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Sick Leave and Disability Pension in Prevalent Patients With Crohns Disease
Soder Sjukhuset, Sweden; Karolinska Inst, Sweden.
Karolinska Inst, Sweden; Harvard Med Sch, MA USA.
Karolinska Inst, Sweden.
Linköping University, Department of Clinical and Experimental Medicine, Division of Surgery, Orthopedics and Oncology. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center for Surgery, Orthopaedics and Cancer Treatment, Department of Surgery in Linköping.ORCID iD: 0000-0001-7518-9213
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2018 (English)In: Journal of Crohn's & Colitis, ISSN 1873-9946, E-ISSN 1876-4479, Vol. 12, no 12, p. 1418-1428Article in journal (Refereed) Published
Abstract [en]

Background and Aims: Crohns 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 Crohns 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 20 638 Crohns disease patients [median age 44 years] had more than twice as many mean lost workdays [disability pension: 44; sick leave: 19] as the 102 038 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 amp;lt;= 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.

Place, publisher, year, edition, pages
OXFORD UNIV PRESS , 2018. Vol. 12, no 12, p. 1418-1428
Keywords [en]
Crohns disease; sick leave; disability pension; work disability; inflammatory bowel disease
National Category
Gastroenterology and Hepatology
Identifiers
URN: urn:nbn:se:liu:diva-154124DOI: 10.1093/ecco-jcc/jjy123ISI: 000455273800006PubMedID: 30165593OAI: oai:DiVA.org:liu-154124DiVA, id: diva2:1283638
Note

Funding Agencies|Karolinska Institutet; Swedish Society of Medicine (The Bengt Ihre Research Foundation) Stiftelsen Tornspiran; Mag-tarmfonden; Swedish Research Council-Medicine; Swedish Cancer Society; Swedish Foundation for Strategic Research; Stockholm County Council (ALF project); National Institutes of Health

Available from: 2019-01-29 Created: 2019-01-29 Last updated: 2019-01-29

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Myrelid, Pär
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Division of Surgery, Orthopedics and OncologyFaculty of Medicine and Health SciencesDepartment of Surgery in Linköping
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