information.
\par 3.\tab Data for physical activity, overweight and obesity, and disease prevalence are for 2004\endash 05. Hospital data are for 2006\endash 07. Mortality data are for 2006.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1735165\charrsid3625287 Sources:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 AIHW analysis of the 2004\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16527994 NHS }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16279244 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 , }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16279244 AIHW }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
National Hospital Morbidity Database and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16279244 AIHW }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 National Mortality Database.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid12087794 Aboriginal and {\*\xmlopen\xmlns2{\factoidname place}}Torres Strait{\*\xmlclose} Islander people
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid2885464 {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}\rquote
s Indigenous peoples have much poorer health than other Australians across a wide range of measures. They have a lower life expectancy, are more likely to experience disability and reduced quality of li
fe, and have a higher prevalence of diseases such as Type\~2\~diabetes, chronic kidney disease}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12864755 , cardiovascular disease}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid2885464
and acute rheumatic fever }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 ADDIN EN.CITE ABS200833023
REFERENCE_TYPE>330ABS,AIHW2008The health and welfare of Australia's Aboriginal and Torres Strait Islander peoplesCanberraABS}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 (ABS & AIHW 2008)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid2885464 .
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009 Indigenous people are more likely than non-Indigenous people to undertake insufficient physical activity, and Indigenous females are more likely than non-Indigenous females to be over
weight or obese (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 Table 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009 4). As might be expected, given these }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12864755 and other }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1735165\charrsid16057009 risk factors}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12864755 (such as smoking and injury)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009
, Indigenous people are more likely to report being diagnosed with osteoarthritis or rheumatoid arthritis, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 compared with}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009 non-Indigenous people.
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12864755 The onset of arthritis also occurs at a younger age in Indigenous people compared with other Australians }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12864755
ADDIN EN.CITE Rahman20052142Rahman, NBhatia, KPenm, E.AIHW,Arthritis and musculoskeletal conditions in Australia, 2005With a focus on osteoarthritis, rheumatoid arthritis and osteoporosis2005CanberraAIHWhttp://www.aihw.gov.au/publications/index.cfm/title/101391
74024 507 5
1833 0991}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12864755 (AIHW: Rahman et al. 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid12864755 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16527994
Despite this, they are much less likely than other Australians to have a hip or knee replacement.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268465 Factors that may affect access to joint replacement among Indigenous peop
le include cost, transport difficulties, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4201823 problems with accessing culturally appropriate care,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268465 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4201823 remoteness }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1268465 and treatment preferences.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16527994
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009 Indigenous males are }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 also }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009
more likely to report being diagnosed with osteoporosis, compared }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 with}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16527994 non-Indigenous males, and a
re twice as likely as other Australian males to have a hip fracture. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 But }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16527994 although }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009
Indigenous females }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16527994 are more likely than other Australian females to have a hip fracture, they }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009 are less likely to report be}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid16527994 ing diagnosed with osteoporosis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc213486297}Table 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009 4: Indicators}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid10560121 for arthritis and osteoporosis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009 by }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 sex and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009
Indigenous status}{\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid1735165\charrsid11208132 {\*\bkmkend _Toc213486297}
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\cltxlrtb\clftsWidth3\clwWidth2720\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2894\clshdrawnil \cellx9016\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid7874121\charrsid11228362 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid7874121\charrsid14249002 Males\cell Females\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid7874121\charrsid11228362 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2720\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2894\clshdrawnil \cellx9016\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil
\cellx4962\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil \cellx7741\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid16057009 Indicator}{\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid7874121\charrsid11228362 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid14249002 Non-Indigenous\cell Indigenous\cell Non-Indigenous\cell Indigenous\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil
\cellx4962\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil \cellx7741\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil
\cellx4962\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil \cellx7741\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid7874121\charrsid11228362 \cell }\pard\plain \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid14249002 rate\cell rate ratio\cell rate\cell rate ratio\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil
\cellx4962\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil \cellx7741\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil \cellx4962\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil
\cellx7741\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid14300113
Insufficient physical activity }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121\charrsid14300113 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid14300113 (per cent of people aged 18 years or over)}{\rtlch\fcs1 \af0 \ltrch\fcs0
\super\insrsid7874121\charrsid11228362 (a)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid14300113 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid14249002 58\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121\charrsid14249002 1.17\cell 63\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid14249002 1.24\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil \cellx4962\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil
\cellx7741\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid13903343
Overweight or obese }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121\charrsid13903343 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid13903343 (per cent of people aged 18 years or over)}{\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121\charrsid14249002 62\cell 1.05\cell 45\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid14249002 1.41\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil \cellx4962\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil
\cellx7741\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid14300113
Prevalence of osteoarthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121\charrsid14300113 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid14300113 (per cent of people aged 25 years or over)}{\rtlch\fcs1 \af0 \ltrch\fcs0
\super\insrsid7874121\charrsid11228362 (a)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\highlight7\insrsid7874121\charrsid11228362 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid2885464 8\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121\charrsid2885464 1.49\cell 12\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid2885464 1.42\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil \cellx4962\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil
\cellx7741\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid16057009
Prevalence of rheumatoid arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121\charrsid16057009 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid16057009 (per cent)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid7874121\charrsid11228362
(a)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid16057009 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid7874121\charrsid11228362 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid2885464 2\cell 1.89\cell 2\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121\charrsid2885464 1.96\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid7874121\charrsid11228362 \trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil \cellx4962\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil
\cellx7741\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid16057009
Prevalence of osteoporosis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121\charrsid16057009 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid16057009 (per cent of people aged 40 years or over)}{\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121\charrsid2885464 2\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid2885464 2.48\cell 11\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121\charrsid2885464 0.59\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid7874121\charrsid11228362 \trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil \cellx4962\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil
\cellx7741\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5706332 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
Primary total hip replacements for arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 (number per 100,000 population)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 80}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid2885464 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121 *0.36\cell 93}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid2885464 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *0.19\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow8\irowband8\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil \cellx4962\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil
\cellx7741\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5706332 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
Primary total knee replacements for arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 (number per 100,000 population)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 109}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid2885464 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121 *0.47\cell 149}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid2885464 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *0.43\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow9\irowband9\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil \cellx4962\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil
\cellx7741\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\row \ltrrow}\trowd \irow10\irowband10\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil \cellx4962
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil \cellx7741\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid5706332 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 Minimal trauma hip fractures (number per 100,000 population aged 40 years or over)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid7874121 (a}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid7874121\charrsid11228362 )
\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 103}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121\charrsid2885464 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *2.01\cell 259}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid2885464 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *1.25\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow10\irowband10\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3510\clshdrawnil \cellx3402\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1560\clshdrawnil \cellx4962
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1160\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1619\clshdrawnil \cellx7741\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1275\clshdrawnil \cellx9016\row }\pard\plain \ltrpar
\s159\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16057009 *\tab Significantly different from the rate in the non-Indigenous population.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid1735165\charrsid11208132
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid14249002 (a)\tab Includes persons living in non-remote areas of {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname
place}}Australia{\*\xmlclose}{\*\xmlclose} only.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1735165\charrsid14249002 Notes
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid14249002 1.\tab Data for non-Indigenous Australians are crude rates. Data for Indigenous Australians are indirectly standardised rate ratios relative to the non-Indigenous population.
\par 2.\tab Rate ratios are a comparison of the number of events (or people self-reporting the characteristic) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 observed }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid14249002
compared with the number that would be expected if the rate among non-Indigenous Australians applied among Indigenous Australians }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4201823 (s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid14249002
ee Appendix 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4201823 ).}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid14249002
\par 3.\tab The numbers were too low to allow analysis of deaths related to arthritis or osteoporosis for the Indigenous population.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2821412 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2821412\charrsid11869049 .\tab Data for physical activity, overweight and obesity, and disease prevalence are for 2004\endash 05. Hospital data are for 2005\endash 0}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2821412 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2821412\charrsid11869049 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2821412
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16527994 5.\tab Data on joint replacements and minimal trauma fracture are for NSW, {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Victoria
{\*\xmlclose}, {\*\xmlopen\xmlns2{\factoidname place}}Queensland{\*\xmlclose}{\*\xmlclose}{\*\xmlclose}, SA, WA and NT only}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4201823 and may not be representative of other jurisdictions}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid16527994 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16527994\charrsid14249002
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1735165\charrsid14249002 Sources:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid14249002 AIHW analysis of the 2004\endash 05 NATSIHS }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid16279244 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16527994 and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16279244 AIHW }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16527994 National Hospital Morbidity Database}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1735165\charrsid14249002 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid1735165 Socioeconomically disadvantaged groups
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid3215782
Socioeconomic status is influenced by a range of factors, including employment status, occupation, income and education level. A person\rquote
s socioeconomic status can affect where they live and in what conditions, the food they eat and the types of services they use. People who live in the most socioeconomically disadvantaged areas of {\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose} often experience poorer health than those who live in the least disadvantaged areas}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5374162 }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid3159726 ADDIN EN.CITE AIHW2008331<
/RecNum>14331AIHW2008Australia's health 2008CanberraAIHW}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3159726 (AIHW 2008a)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1735165\charrsid3215782 .
\par Issues of location and cost can mean that socioeconomically disadvantaged Australians may have difficulty accessing health services and obtaining specialised treatments. They are also less likely to take advantage of screening tests such as Pap smears }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid3215782
ADDIN EN.CITE ABS200215623156ABS20022001 National health survey
: summary of resultsCanberraABS}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid3215782 (ABS 2002)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid3215782
. People living in socioeconomically disadvantaged areas are more likely to display health risk factors such as smoking, lack of exercise and obesity }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid3215782
ADDIN EN.CITE ABS20061231ABS20062004–05 National
health survey: summary of results, AustraliaCanberraABS}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid3215782 (ABS 2006)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid3215782
, and are more likely to be exposed to environmental and occupational hazards (for example, heavy lifting, use of dangerous machinery, and exposure to dust and chemicals)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3159726 }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid145261 ADDIN EN.CITE Evans20023330333Evans, GWKantrowicz, E2002Socioeconomic status and health: the potential role of environmental risk exposureAnnual Review of Public Health23303–
;331}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid145261 (Evans & Kantrowicz 2002)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid3215782 .
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb120\sa120\sl240\slmult0\keep\keepn\pagebb\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6836620 {\*\bkmkstart _Toc213486298}Table 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 5}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165\charrsid4079248 : Indicators}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10560121 for arthritis and osteoporosis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid4079248 by }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 sex and }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid4079248 socioeconomic status of area of residence{\*\bkmkend _Toc213486298}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2895\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2894\clshdrawnil \cellx9016\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid11869049 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121\charrsid11869049 Males\cell Females\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid7874121\charrsid11228362 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth2895\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2894\clshdrawnil \cellx9016\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil
\cellx4675\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx7569\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid11869049 Indicator\cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid7874121\charrsid11869049 Least disadvantaged fifth\cell Most disadvantaged fifth\cell Least disadvantaged fifth\cell Most disadvantaged fifth\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil
\cellx4675\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx7569\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil
\cellx4675\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx7569\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid11869049 \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121\charrsid11869049 rate\cell rate ratio\cell rate\cell rate ratio\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid7874121\charrsid11228362 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil
\cellx4675\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx7569\clvertalb\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil \cellx4675\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil
\cellx7569\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid8660527
Insufficient physical activity }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121\charrsid8660527 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid8660527 (per cent of people aged 18 years or over)\cell }\pard \ltrpar
\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid8660527 51\cell *1.27\cell 55\cell *1.26\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil \cellx4675\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil
\cellx7569\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid8660527
Overweight or obese }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121\charrsid8660527 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid8660527 (per cent of people aged 18 years or over)\cell }\pard \ltrpar
\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid8660527 59\cell 1.10\cell 36\cell *1.41\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil \cellx4675\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil
\cellx7569\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid7933635
Prevalence of osteoarthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121\charrsid7933635 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid7933635 (per cent of people aged 25 years or over)\cell }\pard \ltrpar
\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid7933635 7\cell 1.28\cell 10\cell 1.25\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil \cellx4675\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil
\cellx7569\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid7933635
Prevalence of rheumatoid arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121\charrsid7933635 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid7933635 (per cent) \cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid7933635 1\cell 2.18\cell 2\cell 1.37\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil \cellx4675\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil
\cellx7569\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10058246
Prevalence of osteoporosis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121\charrsid10058246 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10058246 (per cent of people aged 40 years or over)\cell }\pard \ltrpar
\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10058246 1\cell 2.34\cell 11\cell 0.76\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil \cellx4675\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil
\cellx7569\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10617882
Primary total hip replacements for arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121\charrsid10617882 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10617882 (number per 100,000 population)\cell }\pard \ltrpar
\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10617882 88\cell *0.88\cell 120\cell *0.80\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow8\irowband8\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil \cellx4675\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil
\cellx7569\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10617882
Primary total knee replacements for arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lbr3\insrsid7874121\charrsid10617882 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10617882 (number per 100,000 population)\cell }\pard \ltrpar
\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10617882 96\cell *1.11\cell 139\cell *1.15\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow9\irowband9\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil \cellx4675\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil
\cellx7569\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10617882
Minimal trauma hip fractures (number per 100,000 population aged 40 years or over)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10617882 9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10617882 \cell *1.0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 9}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid7874121\charrsid10617882 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 263}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid10617882 \cell 1.00\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\highlight7\insrsid7874121\charrsid11228362 \trowd \irow10\irowband10\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil \cellx4675\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil
\cellx7569\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid16521886
Rheumatoid arthritis as underlying cause of death (deaths per million population)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid16521886 4\cell 1.07\cell 14\cell 1.06\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid7874121\charrsid11228362 \trowd \irow11\irowband11\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil \cellx4675\clvertalb
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil
\cellx7569\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\row \ltrrow}\trowd \irow12\irowband12\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil \cellx4675
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx7569\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15998803 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid16521886 Rheumatoid arthritis as associated cause of death (deaths per million population)\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121\charrsid16521886 17\cell *1.29\cell 39\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 *}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7874121\charrsid16521886 1.13\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \highlight7\insrsid7874121\charrsid11228362 \trowd \irow12\irowband12\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth3\trwWidth9124\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3335\clshdrawnil \cellx3227\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1448\clshdrawnil \cellx4675
\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx6122\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx7569\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1447\clshdrawnil \cellx9016\row }\pard\plain \ltrpar
\s159\ql \li0\ri0\sb120\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid16521886 *\tab Significantly different from the rate in the least disadvantaged fifth of the population.
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid65960 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1735165\charrsid11869049 Notes
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid1735165 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid11869049 1.\tab
Socioeconomic status of area of residence was determined using the Index of Disadvantage as calculated by the ABS }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4201823 (s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid11869049 ee Ap}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid4201823 pendix 2)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid11869049 .
\par 2.\tab Data for the least disadvantaged fifth are crude rates. Data for the most disadvantaged fifth are indirectly standardised rate ratios relative to the least disadvantaged fifth population.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
\par 3.\tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid14249002 Rate ratios are a comparison of the number of events (or people self-reporting the characteristic) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 observed }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid1735165\charrsid14249002 compared with the number that woul}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 d be expected if the rate in the least disadvantaged fifth}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid14249002
applied }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 in the most disadvantaged fifth}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid14249002 . See Appendix 2 for further information.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165\charrsid11869049
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid65960 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 4}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165\charrsid11869049 .\tab Data for physical activity, overweight and obesity, and disease prevalence are for 2004\endash 05. Hospital data are for 2005\endash 06. Mortality data are for 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 4}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid11869049 \endash 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid11869049 .
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid65960 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid1735165\charrsid11869049 Sources:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid11869049 AIHW analysis of the 2004\endash 05 NHS }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid16279244 CURF, AIHW}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165\charrsid11869049 National Hospital Morbidity Database and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16279244 AIHW }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid1735165\charrsid11869049 National Mortality Database.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4201823 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4201823\charrsid1735165 People living in the most disadvantaged areas of {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}
Australia{\*\xmlclose}{\*\xmlclose} were more likely than those in the least disadvantaged areas to undertake insufficient physical activity (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid4201823 Table 7.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid4201823\charrsid1735165 5). Females in these areas were also more likely to be overweight or obese. Correspondingly, people in the most disadvantaged areas
tended to be more likely than those in the least disadvantaged areas to report being diagnosed with arthritis, but the difference was not statistically significant.
\par Males living in the most disadvantaged areas were more likely than those living in the le
ast disadvantaged areas to experience a minimal trauma hip fracture, but there was no difference among females. Interestingly, people living in the most disadvantaged areas of Australia were less likely than those in the least disadvantaged areas to under
go a hip replacement for arthritis but more likely to undergo a knee replacement.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 {\*\bkmkstart _Toc216149692}References{\*\bkmkend _Toc216149692}
\par }\pard\plain \ltrpar\ql \li0\ri0\sb40\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165 ADDIN EN.REFLIST }}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid1735165\charrsid8587344 ABS }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid7279442
(Australian Bureau of Statistics) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid1735165\charrsid8587344 2002. 2001 National health survey: summary of results. ABS cat. no. 4364.0. Canberra: ABS.
\par ABS 2006. 2004\endash 05 National health survey: summary of results, Australia. ABS cat. no. 4364.0. Canberra: ABS.
