Literature DB >> 10411235

Sick leave and disability pension before and after treatment for obesity: a report from the Swedish Obese Subjects (SOS) study.

K Narbro1, G Agren, E Jonsson, B Larsson, I Näslund, H Wedel, L Sjöström.   

Abstract

OBJECTIVES: To analyse sick leave and disability pension among surgically and conventionally treated obese patients.
DESIGN: A prospective study over five years. Differences in sick leave and disability pension were analysed using multiple and logistic regressions. Possible confounding factors were analysed and controlled for.
SETTING: Nine counties in Sweden.
SUBJECTS: 369 surgically treated patients and 371 matched obese controls, included in the Swedish Obese Subjects (SOS) study. At baseline, mean body mass index (BMI) was 42 kg/m2 in surgical patients and 41 kg/m2 in controls. After four years of treatment, weight reduction was 20% among surgical patients while the control patients kept their initial weight. INTERVENTION: Gastric bariatric surgery. MEASUREMENTS: Days of sick leave plus disability pension, and days of disability pension.
RESULTS: In the year prior to treatment, adjusted average number of days of sickness due to sick leave plus disability pension was similar in surgical patients and controls. Compared with controls, the surgical group had 35% more days of sickness during the first year after initiation of treatment, but 10-14% fewer days during years 2-3. During year four, days of sickness tended to be lower in the surgical group (P = 0.07). In the sub-group, aged above the median, surgical patients had 14-18% fewer days of sickness than controls, during years 2-3 after initiation of treatment This difference did not occur in the group below median age.
CONCLUSION: Surgical treatment of obesity results in a reduction of sick leave and disability pension, compared to controls, particularly in subjects aged 47-60 y.

Entities:  

Mesh:

Year:  1999        PMID: 10411235     DOI: 10.1038/sj.ijo.0800890

Source DB:  PubMed          Journal:  Int J Obes Relat Metab Disord


  20 in total

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Authors:  Michael D Jensen; Donna H Ryan; Caroline M Apovian; Jamy D Ard; Anthony G Comuzzie; Karen A Donato; Frank B Hu; Van S Hubbard; John M Jakicic; Robert F Kushner; Catherine M Loria; Barbara E Millen; Cathy A Nonas; F Xavier Pi-Sunyer; June Stevens; Victor J Stevens; Thomas A Wadden; Bruce M Wolfe; Susan Z Yanovski; Harmon S Jordan; Karima A Kendall; Linda J Lux; Roycelynn Mentor-Marcel; Laura C Morgan; Michael G Trisolini; Janusz Wnek; Jeffrey L Anderson; Jonathan L Halperin; Nancy M Albert; Biykem Bozkurt; Ralph G Brindis; Lesley H Curtis; David DeMets; Judith S Hochman; Richard J Kovacs; E Magnus Ohman; Susan J Pressler; Frank W Sellke; Win-Kuang Shen; Sidney C Smith; Gordon F Tomaselli
Journal:  Circulation       Date:  2013-11-12       Impact factor: 29.690

5.  Indications for Surgery for Obesity and Weight-Related Diseases: Position Statements from the International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO).

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7.  Cost and Health Care Utilization Implications of Bariatric Surgery Versus Intensive Lifestyle and Medical Intervention for Type 2 Diabetes.

Authors:  Souvik Banerjee; Louis P Garrison; David R Flum; David E Arterburn
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8.  Healthcare costs and obesity prevention: drug costs and other sector-specific consequences.

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Journal:  Pharmacoeconomics       Date:  2009       Impact factor: 4.981

9.  Effects of bariatric surgery in older patients.

Authors:  Harvey J Sugerman; Eric J DeMaria; John M Kellum; Elizabeth L Sugerman; Jill G Meador; Luke G Wolfe
Journal:  Ann Surg       Date:  2004-08       Impact factor: 12.969

10.  Bariatric surgery - can we afford to do it or deny doing it?

Authors:  Hutan Ashrafian; Ara Darzi; Thanos Athanasiou
Journal:  Frontline Gastroenterol       Date:  2011-04
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