Risk of permanent social security benefits and overview of work participation among patients with obstructive sleep apnea

Filip Yang Fisker; Nichlas Udholm; Milos Fuglsang; Søren Lundbye-Christensen; Nathaniel S. Marshall; Jesper Bille; Camilla Nyboe; Sebastian Udholm

doi:10.1016/j.sleep.2023.05.011

Risk of permanent social security benefits and overview of work participation among patients with obstructive sleep apnea

Filip Yang Fisker, Nichlas Udholm, Milos Fuglsang, Søren Lundbye-Christensen, Nathaniel S. Marshall, Jesper Bille, Camilla Nyboe, Sebastian Udholm^*

^*Corresponding author for this work

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

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Abstract

Background: In this nationwide study, we used Danish population registries to estimate the excess risk of receiving permanent social security benefits for patients with obstructive sleep apnea (OSA) and to track their labour force participation. Methods: We identified all Danish citizens receiving a diagnosis of OSA between 1995 and 2015. As a reference cohort, we randomly selected 10 citizens for each patient, matched by sex and birth year. Using the Fine and Gray competing risk regression, we estimated the cumulative incidences of receiving permanent social security benefits. Cox proportional hazard models were used to compare the risk of receiving permanent social security benefits in patients with OSA compared to the reference cohort. The Danish Rational Economic Agents' Model (DREAM) database was used to identify the labour market status prior to diagnosis, at time of diagnosis, and after diagnosis. Results: We identified 48,168 patients with OSA. A total of 12,413 (25.8%) patients with OSA had received permanent social security benefits, compared with 75,812 (15.7%) individuals in the reference cohort. Patients with OSA had a significantly increased risk of receiving permanent social security benefits when compared with the reference cohort (hazard ratio, 1.95; 95% CI, 1.88–2.02; and subhazard ratio, 1.92; 95% CI, 1.85–1.98). Work participation was lower for OSA patients compared to references at all time-points. Conclusion: Patients with OSA have a moderately increased risk of receiving permanent social security benefits in Denmark after controlling for available confounders.

Original language	English
Journal	Sleep Medicine
Volume	108
Pages (from-to)	16-21
Number of pages	6
ISSN	1389-9457
DOIs	https://doi.org/10.1016/j.sleep.2023.05.011
Publication status	Published - Aug 2023

Keywords

Disability
Mental health
Retirement
Sickness
Unemployment
Work

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@article{acf6d763c4c947bbb555773acb598a0e,

title = "Risk of permanent social security benefits and overview of work participation among patients with obstructive sleep apnea",

abstract = "Background: In this nationwide study, we used Danish population registries to estimate the excess risk of receiving permanent social security benefits for patients with obstructive sleep apnea (OSA) and to track their labour force participation. Methods: We identified all Danish citizens receiving a diagnosis of OSA between 1995 and 2015. As a reference cohort, we randomly selected 10 citizens for each patient, matched by sex and birth year. Using the Fine and Gray competing risk regression, we estimated the cumulative incidences of receiving permanent social security benefits. Cox proportional hazard models were used to compare the risk of receiving permanent social security benefits in patients with OSA compared to the reference cohort. The Danish Rational Economic Agents' Model (DREAM) database was used to identify the labour market status prior to diagnosis, at time of diagnosis, and after diagnosis. Results: We identified 48,168 patients with OSA. A total of 12,413 (25.8%) patients with OSA had received permanent social security benefits, compared with 75,812 (15.7%) individuals in the reference cohort. Patients with OSA had a significantly increased risk of receiving permanent social security benefits when compared with the reference cohort (hazard ratio, 1.95; 95% CI, 1.88–2.02; and subhazard ratio, 1.92; 95% CI, 1.85–1.98). Work participation was lower for OSA patients compared to references at all time-points. Conclusion: Patients with OSA have a moderately increased risk of receiving permanent social security benefits in Denmark after controlling for available confounders.",

keywords = "Disability, Mental health, Retirement, Sickness, Unemployment, Work",

