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Published on: December 18, 2016
Working years lost in people with epilepsy: a population-based cohort study
Julie Werenberg Dreier1,2, Betina B Trabjerg3,2, Kasper Lolk3,2
1National Centre for Register-Based Research, Aarhus University, Aarhus, Denmark jwdreier.ncrr@au.dk.
People with epilepsy lose an average of 6.6 working years due to disability pension and premature death. This loss is significantly higher for those with psychiatric comorbidities or early-onset epilepsy.
Area of Science:
- Neurology
- Public Health
- Epidemiology
Background:
- Epilepsy significantly impacts individuals' lives beyond seizures.
- Quantifying the socioeconomic burden of epilepsy is crucial for public health initiatives.
Purpose of the Study:
- To quantify the loss of working years in individuals with epilepsy compared to the general population.
- To examine how factors like epilepsy etiology, psychiatric comorbidities, sex, and age influence this loss.
Main Methods:
- A population-based cohort study in Denmark (1995-2018) included individuals aged 18-65.
- Nationwide registers were used to identify epilepsy cases and track employment/income status from 1995-2020.
- The primary outcome was the difference in working years lost due to permanent and temporary factors compared to the general population.
Main Results:
- The study included over 5.4 million individuals, with 74,980 diagnosed with epilepsy.
- Individuals with epilepsy lost an average of 6.6 working years, primarily due to disability pension (4.8 years) and premature death (1.6 years).
- Working life loss was more pronounced in cases with known etiology, psychiatric comorbidities, in men, and with early-onset epilepsy.
Conclusions:
- Epilepsy is associated with a substantial reduction in working life.
- Disability pension and premature death are the main contributors to this loss.
- Specific subgroups, such as those with psychiatric comorbidities, face a disproportionately higher burden.
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