\par ABS & AIHW }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid16263984 (Australian Institute of Health an}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid11028240 d Welfare) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid1735165\charrsid8587344
2008. The health and welfare of Australia's Aboriginal and Torres Strait Islander peoples. ABS cat. no. 4704.0. AIHW cat. no. IHW 21. Canberra: ABS.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid1735165
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid12864755\charrsid11236113 AIHW: Rahman N, Bhatia K & Penm E 2005. Arthritis and musculoskeletal conditions in Australia, 2005. Cat. no. PHE 67. Canberra: AIHW.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\fs22\insrsid12864755
\par }\pard \ltrpar\ql \li0\ri0\sb40\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3159726 {\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\insrsid3159726\charrsid11028240
AIHW 2008a. Australia's health 2008. Cat. no. AUS 99. Canberra: AIHW.
\par AIHW 2008b. Rural, regional and remote health: indicators of health status and determinants of health. Cat. no. PHE 97. Canberra: AIHW.
\par }\pard \ltrpar\ql \li0\ri0\sb40\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1735165 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid1735165\charrsid8587344
Booth M, Okely AD, Denney-Wilson E, Yang B, Hardy L & Dobbins T 2006. NSW schools physical activity and nutrition survey (SPANS) 2004. Sydney: NSW Department of Health.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid4201823
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid1735165\charrsid8587344 Cole TJ, Bellizzi MC, Flegal KM & Dietz WH 2000. Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid11028240 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid1735165\charrsid8587344 320:1\endash 6.
\par Dunsmuir R, Allan D & Davidson L 1996. Increased incidence of primary total hip replacement in rural communities. British Medical Journal 313:1370.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid1735165
\par }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \fs22\insrsid145261\charrsid11028240 Evans G & Kantrowicz E 2002. Socioeconomic status and health: the potential role of environmental risk exposure. Annual Review of Public Health 23:303\endash 31.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\insrsid1735165\charrsid8587344
Gabriel SE, Crowson CS, Kremers HM, Doran MF, Turesson C, O'Fallon WM et al. 2003. Survival in rheumatoid arthritis. A population-based analysis of trends over 40 years. Arthritis and Rheumatism 48:54\endash 8.
\par Hands B, Parker H, Glasson C, Brinkman S & Read H 2004. Results of Western Australian child and adolescent physical activity and nutrition survey 2003 (CAPANS). Physical activity technical report. Perth: Western Australian Government.
\par Kvien TK 2004. Epidemiology and burden of illness of rheumatoid arthritis. Pharmacoeconomics 22:1\endash 12.
\par Magarey AM, Daniels LA & Boulton TJC 2001. Prevalence of overweight and obesity in Australian children and adolescents: reassessment of 1985 and 1995 data against new standard international definitions. Medical Journal of Australia 174:561\endash 4.
\par Sihvonen S, Korpela M, Laippala P, Mustonen J & Pasternack A 2004. Death rates and causes of death in patients with rheumatoid arthritis: a population-based study. Scandinavian Journal of Rheumatology 33:221\endash 7.
\par Thelin A & Holmberg S 2007. Hip osteoarthritis in a rural male population: A prospective population-based register study. American Journal of Industrial Medicine 50:604\endash 7.
\par Willis C, Kee F, Beverland D & Watson J 2000. Urban\endash rural differences in total hip replacements: the next stage. Journal of Public Health Medicine 22:435\endash 8.
\par Young A, Koduri G, Batley M, Kulinskaya E, Gough A, Norton S et al. 2007. Mortality in rheumatoid arthritis. Increased in the early course of disease, in ischaemic heart disease and in pulmonary fibrosis. Rheumatology 46:350\endash 7.
\par }\pard \ltrpar\ql \fi-720\li720\ri0\sb40\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid1735165 }}\pard\plain \ltrpar\ql \fi-720\li720\ri0\sb40\sl240\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid1735165 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1735165
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid2381123 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 {\*\bkmkstart _Toc216149693}Appendix 1}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid2381123 {\*\bkmkstart _Toc209839429}: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Indicators for arthritis and osteoporosis{\*\bkmkend _Toc216149693}{\*\bkmkend _Toc209839429}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
A set of key indicators for osteoarthritis, rheumatoid arthritis and osteoporosis was developed by the National Centre and the NAMSCAG Data Working Group for national monitoring }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276
ADDIN EN.CITE AIHW2006291429AIHW2006National indicators for monitoring
osteoarthritis, rheumatoid arthritis and osteoporosisCanberraAIHW}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 (AIHW 2006)
}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
. The set consists of 16 indicators, covering risk factors, prevalence, quality of life, health service use and mortality (Table A1).
\par This appendix provides data for each indicator, by age group and sex, for the most recent year available.
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 {\*\bkmkstart _Toc137623970}{\*\bkmkstart _Toc213486299}
Table A1: National indicators for monitoring osteoarthritis, rheumatoid arthritis and osteoporosis{\*\bkmkend _Toc137623970}{\*\bkmkend _Toc213486299}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 Category and number\cell Indicator\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172
\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9831755 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 Risk factors\cell }\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172\row \ltrrow
}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil
\cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 1.1\cell Proportion of persons aged 18 years or over who are not engaged in sufficient physical activity to confer a health benefit}{\rtlch\fcs1
\af0 \ltrch\fcs0 \super\insrsid11415276 (a)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 .\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 1.2\cell Proportion of persons aged 18 years or over who are overweight or obese}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid11415276 (a)}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 .\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 1.3\cell }\pard \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11545873 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 Proportion of persons }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11545873 aged 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\endash 17 years who are overweight or obese.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172\row \ltrrow
}\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9831755 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 Prevalence\cell }\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 2.1\cell Prevalence of osteoarthritis among persons aged 25 years or over.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil
\cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 2.2\cell Prevalence of rheumatoid arthritis.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil
\cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 2.3\cell Prevalence of osteoporosis among persons aged 40 years or over.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil
\cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 2.4\cell Prevalence of arthritis among Aboriginal and Torres Strait Islander persons aged 25 years or over.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil
\cellx9172\row \ltrrow}\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 3 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9831755 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 Quality of life\cell }\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \trowd \irow10\irowband10\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 3.1\cell Quality of life among persons aged 25 years or over with osteoarthritis.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow11\irowband11\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil
\cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 3.2\cell Quality of life among persons with rheumatoid arthritis.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow12\irowband12\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil
\cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 3.3\cell Quality of life among persons aged 40 years or over with osteoporosis.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow13\irowband13\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil
\cellx9172\row \ltrrow}\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9831755 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 Health service use\cell }\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \trowd \irow14\irowband14\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 4.1\cell Waiting time to see a rheumatologist for diagnosis of rheumatoid arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid8398860 (b)}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 .\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \trowd \irow15\irowband15\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 4.2\cell Number of primary total hip replacements for arthritis.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow16\irowband16\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil
\cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 4.3\cell Number of primary total knee replacements for arthritis.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow17\irowband17\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil
\cellx9172\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 4.4\cell Number of hospital separations for minimal trauma hip fractures among persons aged 40 years or over.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow18\irowband18\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil
\cellx9172\row \ltrrow}\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 5 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid9831755 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 Mortality\cell }\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \trowd \irow19\irowband19\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 5.1\cell Death rates for rheumatoid arthritis as the underlying cause of death.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow20\irowband20\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil
\cellx9172\row \ltrrow}\trowd \irow21\irowband21\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 5.2\cell Death rates for rheumatoid arthritis as an associated cause of death.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow21\irowband21\lastrow \ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1951\clshdrawnil \cellx1843\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7329\clshdrawnil \cellx9172\row }\pard\plain \ltrpar\s159\ql \li0\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8398860 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 (a) These indicators are also reported as part of the NHPA Risk Factors indicator set.
\par }\pard \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8398860 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8398860
(b) No data for this indicator are currently available.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 1.1\tab Proportion of persons aged 18 years or over who are not engaged
in sufficient physical activity to confer a health benefit (2004\endash 05)
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121 Vertical bar chart showing, for males and females, per cent on y-axis and age (years) on x-axis.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7972\clshdrawnil \cellx9072\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7972\clshdrawnil \cellx9072\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1138\clshdrawnil \cellx2238\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx3377\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx4516\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx5655\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx6794\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx7933\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx9072\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 18\endash 24\cell 25\endash 34\cell 35\endash 44\cell 45\endash 54\cell 55\endash 64\cell 65\endash 74\cell 75+\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1138\clshdrawnil \cellx2238\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx3377\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx4516\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx5655\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx6794\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx7933\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx9072\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7972\clshdrawnil \cellx9072
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 per cent\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow2\irowband2\ltrrow
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\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7972\clshdrawnil \cellx9072\row \ltrrow
}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1138\clshdrawnil
\cellx2238\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx3377\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx4516\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx5655\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx6794\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx7933\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx9072\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 52\cell 53\cell 62\cell 62\cell 60\cell 51\cell 71\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1138\clshdrawnil \cellx2238\clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx3377\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx4516\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx5655\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil
\cellx6794\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx7933\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx9072\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1138\clshdrawnil \cellx2238\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx3377\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx4516\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx5655\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx6794\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx7933\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx9072\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 64\cell 63\cell 63\cell 62\cell 58\cell 63\cell 80\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1138\clshdrawnil \cellx2238\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx3377\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx4516\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx5655\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx6794\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx7933\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx9072\row }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0
\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid11415276 Notes
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 1.\tab Cl
assified as undertaking less than 300 minutes of leisure-time activity during the two weeks prior to the survey.
\par 2.\tab Based on self-reported information.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 AIHW analysis of the 2004
\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 NHS CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Australian and international guidelines recommend undertaking 30 minutes of moderate intensity physical activity on at least 5 days of the week to obtain significant health benefits }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 ADDIN EN.CITE DHAC (Department of Health and Aged Care)199927231272DHAC (Department of Health and Aged Care),1999National physical activity guidelines for AustraliansCanberraDHAC}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 (DHAC 1999)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
. Some common moderate intensity activities are brisk walking, swimming, social tennis, golf, table tennis and cricket.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Including some vigorous activity each week provides extra health ben
efits. Football (all types), squash, jogging, basketball, cross-country hiking, martial arts and step aerobics are popular vigorous activities among Australians.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Around 60% of Australian adults do not undertake sufficient physical activity for good health. At most ages, females are less likely than males to undertake sufficient activity.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
People aged 75 years or over are the most likely not to undertake sufficient activity, followed by those aged 35\endash 54 years.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Reduced functional capacity and the presence of
multiple health conditions are likely to contribute to lower physical activity levels among older Australians.
\par }\pard\plain \ltrpar\s3\ql \fi-720\li720\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin720\itap0\pararsid9793919 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 1.2\tab Proportion of persons aged 18 years or over who are overweight or obese (2004\endash 05)
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121 Vertical bar chart showing, for males and females, per cent on y-axis and age (years) on x-axis.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7972\clshdrawnil \cellx9072\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7972\clshdrawnil \cellx9072\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1138\clshdrawnil \cellx2238\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx3377\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx4516\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx5655\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx6794\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx7933\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx9072\pard\plain \ltrpar
\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 18\endash 24\cell 25\endash 34\cell 35\endash 44\cell 45\endash 54\cell 55\endash 64\cell 65\endash 74\cell 75+\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1138\clshdrawnil \cellx2238\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx3377\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx4516\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx5655\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx6794\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx7933\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx9072\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7972\clshdrawnil \cellx9072
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 per cent\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7972\clshdrawnil \cellx9072\row \ltrrow
}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1138\clshdrawnil
\cellx2238\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx3377\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx4516\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx5655\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx6794\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx7933\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx9072\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 40\cell 66\cell 75\cell 75\cell 76\cell 67\cell 57\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1138\clshdrawnil \cellx2238\clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx3377\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx4516\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx5655\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil
\cellx6794\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx7933\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx9072\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1138\clshdrawnil \cellx2238\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx3377\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx4516\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx5655\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx6794\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx7933\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx9072\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 30\cell 41\cell 47\cell 54\cell 63\cell 61\cell 47\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1138\clshdrawnil \cellx2238\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx3377\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx4516\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx5655\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx6794\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx7933\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1139\clshdrawnil \cellx9072\row }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0
\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid11415276\charrsid2581446 Notes
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 1.\tab
Classified as body mass index (BMI = weight/height}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\super\langnp1033\insrsid11415276 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 ) of 25 or greater.
\par 2.\tab Based on self-reported weight and height.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 AIHW analysis of the 2004
\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 NHS CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Overweight and obesity are associated with a range of chronic health conditions, including Type 2 diabetes, coronary heart disease, stroke, osteoarthritis and some types of cancer.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}In 2004\endash
05 it was estimated that two-thirds of Australian adult males and almost half of adult females were overweight or obese.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Three-quarters of males aged 35\endash
64 years were overweight or obese in 2004\endash 05. Males in this age group were the least likely to undertake sufficient physical activity.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Females aged 55\endash 74 years were more likely than o
lder or younger females to be overweight or obese, but }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid12396002 were also }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
more likely to undertake sufficient physical activity.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Overweight and obesity rates in Australian adults increased significantly between 1989 and 2004\endash 05. A similar trend was observed in many other countries, including {\*\xmlopen\xmlns2{\factoidname place}}England{\*\xmlclose},
{\*\xmlopen\xmlns2{\factoidname place}}Canada{\*\xmlclose}, {\*\xmlopen\xmlns2{\factoidname place}}New Zealand{\*\xmlclose}, the {\*\xmlopen\xmlns2{\factoidname place}}United States{\*\xmlclose} and {\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}Japan{\*\xmlclose}{\*\xmlclose}.
\par }\pard\plain \ltrpar\s3\ql \fi-709\li709\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin709\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 1.3\tab Proportion of persons aged 2\endash 17 years who are overweight or}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid9793919 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 obese
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121 Vertical bar chart showing, for males and females, per cent on y-axis and age (years) on x-axis.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1668\clshdrawnil \cellx1560\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth6662\clshdrawnil \cellx8222\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1668\clshdrawnil \cellx1560\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6662\clshdrawnil \cellx8222\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1668\clshdrawnil \cellx1560\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1665\clshdrawnil \cellx3225\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1666\clshdrawnil \cellx4891\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1665\clshdrawnil \cellx6556\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1666\clshdrawnil \cellx8222
\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 2\endash 4\cell 5\endash 9\cell 10\endash 14\cell 15\endash 17\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1668\clshdrawnil \cellx1560\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1665\clshdrawnil \cellx3225\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1666\clshdrawnil \cellx4891\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1665\clshdrawnil \cellx6556\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1666\clshdrawnil \cellx8222\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1668\clshdrawnil \cellx1560\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6662\clshdrawnil \cellx8222
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 per cent\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1668\clshdrawnil \cellx1560\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6662\clshdrawnil \cellx8222\row \ltrrow
}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1668\clshdrawnil \cellx1560\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1665\clshdrawnil
\cellx3225\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1666\clshdrawnil \cellx4891\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1665\clshdrawnil \cellx6556\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1666\clshdrawnil \cellx8222\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Boys\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 17\cell 15\cell 22\cell 24\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1668\clshdrawnil \cellx1560\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1665\clshdrawnil \cellx3225\clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1666\clshdrawnil \cellx4891\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1665\clshdrawnil \cellx6556\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1666\clshdrawnil \cellx8222\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1668\clshdrawnil \cellx1560\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1665\clshdrawnil \cellx3225\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1666\clshdrawnil \cellx4891\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1665\clshdrawnil \cellx6556\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1666\clshdrawnil \cellx8222\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Girls\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 23\cell 22\cell 22\cell 15\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1668\clshdrawnil \cellx1560\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1665\clshdrawnil \cellx3225\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1666\clshdrawnil \cellx4891\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1665\clshdrawnil \cellx6556\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1666\clshdrawnil \cellx8222\row }\pard\plain \ltrpar
\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Notes
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 1.\tab Ba
sed on body mass index (BMI) calculated from measured height and weight.
\par 2.\tab Overweight and obesity classified using age- and sex-specific BMI values as determined by Cole et al. }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
ADDIN EN.CITE Cole2000
31031Cole, TJBellizzi, MCFlegal, KMDietz, WH2000Establishing a standa
rd definition for child overweight and obesity worldwide: international surveyBritish Medical Journal3201–6}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 (2000)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 .
