From the Divisions of Neurology (C.S., A.S.) and Insurance Medicine (K.A., P.J.), Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Neurology. 2020 May 26;94(21):e2213-e2221. doi: 10.1212/WNL.0000000000009016. Epub 2020 Feb 5.
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.
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.
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.
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.
确定丛集性头痛患者与匹配的参照人群相比，缺勤和残疾抚恤金天数是否更多，并探讨其与社会人口学特征的可能关联。
我们对 2010 年在瑞典接受过丛集性头痛（ICD-10 编码 G44.0）专科治疗的所有年龄在 16-64 岁的患者（n=3240；女性占 34%）进行了一项登记研究，并根据 2010 年的缺勤和残疾抚恤金天数，将其与总人口中的匹配参照人群（n=16200）进行了匹配。
在 2010 年，丛集性头痛患者的平均缺勤天数为 16.13 天（95%置信区间，14.05-18.20），参照人群为 6.54 天（5.97-7.11）。当将缺勤和残疾抚恤金天数相加时，丛集性头痛患者有 63.15 天（58.84-67.45），参照人群有 34.08 天（32.59-35.57）。在患者中，女性的缺勤天数是男性的两倍：23.71 天（19.36-28.06）vs 12.41 天（10.19-14.63）。当加上残疾抚恤金天数时，这些数字分别为 83.71 天（75.57-91.84）vs 52.56 天（47.62-57.51）。与参照组相比，所有年龄段的丛集性头痛患者的缺勤天数都显著更多。与高中（64.89 [58.82-70.97]）和大学/大专（41.42 [34.70-48.15]）教育程度的患者相比，接受小学教育的患者的缺勤/残疾抚恤金天数更多（85.88 [75.34-96.42]）。
这项全国性研究表明，与匹配的参照人群相比，丛集性头痛患者的缺勤和残疾抚恤金天数明显更多。此外，在患者中，女性的缺勤和残疾抚恤金天数多于男性。
