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Comorbidity and retirement in cervical dystonia
BACKGROUND: Cervical dystonia (CD) is the most common form of dystonia. The onset of CD is usually before 60 years of age and it may cause severe functional and psychosocial impairment in everyday life. Recently non-motor symptoms have been reported to occur in CD substantially affecting the quality...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6687683/ https://www.ncbi.nlm.nih.gov/pubmed/31152297 http://dx.doi.org/10.1007/s00415-019-09402-0 |
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author | Ortiz, Rebekka M. Scheperjans, Filip Mertsalmi, Tuomas Pekkonen, Eero |
author_facet | Ortiz, Rebekka M. Scheperjans, Filip Mertsalmi, Tuomas Pekkonen, Eero |
author_sort | Ortiz, Rebekka M. |
collection | PubMed |
description | BACKGROUND: Cervical dystonia (CD) is the most common form of dystonia. The onset of CD is usually before 60 years of age and it may cause severe functional and psychosocial impairment in everyday life. Recently non-motor symptoms have been reported to occur in CD substantially affecting the quality of life. METHODS/PATIENTS: We studied comorbidities of patients with primary focal CD in Finland based on ICD-10 codes obtained from the care registry and patient records of 937 confirmed adult isolated focal CD patients between the years 2007–2016. The retirement months and diagnosis of retirement were calculated from pension registry information. The results were compared with 3746 age and gender-matched controls. RESULTS: Most prominent comorbidities with primary focal CD were depression (14%), anxiety (7%), and back pain (11%). The retirement age was significantly younger in CD patients compared to control group controls (59.0 years, 95% CI 58.5–59.5 vs. 61.7 years, 95% CI 61.6–61.9) years, p < 0.001). For dystonia patients the most common diagnoses for retirement due to sickness were dystonia (51%), depression (14%), and anxiety (8%). Patients with anxiety and depression retired earlier than other dystonia patients. DISCUSSION: Cervical dystonia considerably reduces working ability and leads to earlier retirement. Anxiety and depression are most notable comorbidities and their co-occurrence further reduces working ability. Our results suggest that more health care resources should be administered in treatment of CD to longer maintain working ability of CD patients. Further, psychiatric comorbidities should be taken into consideration in CD treatment. |
format | Online Article Text |
id | pubmed-6687683 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-66876832019-08-23 Comorbidity and retirement in cervical dystonia Ortiz, Rebekka M. Scheperjans, Filip Mertsalmi, Tuomas Pekkonen, Eero J Neurol Original Communication BACKGROUND: Cervical dystonia (CD) is the most common form of dystonia. The onset of CD is usually before 60 years of age and it may cause severe functional and psychosocial impairment in everyday life. Recently non-motor symptoms have been reported to occur in CD substantially affecting the quality of life. METHODS/PATIENTS: We studied comorbidities of patients with primary focal CD in Finland based on ICD-10 codes obtained from the care registry and patient records of 937 confirmed adult isolated focal CD patients between the years 2007–2016. The retirement months and diagnosis of retirement were calculated from pension registry information. The results were compared with 3746 age and gender-matched controls. RESULTS: Most prominent comorbidities with primary focal CD were depression (14%), anxiety (7%), and back pain (11%). The retirement age was significantly younger in CD patients compared to control group controls (59.0 years, 95% CI 58.5–59.5 vs. 61.7 years, 95% CI 61.6–61.9) years, p < 0.001). For dystonia patients the most common diagnoses for retirement due to sickness were dystonia (51%), depression (14%), and anxiety (8%). Patients with anxiety and depression retired earlier than other dystonia patients. DISCUSSION: Cervical dystonia considerably reduces working ability and leads to earlier retirement. Anxiety and depression are most notable comorbidities and their co-occurrence further reduces working ability. Our results suggest that more health care resources should be administered in treatment of CD to longer maintain working ability of CD patients. Further, psychiatric comorbidities should be taken into consideration in CD treatment. Springer Berlin Heidelberg 2019-05-31 2019 /pmc/articles/PMC6687683/ /pubmed/31152297 http://dx.doi.org/10.1007/s00415-019-09402-0 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Original Communication Ortiz, Rebekka M. Scheperjans, Filip Mertsalmi, Tuomas Pekkonen, Eero Comorbidity and retirement in cervical dystonia |
title | Comorbidity and retirement in cervical dystonia |
title_full | Comorbidity and retirement in cervical dystonia |
title_fullStr | Comorbidity and retirement in cervical dystonia |
title_full_unstemmed | Comorbidity and retirement in cervical dystonia |
title_short | Comorbidity and retirement in cervical dystonia |
title_sort | comorbidity and retirement in cervical dystonia |
topic | Original Communication |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6687683/ https://www.ncbi.nlm.nih.gov/pubmed/31152297 http://dx.doi.org/10.1007/s00415-019-09402-0 |
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