Irritable bowel symptoms, use of healthcare, costs, sickness and disability pension benefits: A long-term population-based study

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Standard

Irritable bowel symptoms, use of healthcare, costs, sickness and disability pension benefits : A long-term population-based study. / Poulsen, Chalotte H.; Eplov, Lene F.; Hjorthøj, Carsten; Hastrup, Lene H.; Eliasen, Marie; Dantoft, Thomas M.; Schröder, Andreas; Jørgensen, Torben.

I: Scandinavian Journal of Public Health, Bind 47, 2018, s. 867-875.

Publikation: Bidrag til tidsskriftTidsskriftartikelfagfællebedømt

Harvard

Poulsen, CH, Eplov, LF, Hjorthøj, C, Hastrup, LH, Eliasen, M, Dantoft, TM, Schröder, A & Jørgensen, T 2018, 'Irritable bowel symptoms, use of healthcare, costs, sickness and disability pension benefits: A long-term population-based study', Scandinavian Journal of Public Health, bind 47, s. 867-875. https://doi.org/10.1177/1403494818776168

APA

Poulsen, C. H., Eplov, L. F., Hjorthøj, C., Hastrup, L. H., Eliasen, M., Dantoft, T. M., Schröder, A., & Jørgensen, T. (2018). Irritable bowel symptoms, use of healthcare, costs, sickness and disability pension benefits: A long-term population-based study. Scandinavian Journal of Public Health, 47, 867-875. https://doi.org/10.1177/1403494818776168

Vancouver

Poulsen CH, Eplov LF, Hjorthøj C, Hastrup LH, Eliasen M, Dantoft TM o.a. Irritable bowel symptoms, use of healthcare, costs, sickness and disability pension benefits: A long-term population-based study. Scandinavian Journal of Public Health. 2018;47:867-875. https://doi.org/10.1177/1403494818776168

Author

Poulsen, Chalotte H. ; Eplov, Lene F. ; Hjorthøj, Carsten ; Hastrup, Lene H. ; Eliasen, Marie ; Dantoft, Thomas M. ; Schröder, Andreas ; Jørgensen, Torben. / Irritable bowel symptoms, use of healthcare, costs, sickness and disability pension benefits : A long-term population-based study. I: Scandinavian Journal of Public Health. 2018 ; Bind 47. s. 867-875.

Bibtex

@article{b38db4f9f23241169a95cc8cc314ac46,
title = "Irritable bowel symptoms, use of healthcare, costs, sickness and disability pension benefits: A long-term population-based study",
abstract = "OBJECTIVES: Irritable bowel syndrome (IBS) is associated with increased healthcare use and work absenteeism. We aimed to investigate long-term use of healthcare services and social benefits across IBS symptom groups. Additionally, we estimated excess healthcare costs.METHODS: A longitudinal population-based study comprising two 5-year follow-up studies: The Danish part of the Multinational Monitoring of Trends and Determinants in Cardiovascular Disease (Dan-MONICA) 1 (1982-1987) and Inter99 (1999-2004) recruited from the western part of Copenhagen County. The total study population ( n = 7278) was divided into symptom groups according to degree of IBS definition fulfillment at baseline and/or 5-year follow-up and was followed until 31 December 2013 in Danish central registries. Poisson regression was used for the analyses adjusting for age, sex, length of education, comorbidity, cohort membership and mental vulnerability.RESULTS: IBS symptom groups compared to no IBS symptoms were associated with an increased number of contacts with primary and secondary healthcare, as well as weeks on sickness and disability benefits. Accounting for mental vulnerability decreased the estimates and all but two associations between IBS symptom groups and outcomes remained statistically significant. The two associations that became insignificant were contacts with psychiatric hospitals and weeks on disability pension. The excess unadjusted healthcare costs for IBS were 680 Euros per year and the overall association between symptom groups and total healthcare costs were statistically significant.CONCLUSIONS: IBS symptoms influence the long-term use and costs of healthcare, as well as the use of social benefits in the general population. Mental vulnerability explained some, but not all, of the use of healthcare and social benefits.",
author = "Poulsen, {Chalotte H.} and Eplov, {Lene F.} and Carsten Hjorth{\o}j and Hastrup, {Lene H.} and Marie Eliasen and Dantoft, {Thomas M.} and Andreas Schr{\"o}der and Torben J{\o}rgensen",
year = "2018",
doi = "10.1177/1403494818776168",
language = "English",
volume = "47",
pages = "867--875",
journal = "Acta socio-medica Scandinavica",
issn = "1403-4948",
publisher = "SAGE Publications",

}

RIS

TY - JOUR

T1 - Irritable bowel symptoms, use of healthcare, costs, sickness and disability pension benefits

T2 - A long-term population-based study

AU - Poulsen, Chalotte H.

