Christina Sjöstrand1, Kristina Alexanderson2, Pontus Josefsson2, Anna Steinberg2. 1. From the Divisions of Neurology (C.S., A.S.) and Insurance Medicine (K.A., P.J.), Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. christina.sjostrand@ki.se. 2. From the Divisions of Neurology (C.S., A.S.) and Insurance Medicine (K.A., P.J.), Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Abstract
OBJECTIVE: To determine whether patients with cluster headache have more sickness absence and disability pension days compared to matched references and possible associations with sociodemographic characteristics. METHODS: We performed a registry study of all patients who had received specialized health care for cluster headache (ICD-10 code G44.0) aged 16-64 years and living in Sweden in 2010 (n = 3,240; 34% women) and matched references from the total population (n = 16,200) regarding their sickness absence and disability pension days in 2010. RESULTS: Mean number of sickness absence days in 2010 was 16.13 (95% confidence interval, 14.05-18.20) among patients with cluster headache and 6.54 (5.97-7.11) among references. When combining sickness absence and disability pension days, patients with cluster headache had 63.15 (58.84-67.45) days, references 34.08 (32.59-35.57) days. Among patients, women had twice as many sickness absence days than men: 23.71 (19.36-28.06) vs 12.41 (10.19-14.63). When adding disability pension days, those numbers were 83.71 (75.57-91.84) vs 52.56 (47.62-57.51). Patients with cluster headache had significantly more sickness absence days in all ages compared to the reference group. Patients with elementary education had more sickness absence/disability pension days (85.88 [75.34-96.42]) compared to those with high school (64.89 [58.82-70.97]) and college/university (41.42 [34.70-48.15]) education. CONCLUSION: This nationwide study shows that patients with cluster headache have significantly more sickness absence and disability pension days compared to matched references. Furthermore, among patients, women had more sickness absence and disability pension days than men.
OBJECTIVE: To determine whether patients with cluster headache have more sickness absence and disability pension days compared to matched references and possible associations with sociodemographic characteristics. METHODS: We performed a registry study of all patients who had received specialized health care for cluster headache (ICD-10 code G44.0) aged 16-64 years and living in Sweden in 2010 (n = 3,240; 34% women) and matched references from the total population (n = 16,200) regarding their sickness absence and disability pension days in 2010. RESULTS: Mean number of sickness absence days in 2010 was 16.13 (95% confidence interval, 14.05-18.20) among patients with cluster headache and 6.54 (5.97-7.11) among references. When combining sickness absence and disability pension days, patients with cluster headache had 63.15 (58.84-67.45) days, references 34.08 (32.59-35.57) days. Among patients, women had twice as many sickness absence days than men: 23.71 (19.36-28.06) vs 12.41 (10.19-14.63). When adding disability pension days, those numbers were 83.71 (75.57-91.84) vs 52.56 (47.62-57.51). Patients with cluster headache had significantly more sickness absence days in all ages compared to the reference group. Patients with elementary education had more sickness absence/disability pension days (85.88 [75.34-96.42]) compared to those with high school (64.89 [58.82-70.97]) and college/university (41.42 [34.70-48.15]) education. CONCLUSION: This nationwide study shows that patients with cluster headache have significantly more sickness absence and disability pension days compared to matched references. Furthermore, among patients, women had more sickness absence and disability pension days than men.
Authors: Matthew S Robbins; M Cristina C Victorio; Mark Bailey; Calli Cook; Ivan Garza; J Stephen Huff; Duren Ready; Nathaniel M Schuster; David Seidenwurm; Elizabeth Seng; Christina Szperka; Erin Lee; Raissa Villanueva Journal: Headache Date: 2020-09-23 Impact factor: 5.887
Authors: Matthew S Robbins; M Cristina Victorio; Mark Bailey; Calli Cook; Ivan Garza; J Stephen Huff; Duren Ready; M Schuster Nathaniel; David Seidenwurm; Elizabeth Seng; Christina Szperka; Erin Lee; Raissa Villanueva Journal: Neurology Date: 2020-09-23 Impact factor: 9.910