Reduction in Sick Leave and Costs to Society of Patients with Meniere's Disease After Treatment of Temporomandibular and Cervical Spine Disorders: A Controlled Six-Year Cost-Benefit Study

Bjorne, Assar; Agerberg, G

doi:10.1080/08869634.2003.11746242

Cited by 21 publications

(13 citation statements)

References 8 publications

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“…Only a few prior cohort studies have presented data on sick leave or disability pension in relation to hearing difficulties or diagnoses [9], [10], [13], [14], [15], [16], [17]. The majority of previous studies include small groups [9], [13], [14], [16] or only focus on specific occupational groups [15], [17].…”

Section: Discussionmentioning

confidence: 99%

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Sickness Absence Due to Otoaudiological Diagnoses and Risk of Disability Pension: A Nationwide Swedish Prospective Cohort Study

et al. 2012

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BackgroundHearing difficulties are a large public health problem. Knowledge is scarce regarding risk of disability pension among people who have been sickness absent due to these difficulties.MethodsA cohort including all 4,687,756 individuals living in Sweden in 2005, aged 20–64, and not on disability or old-age pension, was followed through 2009. Incidence rate ratios (RR) of disability pension with 95% confidence intervals (CI) were estimated using Cox proportional hazard models.ResultsIn multivariable models, individuals who had a sick-leave spell due to otoaudiological diagnoses in 2005 had a 1.52-fold (95% CI: 1.43–1.62) increased risk of being granted a disability pension compared to individuals on sick leave due to other diagnoses. Hearing and tinnitus sick-leave diagnoses were associated with risk of disability pension: RR 3.38, 95% CI: 3.04–3.75, and 3.30, 95% CI: 2.95–3.68, respectively. No association was observed between sick leave due to vertigo diagnoses and disability pension whereas otological diagnoses and no sick leave were inversely associated with risk of disability pension compared to non-otoaudiological sick-leave diagnoses. Sick leave due to otoaudiological diagnoses was positively associated with risk of disability pension due to otoaudiological diagnoses and sick leave due to a tinnitus diagnosis was also associated with risk of disability pension due to mental diagnoses. The risk of disability pension among individuals with hearing or tinnitus sick-leave diagnoses was highest in the age group 35–44. Moreover, men had a slightly higher risk.ConclusionThis large cohort study suggests an increased risk of disability pension among those with sickness absence due to otoaudiological diagnoses, particularly hearing and tinnitus diagnoses, compared to those with sickness absence due to non-otoaudiological diagnoses.

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Section: Discussionmentioning

confidence: 99%

“…The majority of previous studies include small groups [9], [13], [14], [16] or only focus on specific occupational groups [15], [17]. Most previous studies [9], [10], [15], [16] have indicated an increased risk of disability pension among individuals with a hearing difficulty.…”

Section: Discussionmentioning

confidence: 99%

Sickness Absence Due to Otoaudiological Diagnoses and Risk of Disability Pension: A Nationwide Swedish Prospective Cohort Study

et al. 2012

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“…Of the studies that have been published, some were constrained by the context of a clinical trial (10), and others were small scale local-level studies where information was collected retrospectively (11). Therefore, the objective of the Registry to Evaluate the Burden of Disease in Vertigo (REVERT) was to help estimate the burden associated with vertigo from a multi-country perspective.…”

Section: Introductionmentioning

confidence: 99%

The Burden and Impact of Vertigo: Findings from the REVERT Patient Registry

Benecke¹,

Agus²,

Kuessner³

et al. 2013

Front. Neurol.

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Objective: Despite the high prevalence of vertigo globally and an acknowledged, but underreported, effect on an individual's wellbeing, few studies have evaluated the burden on healthcare systems and society. This study was aimed to quantitatively determine the impact of vertigo on healthcare resource use and work productivity. Methods:The economic burden of vertigo was assessed through a multi-country, noninterventional, observational registry of vertigo patients: the Registry to Evaluate the Burden of Disease in Vertigo. Patients included were those with a new diagnosis of Meniere's disease, benign paroxysmal positional vertigo, other vertigo of peripheral vestibular origin, or peripheral vestibular vertigo of unknown origin.Results: A total of 4,294 patients at 618 centers in 13 countries were included during the registry. Of the 4,105 patients analyzed, only half were in employment. Among this working patient population, 69.8% had reduced their workload, 63.3% had lost working days, and 4.6% had changed and 5.7% had quit their jobs, due to vertigo symptoms. Use of healthcare services among patients was high. In the 3 months preceding Visit 1, patients used emergency services 0.4 ± 0.9 times, primary care consultations 1.6 ± 1.8 times, and specialist consultations 1.4 ± 2.0 times (all mean ± SD). A mean of 2.0 ± 5.4 days/patient was also spent in hospital due to vertigo. Conclusion:In addition to the negative impact on the patient from a humanistic perspective, vertigo has considerable impact on work productivity and healthcare resource use.

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“…Five studies presented data for patient groups [16,19,25-27] without any control or comparison group. Several studies were based on very small samples, for example, only six studies included more than 1000 individuals [10,17,18,29,30,32] and five studies included less than 100 individuals [19,22,24-26] (Table 1). The mean number of participants was 3926.…”

Section: Resultsmentioning

confidence: 99%

Hearing difficulties, ear-related diagnoses and sickness absence or disability pension - a systematic literature review

2012

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BackgroundHearing difficulties is a large public health problem, prognosticated to be the ninth leading burden of disease in 2030, and may also involve large consequences for work capacity. However, research regarding sickness absence and disability pension in relation to hearing difficulties is scarce. The aim was to gain knowledge about hearing difficulties or other ear-related diagnoses and sickness absence and disability pension through conducting a systematic literature review of published studies.MethodsStudies presenting empirical data on hearing difficulties or ear-related diagnoses and sick leave or disability pension, published in scientific peer-reviewed journals, were included. Studies were sought for in three ways: in literature databases (Pub-Med, Embase, PsycInfo, SSCI, and Cochrane) through March 2011, through scrutinising lists of references, and through contacts. Identified publications were assessed for relevance and data was extracted from the studies deemed relevant.ResultsA total of 18 studies were assessed as relevant and included in this review, regardless of scientific quality. Fourteen studies presented empirical data on hearing difficulties/ear diagnoses and sick leave and six on these conditions and disability pension. Only two studies presented rate ratios or odds ratios regarding associations between hearing difficulties and sick leave, and only two on hearing difficulties and risk of disability pension. Both measures of hearing difficulties and of sick leave varied considerable between the studies.ConclusionsRemarkably few studies on hearing difficulties in relation to sickness absence or disability pension were identified. The results presented in them cannot provide evidence for direction or magnitude of potential associations.

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Reduction in Sick Leave and Costs to Society of Patients with Meniere's Disease After Treatment of Temporomandibular and Cervical Spine Disorders: A Controlled Six-Year Cost-Benefit Study

Cited by 21 publications

References 8 publications

Sickness Absence Due to Otoaudiological Diagnoses and Risk of Disability Pension: A Nationwide Swedish Prospective Cohort Study

Sickness Absence Due to Otoaudiological Diagnoses and Risk of Disability Pension: A Nationwide Swedish Prospective Cohort Study

The Burden and Impact of Vertigo: Findings from the REVERT Patient Registry

Hearing difficulties, ear-related diagnoses and sickness absence or disability pension - a systematic literature review

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