Diagnostic group differences in return to work and subsequent detachment from employment following cardiovascular disease: a nationwide cohort study
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Diagnostic group differences in return to work and subsequent detachment from employment following cardiovascular disease: a nationwide cohort study. / Jørgensen, Sidsel Marie Bernt; Gerds, Thomas Alexander; Gislason, Gunnar; Johnsen, Nina Føns; El-Chouli, Mohamad; Brøndum, Stig; Maribo, Thomas; Kristiansen, Maria.
I: European Journal of Preventive Cardiology, Bind 30, Nr. 2, 2023, s. 182–190.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Diagnostic group differences in return to work and subsequent detachment from employment following cardiovascular disease: a nationwide cohort study
AU - Jørgensen, Sidsel Marie Bernt
AU - Gerds, Thomas Alexander
AU - Gislason, Gunnar
AU - Johnsen, Nina Føns
AU - El-Chouli, Mohamad
AU - Brøndum, Stig
AU - Maribo, Thomas
AU - Kristiansen, Maria
N1 - © The Author(s) 2022. Published by Oxford University Press on behalf of the European Society of Cardiology.
PY - 2023
Y1 - 2023
N2 - AIMS: Return to work and employment maintenance following cardiovascular disease (CVD) are important rehabilitation goals for people of working-age. To identify people in particular need of vocational rehabilitation, we examined differences in return to work and subsequent detachment from employment among people with atrial fibrillation, heart failure, heart valve disease, and ischaemic heart disease.METHODS: We conducted a nationwide cohort study and included all individuals of working age (35-65 years) who were employed when diagnosed with incident CVD in 2018. We estimated sex- and age-standardized probabilities of remaining employed at three, six, and 12 months after diagnosis, and of detachment from employment within six months after having returned to work.RESULTS: Of 46,912 individuals diagnosed in 2018, 8,187 were of working-age and employed at diagnosis. The mean age was 54.7 years (SD = 6.7), and 74.0% were men. Within one year, 89.8% had returned to work, but within the subsequent six months, 23.5% of these experienced detachment from employment. At three, six, and 12 months after diagnosis the highest standardized probability of being employed was found among people with atrial fibrillation, whereas the lowest probability was found among people with heart failure (78.9% (95% CI: 77.3-80.4) vs. 62.2% (95% CI: 59.0-65.4) at 12 months). Similarly, the highest probability of detachment was found for people with heart failure (30.3% (95% CI: 26.9-33.7)).CONCLUSION: People with heart failure present the highest probability of not returning to work. There is a need for developing and documenting effects of vocational rehabilitation strategies within comprehensive cardiac rehabilitation programmes.
AB - AIMS: Return to work and employment maintenance following cardiovascular disease (CVD) are important rehabilitation goals for people of working-age. To identify people in particular need of vocational rehabilitation, we examined differences in return to work and subsequent detachment from employment among people with atrial fibrillation, heart failure, heart valve disease, and ischaemic heart disease.METHODS: We conducted a nationwide cohort study and included all individuals of working age (35-65 years) who were employed when diagnosed with incident CVD in 2018. We estimated sex- and age-standardized probabilities of remaining employed at three, six, and 12 months after diagnosis, and of detachment from employment within six months after having returned to work.RESULTS: Of 46,912 individuals diagnosed in 2018, 8,187 were of working-age and employed at diagnosis. The mean age was 54.7 years (SD = 6.7), and 74.0% were men. Within one year, 89.8% had returned to work, but within the subsequent six months, 23.5% of these experienced detachment from employment. At three, six, and 12 months after diagnosis the highest standardized probability of being employed was found among people with atrial fibrillation, whereas the lowest probability was found among people with heart failure (78.9% (95% CI: 77.3-80.4) vs. 62.2% (95% CI: 59.0-65.4) at 12 months). Similarly, the highest probability of detachment was found for people with heart failure (30.3% (95% CI: 26.9-33.7)).CONCLUSION: People with heart failure present the highest probability of not returning to work. There is a need for developing and documenting effects of vocational rehabilitation strategies within comprehensive cardiac rehabilitation programmes.
U2 - 10.1093/eurjpc/zwac249
DO - 10.1093/eurjpc/zwac249
M3 - Journal article
C2 - 36316291
VL - 30
SP - 182
EP - 190
JO - European Journal of Preventive Cardiology
JF - European Journal of Preventive Cardiology
SN - 2047-4873
IS - 2
ER -
ID: 330547699