Research Unit for ORL-Head & Neck Surgery and Audiology, Odense University Hospital & University of Southern Denmark, J.B. Winsløws vej 4, 5000, Odense C, Denmark.
Department of Public Health, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
Eur Arch Otorhinolaryngol. 2024 Dec;281(12):6353-6358. doi: 10.1007/s00405-024-08871-y. Epub 2024 Aug 4.
Both vestibular neuronitis (VN) and Meniere's disease (MD) have great impact on quality of life and are associated with a significant number of sick leave days absent from work. The aim was to assess labor market participation rate one year after hospital diagnosis of VN and MD and the use of rehabilitation measures.
Nationwide register-based cohort study including patients with VN (n = 1,341) and MD (n = 843) and control persons matched in 1:5 with a VN cohort control (n = 6,683) and MD cohort control (n = 4,209).
Compared to control persons, VN patients were more likely to be single, have higher income, and a higher Charlson comorbidity index score. MD patients had a higher level of education and a higher Charlson index compared to control persons. One year after patients were diagnosed with VN, no significant difference in labor market participation was observed (p = 0.88). However, MD patients had a 10.4% reduced probability of possessing a full-time job one year after diagnosis compared to matched control persons (58.1 ± 0.5% vs. 68.5 ± 0.5%, p < 0.001). Both VN and MD patients consulted otorhinolaryngologists, general practitioners, and physiotherapists more than control persons both before and after the initial diagnosis (p < 0.01). In addition, MD patients also consulted psychologists more frequently before and after diagnosis of the disease (p < 0.01).
Intrahospital diagnosed MD increases the risk of leaving the labor market in opposition to VN. Both MD and VN are associated with significant expenses to the Danish health care system from the use of public rehabilitation measures and medical consultations.
前庭神经炎（VN）和梅尼埃病（MD）均对生活质量有重大影响，与大量缺勤天数相关。本研究旨在评估 VN 和 MD 患者在确诊后 1 年的劳动力市场参与率和康复措施的使用情况。
本研究为全国基于登记的队列研究，纳入 VN（n=1341）和 MD（n=843）患者，及在 1:5 比例下与 VN 队列对照组（n=6683）和 MD 队列对照组（n=4209）相匹配的对照个体。
与对照个体相比，VN 患者更可能为单身、收入更高、Charlson 合并症指数评分更高。MD 患者受教育程度更高、Charlson 指数评分也高于对照个体。VN 患者在确诊后 1 年，劳动力市场参与率没有显著差异（p=0.88）。然而，MD 患者在确诊后 1 年，从事全职工作的可能性比匹配的对照个体低 10.4%（58.1±0.5% vs. 68.5±0.5%，p<0.001）。在初始诊断前后，VN 和 MD 患者都比对照个体更多地咨询耳鼻喉科医生、全科医生和物理治疗师（p<0.01）。此外，在诊断 MD 前后，MD 患者也更多地咨询了心理学家（p<0.01）。
与 VN 相反，医院内确诊的 MD 增加了离开劳动力市场的风险。MD 和 VN 都会显著增加丹麦医疗保健系统的公共康复措施和医疗咨询的使用费用。
