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Reduced workforce participation 5 years prior to first Parkinsons disease sick-leave
Department of Clinical Sciences Lund, Neurology, Lund University, Lund, Sweden; 2Department of Neurology, Skåne University Hospital, Lund, Sweden.
Linköpings universitet, Institutionen för beteendevetenskap och lärande, Psykologi. Linköpings universitet, Filosofiska fakulteten. (Athletics Research Center)
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för samhällsmedicin. Linköpings universitet, Medicinska fakulteten. Region Östergötland, Centrum för verksamhetsstöd och utveckling, Verksamhetsutveckling vård och hälsa.
Department of Health Sciences, Lund University, Lund, Sweden; 8Memory Clinic, Skåne University Hospital, Malmö, Sweden.
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2018 (engelsk)Inngår i: NPJ Parkinsons disease, ISSN 2373-8057, Vol. 4, artikkel-id 36Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

The importance of understanding the prodromal phase of Parkinsons disease (PD) by systematic recording of prediagnostic symptoms and reductions in body functions has been highlighted. The aim of this study was to investigate whether persons later diagnosed with PD exhibit increased physician-certified sickness absence 1, 2, and 5 years prior to a first sick-leave episode attributed to PD. A case-control study was performed to analyze data from all nontrivial (exceeding 14 days) sick-leave episodes in Sweden between 2008 and 2014. The 537 incident PD sick-leave episodes were identified as PD sick-leave cases and compared to 537 sick-leave controls identified by matching age, sex, and date of the first day of the sick-leave episode. The total sickness absence and sickness absence due to musculoskeletal diagnoses were found to be increased among the PD sick-leave cases from 5 years prior to the first sick-leave episode ascribed to PD when compared to the controls. No differences between PD sick-leave cases and sick-leave controls were found with regard to mental and behavioral diagnoses. We conclude that the capacity to participate in working life is reduced already at the early prediagnostic stages of PD. This finding can be used as a basis for further research into the process of identifying individuals at risk for developing PD, particularly in combination with further investigation into biochemical, genetic, and imaging biomarkers.

sted, utgiver, år, opplag, sider
Nature Publishing Group, 2018. Vol. 4, artikkel-id 36
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URN: urn:nbn:se:liu:diva-156078DOI: 10.1038/s41531-018-0072-2ISI: 000454257200001PubMedID: 30564630OAI: oai:DiVA.org:liu-156078DiVA, id: diva2:1301766
Tilgjengelig fra: 2019-04-02 Laget: 2019-04-02 Sist oppdatert: 2019-06-28bibliografisk kontrollert

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