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Sick Leave and Disa...
Sick Leave and Disability Pension in Prevalent Patients With Crohn's Disease
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- Everhov, Åsa H. (author)
- Karolinska Institutet,Soder Sjukhuset, Sweden; Karolinska Inst, Sweden
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- Khalili, Hamed (author)
- Clinical Epidemiology Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden; Gastroenterology Unit, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA,Karolinska Inst, Sweden; Harvard Med Sch, MA USA
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- Askling, Johan (author)
- Karolinska Institutet,Karolinska Inst, Sweden
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- Myrelid, Pär (author)
- Linköpings universitet,Avdelningen för Kirurgi, Ortopedi och Onkologi,Medicinska fakulteten,Region Östergötland, Kirurgiska kliniken US
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- Ludvigsson, Jonas F., 1969- (author)
- Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Pediatrics, Örebro University Hospital, Örebro University, Örebro, Sweden,Karolinska Inst, Sweden; Univ Orebro, Sweden
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- Halfvarson, Jonas, 1970- (author)
- Örebro universitet,Institutionen för medicinska vetenskaper,Department of Gastroenterology,Univ Orebro, Sweden
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- Nordenvall, C. (author)
- Karolinska Institutet,Karolinska Inst, Sweden; Karolinska Univ Hosp, Sweden
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- Söderling, Jonas (author)
- Karolinska Institutet,Karolinska Inst, Sweden
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- Olén, Ola (author)
- Karolinska Institutet,Soder Sjukhuset, Sweden; Karolinska Inst, Sweden; Sachs Children and Youth Hosp, Sweden
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- Neovius, Martin (author)
- Karolinska Institutet,Karolinska Inst, Sweden
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(creator_code:org_t)
- 2018-08-25
- 2018
- English.
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In: Journal of Crohn's & Colitis. - : Elsevier. - 1873-9946 .- 1876-4479. ; 12:12, s. 1418-1428
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Abstract
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- Background and Aims: Crohn's disease may affect the ability to work and lead to permanent disability. We aimed to investigate work loss in prevalent patients.Methods: We identified patients with Crohn's disease and general population comparators matched by sex, birth year, healthcare region and education. We assessed days of sick leave and disability pension retrieved from the Swedish Social Insurance Agency and estimated the absolute and relative risk of receiving disability pension [minimum 25% work impairment].Results: In 2014, the 20638 Crohn's disease patients [median age 44 years] had more than twice as many mean lost workdays [disability pension: 44; sick leave: 19] as the 102038 comparators [disability pension: 20; sick leave: 8], mean difference 35 days [95% confidence interval 33-37]. However, the majority had no lost workdays [68% of patients and 85% of comparators]. The proportion of patients receiving disability pension was 15% (6.5% in the comparators, risk ratio 2.34 [2.25-2.43]) and was higher in all subgroups, especially in female patients [28% vs 13% in the comparators], in those with ≤9 years of education [41% vs 23%] and in ages 60-64 years [46% vs 25%]. The relative risk of disability pension within the patient cohort [adjusted for age, sex, region and education] was higher in patients with complicated disease behaviour, extraintestinal manifestations, need of surgery or treatment with biologics. The differences between patients and comparators remained when comparing other calendar years [2006-2013].Conclusion: Work loss was found in approximately one-third of patients. The mean number of lost workdays was twice as high as in the comparators.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Keyword
- Crohn’s disease
- sick leave
- disability pension
- work disability
- inflammatory bowel disease
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Everhov, Åsa H.
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Khalili, Hamed
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Askling, Johan
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Myrelid, Pär
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Ludvigsson, Jona ...
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Halfvarson, Jona ...
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Nordenvall, C.
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Söderling, Jonas
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Olén, Ola
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Neovius, Martin
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Gastroenterology ...
- Articles in the publication
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Journal of Crohn ...
- By the university
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Örebro University
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Karolinska Institutet
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Linköping University