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 AIHW analysis of the 1995
National Nutrition Survey}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
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\lang1033\langfe1033\langnp1033\insrsid11415276 In 1995, around 20% of Australians aged 2\endash 17 years were overweight or obese for their age and sex.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
More recent data from state-based surveys suggests that this proportion may have risen to around 25% }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 ADDIN EN.CITE Booth2006941094Booth, MOkely, ADDenney-Wilson, EYang, BHardy
,
LDobbins, T2006NSW schools physical activity and nutrition survey (SPANS) 2004SydneyNSW Department of HealthHands2004951095Hands, BParker, HGlasson, CBrinkman, SRead, H2004Results of Western Australian child and adolescent physical activity and nutrition survey 2003 (CAPANS)Physical activity technical reportPerthWestern Australian Government}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 (Booth et al. 2006; Hands et al. 2004)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
At younger ages, girls are more likely than boys to be overweight or obese, whereas at older ages the reverse is true.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Obesity in childhood is strongly predictive of obesity in adulthood }
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
ADDIN EN.CITE Venn20072740274Venn, AJThomson, RJSchmidt, MDCleland, VJCurry, BAGennat, HCDwyer, T2007Overweight and obesity from childhood to adulthood: a follow-up of participants in the 1985
A
ustralian Schools Health and Fitness SurveyMedical Journal of Australia1869458–460Magarey20032750275Magarey, AMDaniels, LABoulton, TJCockington, RA2003Predicting obesity and adulthood
f
rom childhood and parental obesityInternational Journal of Obesity and Related Metabolic Disorders274505–513Williams20012760276Williams, S2001Overweight at age 21: the association with body mass index in childhood and adolescence and p
a
rents' body mass index. A cohort study of New Zealanders born in 1972–1973International Journal of Obesity and Related Metabolic Disorders252158–163}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 (Magarey et al. 2003; Venn et al. 2007; Williams 2001)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
A high BMI at age 18 years is strongly associated with an increased risk of total hip replacement for osteoarthritis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
ADDIN EN.CITE Karlson20032770277Karlson, EWMandl, LAAweh, GNSanqha, OLiang, MHGrodstein,
F
2003Total hip replacement due to osteoarthritis: the importance of age, obesity and other modifiable risk factorsAmerican Journal of Medicine114293–98}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 (Karlson et al. 2003)}}}\sectd
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\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
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\par }\pard\plain \ltrpar\s3\ql \fi-709\li709\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin709\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 2.1\tab Prevalence of osteoarthritis among persons aged 25 years or\~over (2004\endash 05)
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\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx3615\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx4873\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx6131\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil
\cellx7389\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx8647\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1257\clshdrawnil \cellx2357\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx3615\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx4873\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx6131\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx7389\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx8647\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 1\cell 4\cell 10\cell 21\cell 29\cell 31\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1257\clshdrawnil \cellx2357\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx3615\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx4873\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx6131\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx7389\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx8647\row }\pard\plain \ltrpar
\s159\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \emdash \tab less than 1%
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Note: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
Based on self-reported information about a doctor\rquote s or nurse\rquote s diagnosis of osteoarthritis.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 AIHW analysis of the 2004
\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 NHS CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Osteoarthritis is the most common form of arthritis, affecting over 1.5 million Australians.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Females are more likely than males to report having been diagnosed with osteoarthritis.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
The prevalence increases rapidly with age, affecting 1% of Australians aged 25\endash 34 years and rising to more than one-quarter of Australians aged 75 years or over.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid2183636 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid2183636 Modifiable risk factors for osteoarthritis include obesity, joint trauma or injury, repetitive joint-loading tasks, and joint misalignment.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par }\pard\plain \ltrpar\s3\ql \fi-709\li709\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin709\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 2.2\tab Prevalence of rheumatoid arthritis (2004\endash 05)
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121 Vertical bar chart showing, for males and females, per cent on y-axis and age (years) on x-axis.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8184\clshdrawnil \cellx9172\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth8184\clshdrawnil \cellx9172\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth958\clshdrawnil \cellx1946\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth959\clshdrawnil \cellx2905\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1106\clshdrawnil \cellx4011\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx5043\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx6075\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx7107\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx8139\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1033\clshdrawnil \cellx9172\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 0\endash 14\cell 15\endash 24\cell 25\endash 34\cell 35\endash 44\cell 45\endash 54\cell 55\endash 64\cell 65\endash 74\cell 75+\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth958\clshdrawnil \cellx1946\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth959\clshdrawnil \cellx2905\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1106\clshdrawnil \cellx4011\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx5043\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx6075\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx7107\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx8139\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1033\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth8184\clshdrawnil \cellx9172
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 per cent\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
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\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx6075\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx7107\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx8139\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1033\clshdrawnil \cellx9172\pard\plain \ltrpar
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\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 0\cell \emdash \cell \emdash \cell 1\cell 2\cell 4\cell 5\cell 5\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow3\irowband3\ltrrow
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\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth958\clshdrawnil \cellx1946\clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth959\clshdrawnil \cellx2905\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1106\clshdrawnil \cellx4011\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx5043\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil
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\cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx8139\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1033\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth958\clshdrawnil \cellx1946\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth959\clshdrawnil \cellx2905\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1106\clshdrawnil
\cellx4011\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx5043\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx6075\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx7107\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx8139\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1033\clshdrawnil \cellx9172\pard\plain \ltrpar
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\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \emdash \cell \emdash \cell \emdash \cell 2\cell 4\cell 4\cell 8\cell 5\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
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\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth958\clshdrawnil \cellx1946\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth959\clshdrawnil \cellx2905\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1106\clshdrawnil
\cellx4011\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx5043\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx6075\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx7107\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx8139\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1033\clshdrawnil \cellx9172\row }\pard\plain \ltrpar
\s159\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \emdash \tab less than 1%
\par }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Note: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
Based on self-reported information about a doctor\rquote s or nurse\rquote s diagnosis of rheumatoid arthritis.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 AIHW analysis of the 2004
\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 NHS CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Rheumatoid arthritis is an autoimmune disease causing inflammation of the synovial joints.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Almost 384,000 Australians (2% of the population) self-report that they have been diagnosed with rheumatoid arthritis.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Females are more likely than males to self-report rheumatoid arthritis.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Prevalence increases with age up to 65\endash
74 years, declining thereafter.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Self-reported data are }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713711 believed}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
to significantly overestimate rheumatoid arthritis prevalence. Overseas studies report very high false positive rates in self-reports of rheumatoid arthritis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276
ADDIN EN.CITE Star19962780278Star, VLScott, JCSherwin, RLane, N
Nevitt, M. C.Hochberg, M. C.1996Validity of self-reported rheumatoid arthritis in elderly womenJournal of Rheumatology23111862–1865Kvien19962790279Kvien, TKGlennås, A.Knudsrød, OGSmedstad, LM1996The validity of self-reported diagnosis of rheumatoid arthritis: results from a population survey followed by clinical examinationsJourna
l
of Rheumatology23111866–1871Picavet20032800280Picavet, H. S.JHazes, JMW2003Prevalence of self reported musculoskeletal diseases is highAnnals of the Rheumatic Diseases62644
2
013;650Bellamy19922810281Bellamy, NDuffy, DMartin, NMathew
s
, J1992Rheumatoid arthritis in twins: a study of aetiopathogenesis based on the Australian Twin RegistryAnnals of the Rheumatic Diseases51588–
593}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 (Bellamy et al. 1992; Kvien et al. 1996; Picavet & Hazes 2003; Star et al. 1996)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
In other developed countries, the prevalence of rheumatoid arthritis ranges from 0.3% to 1% }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 ADDIN EN.CITE WHO Scie
ntific Group200326410264WHO Scientific Group,2003The burden of musculoskeletal conditions at the start of
the new milleniumWHO Technical ReportGenevaWorld Health Organization919}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 (WHO Scientific Group 2003)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par }\pard\plain \ltrpar\s3\ql \fi-709\li709\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin709\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 2.3\tab Prevalence of osteoporosis among persons aged 40 years or\~over (2004\endash 05)
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121 Vertical bar chart showing, for males and females, per cent on y-axis and age (years) on x-axis.}{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7655\clshdrawnil \cellx8931\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7655\clshdrawnil \cellx8931\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 40\endash 49\cell 50\endash 59\cell 60\endash 69\cell 70\endash 79\cell 80+\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7655\clshdrawnil \cellx8931
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 per cent\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7655\clshdrawnil \cellx8931\row \ltrrow
}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil
\cellx2807\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \emdash \cell 2\cell 2\cell 5\cell 5\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil
\cellx8931\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 3\cell 7\cell 14\cell 22\cell 29\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\row }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0
\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \emdash \tab less than 1%
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Note: }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Based on self-reported information about a doctor\rquote s or nurse\rquote s diagnosis of osteoporosis.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 AIHW analysis of the 2004
\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 NHS CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Self-reported data suggest that almost 558,000 Australians aged 40 years or over (2% of males and 10% of females) have been diagnosed with osteoporosis.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Prevalence increases rapidly with age; al
most 1 in 3 females aged 80 years or over has osteoporosis compared with 1 in 33 females aged 40\endash 49 years.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Osteoporosis occurs without symptoms, so self-reported data are likely to considerably underestimate its prevalence.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Around 4% of males and 20% of females aged 60\~
years or over self-report having been diagnosed with osteoporosis. Studies involving measurement of bone mineral density indicate that the prevalence of osteoporosis is 11% among males and 27% among females of this age }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 ADDIN EN.CITE Nguyen20042820282Nguyen, TVCenter, JREisman, JA2004Ost
eoporosis: underrated, underdiagnosed and undertreatedMedical Journal of Australia1805 Suppl.S18–S22}}{\fldrslt {\rtlch\fcs1 \af0
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\par }\pard\plain \ltrpar\s3\ql \fi-709\li709\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin709\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
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{\*\xmlclose} Islander persons aged 25 years or over (2004\endash 05)
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\cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx4873\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx6131\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx7389\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx8647\row }\pard\plain \ltrpar
\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Note: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
Based on self-reported information about a doctor\rquote s or nurse\rquote s diagnosis of arthritis.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 AIHW analysis of the 2004
\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 NATSIHS CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Self-reported data indicate that more than 31,000 Aboriginal and Torres Strait Islander people aged 25 years or over have been diagnosed with arthritis.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid10713711 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713711 Indigenous}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 females are more likely to report arthritis than }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10713711 Indigenous}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 males.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
For both sexes, prevalence increases with age until 55 years, then is relatively stable.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Indigenous Australians are more likely than non-Indigenous Australians to report having been diagnosed with arthritis (20% compared with 17%).
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Among people aged less than 65 years, arthritis is more common among Indigenous people, but for people aged 65 years or over it is more common among non-}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid10713711 Indigenous}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 people.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}The majority of arthritis ca
ses in Indigenous Australians are likely to be cases of osteoarthritis }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
ADDIN EN.CITE Minaur20042830283Minaur, NSawyers, SParker, JDarmawan, J2004Rheumatic diseease in an Australian Aboriginal community in North Queensland, Australia. A WHO-ILAR COPCORD surveyJ
o
urnal of Rheumatology315965–972Roberts-Thomson19992840284Roberts-Thomson, RARoberts-Thomson, PJ1999Rheumatic disease and the Australian AborigineAnnals of the Rheumatic Diseases58266–270}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 (Minaur et al. 2004; Roberts-Thomson & Roberts-Thomson 1999)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par }\pard\plain \ltrpar\s3\ql \fi-709\li709\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin709\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 3.1\tab Quality of life among persons aged 25 years or over with\~osteoarthritis (2004\endash 05)
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121 Vertical bar chart showing, for males and females, per cent on y-axis and age (years) on x-axis.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7547\clshdrawnil \cellx8647\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7547\clshdrawnil \cellx8647\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1257\clshdrawnil \cellx2357\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx3615\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx4873\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx6131\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx7389\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx8647\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 25\endash 34\cell 35\endash 44\cell 45\endash 54\cell 55\endash 64\cell 65\endash 74\cell 75+
\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1257\clshdrawnil \cellx2357\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx3615\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx4873\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx6131\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx7389\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx8647\row
\ltrrow}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7547\clshdrawnil \cellx8647\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 per cent\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow2\irowband2\ltrrow
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\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7547\clshdrawnil \cellx8647\row \ltrrow
}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1257\clshdrawnil
\cellx2357\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx3615\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx4873\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx6131\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx7389\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx8647\pard\plain \ltrpar
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\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 91\cell 62\cell 52\cell 56\cell 55\cell 56\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1257\clshdrawnil \cellx2357\clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx3615\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx4873\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx6131\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil
\cellx7389\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx8647\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1257\clshdrawnil \cellx2357\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx3615\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx4873\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx6131\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx7389\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx8647\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 85\cell 78\cell 71\cell 67\cell 59\cell 50\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1208\clshdrawnil \cellx1100\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1257\clshdrawnil \cellx2357\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx3615\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx4873\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx6131\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx7389\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1258\clshdrawnil \cellx8647\row }\pard\plain \ltrpar
\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Notes
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 1.\tab
Proportion of people with osteoarthritis rating their health as good or better.
\par 2.\tab Based on self-reported information about a doctor\rquote s or nurse\rquote s diagnosis of osteoarthritis.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 AIHW analysis of the 2004
\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 NHS CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Around two-thirds of people with self-reported doctor-diagnosed osteoarthritis in 2004\endash 05 rated their general health as good, very good or excellent.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}The proportion rating their health as good or better generally decreased
with age, and was higher among females than males in most age groups.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par }\pard\plain \ltrpar\s3\ql \fi-709\li709\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin709\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 3.2\tab Quality of life among persons with rheumatoid arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\lbr3\insrsid11415276 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 (2004\endash 05)
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121 Vertical bar chart showing, for males and females, per cent on y-axis and age (years) on x-axis.
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7161\clshdrawnil \cellx8149\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7161\clshdrawnil \cellx8149\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1023\clshdrawnil \cellx2011\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth977\clshdrawnil \cellx2988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx4020\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx5052\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx6084\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx7116\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1033\clshdrawnil \cellx8149\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 15\endash 24\cell 25\endash 34\cell 35\endash 44\cell 45\endash 54\cell 55\endash 64\cell 65\endash 74\cell 75+\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1023\clshdrawnil \cellx2011\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth977\clshdrawnil \cellx2988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx4020\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx5052\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx6084\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx7116\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1033\clshdrawnil \cellx8149\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7161\clshdrawnil \cellx8149
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 per cent\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
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\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7161\clshdrawnil \cellx8149\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1023\clshdrawnil \cellx2011\clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth977\clshdrawnil \cellx2988\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx4020\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx5052\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil
\cellx6084\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx7116\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1033\clshdrawnil \cellx8149\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 83\cell 64\cell 55\cell 59\cell 47\cell 50\cell 81\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1023\clshdrawnil
\cellx2011\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth977\clshdrawnil \cellx2988\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx4020\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx5052\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx6084\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx7116\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1033\clshdrawnil \cellx8149\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1023\clshdrawnil \cellx2011\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth977\clshdrawnil \cellx2988\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil
\cellx4020\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx5052\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx6084\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx7116\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1033\clshdrawnil \cellx8149\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 41\cell 67\cell 63\cell 57\cell 49\cell 60\cell 52\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276 \trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1096\clshdrawnil \cellx988\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1023\clshdrawnil \cellx2011\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth977\clshdrawnil \cellx2988\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil
\cellx4020\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx5052\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx6084\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1032\clshdrawnil \cellx7116\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1033\clshdrawnil \cellx8149\row }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0
\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid11415276 Notes
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 1.\tab
Proportion of people with rheumatoid arthritis rating their health as good or better.
\par 2.\tab Information on self-assessed health was not available for people aged less than 15 years.
\par 3.\tab Based on self-reported information about a doctor\rquote s or nurse\rquote s diagnosis of rheumatoid arthritis.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 AIHW analysis of the 2004
\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 NHS CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Around 60% of people with rheumatoid arthritis aged 15 years or over in 2004\endash 05 rated their general health as good, very good or excellent.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Young women were the least likely to rate their health as good or better.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Among females, the proportion rating their health as good or better decreased as time since diagnosis increased; for males the reverse was true.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par }\pard\plain \ltrpar\s3\ql \fi-709\li709\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin709\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 3.3\tab Quality of life among persons aged 40 years or over with\~osteoporosis (2004\endash 05)
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121 Vertical bar chart showing, for males and females, per cent on y-axis and age (years) on x-axis.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7655\clshdrawnil \cellx8931\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7655\clshdrawnil \cellx8931\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 40\endash 49\cell 50\endash 59\cell 60\endash 69\cell 70\endash 79\cell 80+\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7655\clshdrawnil \cellx8931
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 per cent\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7655\clshdrawnil \cellx8931\row \ltrrow
}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil
\cellx2807\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 54\cell 39\cell 31\cell 60\cell 29\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil
\cellx8931\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 74\cell 70\cell 64\cell 60\cell 50\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\row }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0
\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid11415276 Notes
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 1.\tab
Proportion of people with osteoporosis rating their health as good or better.
\par 2.\tab Based on self-reported information about a doctor\rquote s or nurse\rquote s diagnosis of osteoporosis.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 AIHW analysis of the 2004
\endash 05 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid16279244 NHS CURF}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Approximately half of males and two-thirds of females aged 40 years or over with osteoporosis rated their general health as good, very good or excellent.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
For both sexes, the proportion rating their health as good or better generally decreased with age.
\par }\pard\plain \ltrpar\s3\ql \fi-709\li709\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin709\itap0\pararsid9793919 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 4.2\tab Number of primary total hip replacements for arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\lbr3\insrsid11415276 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 (200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7813740 6}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7813740 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 )
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121 Vertical bar chart showing, for males and females, per cent on y-axis and age (years) on x-axis.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 0\endash 24\cell 25\endash 34\cell 35\endash 44\cell 45\endash 54\cell 55\endash 64\cell 65\endash 74\cell 75+\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Procedures per 100,000 population\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil
\cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \emdash \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 2}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 5}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 9}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 2}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 10}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil
\cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \emdash \cell 3\cell 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 5}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 19}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 3}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 1}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 3}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\row }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0
\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \emdash \tab less than 1 procedure per 100,000
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Notes
\par }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 1.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
Based on a count of all primary total hip replacement procedures (ICD-10-AM codes 49318-00 and 49319-00) performed in separations with the principal diagnosis of arthritis (ICD-10-AM codes M00\endash M25).
