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Osteoarthritis of the knee in retired, elite Australian Rules footballers.

OBJECTIVE: To determine the functional and radiological status of knee joints of retired Australian Rules footballers compared with those of active community members. DESIGN: Retrospective cohort study. PARTICIPANTS: Fifty retired elite footballers aged 34-85 years (mean, 53.7 years; SD, 11.4) from four AFL clubs and 50 age-matched controls (35-79 years; mean, 55.7 years; SD, 12.4) who had played no contact sport since their teenage years. MAIN OUTCOME MEASURES: Severity of knee functional osteoarthritis as determined by a questionnaire, and assessment of osteoarthritis by posteroanterior weight-bearing radiographs taken of both knees of each participant in 45-degree flexion. RESULTS: After adjusting for age, height, weight and body mass index, footballers had a significantly greater prevalence (P < 0.0001) and severity (P < 0.05) of functional and radiological osteoarthritis than controls. Footballers with a history of intraarticular ligamentous and/or meniscal injury (Group 1) had a greater risk of functional osteoarthritis (P = 0.002) and radiological (P = 0.067) osteoarthritis than those with a history of collateral ligament injury or no injury (Group 2). Compared with controls, the odds of developing moderate to severe levels of functional and radiological osteoarthritis were 6.9 times (95% CI, 1.6-29.7; P = 0.01) and 105.0 times (95% CI, 11.8-931.8; P < 0.0001), respectively, those in Group 1 footballers and 3.6 times (95% CI, 0.8-16.2; P = 0.10) and 17.7 times (95% CI, 2.2-146.2; P = 0.0075), respectively, those in Group 2 footballers. CONCLUSIONS: Elite Australian Rules footballers have a significant risk of both functional and radiological osteoarthritis, and a history of intra-articular ligament or meniscal injury increases this risk.

Activities of Daily Living↗

Health of retired workers: survival status and Medicare service use.

Data from the Social Security Administration's 1982 New Beneficiary Survey and Master Beneficiary Record were matched with 1984 data from the Medicare Automated Data Retrieval System to study the effects of self-reported health on subsequent health service usage and survival. Proportionately, more new retired workers who reported poorer health in 1982 were decreased by December 1984. Functionally dependent beneficiaries as determined by the Functional Capacity Limitation Index had death rates four to five times greater than those who reported no limitations. The health status of retired workers who received Social Security benefits before age 65 was no better than beneficiaries 65 or over. Decedents were more likely than survivors to incur Medicare charges, and to have substantially higher median charges--$8,834 compared with $285.

Age Factors↗

Planning your career after retirement.

As a physician executive plans the steps of his or her career, some emphasis should be placed on what is to happen at the end of the professional career. At some point, everyone has to consider retirement plans, and the earlier they begin, especially for financial considerations, the better. In the following article, a member of the College and of its faculty discusses how this process might be initiated. The advice is augmented by information the author obtained in interviews conducted with others who have begun to give retirement some thought or who have already sailed into this aspect of their lives.

Career Mobility↗

Thinking about retirement? Pay now and you may live a little more freely later.

Money, money, money. The favourite soft toy of a well-heeled few can be a cross that the less gilded carry through their working life into retirement. Author doles out some advice for the pension conscious, especially those who have just stumbled on the fact that retirement is upon them, in fact just around the next corner.

Administrative Personnel↗

Another compliance challenge for employers: The Retirement Equity Act.

This ERISA update is designed to correct oversights in the previous law. It increases women's share of private sector retirement benefits by accommodating what are considered to be standard career patterns for women and by increasing the rights of spouses when it comes to employees' retirement benefits.

Female↗

Retirement centers: opportunities for the astute hospital investor.

As the population continues to age, several different forms of living arrangements will be necessary to accommodate various levels of need. Retirement communities fill the gap between living alone and living in a long-term care facility. This article reviews the market potential, past industry performance, industry structure changes, and factors for success in developing a hospital sponsored retirement community.

Aged↗

Entering the life care and retirement housing markets.

Life care communities and other forms of retirement housing can be compatible ministries for health care sponsors. Successfully financing such projects, however, may be difficult if sponsors do not carefully evaluate the market. Determining the need for a proposed project should include the following steps: Study the elderly population trends in the defined market area, particularly data for the over-70 group. Identify the minimum income level for potential residents; a general guideline is one and one-half to two times the annualized rental fee. Determine the penetration rate to obtain the optimal demand for housing. Determine whether the project is viable by subtracting the number of existing and other planned units from the optimal demand for units; the remainder should be large enough to support the proposed project. Further evaluation of the market should include research to discover potential residents' perceptions about retirement communities and their preferences for services and type of units. Because of increasing interest in providing services for the elderly, numerous financing alternatives are available. Sponsors need not rely on internal financing or debt financing to maintain control. By carefully structuring a limited partnership and working with a private developer, for example, the sponsor can ensure involvement in the project without having to assume responsibility for debt or invest scarce capital.

