Increased absenteeism from work among aware and treated hypertensive and hypercholesterolaemic patients

Leynen, Françoise; Backer, Guy De; Pelfrene, Edwin; Clays, Els; Moreau, Michel; Kornitzer, Marcel

doi:10.1097/01.hjr.0000194420.62379.de

Cited by 16 publications

(12 citation statements)

References 23 publications

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“…Research has shown that the attitudes of patients applying for disability pension have an impact on the physician issuing the certificates, which are important for the decision to grant or not to grant disability pensions (12). A study by Leynen et al suggests that there is an increased sickness absence among individuals who are aware of their hypertension (13). We had no information on blood pressure in later life and we were thus unable to confirm whether subjects with hypertension at age 18-19 years still had this condition later in life when applying for a disability pension.…”

Section: Discussionmentioning

confidence: 95%

Blood pressure in young adulthood and later disability pension. A population‐based study on 867 672 men from Sweden

2007

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Hypertension is a common chronic condition and can lead to an economic burden for society because of the costs of treatment for high blood pressure and most likely also because of disabilities related to hypertension and its co-morbidities. The aim of this study was to investigate to what extent moderate/severe hypertension in young adulthood increases the risk of becoming a disability pensioner later in life. All Swedish men born 1951 to 1970, who had their systolic blood pressure measured at age 18-19 years in the compulsory military conscription examination were followed from 1990 to 2001 with respect to receiving disability pension. Among 867 672 men (84.3% of the target population), the hazard ratio was 1.33 (95% CI 1.15-1.52) for being granted disability pension because of moderate/severe hypertension compared with men with normal systolic blood pressure after adjustment for conscription centre, body mass index and socio-economic conditions in childhood and adulthood. Men with mild hypertension had also an increased hazard ratio (1.09, 95% CI 1.05-1.13) compared with men with normal systolic blood pressure. This study showed that hypertension in young adulthood increased the risk of disability pension in later life.

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Section: Discussionmentioning

confidence: 95%

Blood pressure in young adulthood and later disability pension. A population‐based study on 867 672 men from Sweden

2007

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“…Bloom e Monterossa observed that patients who had claimed to be hypertensive, and, however, after a new assessment presented with normal pressure values with no specific treatment, reported more depressive symptoms and worse health perception than normotensive people 27 . Leynen et al observed more missed work days among hypertensive or dyslipidemic individuals who were aware of having these conditions when compared to unaware workers 28 . There was no association between the awareness of a previous AH diagnosis and the occurrence of ITAH in the group of our study population.…”

Section: Discussionmentioning

confidence: 99%

Does the previous diagnosis of arterial hypertension affect one´s daily life? Pró-Saúde Study

Filho

Lopes

Faerstein

2013

Rev. bras. epidemiol.

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In addition to damaging several target organs, arterial hypertension may negatively impact patients' activities of daily living. Biological and behavioral mechanisms underlying such limitations have yet to be clarified. The objectives of this study were to investigate whether having been previously told of a hypertension diagnosis is associated with the frequency and duration of temporary limitations in activities of daily living, and whether these relationships differ by gender, age, or socioeconomic position. We analyzed sectional data from 2,666 participants (56% women; 55% with high school or lower schooling) at the baseline phase (1999 -2001) of a longitudinal investigation of university employees in Rio de Janeiro, Brazil (Pró-Saúde Study), asking participants whether they had ever been diagnosed with hypertension by a health professional, if they had been unable to perform any activities of daily living due to a health problem in the previous 2 weeks, and for how many days that had occurred. Multinomial logistic regression models were fitted for the overall study population and for age, gender, educational level, and per capita household income strata. Associations between hypertension diagnosis and temporary limitations were not observed in the overall study population and in gender, education and income strata. However, there were higher odds of temporary limitations among participants aged 55 years old or more with hypertension diagnosis (adjusted OR = 9.5; 95%CI 1.5 -58.6), regardless of blood pressure levels and use of antihypertensive medication. Elderly people may keep an attitude of higher vigilance regarding conditions or events potentially worsening their health status. Keywords

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“…9 Our three disease definitions are based on the T-score. We used the distribution of femoral neck bone mineral density in white women ages 20-29 from previous analyses of NHANES III (mean = 0.86 g/cm 2 and standard deviation = 0.12 g/cm 2 ) to calculate a T-score for each woman age fifty and older in our sample. 10 We chose this approach because this reference population has become the most widely used standard.…”

Section: Study Data and Methodsmentioning

confidence: 99%

“…Simply labeling people as diseased leads to worry and has been shown to make people feel and act sick. 2 Also, as more patients are diagnosed, more are treated, thus exposing them to the potential harms of treatment. Finally, as the number of patients grows, spending rises.…”

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confidence: 99%

Implications Of Expanding Disease Definitions: The Case Of Osteoporosis

Herndon¹,

Schwartz²,

Woloshin³

et al. 2007

Health Affairs

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ABSTRACT:The National Osteoporosis Foundation and American College of ObstetricsGynecology have expanded osteoporosis therapy recommendations by changing the treatment threshold. We determined the impact of this recommendation using nationally representative U.S. data. The new threshold changes the number of women for whom treatment is recommended from 6.4 million to 10.8 million among women age sixty-five and older (at a net cost of at least $28 billion) and from 1.6 million to 4.0 million among women ages 50-64 (at a net cost of at least $18 billion). Whether or not offering treatment to these additional women will reduce the number of hip fractures is unknown. [Health Affairs 26, no. 6 (2007): 1702-1711 10.1377/hlthaff.26.6.1702 T r a d i t i o n a l ly, a d i s e a s e was something a patient experienced directly (and typically suffered from). Increasingly, diseases are being defined more broadly. For example, conditions that have historically been considered risk factors for diseases such as heart attack, stroke, and diabetes are now being treated as diseases in their own right. Examples include high cholesterol (hyperlipidemia), hypertension, glucose intolerance, and osteoporosis. 1 Broadening disease definitions can have major implications. Some patients may benefit from treatment that they would not otherwise have received. But broadening disease definitions also means that more people become patients. Simply labeling people as diseased leads to worry and has been shown to make people feel and act sick. 2 Also, as more patients are diagnosed, more are treated, thus exposing them to the potential harms of treatment. Finally, as the number of patients grows, spending rises.Osteoporosis is a prime example of the broadening of a disease definition. Prior to the 1990s, osteoporosis was a clinical diagnosis reserved for patients experiencing painful fractures (most commonly vertebral) not associated with major trauma. Since 1994, the definition (promulgated by the World Health Organization, or WHO) combines patients H e a l t h T r a c k i n g

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Increased absenteeism from work among aware and treated hypertensive and hypercholesterolaemic patients

Cited by 16 publications

References 23 publications

Blood pressure in young adulthood and later disability pension. A population‐based study on 867 672 men from Sweden

Blood pressure in young adulthood and later disability pension. A population‐based study on 867 672 men from Sweden

Does the previous diagnosis of arterial hypertension affect one´s daily life? Pró-Saúde Study

Implications Of Expanding Disease Definitions: The Case Of Osteoporosis

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