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 2.\tab More than one procedure may have been recorded within a single separation.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}AIHW{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}National{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}Hospital
{\*\xmlclose}{\*\xmlclose}{\*\xmlclose} Morbidity Database.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Total hip replacements can effectively reduce pain and improve function in people with osteoarthritis of the hip.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid14163311 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14163311 More than}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 18,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 3}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 00 primary total hip replacement procedures were performed in {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose} in 200}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 7}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Females are slightly more likely than males to have a total hip replacement (8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 compared with 8}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 procedures per 100,000 population in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid7609192 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 7}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 ).
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Total hip replacements are most common among people aged 65 years}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 or over}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par
\par }\pard\plain \ltrpar\s3\ql \fi-709\li709\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin709\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 4.3\tab Number of primary total knee replacements for arthritis }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\lbr3\insrsid11415276 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 (200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 6}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 )
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121 Vertical bar chart showing, for males and females, procedures per 100,000 population
on y-axis and age (years) on x-axis.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 0\endash 24\cell 25\endash 34\cell 35\endash 44\cell 45\endash 54\cell 55\endash 64\cell 65\endash 74\cell 75+\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Procedures per 100,000 population\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil
\cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 \emdash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell
\emdash \cell 5\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 50}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 2}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid7609192 67}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 26}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \cell 65}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil
\cellx2380\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \emdash \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 \emdash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 70}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 32}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 7}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 96}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell 704\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
\trowd \irow4\irowband4\lastrow \ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil
\cellx8085\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\row }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0
\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \emdash \tab less than 1 procedure per 100,000
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Notes}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \tab
\par 1.\tab Based on a count of all primary total knee replacement procedures (ICD-10-AM codes 49518-00, 49519-00, 49521-00, 49521-01, 49521-02, 49521-03, 49524-00 and 49524-01) in separations with the principal diagnosis of arthritis (ICD-10-AM codes M00
\endash M25).
\par }{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 2.\tab More than one procedure may have been recorded within a single separation.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}AIHW{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}National{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}Hospital
{\*\xmlclose}{\*\xmlclose}{\*\xmlclose} Morbidity Database.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 Total knee replacement is an effective treatment for osteoarthritis of the knee.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid7609192 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid7609192 Almost}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 7}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
00 primary total knee replacement operations were performed in {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose} in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid14163311 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid14163311 7}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
At all ages, females are more likely to undergo total knee replacement than males.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par
\par
\par }\pard\plain \ltrpar\s3\ql \fi-709\li709\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin709\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 4.4\tab
Number of hospital separations for minimal trauma hip fractures among persons aged 40 years or over (200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 6}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7609192 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 )
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121 Vertical bar chart showing, for males and females, separations per 100,000 population
on y-axis and age (years) on x-axis.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth7655\clshdrawnil \cellx8931\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7655\clshdrawnil \cellx8931\row
\ltrrow}\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
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\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
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\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth7655\clshdrawnil \cellx8931
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
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}\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil
\cellx2807\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid355533 5}{\rtlch\fcs1 \af0 \ltrch\fcs0
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\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow3\irowband3\ltrrow
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\clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil
\cellx8931\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13922668 2}{\rtlch\fcs1 \af0 \ltrch\fcs0
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\lang1033\langfe1033\langnp1033\insrsid11415276 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13922668 1,184}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1384\clshdrawnil \cellx1276\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx2807\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx4338\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx5869\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx7400\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1531\clshdrawnil \cellx8931\row }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0
\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\i\lang1033\langfe1033\langnp1033\insrsid11415276 Note}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid13922668 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13922668
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid13922668 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13922668 1.\tab }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 Classified as separations with the principal diagnosis of hip fracture (ICD-10-AM codes S72.0, S72.1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid355533
and}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 S72.2) and an external cause code indicating a minimal trauma event (ICD-10-AM codes W00\endash W08, W18, W19, W22, W50, W51 and W548).
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13922668 2.\tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13922668\charrsid5121134 Separations wher
e the patient was transferred from another hospital were excluded. This provides a more accurate estimate of the number of fractures that required hospital treatment as an admitted patient.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13922668
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid11415276 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}AIHW{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}National{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}Hospital
{\*\xmlclose}{\*\xmlclose}{\*\xmlclose} Morbidity Database.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid355533 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid355533 Minimal trauma h}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 ip fracture is one of the most serious complications of osteoporosis.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Half of all people suffering a hip fracture do not regain their pre-fracture mobility and independence }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
ADDIN EN.CITE Johnell199728
50285Johnell, O1997The socioeconomic burden of fractures: today and in the 21st centuryAmerican Journal of Med
icine1032A20S–25S}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 (Johnell 1997)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}People who had a }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid355533 minimal trauma }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 hip fracture 1 year previously are much more likely than others of the same age to have mobility problems, }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid355533 to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 be unable to walk independently and }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid355533 to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 need assistance with activities of daily living }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 ADDIN EN.CITE Boonen200474074Boonen, SAutier, PBarette, MVandershueren, DLips, PHaentjens, P2004Functional outcome and quality of life following hi
p fracture in elderly women: a prospective controlled studyOsteoporosis International15287–94}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 (Boonen et al. 2004)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}Mortality following }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid355533 minimal trauma }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 hip fracture is increased, with a risk of death }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid10034258 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 2\endash 3 times greater than normal in the first 12 months post-fracture }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 ADDIN EN.CITE Center19991090109Center, JRNguyen, TVSchneider, DSambrook, PNEisman, JA1999Mortality after all major types of osteoporoti
c fracture in men and women: an observational studyLancet353878–88213 March}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 (Center et al. 1999)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 . This increased risk is seen at all ages and in both sexes.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}There were more than 1}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13922668 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13922668 6}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 00 minimal trauma hip fractures among people aged 40 years or over in 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13922668 6}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276 \endash 0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13922668 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid13922668 \loch\af37\dbch\af0\hich\f37 \'95\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid13922668 In most age groups, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid355533 minimal trauma }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 hip fracture}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid13922668 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 are almost twice as common among women compared with men.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid874760 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 The }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid355533 minimal trauma }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 hip fracture rate }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid355533
increases dramatically with}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 age}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid355533 , with rates among people aged }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid355533\charrsid355533 80}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid355533 \~}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid355533\charrsid355533 years}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid355533
or over being around 100 times those among people aged 50\endash 59 years and 5 times those among people aged 70\endash 79 years}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 .}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid874760
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 5.1\tab Death rates for rheumatoid arthritis as the underlying cause of\~death (}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid7874121 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid13922668\charrsid7874121 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 )
\par }\pard\plain \ltrpar\s15\qc \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7213200 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7213200\charrsid2912520
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121
Vertical bar chart showing, for males and females, deaths per million population on y-axis and age (years) on x-axis.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7213200 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7213200\charrsid2912520
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil
\cellx2380\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 0\endash 24\cell 25\endash 34\cell 35\endash 44\cell 45\endash 54\cell 55\endash 64\cell 65\endash 74\cell 75+\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7213200\charrsid2912520
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil
\cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 Deaths per million population\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7213200\charrsid2912520
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil
\cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 0\cell 0\cell 0\cell 1\cell 4\cell 12\cell 59\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7213200\charrsid2912520 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil
\cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 0\cell 0\cell 0\cell \emdash \cell 8\cell 28\cell 123\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7213200\charrsid2912520 \trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\row }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0
\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid7213200 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 \emdash \tab less than 1 death per million}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid7213200 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520
Note: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 Rheumatoid arthritis is classified as ICD-10 codes M05 and M06.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7213200 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520
AIHW National Mortality Database.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid7213200\charrsid2912520 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar
\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid7213200 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520
The underlying cause of death is defined as the disease, condition or injury initiating the sequence of events leading directly to death.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid7213200\charrsid2912520 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Rheumatoid arthritis was the underlying cause of 169 deaths in {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose} in 2006.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid7213200\charrsid2912520 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Corresponding to the higher prevalence of the disease among females, the death rate for rheumatoid arthritis was higher among females than males (10 compared with 5 per million population).
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid11415276 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar
\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid11415276 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 The majority of deaths from rheumatoid arthritis oc
curred in people aged 65 years or\~over.
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par }\pard\plain \ltrpar\s3\ql \fi-709\li709\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin709\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page 5.2\tab Death rates for rheumatoid arthritis as an associated cause of\~death (2005)
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7874121 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7874121 Vertical bar chart showing, for males and females, deaths per million population
on y-axis and age (years) on x-axis.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7213200 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 \cell }\pard \ltrpar\s155\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 Age (years)\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7213200\charrsid2912520
\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trkeep\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil
\cellx2380\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 \cell }\pard \ltrpar\s155\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 0\endash 24\cell 25\endash 34\cell 35\endash 44\cell 45\endash 54\cell 55\endash 64\cell 65\endash 74\cell 75+\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7213200\charrsid2912520
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil
\cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 Deaths per million population\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7213200\charrsid2912520
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth8062\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil
\cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 Males\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 0\cell 0\cell 0\cell 6\cell 22\cell 104\cell 250\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid7213200\charrsid2912520 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380\clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil
\cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\row \ltrrow}\trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 Females\cell }\pard \ltrpar\s21\qr \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid14551986 {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 0\cell \emdash \cell 0\cell 6\cell 23\cell 86\cell 420\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7213200\charrsid2912520 \trowd \irow4\irowband4\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid14551986\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1218\clshdrawnil \cellx1110\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1270\clshdrawnil \cellx2380
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx3521\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx4662\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx5803\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx6944\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1141\clshdrawnil \cellx8085\clvertalt\clbrdrt
\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth1087\clshdrawnil \cellx9172\row }\pard\plain \ltrpar\s41\ql \fi-397\li397\ri0\sb120\sa40\sl180\slmult0
\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid7213200 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs14\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 \emdash \tab less than 1 death per million}{\rtlch\fcs1 \ai\af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520
\par }\pard \ltrpar\s41\ql \fi-397\li397\ri0\sb40\sa40\sl180\slmult0\keep\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin397\itap0\pararsid7213200 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520
Note: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 Rheumatoid arthritis is classified as ICD-10 codes M05 and M06.
\par }\pard\plain \ltrpar\s159\ql \li0\ri0\sb40\sa240\sl180\slmult0\keep\widctlpar\tx425\tx851\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7213200 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs14\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \i\lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520 Source:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520
AIHW National Mortality Database.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid7213200\charrsid2912520 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar
\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid7213200 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7213200\charrsid2912520
An associated cause of death is defined as any condition, disease or injury (other than the underlying cause) considered to contribute to death.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid7213200\charrsid2912520 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Rheumatoid arthritis was listed as an associated cause of 652 deaths in {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose} in 2006.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid7213200\charrsid2912520 \loch\af37\dbch\af0\hich\f37 \'95\tab}
The majority of deaths where rheumatoid arthritis was listed as an associated cause were among people aged 55 years or over.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid7213200\charrsid2912520 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Rheumatoid arthritis is much more likely to be recorded as an associated cause of death than as the underlying cause.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang1033\langfe1033\langnp1033\langfenp1033\insrsid7213200\charrsid2912520 \loch\af37\dbch\af0\hich\f37 \'95\tab}
Common underlying causes of death in cases where rheumatoid arthritis is listed as an associated cause include cardiovascular diseases (45% of such deaths in 2006), cancers (19%) and respiratory diseases (11%).}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid11415276
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276 \page {\*\bkmkstart _Toc209839430}{\*\bkmkstart _Toc216149694}References{\*\bkmkend _Toc209839430}
{\*\bkmkend _Toc216149694}
\par }\pard\plain \ltrpar\ql \li0\ri0\sb40\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7234648 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid7234648 ADDIN EN.REFLIST }}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\lang1033\langfe1033\langnp1033\insrsid7234648\charrsid1912460 AIHW }{\rtlch\fcs1
\af0 \ltrch\fcs0 \fs22\lang1033\langfe1033\langnp1033\insrsid7426917 (Australian Institute of Health and Welfare) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\lang1033\langfe1033\langnp1033\insrsid7234648\charrsid1912460
2006. National indicators for monitoring osteoarthritis, rheumatoid arthritis and osteoporosis. Cat. no. PHE 77. Canberra: AIHW.
\par Bellamy N, Duffy D, Martin N & Mathews J 1992. Rheumatoid arthritis in twins: a study of aetiopathogenesis based on the Australian Twin Registry. Annals of the Rheumatic Diseases 51:588\endash 93.
\par Boonen S, Autier P, Barette M, Vandershueren D, Lips P & Haentjens P 2004. Functional outcome and quality of life following hip fracture in elderly women: a prospective controlled study. Osteoporosis International 15:87\endash 94.
\par Booth M, Okely AD, Denney-Wilson E, Yang B, Hardy L & Dobbins T 2006. NSW schools physical activity and nutrition survey (SPANS) 2004. Sydney: NSW Department of Health.
\par Center J, Nguyen T, Schneider D, Sambrook P & Eisman J 1999. Mortality after all major types of osteoporotic fracture in men and women: an observational study. Lancet 353:878\endash 82.
\par Cole TJ, Bellizzi MC, Flegal KM & Dietz WH 2000. Establishing a standard definition for child overweight and obesity worldwide: international survey. British Medical Journal 320:1\endash 6.
\par DHAC (Department of Health and Aged Care) 1999. National physical activity guidelines for Australians. Canberra: DHAC.
\par Hands B, Parker H, Glasson C, Brinkman S & Read H 2004. Results of Western Australian child and adolescent physical activity and nutrition survey 2003 (CAPANS). Physical activity technical report. Perth: Western Australian Government.
\par Johnell O 1997. The socioeconomic burden of fractures: today and in the 21st century. American Journal of Medicine 103:20S\endash 5S.
\par Karlson EW, Mandl LA, Aweh GN, Sanqha O, Liang MH & Grodstein F 2003. Total hip replacement due to osteoarthritis: the importance of age, obesity and other modifiable risk factors. American Journal of Medicine 114:93\endash 8.
\par Kvien T, Glenn\'e5s A, Knudsr\'f8d O & Smedstad L 1996. The validity of self-reported diagnosis of rheumatoid arthritis: results from a population survey followed by clinical examinations. Journal of Rheumatology 23:1866\endash 71.
\par Magarey A, Daniels L, Boulton T & Cockington R 2003. Predicting obesity and adulthood from childhood and parental obesity. International Journal of Obesity and Related Metabolic Disorders 27:505\endash 13.
\par Minaur N, Sawyers S, Parker J & Darmawan J 2004. Rheumatic }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\lang1033\langfe1033\langnp1033\insrsid5661283\charrsid1912460 disease}{\rtlch\fcs1 \af0 \ltrch\fcs0
\fs22\lang1033\langfe1033\langnp1033\insrsid7234648\charrsid1912460 in an Australian Aboriginal community in North Queensland, Australia. A WHO-ILAR COPCORD survey. Journal of Rheumatology 31:965\endash 72.
\par Nguyen TV, Center JR & Eisman JA 2004. Osteoporosis: underrated, underdiagnosed and undertreated. Medical Journal of Australia 180:S18\endash S22.
\par Picavet HSJ & Hazes J 2003. Prevalence of self reported musculoskeletal diseases is high. Annals of the Rheumatic Diseases 62:644\endash 50.
\par Roberts-Thomson RA & Roberts-Thomson PJ 1999. Rheumatic disease and the Australian Aborigine. Annals of the Rheumatic Diseases 58:266\endash 70.
\par Star V, Scott J, Sherwin R, Lane N, Nevitt MC & Hochberg MC 1996. Validity of self-reported rheumatoid arthritis in elderly women. Journal of Rheumatology 23:1862\endash 5.
\par Venn AJ, Thomson RJ, Schmidt MD, Cleland VJ, Curry BA, Gennat HC et al. 2007. Overweight and obesity from childhood to adulthood: a follow-up of participants in the 1985 Australian Schools Health and Fitness Survey. Medical Journal of Australia 186:458
\endash 60.
\par WHO }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\lang1033\langfe1033\langnp1033\insrsid7426917 (World Health Organization) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \fs22\lang1033\langfe1033\langnp1033\insrsid7234648\charrsid1912460
Scientific Group 2003. The burden of musculoskeletal conditions at the start of the new millennium. WHO Technical Report series no. 919. Geneva: World Health Organization.
\par Williams S 2001. Overweight at age 21: the association with body mass index in childhood and adolescence and parents' body mass index. A cohort study of New Zealanders born in 1972\endash
1973. International Journal of Obesity and Related Metabolic Disorders 25:158\endash 63.
\par }\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid7234648 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 }}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid7234648 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid11415276
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 {\*\bkmkstart _Toc216149695}Appendix 2: Data sources, methods and classifications{\*\bkmkend _Toc216149695}
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 {\*\bkmkstart _Toc216149696}Data sources{\*\bkmkend _Toc216149696}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 A variety of data sources were used in the production of this report. These are described briefly below.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 Population surveys
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 Population surveys are designed to gather informati
on about the characteristics and behaviours of the general population. To conduct a population survey, a random sample of the population is selected and asked to participate. (\lquote Random\rquote
means that every person in the population has an equal chance of being
selected.) If a reasonably large proportion of the people selected agree to participate, then the results of the survey can be generalised to the whole population. In this case, the sample is said to be \lquote representative\rquote of the population. }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188\charrsid15807328
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 National Health Survey
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
The National Health Survey (NHS), conducted every three years by the Australian Bureau of Statistics, is designed to obtain national information on the health status of Australians, their use of health services and facilities, and health-related asp
ects of their lifestyle }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
ADDIN EN.CITE ABS20061231ABS20062004–05 National h
ealth survey: summary of results, AustraliaCanberraABS}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (ABS 2006a)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 . The most recent survey was conducted in 2004\endash
05, with previous surveys being conducted in 2001, 1995, 1989\endash 90, 1983 and 1977. The survey is community-based and does not include information from people living in nursing homes or }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5770274 those who are }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 otherwise institutionalised.