Age Factors↗

Retirement income security in the United Kingdom.

This article examines the U.K. retirement income security system from the American perspective. It addresses issues that most concern U.S. analysts: how the United Kingdom has kept its future public pension costs at a manageable level, the extent to which privatization of public pensions has contributed to low pension costs, the popular appeal of individual pension accounts, and the impact of privatization on retirement income. These issues are best understood in the context of the U.K. pension program's particular institutional structure and policies, two of which--"contracting out" of public pensions, and strong reliance on means-tested benefits--have been largely rejected in the evolution of U.S. policy to date. Particular use is made of recently available data on coverage rates for public and private pension programs over the total working population and administrative records on inactive personal pension accounts.

Contract Services↗

Retirement planning and long-term risk.

Many defined contribution plan participants have available to them various measures of short-term risk. However, some of these participants don't understand that reducing short-term risk comes at the cost of increasing the risk of not reaching their retirement income goal. This article looks at the relationship between short- and long-term risk and their impact on retirement savings.

Humans↗

Retirement plan technology delivers big benefits to small business.

Retirement plan technology has made it possible for small businesses to be "competitive" in the benefits they offer employees. Small firms that have upgraded their plans have found they are able to offer programs that are less expensive for them and richer for their employees. Integration and Web-based technology have also facilitated employees' retirement planning.

Commerce↗

Retirement communities gain higher acceptance.

Retirement community gains in acceptance could indicate a bright future for the industry, according to the latest Generations research. The first ever on-line international survey of seniors and the first dial group studies of seniors show Boomers, Silent Generation seniors, and GI Generation seniors alike have become more positive in their evaluation of retirement communities as an option for the future.

Adult↗

[Emergent topics of educators' perspectives on their own education for retired health care professionals].

The purpose of the study was to explore the nature of seven retired educators' perspectives on their own education. Each educator was from a different health profession. Berger and Luckmann's thesis on the social construction of reality served as the conceptual framework of the study Throughout the study the researcher was able to appreciate that even though the reality of everyday life is a subjective interpretation of the world, there is a continuous correspondence between the researcher's perceptions of meaning and those of others. The in-depth interview method provided an adequate mechanism for the reconstruction of participants' everyday life experiences, and for the construction of categories of meaning. The researcher applied the method of inductive analysis in the identification of the themes and issues and in the construction of the categories. Nine categories of meaning emerged from the participants' reconstruction: 1) the legitimization of retirement; 2) understandings surrounding one's education; 3) understanding of the human aging process; 4) the legitimization of death; 5) the bonds between human beings as a fundamental element of human reality; 6) the roles within, and the objectification of, human activity; 7) the legitimization of religion and the element of spirituality; 8) understandings surrounding one's self; and 9) the reconstruction of the past: traditions and legitimate practices. Within the categories are areas of convergence between the signification of "one's own education" as a modality of life, and the signification of learning and of its propitiatory and restrictive conditions. As to the understandings of meaning and the emergent categories of meaning, the researcher constructed specific educational recommendations, which emphasize the educational processes of the old adult.

Aged↗

Population aging, social security design, and early retirement.

"The aging of the industrialized countries will dramatically strain their social security systems. In Germany, for example, 100 employed persons now support about 40 elderly, but 85 elderly will have to be sustained by the same number of employed persons in the year 2030. This pressure is exacerbated by the observed trend towards earlier retirement ages. This paper presents cross-national evidence and an option value analysis of the retirement decision to argue that the distortions created by the actuarially unfair design of the social security systems in the United States and particularly in Germany have significantly contributed in this trend." (SUMMARY IN GER)

Demography↗

Retirement quandary: more retirees at younger ages, living longer.

The authors examine trends in age at retirement and life expectancy in the United States. "We used labor-force data from the Current Population Survey...to calculate the percentage change in labor-force participation rates for five-year birth cohorts over a series of five-year intervals.... Using these percentage changes, corrected for mortality during each five-year interval, we calculated the average age at retirement (median age) from the early 1950s to the late 1990s."

Age Factors↗

Retirement and mortality.

The impact of retirement on morbidity and mortality in Canada is examined. "The mortality experience of a cohort of 15,260 men and 5,632 women, retiring in 1970 at the age of 65, is compared with corresponding age-specific death rates observed in the general Canadian population between 1970-74." The mortality differentials observed are analyzed by sex.

Americas↗

[Economic activity of the population after retirement age].

"The article considers economic activity of the population [in Bulgaria] after retirement age in the ten-year period between the last two censuses (1975-1985). The author points out the trends of the economic activity of the population, the factors and the motives for economic activity. Some recommendations concerning the more effective use of the labour of the population after retirement age are given." (SUMMARY IN ENG AND RUS)

Adult↗

Retirement benefits as a recruitment tool.

Using data from "Retirement Plan Trends in Today's Healthcare Market-2003," a new report, this gatefold shows how hospitals can use retirement benefits to attract and retain staff, a matter of vital importance as the U.S. work force ages.

Adult↗