Long-term health and socioeconomic consequences of childhood and adolescent-onset of narcolepsy
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Long-term health and socioeconomic consequences of childhood and adolescent-onset of narcolepsy. / Jennum, Poul; Ibsen, Rikke; Kjellberg, Jakob.
In: Sleep Medicine, Vol. 67, 2020, p. 23-27.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Long-term health and socioeconomic consequences of childhood and adolescent-onset of narcolepsy
AU - Jennum, Poul
AU - Ibsen, Rikke
AU - Kjellberg, Jakob
N1 - Copyright © 2019 Elsevier B.V. All rights reserved.
PY - 2020
Y1 - 2020
N2 - OBJECTIVES: There is limited information about the long-term consequences of childhood- and adolescent-onset narcolepsy on educational and social factors. Here, we estimate the long-term socioeconomic consequences and health care costs of narcolepsy.METHODS: The prospective cohort study included Danish individuals with narcolepsy onset in childhood or adolescence, diagnosed between 1994 and 2015. Health care costs and socioeconomic data were obtained from nationwide administrative and health registers. One hundred seventy-one patients were compared with 680 controls (mean index age, 15.2 years; SD, 3.4 years) matched for age, gender, and other sociodemographic characteristics.RESULTS: Comparing the narcolepsy patient and control groups at age 20 years we found: (1) no differences in parental educational level; (2) patients had a significantly lower educational level than controls; (3) patients had significantly lower grade-point averages; (4) patients had a lower employment rate and lower-income, even when transfer payments were considered; and (5) patients' initial health care costs were higher. Patients had a higher mortality rate than controls, although the difference was not statistically significant.CONCLUSION: Narcolepsy is associated with a significant influence on educational level, grading, social outcome, and welfare consequences. The development of narcolepsy is independent of parental social level.
AB - OBJECTIVES: There is limited information about the long-term consequences of childhood- and adolescent-onset narcolepsy on educational and social factors. Here, we estimate the long-term socioeconomic consequences and health care costs of narcolepsy.METHODS: The prospective cohort study included Danish individuals with narcolepsy onset in childhood or adolescence, diagnosed between 1994 and 2015. Health care costs and socioeconomic data were obtained from nationwide administrative and health registers. One hundred seventy-one patients were compared with 680 controls (mean index age, 15.2 years; SD, 3.4 years) matched for age, gender, and other sociodemographic characteristics.RESULTS: Comparing the narcolepsy patient and control groups at age 20 years we found: (1) no differences in parental educational level; (2) patients had a significantly lower educational level than controls; (3) patients had significantly lower grade-point averages; (4) patients had a lower employment rate and lower-income, even when transfer payments were considered; and (5) patients' initial health care costs were higher. Patients had a higher mortality rate than controls, although the difference was not statistically significant.CONCLUSION: Narcolepsy is associated with a significant influence on educational level, grading, social outcome, and welfare consequences. The development of narcolepsy is independent of parental social level.
U2 - 10.1016/j.sleep.2019.10.013
DO - 10.1016/j.sleep.2019.10.013
M3 - Journal article
C2 - 31884307
VL - 67
SP - 23
EP - 27
JO - Sleep Medicine
JF - Sleep Medicine
SN - 1389-9457
ER -
ID: 257041700