\par Data available from the NHS include self-reports of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7093706 long-term conditions, including }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
various forms of arthritis, back pain, osteoporosis and other diseases of the musculoskeletal system and connective tissues. Some information on age at diagnosis, medications used and other actions taken for arthritis or osteoporosis is also available. }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7093706 The survey also collects information about health risk factors and behaviours, injuries and use of health services.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid12979877
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 National Aboriginal and {\*\xmlopen\xmlns2{\factoidname place}}Torres Strait{\*\xmlclose} Islander Health Survey
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 The }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid12979877 National Aboriginal and Torres Strait Islander Health Survey}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid2176188 (NATSIHS) was conducted by the Australian Bureau of Statistics in 2004\endash 05, concurrently with the NHS. It is intended that the NATSIHS be repeated at }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5770274 6}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid2176188 -yearly intervals. The 2004\endash 05 survey included responses from 10,439 Aboriginal and Torres Strait Islander people, and ai
med to provide information about the health circumstances of Indigenous Australians from remote and non-remote areas }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
ADDIN EN.CITE ABS2006282328
REFNUM>ABS2006National Aboriginal and Torres Strait Islander health survey, Australia, 2004–05CanberraABS}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (ABS 2006b)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188 . Questions were similar to those asked in the NHS. Data collected from Aboriginal and Torres Strait Islander respondents to the NHS also contribute to estimates for Indigenous Australians calculated from the NATSIHS.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188\charrsid8793902
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 Survey of Disability, Ageing and Carers
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
Conducted by the Australian Bureau of Statistics, the Survey of Disability, Ageing and Carers (SDAC) collects national information on people with disabilities, older people (aged 60 years or over) }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid14690472 and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 their }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14690472 car}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 ers }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188 ADDIN EN.CITE <
Cite>ABS2004232323ABS20042003 Disability, ageing and carers: summary of findings, AustraliaCanberraABS}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (ABS 2004a)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
. The survey is conducted every 5 years (with surveys in 1988, 1993, 1998 and 2003), and}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14690472 cover}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 s}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid14690472 people in private and non-private dwellings, including people in cared accommodation establishments, but excluding those in correctional institutions.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
The survey collects data on disability due to impairments, activity limitations and/or participation restrictions, and also collects information about the role of various diseases and health conditions as disabling conditions.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 Other surveys
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188
Instead of gathering information about the whole population, the surveys described below are designed to obtain information from or about a specific group of people, for exa
mple, information about people visiting doctors or specialists, or people with a certain health condition.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188\charrsid10109218
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 Bettering the Evaluation and Care of Health (BEACH) GP surveys
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 The BEACH Survey of General Practice is an ongoing survey looking at the clinical acti
vities of general practitioners (GPs). The study is conducted by the Australian General Practice Statistics and Classification Centre (an AIHW collaborating unit) at the {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}University{\*\xmlclose} of {\*\xmlopen\xmlns2{\factoidname place}}Sydney{\*\xmlclose}{\*\xmlclose}{\*\xmlclose}. BEACH began in April 1998 and involves an ever-changing random s
ample of approximately 1,000 GPs per year, collecting information on almost 100,000 GP}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5770274 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 patient encounters }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188 ADDIN EN.CITE Britt2005211421Britt, HMiller, G CKnox, SCharles, JPan, YHenderson, JBayram, CValenti, LNg, AO'Ha
l
loran, J2005General practice activity in Australia 2004–05CanberraAIHW152AIHW1 74024 517 2
1442 3022http://www.aihw.gov.au/publications/index.cfm/title/10189}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (Britt et al. 2005)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
. Data collected include reasons for encounter, problems managed, management techniques, and details of pharmacological and non-pharmacological treatments prescribed.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid2167792
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 Voice of Arthritis Social Impact Study
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 The Voice of Arthritis Social Impact Study was conducted by Arthritis {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname
place}}Australia{\*\xmlclose}{\*\xmlclose} to investigate the impact of arthritis on people with
the condition, their families and carers. The survey was mailed out to 3,000 people with arthritis in March 2004, with 1,016 responding. About three quarters of respondents (76%) were 60 years of age or older and 61% were female. The majority of responden
ts had osteoarthritis (68%) or rheumatoid arthritis (28%). The study explored respondents\rquote
levels of satisfaction or dissatisfaction with medication, therapy, information available, physical health, economic issues, education, relationships, lifestyle and employment.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid13632119
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 Administrative data collections
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 Administrative data are collected for reasons other than research}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid7093706 ;}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188
for example, to track expenditure or for auditing government programs. In many cases, however, administrative data can be very useful for research purposes. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188\charrsid13632119
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 AIHW Disease Expenditure Database
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
The Disease Expenditure Database contains information about the money spent by both governments and individuals to purchase or provide goods and services for particular diseases. The information is collected fr
om a wide range of sources including the Australian Bureau of Statistics, Commonwealth, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5770274 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 tate and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5770274 t}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid2176188 erritory health authorities, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7093706 the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid8537456 Department of Veterans}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 \rquote }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid8537456 Affairs}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 , the Private Health Insurance Administration Council, Comcare, and the major workers\rquote compen
sation and compulsory motor vehicle third-party insurers in each }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7093706 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 tate and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7093706 t}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188 erritory.
\par The first detailed Australian study of expenditure across disease and injury groups was published in 1998 and referred to the financial }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5770274 year }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 1993\endash
94. The latest }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7093706 study }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 refers to the financial year 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8287960 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 \endash 0}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8287960 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
. The information from the database is linked to other non-monetary data sources and analyses to provide information specific for diseases, injury groups, age and sex. The database does not include information on other cos
ts incurred by patients (such as the cost of pain and suffering, travel costs, lost quality and quantity of life) or by their carers and families.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname
place}}AIHW{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}National{\*\xmlclose} {\*\xmlopen\xmlns2{\factoidname place}}Hospital{\*\xmlclose}{\*\xmlclose}{\*\xmlclose} Morbidity Database
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 The AIHW National Hospital Morbidity Database contains data on episodes of care for patients admitted to hospital in
{\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}. The data are supplied to the AIHW by state and territory health authorities and the Department of Veteran\rquote
s Affairs using standard definitions contained in the National Health Data Dictionary. The database includes information on sex, age, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7093706 I}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
ndigenous status, area of usual residence, diagnoses and procedures }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
ADDIN EN.CITE AIHW2006221422AIHW,Australian hospital statistics 2004-052006CanberraAIHW370http://www.aihw.gov.au/publications/index.cfm/
title/103051 74024 572 5
1036 613X}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (AIHW 2006)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
. Diagnoses and procedures are coded based on the International Statistical Classification of Diseases and Related Health Problems, Australian Modification (ICD-AM}{\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \v\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033\insrsid2176188 {\xe {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5770274 \lquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9832606 ICD-AM\:InternationalStatisticalClassificationofDiseasesandRelatedHealthProblems,AustralianModification}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid5770274 \rquote }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 }}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid2176188 ), 9th revision from 1993\endash 94 to 1998\endash 99 and 10th revision from 1998\endash 99 onwards (both ICD-9-AM and ICD-10-AM codes were included on the database for 1998\endash 99). Since 1996\endash
97 the database includes data from almost all hospitals including public, private, psychiatric and day hospital facilities. It is not possible to count patients individually as the data are episode-based, and therefore estimates of d
isease incidence and prevalence cannot be obtained from this data source.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188\charrsid9714709
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 AIHW National Mortality Database
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 The AIHW National Mortality Database contains information pertaining to deaths registered in {\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}. Deaths are registered by the State and Territ
ory Registrars of Births, Deaths and Marriages. The information is provided to the Australian Bureau of Statistics for coding of the cause of death and compilation into aggregate statistics. Information available includes sex, age at death, date of death,
area of usual residence, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid6424437 I}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
ndigenous status, country of birth and cause of death. The cause of death is certified by the medical practitioner or the coroner and coded using the International Classification of Diseases (ICD), the 9th revision from 1979 to 19
96 and 10th revision from 1997. Multiple causes of death, including the underlying and all associated causes of death recorded on the death certificate, are available from 1997 onwards.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188 Pharmaceutical Benefits Scheme and Repatriation Pharmaceutical Benefits Scheme
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
The Pharmaceutical Benefits Scheme (PBS) and Repatriation Pharmaceutical Benefits Scheme (RPBS) are national government-funded schemes that subsidise the cost of a wide range of pharmaceutical medicines to help provide affordable access to medicat
ions for Australians. About 80% of all prescription medications available in Australian pharmacies are listed on the PBS or RPBS. This data source contains information about prescription medications dispensed by Australian pharmacies that were subsidised
under either scheme. It includes details of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7093706 medication }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
type, date of prescription and supply, pharmacy post code, patient details (date of birth, sex, post code), prescribing doctor type (GP or specialist) and type of payment (that is, general, concession o
r safety net). Monthly data are available from 1992 onwards, however the data are more consistently reliable from 1996 onwards.
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 {\*\bkmkstart _Toc216149697}Statistical methods{\*\bkmkend _Toc216149697}
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 {\*\bkmkstart _Toc106099386}{\*\bkmkstart _Toc106099383}Incidence{\*\bkmkend _Toc106099386}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 Incidence refers to the number of new cases (of a disease, condition or event) occurring during a given period.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 {\*\bkmkstart _Toc106099385}Prevalence{\*\bkmkend _Toc106099385}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 Prevalence refers to the number or proportion (of cases, instances, etc.) present in a population at a given time.}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid7093706 It includes both new and existing cases.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 {\*\bkmkstart _Toc106099384}Age-specific rates{\*\bkmkend _Toc106099384}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 Age-specific rates }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 a}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid15227144 re calculated by dividing the numbe
r of events (such as deaths, disease cases or hospital separations) occurring in each specified age group by the estimated resident population for the corresponding age group. The rates are expressed as events}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188 per 100 (that\~is, a percentage or proportion),}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 per 1,000}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7093706 , per 100,000}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid15227144 or per million population.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 Age}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 -}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 standardis}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 {\*\bkmkend _Toc106099383}ed rates}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Age standardisation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144
is a method of removing the influence of age when comparing populations with different age structures. Age-standardised rates in this report }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 generally }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid15227144 use }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 direct age-standardisation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 method}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188\charrsid15227144
. The directly age-standardised rate is the weighted sum of age-specific (five-year age group) rates, where the weighting factor is the corresponding age-specific standard population. For this report, the Australian estimated
residential population as at 30 June 2001 was used as the standard population. The same }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7093706 standard }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144
population was used for males and females to allow valid comparison of age-standardised rates }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 both }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 between the sexes}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188 and over time}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 .
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 Direct age standardisation
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144
Direct age standardisation is the most common method of age standardisation, and is used in this report for prevalence, incidence, hospitalisations and deaths data. This method is generally used when the population under study is large and the age-specifi
c rates are reliable. The calculation of direct age-standardised rates comprises three steps:
\par }\pard \ltrpar\s15\ql \fi-851\li851\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin851\itap0\pararsid2176188 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 Step 1:\tab
Calculate the age-specific rate for each age group.
\par Step 2:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 Calculate the expected number of cases in each age group by multiplying the age-specific rate
by the corresponding standard population for each age group.
\par Step 3:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 \tab }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144
Sum the expected number of cases in each age group and divide this sum by the total of the standard population to give the age-standardised rate.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 In interpreting age-standardised rates, s
ome issues need to be taken into consideration:
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid2176188\charrsid15227144 \loch\af37\dbch\af0\hich\f37 \'95\tab}}\pard\plain \ltrpar\s16\ql \fi-397\li397\ri0\sb40\sa40\sl260\slmult0
\widctlpar\jclisttab\tx397\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin397\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid15227144 The age-standardised rate is for comparison purposes only. The magnitude of an age-standardised rate has no intrinsic value since it is only an index measure. Therefore an age-standardised rate is not a subst
itute for age-specific rates.
\par {\listtext\pard\plain\ltrpar \s16 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\langfenp1033\insrsid2176188\charrsid15227144 \loch\af37\dbch\af0\hich\f37 \'95\tab}
An age-standardised rate is not only influenced by the frequency of the underlying diseases, but is also dependent on the differences between the age structure of the population of interest and the standard population selecte
d. Therefore, the results of comparisons based on age-standardised rates may not only reflect the difference in the frequency of the diseases compared, but also will be partly dependent on the standard population used. However, since the standard populati
on used in this report is the total Australian population in 2001, the age distribution closely reflects that of the current Australian population. The results of comparison}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 s}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid15227144 based on these age-standardised rates are valid.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 Indirect age standardisation}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 and rate ratios}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid15227144
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144
In situations where populations are small or where there is some uncertainty about the stability of age-specific rates, indirect standardisation is used. This effectively removes the influence of different age structures, but does not provide a }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 result}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 in terms of a rate. Rather, the summary measure is a ratio}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (called a \lquote rate ratio
\rquote )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 of the number of observed cases compared to the number that would be expected if the age-specific rates of the standard population applied in the population under st
udy. Calculation of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 a rate}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 ratio comprises the following steps:
\par }\pard \ltrpar\s15\ql \fi-851\li851\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin851\itap0\pararsid2176188 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 Step 1:\tab
Calculate the age-specific rates for each age group in the standard population.
\par Step 2:\tab Apply these age-specific rates to the number of people in each age group of the population under study, and sum these to derive the total expected number of cases in that population.
\par Step 3:\tab Sum the observed cases in the population under study and divide this number by the expected number derived in step 2. This is the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 rate ratio. Depending on the ty
pes of cases involved, the rate ratio may be called the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 standardised }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 i}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 ncidence}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 ratio (SIR), standardised }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 prevalence ratio (SPR)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 , s}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid15227144 tandardised mortality or morbidity ratio (SMR).
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10965128 A rate ratio}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid15227144 of 1 indicates the same number of observed cases as were expected, suggesting rates in the two populations are similar. A}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10965128 rate ratio}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid15227144 greater than 1 indicates more cases observed than were expected, suggesting rates in the population under study are higher than in the standard population.
\par In this report, the indirect method is used in Chapter }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1392943 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 when comparing }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
the arthritis and osteoporosis indicators between different population groups}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Significance testing
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Significance testing is a way of detecting differences between different population groups. Saying that two values are \lquote
significantly different\rquote means that we have strong evidence that there is a real difference between the two values that has not come about purely by chance. In this report significance tests for differences in rates between two population groups }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10965128 (as shown in Chapter }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1392943 7}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10965128 ) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
have been based on calculating 95% confidence intervals for the rate ratios. Confidence intervals were calculated using the two methods described below.
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Confidence intervals for census-type data (e.g. mortality, hospital separations)
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Co
nfidence intervals for death and hospitalisation rates were calculated on the basis of the number of observed events using the square-root transform, as described by Breslow & Day }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
ADDIN EN.CITE Breslow1987310: 70–711310Breslow, N EDay, N E1987Statistical methods in cancer resear
ch. Volume II: The design and analysis of cohort studiesLyonInternational Agency for Research on Cancer}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
(1987: 70\endash 71)}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 .
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f592\insrsid2176188 This formula calculates the 100(1-\'e1)% confidence interval as:
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
\par The equations have been excluded from this format. For more information please contact }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 HYPERLINK "mailto:feedback@aihw.gov.au" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121 {\*\datafield
00d0c9ea79f9bace118c8200aa004ba90b02000000170000001500000066006500650064006200610063006b00400061006900680077002e0067006f0076002e00610075000000e0c9ea79f9bace118c8200aa004ba90b500000006d00610069006c0074006f003a0066006500650064006200610063006b00400061006900
680077002e0067006f0076002e00610075000000795881f43b1d7f48af2c825dc485276300000000a5ab0000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs79\ul\cf2\insrsid7874121\charrsid3474182 feedback@aihw.gov.au}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
\par
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Where }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10560121 RR is the rate ratio, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Z}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f592\sub\insrsid2176188 \'e1}{\rtlch\fcs1 \af0
\ltrch\fcs0 \f592\insrsid2176188 is the 100(1-\'e1) percentile of the unit normal distribution and D is the observed number of ev}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 ents in the population of interest.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid15683956
\par }\pard\plain \ltrpar\s4\ql \li0\ri0\sb240\sa80\sl300\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs24\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Confidence intervals for survey data (e.g. NHS)
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Confidence intervals for survey data were calculated using the method described in}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid2176188
Rural, regional and remote health}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid15151123 \emdash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\insrsid2176188 Indicators of health}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188 ADDIN EN.CITE AIHW2005311: 30414311AIHW2005Rural, regional and remote health—Indicators of
healthCanberraAIHW}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (AIHW 2005: 304)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 , after Kendall & Stuart }{\field\fldedit{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 ADDIN EN.CITE Kendall19693121312Kendall, M GStuart, A1969The advanced theory of statistics. Volume 1: Distribution theory, 3rd editionLondonCharles Griffin3rd}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (1969)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid8612096
\par }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 {\*\bkmkstart _Toc216149698}Classifications{\*\bkmkend _Toc216149698}
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 Aboriginal and {\*\xmlopen\xmlns2{\factoidname place}}Torres Strait{\*\xmlclose} Islander people
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 For the period 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 0}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid14629308 \endash 200}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 , the Indigenous identifier}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 s}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188\charrsid14629308 on the AIHW National Mortality Database }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 and the AIHW National Hospital Morbidity Database }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 w}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 ere}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 considered usable only for deaths }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 or hospital separations }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid14629308 registered in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 certain jurisdictions}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
(The states and territories included in analyses are noted in the relevant text, figure or table.) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 This makes it difficult to get accurate national estimates of Indigenous }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188 hospitalisation and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 mortality rates, make comparisons with the non-Indigenous population, and examine geographical variation. Trends in }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188 indicators for the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 Indigenous }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 population }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308
need to be interpreted with caution as differences may reflect changes in data quality, coverage, or collection methods rather than real changes in Indigenous health. The reliability of Indigenous status as reported by another person }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188 (for example, when registering a death) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 is also }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 unknown}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid14629308 .
