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How does work disability of patients with MS develop before and after diagnosis? A nationwide cohort study with a reference group
Karolinska institutet / Sahlgrenska Academy, University of Gothenburg.
Karolinska institutet / Swedish Social Insurance Agency.
Karolinska institutet.
Karolinska institutet.
Vise andre og tillknytning
2016 (engelsk)Inngår i: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 6, nr 11, artikkel-id e012731Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

OBJECTIVES: We compared work disability of patients with multiple sclerosis (MS) from 5 years before with 5 years after diagnosis, with that of matched controls, and analysed whether progression in work disability among patients with MS was associated with sociodemography.

DESIGN: Population-based cohort study.

SETTING: The adult Swedish general population.

PARTICIPANTS: Residents aged 24-57 diagnosed with MS (n=3685) in 2003-2006 and 18 425 matched controls without MS.

PRIMARY AND SECONDARY OUTCOME MEASURES: Annual net days of sickness absence (SA) and disability pension (DP), used as a proxy for work disability, followed from 5 years before to 5 years after diagnosis (ie, T-5-T+5). For patients with MS, regression was used to identify sociodemographic factors related to progression in work disability.

RESULTS: Work disability of patients with MS increased gradually between T-5 and T-1 (mean: 46-82 days) followed by a sharp increase (T+1, 142 days), after which only a marginal increase was observed (T+5, 149 days). The matched controls had less work disability, slightly increasing during the period to a maximum of ∼40 days. Men with MS had a sharper increase in work disability before diagnosis. High educational level was associated with less progression in work disability before and around diagnosis.

CONCLUSIONS: Patients with MS had more work disability days also 5 years before diagnosis. Several sociodemographic variables were associated with the absolute level and the progression in SA and DP.

sted, utgiver, år, opplag, sider
2016. Vol. 6, nr 11, artikkel-id e012731
Emneord [en]
Disability pension; Insurance medicine; Sick leave; Work disability
HSV kategori
Identifikatorer
URN: urn:nbn:se:rkh:diva-2307DOI: 10.1136/bmjopen-2016-012731PubMedID: 27856477OAI: oai:DiVA.org:rkh-2307DiVA, id: diva2:1049713
Tilgjengelig fra: 2016-11-25 Laget: 2016-11-25 Sist oppdatert: 2017-11-29bibliografisk kontrollert

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