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  • Salinas Fredricson, AdrianFolktandvarden Stockholm, Publ Dent Serv, Eastmaninst, Dept Oral & Maxillofacial Surg, Stockholm, Sweden.;Karolinska Inst, Dept Dent Med, Div Oral Diagnost & Rehabil, Stockholm, Sweden. (författare)

Sick leave and disability pension in a cohort of TMD-patients : The Swedish National Registry Studies for Surgically Treated TMD (SWEREG-TMD)

  • Artikel/kapitelEngelska2022

Förlag, utgivningsår, omfång ...

  • 2022-05-09
  • Springer Science and Business Media LLC,2022
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:shh-4475
  • https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-4475URI
  • https://doi.org/10.1186/s12889-022-13329-zDOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-51804URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:149496591URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • BACKGROUND: Temporomandibular disorders (TMD) are common and affect approximately 10% of the adult population. TMD is usually associated with headache, pain in the masticatory muscles and/or the temporomandibular joint, clicking or crepitations during mandibular movement as well as painful and/or reduced mouth opening. This study aimed to investigate the level TMD-patients use social insurance benefits before and after their first time of diagnosis or first surgical event, compared to the general population. Furthermore, the aim was to investigate the differences in the use of social insurance benefits between surgically and non-surgically treated TMD-patients that were diagnosed in a hospital setting.METHODS: All Swedish citizens aged 23-59 diagnosed with TMD in a hospital setting and/or surgically treated for the condition during 1998-2016 were identified via the Swedish National Board of Health and Welfare. A non-exposed comparison cohort was collected via the Total Population Registry. Outcome and sociodemographic data were collected via Statistics Sweden. Main outcome was annual net days on sick leave and disability pension five years before (-T5) and five years after (T5) diagnosis and/or surgical treatment (T0). Regression analysis was conducted with generalized estimated equations.RESULTS: The study included 219 255 individuals (73% female) - 19 934 in the exposed cohort and 199 321 in the comparison cohort. The exposed group was classified into three subgroups: non-surgical, surgically treated once, and surgically treated twice or more. The mean annual net days of sick leave and disability pension combined during the ten-year follow-up was 61 days in the non-surgical group, 76 days in the surgically treated once group, and 104 days in the surgically treated twice or more subgroup. The corresponding number for the non-exposed comparison cohort was 32 days.CONCLUSION: Patients diagnosed with TMD in a hospital setting are 2-3 times more dependent on the use of social benefits than the general population. The reliance on sick leave and disability pension is seen as early as five years before diagnosis, and the reliance remains after surgical treatment. The reliance is stronger in patients with several surgical interventions. These findings indicate that patients diagnosed with TMD constitute a patient group with a high burden of health issues causing long-term dependence on social security benefits.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Krüger Weiner, CarinaFolktandvarden Stockholm, Publ Dent Serv, Eastmaninst, Dept Oral & Maxillofacial Surg, Stockholm, Sweden.;Karolinska Inst, Dept Dent Med, Div Oral Diagnost & Rehabil, Stockholm, Sweden. (författare)
  • Adami, JohannaSophiahemmet Högskola,Sophiahemmet Univ, Stockholm, Sweden.(Swepub:shh)johanna.adami (författare)
  • Rosén, AnnikaUniv Bergen, Dept Clin Dent, Div Oral & Maxillofacial Surg, Bergen, Norway.;Haukeland Hosp, Dept Oral & Maxillofacial Surg, Bergen, Norway. (författare)
  • Lund, BodilKarolinska Institutet (författare)
  • Hedenberg-Magnusson, BrittKarolinska Institutet (författare)
  • Fredriksson, LarsKarolinska Inst, Dept Dent Med, Div Oral Diagnost & Rehabil, Stockholm, Sweden.;Folktandvarden Stockholm, Publ Dent Serv, Eastmaninst, Dept Orofacial Pain & Jaw Funct, Stockholm, Sweden. (författare)
  • Svedberg, PiaKarolinska Institutet (författare)
  • Naimi-Akbar, AronMalmö universitet,Odontologiska fakulteten (OD)(Swepub:mau)aj6331 (författare)
  • Sophiahemmet HögskolaFolktandvarden Stockholm, Publ Dent Serv, Eastmaninst, Dept Oral & Maxillofacial Surg, Stockholm, Sweden.;Karolinska Inst, Dept Dent Med, Div Oral Diagnost & Rehabil, Stockholm, Sweden. (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:BMC Public Health: Springer Science and Business Media LLC22:11471-2458

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