\par In this analysis, only persons specifically identified as being of Aboriginal and/or Torres Strait Islander origin were classified as Indigenous. All other persons were classified as non-Indigenous. The non-Indigenous group therefore includes }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 data}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 where the person\rquote s Indigenous status was unknown or not recorded.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 Area of usual residence
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 In }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 most Australian national data collections}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid14629308 , area of usual residence is recorded at the Statistical Local Area (SLA) level. Since S
LA boundaries may change from year to year, concordance files supplied by the ABS were used to map all data used in this analysis to the 2001 {\*\xmlopen\xmlns2{\factoidname place}}SLA{\*\xmlclose}
boundaries. Geographical areas were therefore able to be defined consistently over time.
\par For this }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 report}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 , three major geographical regions were defined: major cities, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10965128 inner }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 regional {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}, and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10965128
other areas (including outer regional, remote and very remote locations)}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 . SLAs }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 can be}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid14629308 classified into these three regions based on their score on the Accessibility/Remoteness Index of Australia }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
ADDIN EN.CITE DoHA199928610286DoHAUniversity of Adelaide,1999Measuring remoteness: accessibility/remoteness index of Australia (ARIA)DoHA Occasional Papers NewCanberraAusInfo6}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (DoHA & University of Adelaide 1999)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308
. This index is calculated based on how distant a place is by road from urban centres of different sizes, and therefore provides a relative indication of how difficult it might be for residents to access certain services}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 such a}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 s health care and education. Records that}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308
could not be mapped to one of the three regions were excluded from the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 geographic }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 analys}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 e}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 in this report}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 .
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 Socioeconomic status
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 In this report, the Index of Disadvantage }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (IoD) }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid14629308 was used to determine socioeconomic status }{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
ADDIN EN.CITE ABS200428923289ABS2004Census of pop
ulation and housing: socio-economic indexes for areas (SEIFA) Australia 2001CanberraABS}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (ABS 2004b)}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308
. This index is one of several socioeconomic indexes derived by the Australian Bureau of Statistics from information collected in the Census of Population and Housing. The I}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 oD}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid14629308 is an area-based measure }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10965128 that}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308
represents the average level of disadvantage across a geographic area, in this case the {\*\xmlopen\xmlns2{\factoidname place}}SLA{\*\xmlclose}. It is derived from social and economic characteristics of the {\*\xmlopen\xmlns2{\factoidname place}}SLA
{\*\xmlclose} such as low income, low educational attainment, high levels of public sector housing, high unemployment, and jobs in relatively less skilled occupations.
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 I}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 ndividual records }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 can be}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308
classified into quintiles of socioeconomic disadvantage based on the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 IoD}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 value of the {\*\xmlopen\xmlns2{\factoidname place}}SLA{\*\xmlclose}
of the person\rquote s usual residence. SLAs }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 can then be}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 grouped into quintiles so that each quintile contain}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10965128 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 approximately 20% of the total Australian population. Quintile 1 includes the most disadvantaged households and Quintile 5 the least disadvantaged households. }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Records that}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 could not be mapped to an I}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 oD}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid14629308 value were excluded from the analys}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 e}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
of socioeconomic status presented in this report}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 .
\par It is important to note that the I}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 o}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid14629308 D relates to the average disadvantage of all people living in the {\*\xmlopen\xmlns2{\factoidname place}}SLA
{\*\xmlclose}. It will therefore tend to understate the true inequality in health at an individual level.
\par }\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Classification of causes of death, diagnoses and procedures
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 The International }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Statistical }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid15227144 Classification of Diseases }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 and Related Health Problems }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144
(ICD) is used to classify diseases and other health problems}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (including }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10965128 symptoms and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
injuries) in clinical and administrative records}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 The use of a standard classification system }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid15227144 enabl}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 es}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 the storage and retrieval of diagnostic information for clinic}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188 al and epidemiological purposes that is comparable between different service providers, across countries and over time}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 .
\par The }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 latest version, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 ICD-10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144
was endorsed by the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 43rd}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid15227144 World Health Assembly in May 1990 and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 officially }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188\charrsid15227144 came into use in WHO member states from 1994. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 In {\*\xmlopen\xmlns2{\factoidname place}}{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}
, ICD-10 has been used for classifying causes of death since 1999. The Australian modification of ICD-10, the ICD-10-AM, has been used for classifying diagnoses in hospital records since 1998\endash 99.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid10813452 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
\par The current vers
ion of the ICD does not incorporate a classification system for health interventions. Work on revising the International Classification of Procedures in Medicine (ICPM), first published in 1978, virtually ceased in 1989 due to the difficulty in keeping up
with the rapid and extensive changes in the field. Several countries, including {\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}, the {\*\xmlopen\xmlns2{\factoidname place}}UK{\*\xmlclose} and the {\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}USA{\*\xmlclose}{\*\xmlclose}, developed their own systems of classification for health interventions. The Australian Classification of Health Interventions (ACHI) (previously
known as MBS-Extended) is used in conjunction with ICD-10-AM for classifying surgical procedures and other health interventions in Australian hospital records.
\par A renewed focus on developing an international classification system has seen work restarted in
recent years, with field trials of the International Classification of Health Interventions (ICHI) undertaken by the Australian National Centre for Classification in Health (NCCH) in 2007.
\par Further information about the ICHI, ACHI and ICD-10-AM can be obtained from the NCCH web site at }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 <}{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf0\insrsid2176188\charrsid15151123
HYPERLINK "http://www3.fhs.usyd.edu.au/ncchwww/site/index.htm" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf0\insrsid680394\charrsid15151123 {\*\datafield
00d0c9ea79f9bace118c8200aa004ba90b02000000170000003300000068007400740070003a002f002f0077007700770033002e006600680073002e0075007300790064002e006500640075002e00610075002f006e006300630068007700770077002f0073006900740065002f0069006e006400650078002e0068007400
6d000000e0c9ea79f9bace118c8200aa004ba90b6600000068007400740070003a002f002f0077007700770033002e006600680073002e0075007300790064002e006500640075002e00610075002f006e006300630068007700770077002f0073006900740065002f0069006e006400650078002e00680074006d000000ff
ff}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs79\cf0\insrsid2176188\charrsid15151123 www3.fhs.usyd.edu.au/ncchwww/site/index.htm}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 >}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 .
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 {\*\bkmkstart _Toc213486300}Table A2.1: ICD-10 and ICD-10-AM codes used in identifying arthritis and musculoskeletal diseases and injurie
s in hospital morbidity and mortality data{\*\bkmkend _Toc213486300}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Disease or injury}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell ICD-10}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188 /ICD-10-AM}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 codes\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid7874121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9039\clshdrawnil \cellx8931\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390
Diseases \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9039\clshdrawnil \cellx8931\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 Rheumatoid arthritis\cell M05, M06\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390
\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 Osteoarthritis\cell M15}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 M19\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Juvenile arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 M08, M09}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 Osteoporosis\cell M80}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid9717390 M82\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b0\insrsid2176188\charrsid11228362 Fractures\cell \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\fs22\lang3081\langfe3081\langfenp3081\insrsid2176188\charrsid11228362 \trowd \irow6\irowband6\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid10845617 Fracture of ankle\cell S82.5\endash S82.6, S82.8, S92.1\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid10845617
\trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Fracture of hip and pelvis\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow8\irowband8\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Femoral neck fracture\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
S72.0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow9\irowband9\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Intertrochanteric fracture\cell }\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 S72.11}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow10\irowband10\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Pelvic fracture\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid2176188\charrsid11228362 S32.3\endash S32.5, S32.81, S32.83, S32.89}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390
\trowd \irow11\irowband11\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Other\cell }\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188\charrsid11228362 S72.1\endash S72.2, S72.9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390
\trowd \irow12\irowband12\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Fracture of shoulder\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390
\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid9717390 \trowd \irow13\irowband13\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Fracture of clavicle\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
S42.0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow14\irowband14\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Fracture of neck of humerus\cell }\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 S42.2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow15\irowband15\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Other\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
S42.1, S42.7\endash S42.9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow16\irowband16\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Fracture of spine\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188\charrsid11228362 S12.0\endash
S12.7, S12.9, S22.0\endash S22.1, S32.0\endash S32.2, S32.7, S32.82, T08}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow17\irowband17\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Fracture of wrist or forearm\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390
\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid9717390 \trowd \irow18\irowband18\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Colles\rquote fracture\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid2176188\charrsid11228362 S52.51\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow19\irowband19\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Scaphoid fracture\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid2176188\charrsid11228362 S62.0}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow20\irowband20\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Other\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
S52, S62.1}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow21\irowband21\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\trowd \irow22\irowband22\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Fractures at other sites\cell S02, S12.8, S22.2\endash S22.9, S42.3\endash S42.4, S62.2\endash S62.8, S72.3\endash S72.8, S82.0
\endash S82.4, S78.7, S82.9, S92, T02, T10, T12, T14.2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow22\irowband22\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\trowd \irow23\irowband23\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid12658310\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9039\clshdrawnil \cellx8931\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl
\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7874121
External cause of injury\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid7874121\charrsid9717390 \trowd \irow23\irowband23\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid12658310\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth9039\clshdrawnil \cellx8931\row \ltrrow}\trowd \irow24\irowband24\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Minimal trauma falls\cell W00}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7213200 , W01, W03}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 \endash
W08, W18, W19\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow24\irowband24\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\row \ltrrow
}\trowd \irow25\irowband25\lastrow \ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol
\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Other minimal trauma events\cell W22, W50, W51, W54}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7213200 .}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188 8}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow25\irowband25\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid10560121\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalb\clbrdrt\brdrtbl
\clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth3168\clshdrawnil \cellx3060\clvertalb\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth5871\clshdrawnil \cellx8931
\row }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
\par \page {\*\bkmkstart _Toc213486301}Table A2.2: ICD-10-AM codes used to identify clinical interventions for people with arthritis and musculoskeletal conditions{\*\bkmkend _Toc213486301}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Intervention}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
ICD-10-AM codes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931
\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Partial hip replacement\cell 47522-00, 49315-00}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row \ltrrow}\trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Primary total hip replacement}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 49318-00, 49319-00}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Revision hip replacement}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid2176188\charrsid11228362 49346-00, 49324-00, 49327-00, 49330-00, 49333-00, 49339-00, 49342-00, 49345-00}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390
\trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil
\cellx8931\row \ltrrow}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Partial knee replacement}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid2176188\charrsid11228362 49517-00}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow4\irowband4\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Primary total knee replacement}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
49518-00, 49519-00, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1033\langfe1033\langnp1033\insrsid2176188\charrsid11228362 49521-00, 49521-01, 49521-02, 49521-03, 49524-00, 49524-01, 49534-00}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid9717390 \trowd \irow5\irowband5\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Revision knee replacement}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1033\langfe1033\langnp1033\insrsid2176188\charrsid11228362 49530-00, 49530-01, 49533-00, 49554-00, 49527-00}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390
\trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil
\cellx8931\row \ltrrow}\pard\plain \ltrpar\s43\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\i\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 Allied health interventions}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar
\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow7\irowband7\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 physiotherapy\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
95550-03}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow8\irowband8\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 occupational therapy\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
95550-02}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow9\irowband9\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 social work\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
95550-01}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow10\irowband10\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 dietetics\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
95550-00}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow11\irowband11\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row \ltrrow
}\trowd \irow12\irowband12\lastrow \ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\pard\plain \ltrpar\s44\ql \li198\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin198\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 other\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0
\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
95550-04 through 95550-13}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow12\irowband12\lastrow \ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row
}\pard\plain \ltrpar\s3\ql \li0\ri0\sb360\sa120\sl360\slmult0\keep\keepn\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs28\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid4982197 {\*\bkmkstart _Toc106099381}Classification }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 of}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid4982197 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 {\*\bkmkend _Toc106099381}general practice encounters}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid4982197
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid4982197 The International Classification of Primary Care}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid4982197 (ICPC) is used as a classification for primary care or general practice wherever applicable.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
Development of the ICPC was initiated in the early 1970s to overcome a number of problems faced in applying the ICD system in primary care settings (such as difficulty in classifying symptoms and undiagnosed disease).}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid4982197
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 The second edition of ICPC, known as }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid4982197 ICPC-2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
, was published in 1998 by the World Organization of Family Doctors }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid10889145 (WONCA).}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 ICPC-2}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid4982197
classifies patient data and clinical activity in the domains of general/family practice and primary care, taking into account the frequency distribution of problems seen in these domains. It allows classification of the patient\rquote
s reason for encounter, the problems/diagnoses managed, interventions, and the ordering of these data in an episode of care structure.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 In {\*\xmlopen\xmlns2{\factoidname place}}
{\*\xmlopen\xmlns2{\factoidname place}}Australia{\*\xmlclose}{\*\xmlclose}, an extended terminology known as ICPC-2-PLUS is used to classify general practice encounter data in electronic health record systems
, research projects and the BEACH GP survey program.
\par Further information about ICPC-2 and ICPC-2-PLUS can be obtained from the Family Medicine Research Centre website at }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 <}{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\cf0\insrsid2176188\charrsid15151123 HYPERLINK "http://www.fmrc.org.au" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \cf0\insrsid680394\charrsid15151123 {\*\datafield
00d0c9ea79f9bace118c8200aa004ba90b0200000017000000100000007700770077002e0066006d00720063002e006f00720067002e00610075000000e0c9ea79f9bace118c8200aa004ba90b3000000068007400740070003a002f002f007700770077002e0066006d00720063002e006f00720067002e00610075002f00
0000ff70}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs79\cf0\insrsid2176188\charrsid15151123 www.fmrc.org.au}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 >}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 .
\par }\pard\plain \ltrpar\s46\ql \li0\ri0\sb240\sa120\sl240\slmult0\keep\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 {\*\bkmkstart _Toc213486302}Table A2.3: ICPC-2-PLUS codes used in identifying arthritis and musculoskeletal conditions in general practice data
{\*\bkmkend _Toc213486302}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\pard\plain \ltrpar\s155\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \b\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid13572625 Condition\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8287960 ICPC-2 and }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid13572625 ICPC-2-PLUS codes\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid13572625 \trowd \irow0\irowband0\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931
\row \ltrrow}\trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931
\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 Diseases of}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11564598 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390
the musculoskeletal system and connective tissue\cell L\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow1\irowband1\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row \ltrrow
}\trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil
\cellx8931\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 Rheumatoid arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 (includes juvenile arthritis)}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188\charrsid9717390 \cell L88\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow2\irowband2\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row \ltrrow
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 Osteoarthritis\cell L83011, L84004, L84009, L84010, L84011, L84012, L89001, L90001,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 L91001, L91003, L91008, L91015, L92007\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 \trowd \irow3\irowband3\ltrrow
\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrtbl \clbrdrl
\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrtbl \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row \ltrrow
}\trowd \irow4\irowband4\lastrow \ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\sa60\sl200\slmult0\keep\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3292396 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f1\fs16\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390 Osteoporosis\cell L95\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188\charrsid9717390
\trowd \irow4\irowband4\lastrow \ltrrow\ts11\trgaph108\trleft-108\trftsWidth1\trftsWidthB3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3
\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth4644\clshdrawnil \cellx4536\clvertalt\clbrdrt\brdrtbl \clbrdrl\brdrtbl \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrtbl
\cltxlrtb\clftsWidth3\clwWidth4395\clshdrawnil \cellx8931\row }\pard\plain \ltrpar\s2\ql \li0\ri0\sb360\sa120\sl480\slmult0\keep\keepn\widctlpar
\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs36\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2176188 {\*\bkmkstart _Toc216149699}References{\*\bkmkend _Toc216149699}
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033
{\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 ADDIN EN.REFLIST }}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 ABS }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7426917 (Australian Bureau of Statistics) }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid2176188 1990. Australian Standard Classification of Countries for Social Statistics (ASCCSS). ABS cat. no. 1269.0. Canberra: ABS.
\par ABS 1998. Standard Australian Classification of Countries (SACC). ABS cat. no. 1269.0. Canberra: ABS.
\par ABS 2004a. 2003 Disability, ageing and carers: summary of findings, Australia. ABS cat. no. 4430.0. Canberra: ABS.
\par ABS 2004b. Census of population and housing: socio-economic indexes for areas (SEIFA) Australia 2001. ABS cat. no. 2039.0.55.001. Canberra: ABS.
\par ABS 2006a. 2004\endash 05 National health survey: summary of results, Australia. ABS cat. no. 4364.0. Canberra: ABS.