AU - Eplov, Lene F.

AU - Hjorthøj, Carsten

AU - Hastrup, Lene H.

AU - Eliasen, Marie

AU - Dantoft, Thomas M.

AU - Schröder, Andreas

AU - Jørgensen, Torben

PY - 2018

Y1 - 2018

N2 - OBJECTIVES: Irritable bowel syndrome (IBS) is associated with increased healthcare use and work absenteeism. We aimed to investigate long-term use of healthcare services and social benefits across IBS symptom groups. Additionally, we estimated excess healthcare costs.METHODS: A longitudinal population-based study comprising two 5-year follow-up studies: The Danish part of the Multinational Monitoring of Trends and Determinants in Cardiovascular Disease (Dan-MONICA) 1 (1982-1987) and Inter99 (1999-2004) recruited from the western part of Copenhagen County. The total study population ( n = 7278) was divided into symptom groups according to degree of IBS definition fulfillment at baseline and/or 5-year follow-up and was followed until 31 December 2013 in Danish central registries. Poisson regression was used for the analyses adjusting for age, sex, length of education, comorbidity, cohort membership and mental vulnerability.RESULTS: IBS symptom groups compared to no IBS symptoms were associated with an increased number of contacts with primary and secondary healthcare, as well as weeks on sickness and disability benefits. Accounting for mental vulnerability decreased the estimates and all but two associations between IBS symptom groups and outcomes remained statistically significant. The two associations that became insignificant were contacts with psychiatric hospitals and weeks on disability pension. The excess unadjusted healthcare costs for IBS were 680 Euros per year and the overall association between symptom groups and total healthcare costs were statistically significant.CONCLUSIONS: IBS symptoms influence the long-term use and costs of healthcare, as well as the use of social benefits in the general population. Mental vulnerability explained some, but not all, of the use of healthcare and social benefits.

AB - OBJECTIVES: Irritable bowel syndrome (IBS) is associated with increased healthcare use and work absenteeism. We aimed to investigate long-term use of healthcare services and social benefits across IBS symptom groups. Additionally, we estimated excess healthcare costs.METHODS: A longitudinal population-based study comprising two 5-year follow-up studies: The Danish part of the Multinational Monitoring of Trends and Determinants in Cardiovascular Disease (Dan-MONICA) 1 (1982-1987) and Inter99 (1999-2004) recruited from the western part of Copenhagen County. The total study population ( n = 7278) was divided into symptom groups according to degree of IBS definition fulfillment at baseline and/or 5-year follow-up and was followed until 31 December 2013 in Danish central registries. Poisson regression was used for the analyses adjusting for age, sex, length of education, comorbidity, cohort membership and mental vulnerability.RESULTS: IBS symptom groups compared to no IBS symptoms were associated with an increased number of contacts with primary and secondary healthcare, as well as weeks on sickness and disability benefits. Accounting for mental vulnerability decreased the estimates and all but two associations between IBS symptom groups and outcomes remained statistically significant. The two associations that became insignificant were contacts with psychiatric hospitals and weeks on disability pension. The excess unadjusted healthcare costs for IBS were 680 Euros per year and the overall association between symptom groups and total healthcare costs were statistically significant.CONCLUSIONS: IBS symptoms influence the long-term use and costs of healthcare, as well as the use of social benefits in the general population. Mental vulnerability explained some, but not all, of the use of healthcare and social benefits.

U2 - 10.1177/1403494818776168

DO - 10.1177/1403494818776168

M3 - Journal article

C2 - 29762084

VL - 47

SP - 867

EP - 875

JO - Acta socio-medica Scandinavica

JF - Acta socio-medica Scandinavica

SN - 1403-4948

ER -

ID: 213160584