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Diabetes Resolution and Work Absenteeism After Gastric Bypass: a 6-Year Study
Swedish Social Insurance Agcy, Stockholm, Sweden..
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Statistics. Swedish Social Insurance Agcy, Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Occupational and Environmental Medicine. Swedish Social Insurance Agcy, Stockholm, Sweden.
Lund Univ, Dept Surg, Clin Sci, Nicolovius 7, SE-22465 Lund, Sweden..
2017 (English)In: Obesity Surgery, ISSN 0960-8923, E-ISSN 1708-0428, Vol. 27, no 9, p. 2246-2252Article in journal (Refereed) Published
Abstract [en]

Background

Obesity-related diseases cause costs to society. We studied the cost of work absenteeism before and after gastric bypass and the effects of postoperative diabetes resolution.

Patients and Methods

Data were obtained from the Scandinavian Obesity Surgery Registry (SOReg) (national coverage >98%) and cross-matched with data from the Social insurance Agency (coverage 100%) for the period ± 3 years from operation. In 2010, a total of 7454 bariatric surgeries were performed; the study group is 4971 unique individuals with an annual income of >10,750 Euros and complete data sets. A sex-, age-, and income-matched reference population was identified for comparison.

Results

Patients with obesity had preoperatively a 3.5-fold higher absenteeism. During follow-up (FU), the ratio relative to the reference population remained constant. An increase of 12-14 net absenteeism days was observed in the first 3 months after surgery. Female sex (OR 1.5, CI 1.13-1.8), preoperative anti-depressant use (OR 1.5, CI 1.3-1.9), low income (OR 1.4, CI 1.2-1.8), and a history of sick leave (OR 1.004, CI 1.003-1.004) were associated with increased absenteeism during FU. Diabetes resolution did not decrease absenteeism from preoperative values.

Conclusions

Patients with obesity have higher preoperative absenteeism than the reference population. Operation caused an increase the first 90 days after surgery of 12-13 days. There were no relative increases in absenteeism in the next 3 years; patients did not deviate from preoperative patterns but followed the trend of the reference population. Preoperative diabetes did not elevate that level during FU; diabetes resolution did not lower absenteeism.

Place, publisher, year, edition, pages
2017. Vol. 27, no 9, p. 2246-2252
Keywords [en]
Absenteeism, Benefits, Complications, Cost Gastric bypass, Obesity, Sickness
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:uu:diva-333954DOI: 10.1007/s11695-017-2642-5ISI: 000407971600005OAI: oai:DiVA.org:uu-333954DiVA, id: diva2:1165413
Available from: 2017-12-13 Created: 2017-12-13 Last updated: 2017-12-13Bibliographically approved

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