\par ABS 2006b. National Aboriginal and Torres Strait Islander health survey, Australia, 2004\endash 05. ABS cat. no. 4715.0. Canberra: ABS.
\par AIHW }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7426917 (Australian Institute of Health and Welfare) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 2005. Rural, regional and remote health\emdash Indicators of health. Cat. no. PHE 59. Canberra: AIHW.
\par AIHW 2006. Australian hospital statistics 2004}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15151123 \endash }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 05. Cat. no. HSE 41. Canberra: AIHW.
\par Breslow NE & Day NE 1987. Statistical methods in cancer research. Volume II: The design and analysis of cohort studies. Lyon: International Agency for Research on Cancer.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2124298 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2124298
Britt H, Miller GC, Knox S, Charles J, Pan Y, Henderson J et al. 2005. General practice activity in Australia 2004\endash 05. Cat. no. GEP 18. Canberra: AIHW.
\par }\pard \ltrpar\s15\ql \li0\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 DoHA }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7426917
(Department of Health and Ageing) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188 & University of Adelaide 1999. Measuring remoteness: accessibility/remoteness index of Australia (ARIA). DoHA Occasional Papers New series no. 6. Canberra: AusInfo.
\par Kendall MG & Stuart A 1969. The advanced theory of statistics. Volume 1: Distribution theory, 3rd edition. London: Charles Griffin.
\par }\pard \ltrpar\s15\ql \fi-720\li720\ri0\sb60\sl240\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid2176188 }}\pard\plain \ltrpar\s15\ql \fi-720\li720\ri0\sb60\sl240\slmult0
\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
\par }\pard\plain \ltrpar\ql \li0\ri0\sb40\sa40\sl280\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2176188 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2176188
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8725265
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid11415276 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 {\*\bkmkstart _Toc216149700}Glossary{\*\bkmkend _Toc216149700}
\par \ltrrow}\trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 additional diagnosis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid14235575 Conditions or complaints either co-existing with the }{\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid11415276\charrsid16717712 principal diagnosis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid14235575 or arising during the episode of care. Additional diagnoses give information on factors that result in increased length of stay, m
ore intensive treatment or the use of greater resources.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow0\irowband0\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 admitted patient\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 A patient who undergoes a hospital\rquote
s formal admission process to receive treatment and/or care. This treatment and/or care is provided over a period of time and can occur in hospital and/or in the person\rquote s home. \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow1\irowband1\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 age-specific rate\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 A rate for a specific age group. Both the numerator and denominator relate to the same age group.\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 \trowd \irow2\irowband2\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 age-standardisation\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 A method of removing the influence of age when comparing populations with different ag
e structures. This procedure is required because the incidence and prevalence of many diseases varies strongly (usually increasing) with age. The age structures of different populations are converted to the same \lquote standard\rquote
structure, and the incidence/prevalence rates are calculated.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow3\irowband3\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 ankylosing spondylitis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
An autoimmune disease that causes arthritis of the spine, resulting in pain, stiffness and loss of motion in the joints and ligaments. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow4\irowband4\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 arthritis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 A group of disorders in which there is inflammation of t
he joints, which can become stiff, painful, swollen or deformed. The two main types of arthritis are }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 osteoarthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 and }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 rheumatoid arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 . \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow5\irowband5\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 associated cause(s) of death\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Any condition(s), diseases and injuries\emdash other than the }{\rtlch\fcs1 \af0
\ltrch\fcs0 \b\insrsid11415276\charrsid11228362 underlying cause}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \emdash contributing to death. See also }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 cause of death}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 . \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow6\irowband6\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 autoimmune diseases\cell }\pard \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid16717712 {\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Diseases, such as rheumatoid arthritis and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid16717712 T}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
ype 1 diabetes in which the immune system reacts against its own body tissues. \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow7\irowband7\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 body mass index (BMI)\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 A standardised measure of weight adjusted for person\rquote
s height. BMI is calculated by dividing the person\rquote s weight (in kilograms) by their height (in metres) squared, that is, kg \'f7 m}{\rtlch\fcs1 \af0 \ltrch\fcs0 \super\insrsid11415276\charrsid11228362 2}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 . For }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 adult}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
men and women, underweight is a BMI below 18.5, acceptable weight is from 18.5 to less than 25, overweight is 25 and above (includes obese), and obese is 30 and over.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow8\irowband8\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 carer\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Someone who looks after a relative or friend who has a }{\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid11415276\charrsid11228362 disability}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 , a chronic illness}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
or is a frail, aged person. Carers come from all walks of life, cultural backgrounds and age groups.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow9\irowband9\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 cause of death\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 From information reported on the medical certificate of cause of death, each death is classified by the }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 underlying cause of death}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 , according to rules and conventions of various editions of the }{\rtlch\fcs1 \af0 \ltrch\fcs0
\b\insrsid11415276\charrsid11228362 International Classification of Diseases}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 . The underlying cause is defined as the disease }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 or condition }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 that initiated the train of events leading directly to death. Deaths from injury or poisoning are classified according to the circumstances of the }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276 event}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 that produced the fatal injury, called the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 external cause}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 (s) of death, rather than to the nature of the injury.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow10\irowband10\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 chronic\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Persistent and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid10889145 long-lasting}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid11415276\charrsid8486397 .\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow11\irowband11\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 chronic diseases\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
Term applied to a diverse group of diseases, such as heart disease, cancer and arthritis, that tend to be long lasting and persistent in their s
ymptoms or development. Although these features also apply to some communicable diseases (infections), the term is usually confined to non-communicable diseases.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow12\irowband12\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 comorbidity\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 The occurrence of two or more health problems in a person at the same time.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow13\irowband13\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 conjunctivitis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 Inflammation of the conjunctiva, the membrane that coats the eye and the inside of the eyelids.}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow14\irowband14\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 Crohn\rquote s disease\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
An inflammatory disease of the gastrointestinal tract. Symptoms include recurrent abdominal pain, fever, nausea, vomiting, weight loss and diarrhoea.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow15\irowband15\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 dermatitis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 Inflammation of the skin.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow16\irowband16\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 dermatomyositis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 A disease of the connective tissue, characterised by swelling, dermatitis and inflammation of the muscle tissue.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow17\irowband17\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 direct costs\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Financial costs to the Australian health system for prov
iding prevention and treatment services, such as hospitals, aged care homes, primary care and specialist services, pharmaceuticals and other medications, allied health services, resea}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1706452
rch, health administration and public health programs.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow18\irowband18\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl
\clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow
}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 disability\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 A conc
ept of several dimensions relating to an }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 impairment}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
in body structure or function, a limitation in activities (such as mobility and communication), a restriction in participation (involvement in life situations such as work, social interaction and education), and the affected person\rquote
s physical and social environments.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow19\irowband19\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 disability-adjusted life year (DALY)\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
Years of healthy life lost through either premature death or through living with disability due to illness or injury.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow20\irowband20\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl
\clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow
}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 early intervention\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Timely identific
ation and tailored advice and support for those identified with a condition.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11564598 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \lquote Early\rquote
does not necessarily mean early in life but rather early in the time course or progress of a condition; a nexus between prevention and treatment.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow21\irowband21\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid3036323\charrsid11228362 enthesitis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1706452 Inflammation at the place where the tendons or ligaments attach to the bones.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid3036323\charrsid8486397 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3036323\charrsid8486397 \trowd \irow22\irowband22\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 external cause\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3363666 An e}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
nvironmental event, circumstance or condition as the cause of injury, poisoning or other adverse effect. The term is used in disease classification}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3363666 (for example, in describing causes of death)}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 .\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow23\irowband23\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 health professional\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 A person who helps in identifying, preventing or treating illness or disability}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid3363666 ,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 such as }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3363666 a }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
general practitioner, allied health professional}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3363666 or}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 specialist.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow24\irowband24\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 health-related quality of life\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid1392943\charrsid1392943 A measure of the degree to which a person\rquote
s satisfaction or happiness with various aspects of life (for example, physical functioning or social interaction) is affected by their health status.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid1392943 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow25\irowband25\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid6317457 hostel}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3363666 An e}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 stablishment for people who cannot live independently but who do not need nursing care in a hospital or }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 nursing home}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 . Hostels provide board, lodging or accommodation and cater mostly for the aged, distressed or those with a disability. Residents are generally responsible for their own provisions but may be given domestic assistanc
e such as help with meals, laundry and personal care.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow26\irowband26\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 impairment\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Any loss or abnormality of psychological, physiological or anatomical structure or function.\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 \trowd \irow27\irowband27\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 incidence\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 The number of new cases (of an illness or event) occurring during a given period. Compare with }{\rtlch\fcs1
\af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 prevalence}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 .\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow28\irowband28\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl
\clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow
}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 indicator\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
A key statistic chosen to describe (indicate) a situation concisely, help assess progress and performance, and act as a guide to decision making. It may have an indirect meaning as well as a direct one; for example, overall
death rate is a direct measure of mortality but is often used as a major indicator of population health.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow29\irowband29\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 Indigenous}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid3363666\charrsid11228362 person}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 A person of Aboriginal and/or Torres Strait Islander descent who identifies as an Aboriginal and/or Torres Strait Islander and is accepted as such by the community with which he or she is associated.\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 \trowd \irow30\irowband30\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 indirect costs\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 The costs to the community due to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3363666 a}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid11415276\charrsid8486397 condition other than }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 direct costs}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
, such as the loss of earnings due to absenteeism and early retirement, the loss of potential tax revenue, and the value of volunteer carers. \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow31\irowband31\ltrrow\ts11\trgaph108\trleft-85\trbrdrt
\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil
\cellx9155\row \ltrrow}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 inflammation\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3363666 R}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 esponse to injury or infection, marked by local}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3363666 ised}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
redness, heat, swelling and pain. Can also occur when there is no clear external cause and the body reacts against itself, as in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 autoimmune diseases}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 .\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow32\irowband32\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 International Classification of Diseases\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 The World Health Organization\rquote
s internationally accepted classification of death and disease. The 10th }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 r}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 evision (ICD-10) is currently in use. \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow33\irowband33\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 intervention\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3363666 In the}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 context }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid3363666 of health, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 refer}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3363666 s}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 to }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15998803 actions for the prevention, treatment or management of health problems, for example }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 medicines,}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15998803
surgery, counselling or lifestyle advice}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 . \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow34\irowband34\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 juvenile arthritis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 A term describing any form of inflammatory arthritis of unknown cause }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15998803
first occurring before the 16th birthday}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 and lasting at least 6 weeks.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow35\irowband35\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 length of stay\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Duration of hospital stay, calculated by subtracting the date the patient is admitted from the da}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15998803 te}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 separation}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 . All leave days, including the day the patient went on leave, are excluded. A same-day patient is allocated a length of stay of one day.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow36\irowband36\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 Lyme disease\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
A bacterial disease transmitted by ticks. Symptoms include a rash at the site of the tick bite, fever, headache, muscle aches and swollen lymph nodes. May cause arthritis and heart problems if untreated.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow37\irowband37\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 medicines\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Agent}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15998803 s}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397
used to treat disease or injury; includes both pharmaceuticals and non-pharmaceuticals. Can include items purchased from a pharmacy (prescribed or not prescribed), health food shop or supermarket, including vitamins and herbal products.\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 \trowd \irow38\irowband38\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 morbidity\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid334840 Refers to ill health in an individual and to levels of ill health in a population or group.\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 \trowd \irow39\irowband39\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 mortality\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Death.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow40\irowband40\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 multi-disciplinary care\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
A team approach to the provision of health care by all relevant health and non-health community-based, medical and allied health disciplines. \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow41\irowband41\ltrrow\ts11\trgaph108\trleft-85\trbrdrt
\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil
\cellx9155\row \ltrrow}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 multiple sclerosis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
An autoimmune disease that affects the central nervous system.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow42\irowband42\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl
\clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow
}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 musculoskeletal\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
Relating to the muscles, joints and bones.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow43\irowband43\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 National Health Priority Areas (NHPAs)\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 A collaborative initiative of }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid10713711\charrsid8486397 Commonwealth}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 , S
tate and Territory Governments that seeks to focus public attention and health policy on areas that contribute significantly to the burden of disease in Australia and for which there is potential for health gain. \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow44\irowband44\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 non-admitted patient\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 A patient who receives care from a recognised }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid10889145 non-admitted}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 patient service}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15998803 or }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
clinic of a hospital}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7222353 , including emergency departments and outpatient clinics}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 .\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow45\irowband45\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 nursing homes\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Establishments which provide long-term care involving regular basic nursing care for people who are frail
, disabled, convalescing or with a chronic illness, or for senile inpatients.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow46\irowband46\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 obesity\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Marked degree of overweight, defined as }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362
body mass index}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 of 30 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15998803 or}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 over. \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow47\irowband47\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 optimal\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Most desirable possibility under a restriction expressed or implied.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow48\irowband48\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 osteoarthritis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 A chronic and common form of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 arthritis}
{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 , affecting mostly the spine, hips, knees and hands. It first appears from the age of about 30 and is more common and severe with increasing age.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow49\irowband49\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 osteoporosis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Thinning and weakening of the bone substance, with a resulting risk of fracture.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow50\irowband50\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 overweight\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Defined as a }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 body mass index}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 of 25 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15998803 or}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 over. See also }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362
obesity}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 .\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow51\irowband51\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 prescription drugs\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
Pharmaceutical drugs available only on the prescription of a registered medical practitioner and available only from pharmacies.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow52\irowband52\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl
\clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow
}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 prevalence\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 The number of cases}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid15998803 (of illness or events}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 ) present in a population at a given time. Compare with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 incidence}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 .\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow53\irowband53\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 prevention\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Stopping an event or episode from occurring or progressing by performing or avoiding certain activities.\cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 \trowd \irow54\irowband54\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 principal diagnosis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 The diagnosis describing the problem that was chiefly responsible for the patient\rquote
s episode of care in hospital.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow55\irowband55\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 principal procedure\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 The most significant procedure that was performed for treatment of the }{\rtlch\fcs1 \af0
\ltrch\fcs0 \b\insrsid11415276\charrsid11228362 principal diagnosis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 .\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow56\irowband56\ltrrow\ts11\trgaph108\trleft-85\trbrdrt
\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil
\cellx9155\row \ltrrow}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid3036323\charrsid11228362 psoriasis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15998803 A condition marked by red, scaly areas}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid8870653 of skin}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15998803 , particularly on the knees, elbows and scalp}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8870653 but affecting any part of the body}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid15998803 . }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8870653 It is thought to be due to increased activity of the immune system in the skin. In some cases the joints may also be involved, leading to arthritis, often in the knees, back or ankles.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid15998803 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3036323\charrsid8486397 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid3036323\charrsid8486397 \trowd \irow57\irowband57\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid8870653\charrsid11228362 reactive arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 A }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8870653
form of arthritis that develops after an infection, often marked by the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 combination of arthritis, conjunctivitis and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid10889145 urethritis}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid8870653 . I}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 t occurs mainly in young men}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8870653 and in most cases resolves within 12 months}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 .}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid8870653 Sometimes called Reiter\rquote s syndrome.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow58\irowband58\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 rheumatic fever\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
A delayed complication of an untreated streptococcal infection, involving fever, inflammation of the joints and damage to the heart valves. \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow59\irowband59\ltrrow\ts11\trgaph108\trleft-85\trbrdrt
\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil
\cellx9155\row \ltrrow}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 rheumatoid arthritis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 A chronic}{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid8870653 autoimmune }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 disease whose most prominent feature is joint inflammation, most often affecting the hand joints in symmetrical fashion. }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid11535439 Other parts of the body, notably the eyes, heart and blood vessels, may also be affected. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Can occur in all age groups but most commonly appears between ages
35 to 45. \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow60\irowband60\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 rickets\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 A disease caused by vitamin D deficiency, which leads to softening and weakening of the bones.}{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow61\irowband61\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 risk factor\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
Any factor that presents a greater risk of a health disorder or other unwanted condition or event. Some risk factors are regarded as causes of disease, others are not necessarily so.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow62\irowband62\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 same-day patients\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Hospital patients who are admitted and separated on the same day.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow63\irowband63\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 scleroderma\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 A chronic disease that causes thickening and tightening of the skin. The deeper tissues and internal o
rgans may also be affected. Also called systemic sclerosis.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow64\irowband64\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl
\clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow
}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 self-management\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Involves }{\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11535439 (}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 the individual with the condition}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11535439 )}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
engaging in activities that protect and promote health; monitoring and managing of }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 symptoms}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
and signs of illness; managing the impacts of illness on functioning, emotions and interpersonal relationships}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 ;}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
and adhering to treatment regimes.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow65\irowband65\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 separation\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 The formal process by which a hospital records the completion of treatment and/or care for an }{\rtlch\fcs1
\af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 admitted patient}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 . \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow66\irowband66\ltrrow\ts11\trgaph108\trleft-85\trbrdrt
\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil
\cellx9155\row \ltrrow}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 special needs group/at risk group\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
Refers to groups of people who have needs relating to their health that are not always considered initially, or who have particular requirements, or who may be disadvantaged. Examples include people living in rural and remote areas, Indigenous com
