Effect of cervical dystonia on employment: A retrospective analysis of the ability of treatment to restore premorbid employment status
Identifieur interne : 002332 ( Main/Exploration ); précédent : 002331; suivant : 002333Effect of cervical dystonia on employment: A retrospective analysis of the ability of treatment to restore premorbid employment status
Auteurs : Eric S. Molho [États-Unis] ; Nitendra Agarwal [États-Unis] ; Katy Regan [États-Unis] ; Donald S. Higgins [États-Unis] ; Stewart A. Factor [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-07-15.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Ability, Anti-Dyskinesia Agents (therapeutic use), Bontoxilysin, Botulinum Toxins (therapeutic use), Disability Evaluation, Dystonia, Employment, Female, Humans, Male, Middle Aged, Nervous system diseases, Pain Measurement, Retrospective, Retrospective Studies, Torticollis (drug therapy), Torticollis (economics), Torticollis (epidemiology), Treatment, botulinum toxin, cervical dystonia, employment.
- MESH :
- chemical , therapeutic use : Anti-Dyskinesia Agents, Botulinum Toxins.
- drug therapy : Torticollis.
- economics : Torticollis.
- epidemiology : Torticollis.
- Disability Evaluation, Employment, Female, Humans, Male, Middle Aged, Pain Measurement, Retrospective Studies.
Abstract
Using a structured interview method, we sought to address the following questions regarding cervical dystonia (CD) and employment: (1) what is the frequency and severity of job impairment in CD; (2) what are the clinical features that contribute to job impairment; (3) how does the effectiveness of botulinum toxin (BTx) compare to oral medications in restoring employment status. In our population of 155 CD patients, employment was affected by CD in 53.3% (31.2% reduced hours or responsibilities, 3.3% changed to different job, 18.9% loss of employment) and 68.9% of patients reported reduced overall productivity. The likelihood of altered employment (P < 0.0006), reduced productivity (P < 0.0001), and seeking disability benefits (P < 0.003) was significantly associated with the presence of neck pain, but not type of employment, spasmodic head motions, or duration of CD symptoms before treatment with BTx. Treatment with BTx was more likely to improve employment status than oral medications (66.1 vs. 18.5%) and much more likely to restore full employment with normal productivity (12.9 vs. 0.0%). These findings suggest that employment status is frequently affected by CD, particularly in patients withneck pain. BTx is significantly more effective than oral medications in restoring premorbid employment status. © 2009 Movement Disorder Society
Url:
DOI: 10.1002/mds.22622
Affiliations:
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Le document en format XML
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In our population of 155 CD patients, employment was affected by CD in 53.3% (31.2% reduced hours or responsibilities, 3.3% changed to different job, 18.9% loss of employment) and 68.9% of patients reported reduced overall productivity. The likelihood of altered employment (P < 0.0006), reduced productivity (P < 0.0001), and seeking disability benefits (P < 0.003) was significantly associated with the presence of neck pain, but not type of employment, spasmodic head motions, or duration of CD symptoms before treatment with BTx. Treatment with BTx was more likely to improve employment status than oral medications (66.1 vs. 18.5%) and much more likely to restore full employment with normal productivity (12.9 vs. 0.0%). These findings suggest that employment status is frequently affected by CD, particularly in patients withneck pain. BTx is significantly more effective than oral medications in restoring premorbid employment status. © 2009 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Géorgie (États-Unis)</li><li>État de New York</li></region></list><tree><country name="États-Unis"><region name="État de New York"><name sortKey="Molho, Eric S" sort="Molho, Eric S" uniqKey="Molho E" first="Eric S." last="Molho">Eric S. Molho</name></region><name sortKey="Agarwal, Nitendra" sort="Agarwal, Nitendra" uniqKey="Agarwal N" first="Nitendra" last="Agarwal">Nitendra Agarwal</name><name sortKey="Factor, Stewart A" sort="Factor, Stewart A" uniqKey="Factor S" first="Stewart A." last="Factor">Stewart A. Factor</name><name sortKey="Higgins, Donald S" sort="Higgins, Donald S" uniqKey="Higgins D" first="Donald S." last="Higgins">Donald S. Higgins</name><name sortKey="Regan, Katy" sort="Regan, Katy" uniqKey="Regan K" first="Katy" last="Regan">Katy Regan</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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