munities, socioeconomically or intellectually disadvantaged people, and people in custody.\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow67\irowband67\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 statistical significance\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
An indication from a statistical test that an observed difference or association may be significant or \lquote real\rquote because it is unlikely to be due alone to chance. A statistical result is usually said to be \lquote significant\rquote
if it would occur by chance }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11535439 less than}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 once in 20 times.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow68\irowband68\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 symptom\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Any indication of a disorder.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow69\irowband69\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 systemic lupus erythematosus (SLE)\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 A chronic autoimmune disease that affects the s
kin, joints and organs, commonly causing joint pain and arthritis.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1
\af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow70\irowband70\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb
\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl
\clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow
}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 Type 1 diabetes\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
A chronic autoimmune disease in which the body produces little or no insulin, and therefore cannot process glucose (a type of sugar) into energy.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2312470 People with Type 1 diabete
s need insulin replacement for survival. It occurs mostly among children and young adults, but can arise at any age.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
\trowd \irow71\irowband71\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid2312470 Type 2 diabetes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid2312470\charrsid11228362 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2312470
The most common form of diabetes, occurring mostly in people aged 50 years or over, though becoming more common in younger
people. People with Type 2 diabetes produce insulin, but may not produce enough or cannot use it effectively. It may be managed with changes to diet and exercise, oral glucose-lowering drugs, insulin injections, or a combination of these. \cell
}\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid2312470\charrsid8486397 \trowd \irow72\irowband72\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 underlying cause of death\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397
The condition, disease or injury initiating the sequence of events leading to death; that is, the primary, chief, main or principal cause. Compare with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 associated cause(s) of death}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 .\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \trowd \irow73\irowband73\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 underweight\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 Defined as a }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 body mass index}{\rtlch\fcs1
\af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 of less than 18.5.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid5789278 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid5789278 \trowd \irow74\irowband74\ltrrow\ts11\trgaph108\trleft-85\trbrdrt
\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1 \trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt
\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil
\cellx9155\row \ltrrow}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid11415276\charrsid11228362 urethritis\cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276
Inflammation of the urethra, the tube that passes urine from the bladder to the outside.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid8486397 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276\charrsid5789278
\trowd \irow75\irowband75\ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row \ltrrow}\pard\plain \ltrpar
\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\intbl\tx198\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11228362 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid2312470 uveitis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid2312470\charrsid11228362 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2312470 Inflammation of the inner eye.\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f37\fs24\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid2312470\charrsid5789278
\trowd \irow76\irowband76\lastrow \ltrrow\ts11\trgaph108\trleft-85\trbrdrt\brdrs\brdrw10\brdrcf1 \trbrdrb\brdrs\brdrw10\brdrcf1
\trftsWidth1\trftsWidthB3\trautofit1\trpaddl85\trpaddr85\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblrsid11228362\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone
\clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth2245\clshdrawnil \cellx2160\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrtbl \clbrdrb\brdrnone \clbrdrr\brdrtbl \cltxlrtb\clftsWidth3\clwWidth6995\clshdrawnil \cellx9155\row }\pard\plain \ltrpar
\s1\ql \li0\ri0\sa360\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid6509576 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 {\*\bkmkstart _Toc216149701}List of tables}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid5789278 {\*\bkmkend _Toc216149701}
\par }\pard\plain \ltrpar\s144\ql \fi-992\li992\ri0\sb60\sa40\sl240\slmult0\keep\keepn\widctlpar\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin992\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10884995 TOC \\t "Table: Caption" \\c }}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562
Table 2.1: Direct health expenditure for arthritis and musculoskeletal conditions, 2000\endash 01\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486278 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200370038000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 25}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7302562\charrsid6226506 Table 3.1: Physical impairments/limitations associated with arthritis and related disorders, 2003}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7302562 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486279 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785
{\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200370039000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 32}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7302562\charrsid6226506 Table 3.2: Broad activities where people have difficulty or need assistance due to disability, people aged 15 years or over living in households, 2003}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486280 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200380030000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 33}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7302562\charrsid6226506 Table 3.3: Difficulty with self-care tasks associated with arthritis and related disorders, people living in households, 2003}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486281 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200380031000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 34}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7302562\charrsid6226506 Table 3.4: Difficulty with mobility tasks associated with arthritis and related disorders, people aged }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\langnp1033\lbr3\insrsid7302562 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7302562\charrsid6226506 15 years or over living in households, 2003}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7302562 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486282 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785
{\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200380032000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 36}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 3.5: Labour force status by disability status, people aged 15\endash 64 years living in households and not in full-time education, 2003\tab }{\field{\*\fldinst {\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486283 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200380033000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 36}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 3.6: Factors associated with employment restrictions\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486284
\\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200380034000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 37}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 4.1: Schooling restrictions among people aged 5\endash 14 years with arthritis-associated disability, 2003\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486285 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200380035000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 57}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 4.2: Most common interventions provided in hospital separations for juvenile or rheumatoid arthritis in people under 16 years, 2006\endash 07\tab }{\field{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486286 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200380036000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 67}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7302562\charrsid6226506 Table 5.1: Management actions taken for arthritis, 2004\endash 05}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 \tab }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486287 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200380037000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 79}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 5.2: Management provided by general practitioners for osteoarthritis and rheumatoid }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\lbr3\insrsid7302562 \line }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 arthritis, 2007\endash 08\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486288 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200380038000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 84}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7302562\charrsid6226506 Table 5.3: Top 10 medications prescribed, advised or supplied by GPs for osteoarthritis and rheumatoid arthritis, 2007\endash 08}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486289 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200380039000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 85}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7302562\charrsid6226506 Table 5.4: Most common surgical procedures performed in separations with the principal diagnosis }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\langnp1033\lbr3\insrsid7302562 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7302562\charrsid6226506 of osteoarthritis or rheumatoid arthritis, 2005\endash 06}{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486290 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200390030000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 87}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 6.1: Risk factors for osteoporosis and fracture\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486291 \\h }
{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200390031000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 95}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 6.2: Hospital separations for minimal trauma fractures, persons aged 40 years or over, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\lbr3\insrsid7302562 \line }
{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 2006\endash 07\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486292 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200390032000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 106}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 6.3: Interventions provided in separations for minimal trauma fractures, persons aged }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\lbr3\insrsid7302562 \line }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 40 years or over, 2006\endash 07\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486293 \\h }{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200390033000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 107}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 7.1: Proportion of adults undertaking insufficient physical activity, 1989\endash 90 to 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486294 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200390034000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 112}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 7.2: Death rates for rheumatoid arthritis, 1999 to 2006\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562
PAGEREF _Toc213486295 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200390035000000}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 115}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24
\ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 7.3: Indicators for arthritis and osteoporosis by sex and geographic area of residence\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486296 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200390036000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 116}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 7.4: Indicators for arthritis and osteoporosis by sex and Indigenous status\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562
PAGEREF _Toc213486297 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200390037000000}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 117}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24
\ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table 7.5: Indicators for arthritis and osteoporosis by sex and socioeconomic status of area }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\lbr3\insrsid7302562 \line }
{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 of residence\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486298 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200390038000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 119}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table A1: National indicators for monitoring osteoarthritis, rheumatoid arthritis and osteoporosis\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486299 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003200390039000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 121}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table A2.1: ICD-10 and ICD-10-AM codes used in identifying arthritis and musculoskeletal }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\lbr3\insrsid7302562 \line }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 diseases and injuries in hospital morbidity and mortality data\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562
PAGEREF _Toc213486300 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003300300030000000}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 146}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24
\ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 Table A2.2: ICD-10-AM codes used to identify clinical interventions for people with arthritis and musculoskeletal conditions\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486301 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003300300031000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 147}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7302562
\par }\pard \ltrpar\s144\ql \fi-992\li992\ri0\sb60\sa40\sl240\slmult0\keep\keepn\widctlpar\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin992\itap0\pararsid7302562 {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7302562 Table A2.3: ICPC-2-PLUS codes used in identifying arthritis and musculoskeletal conditions in }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\lbr3\insrsid7302562 \line }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7302562 general practice data\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7302562 PAGEREF _Toc213486302 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380036003300300032000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 147}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj }}\pard\plain \ltrpar
\s144\ql \fi-992\li992\ri0\sb60\sa40\sl240\slmult0\keep\keepn\widctlpar\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin992\itap0\pararsid7302562 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0
\insrsid11415276
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\sa360\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid6509576 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 {\*\bkmkstart _Toc216149702}List of figures{\*\bkmkend _Toc216149702}
\par }\pard\plain \ltrpar\s144\ql \fi-992\li992\ri0\sb60\sa40\sl240\slmult0\keep\keepn\widctlpar\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin992\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid10884995 TOC \\t "Figure: Caption" \\c }}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121
Figure 1.1: Burden of arthritis and musculoskeletal conditions compared with other NHPAs\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314800 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800300030000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 15}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 2.1: Prevalence of osteoarthritis, by age and sex, 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF
_Toc267314801 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800300031000000}}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 21}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 2.2: Prevalence of rheumatoid arthritis, by age and sex, 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121
PAGEREF _Toc267314802 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800300032000000}}}{\fldrslt {\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 22}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 2.3: Prevalence of arthritis in children under 16 years of age, by age and sex, 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314803 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800300033000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 23}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 2.4: Prevalence of osteoporosis, by age and sex, 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF
_Toc267314804 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800300034000000}}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 24}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 2.5: Direct health expenditure ($ million) on arthritis and musculoskeletal conditions, by health service area, 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314805 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800300035000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 26}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 2.6: Direct health expenditure ($ million) on arthritis and musculoskeletal conditions, by condition, 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314806 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800300036000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 26}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 2.7: Direct health expenditure ($ million) on osteoarthritis, rheumatoid arthritis and osteoporosis, by health service area, 2004\endash 05\tab }{\field{\*\fldinst {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314807 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800300037000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 27}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 3.1: Effects of osteoarthritis and rheumatoid arthritis on a synovial joint\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314808 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800300038000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 30}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7874121\charrsid7145177 Figure 3.2: Prevalence of arthritis-associated disability, by age and sex, 2003}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314809 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785
{\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800300039000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 32}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 3.3 Psychological distress by arthritis status, people aged 15 years or over, 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314810 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800310030000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 38}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 3.4: Self-perceived physical and mental health status of people aged 15 years or over with arthritis-associated disability, by severity of core activity limitation, 2003
\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314811 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800310031000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 40}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 3.5: Self-assessed health, by arthritis status, 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF
_Toc267314812 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800310032000000}}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 41}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 3.6: Self-assessed health among people with arthritis-associated disability, by severity of disability, 2003\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314813 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800310033000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 41}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 3.7: Use of aids among people with arthritis-associated disability, 2003\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121
PAGEREF _Toc267314814 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800310034000000}}}{\fldrslt {\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 43}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 3.8: Ages of primary carers and care recipients with arthritis-associated disability, 2003\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314815 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800310035000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 44}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 3.9: Extent to which needs were met among people with arthritis-associated disability living in households, by severity of core activity restrictions, 2003\tab }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314816 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800310036000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 45}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 4.1: Current and past arthritis in Australians aged less than 16 years, 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314817 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800310037000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 54}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 4.2: Arrangements made by schools for students with arthritis-associated disability, 2003\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314818 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800310038000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 57}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 4.3: Days off school and other days of reduced activity among children aged 5\endash 15 years, by arthritis status, 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314819 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800310039000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 58}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 5.1: A model for arthritis prevention and management\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF
_Toc267314820 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800320030000000}}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 72}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7874121\charrsid7145177 Figure 5.2: Management framework }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 for}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\langnp1033\insrsid7874121\charrsid7145177 arthritis}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121
PAGEREF _Toc267314821 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800320031000000}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 77}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24
\ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7874121\charrsid7145177 Figure 5.3: }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Supply}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\langnp1033\insrsid7874121\charrsid7145177 of subsidised non-steroidal anti-inflammatory drugs (NSAIDs) commonly used for osteoarthritis, 2000\endash 2007}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314822 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785
{\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800320032000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 82}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 5.4: GP and specialist visits among people with arthritis, 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121
PAGEREF _Toc267314823 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800320033000000}}}{\fldrslt {\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 83}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 5.5: Allied health care visits among people with arthritis, 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121
PAGEREF _Toc267314824 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800320034000000}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 85}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24
\ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7874121\charrsid7145177 Figure 5.6: Primary }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 total}{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\langnp1033\insrsid7874121\charrsid7145177 knee and hip replacements for osteoarthritis, 2006\endash 07}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 \tab }{\field{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314825 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800320035000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 87}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 6.1: Bones of the hip and sites of hip fractures\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314826 \\h
}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800320036000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 93}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 6.2: Vertebral compression fracture and curvature of the spine\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF
_Toc267314827 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800320037000000}}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 94}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 6.3: Patterns of bone growth and loss through life\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314828
\\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800320038000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 95}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7874121\charrsid7145177 Figure 6.4: Emergency department attendances for fractures, persons aged 40 years or over, NSW and }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 Victoria}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\langnp1033\insrsid7874121\charrsid7145177 , 2004\endash 05}{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 \tab }
{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314829 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800320039000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 105}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 7.1: Overweight and obesity in Australian adults and children\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF
_Toc267314830 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800330030000000}}}{\fldrslt {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 112}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 7.2: Prevalence of arthritis and osteoporosis, 1995 to 2004\endash 05\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121
PAGEREF _Toc267314831 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800330031000000}}}{\fldrslt {\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 113}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 7.3: Primary total hip and knee replacement rates, 1993\endash 94 to 2006\endash 07\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314832 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800330032000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 114}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 Figure 7.4: Hospital separations for minimal trauma hip fracture, persons aged 40 years or over, 1995\endash 96 to 2006\endash 07\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 PAGEREF _Toc267314833 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200360037003300310034003800330033000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 114}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid7874121
\par }\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid7302562 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 }}\pard\plain \ltrpar\s1\ql \li0\ri0\sa480\sl560\slmult0\keep\keepn\pagebb\widctlpar
\tx794\tx1191\tx2778\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0\pararsid7302562 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs44\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7302562 {\*\bkmkstart _Toc216149703}List of }{\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid11601674 b}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7302562 oxes}{\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid11415276 {\*\bkmkend _Toc216149703}
\par }\pard\plain \ltrpar\s144\ql \fi-992\li992\ri0\sb60\sa40\sl240\slmult0\keep\keepn\widctlpar\tqr\tldot\tx9072\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin992\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs20\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 {\field\fldedit{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid7302562 TOC \\t "Box: Heading" \\c }}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539
Box 3.1: Measuring health-related quality of life (HRQOL)\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 PAGEREF _Toc213487512 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500310032000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 40}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 3.2: Aids used to manage limitations associated with arthritis and related disorders\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid14511539 PAGEREF _Toc213487513 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500310033000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 42}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 4.1: International League of Associations for Rheumatology (ILAR) classification for juvenile idiopathic arthritis\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid14511539 PAGEREF _Toc213487514 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500310034000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 49}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 4.2: A few words about inflammation\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 PAGEREF _Toc213487515 \\h }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500310035000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 51}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 4.3: Potential causes of arthritic symptoms in children\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539
PAGEREF _Toc213487516 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500310036000000}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 52}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24
\ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 4.4: Causes of death\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 PAGEREF _Toc213487517 \\h }{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500310037000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 61}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 4.5: Procedures used in juvenile arthritis\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 PAGEREF _Toc213487518 \\h }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500310038000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 66}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 5.1: ACR 1987 revised criteria for the diagnosis of rheumatoid arthritis\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539
PAGEREF _Toc213487519 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500310039000000}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 77}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24
\ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 5.2: Glucosamine and chondroitin: complementary medicines commonly used for arthritis\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid14511539 PAGEREF _Toc213487520 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield
08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500320030000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 81}}}\sectd
\pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 5.3: Common surgical procedures for arthritis\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 PAGEREF _Toc213487521 \\h }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500320031000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 86}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 6.1: Diagnosing osteoporosis using bone mineral density testing\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539
PAGEREF _Toc213487522 \\h }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500320032000000}}}{\fldrslt {
\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7874121 92}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24
\ltrch\fcs0 \f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 6.2: Bone development and loss\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 PAGEREF _Toc213487523 \\h }{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500320033000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 94}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 6.3: Risk factors for falling\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 PAGEREF _Toc213487524 \\h }{\rtlch\fcs1 \af0
\ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500320034000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 102}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 Box 6.4: Preventing falls in the home\tab }{\field{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid14511539 PAGEREF _Toc213487525 \\h }{\rtlch\fcs1
\af0 \ltrch\fcs0 \lang1024\langfe1024\noproof\insrsid7220785 {\*\datafield 08d0c9ea79f9bace118c8200aa004ba90b02000000080000000e0000005f0054006f0063003200310033003400380037003500320035000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0
\lang1024\langfe1024\noproof\insrsid7874121 103}}}\sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0
\f0\fs24\cf0\lang1024\langfe1024\noproof\langfenp3081\insrsid14511539
\par }\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7302562 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0
\f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 }}\pard\plain \ltrpar\s15\ql \li0\ri0\sb60\sa40\sl260\slmult0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7302562 \rtlch\fcs1 \af0\afs20\alang1025
\ltrch\fcs0 \f37\fs22\cf1\lang3081\langfe1033\cgrid\langnp3081\langfenp1033 \sectd \pgwsxn11906\pghsxn16838\psz9\linex0\headery1134\footery1304\colsx708\endnhere\pgbrdropt32\sectlinegrid360\sectdefaultcl\sectrsid6509576\sftnbj {\rtlch\fcs1 \af0
\ltrch\fcs0 \insrsid7302562\charrsid7302562
\par }}