author = "Fisker, {Filip Yang} and Nichlas Udholm and Milos Fuglsang and S{\o}ren Lundbye-Christensen and Marshall, {Nathaniel S.} and Jesper Bille and Camilla Nyboe and Sebastian Udholm",

year = "2023",

month = aug,

doi = "10.1016/j.sleep.2023.05.011",

language = "English",

volume = "108",

pages = "16--21",

journal = "Sleep Medicine",

issn = "1389-9457",

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Risk of permanent social security benefits and overview of work participation among patients with obstructive sleep apnea. / Fisker, Filip Yang; Udholm, Nichlas; Fuglsang, Milos et al.
In: Sleep Medicine, Vol. 108, 08.2023, p. 16-21.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

TY - JOUR

T1 - Risk of permanent social security benefits and overview of work participation among patients with obstructive sleep apnea

AU - Fisker, Filip Yang

AU - Udholm, Nichlas

AU - Fuglsang, Milos

AU - Lundbye-Christensen, Søren

AU - Marshall, Nathaniel S.

AU - Bille, Jesper

AU - Nyboe, Camilla

AU - Udholm, Sebastian

PY - 2023/8

Y1 - 2023/8

N2 - Background: In this nationwide study, we used Danish population registries to estimate the excess risk of receiving permanent social security benefits for patients with obstructive sleep apnea (OSA) and to track their labour force participation. Methods: We identified all Danish citizens receiving a diagnosis of OSA between 1995 and 2015. As a reference cohort, we randomly selected 10 citizens for each patient, matched by sex and birth year. Using the Fine and Gray competing risk regression, we estimated the cumulative incidences of receiving permanent social security benefits. Cox proportional hazard models were used to compare the risk of receiving permanent social security benefits in patients with OSA compared to the reference cohort. The Danish Rational Economic Agents' Model (DREAM) database was used to identify the labour market status prior to diagnosis, at time of diagnosis, and after diagnosis. Results: We identified 48,168 patients with OSA. A total of 12,413 (25.8%) patients with OSA had received permanent social security benefits, compared with 75,812 (15.7%) individuals in the reference cohort. Patients with OSA had a significantly increased risk of receiving permanent social security benefits when compared with the reference cohort (hazard ratio, 1.95; 95% CI, 1.88–2.02; and subhazard ratio, 1.92; 95% CI, 1.85–1.98). Work participation was lower for OSA patients compared to references at all time-points. Conclusion: Patients with OSA have a moderately increased risk of receiving permanent social security benefits in Denmark after controlling for available confounders.

AB - Background: In this nationwide study, we used Danish population registries to estimate the excess risk of receiving permanent social security benefits for patients with obstructive sleep apnea (OSA) and to track their labour force participation. Methods: We identified all Danish citizens receiving a diagnosis of OSA between 1995 and 2015. As a reference cohort, we randomly selected 10 citizens for each patient, matched by sex and birth year. Using the Fine and Gray competing risk regression, we estimated the cumulative incidences of receiving permanent social security benefits. Cox proportional hazard models were used to compare the risk of receiving permanent social security benefits in patients with OSA compared to the reference cohort. The Danish Rational Economic Agents' Model (DREAM) database was used to identify the labour market status prior to diagnosis, at time of diagnosis, and after diagnosis. Results: We identified 48,168 patients with OSA. A total of 12,413 (25.8%) patients with OSA had received permanent social security benefits, compared with 75,812 (15.7%) individuals in the reference cohort. Patients with OSA had a significantly increased risk of receiving permanent social security benefits when compared with the reference cohort (hazard ratio, 1.95; 95% CI, 1.88–2.02; and subhazard ratio, 1.92; 95% CI, 1.85–1.98). Work participation was lower for OSA patients compared to references at all time-points. Conclusion: Patients with OSA have a moderately increased risk of receiving permanent social security benefits in Denmark after controlling for available confounders.

KW - Disability

KW - Mental health

KW - Retirement

KW - Sickness

KW - Unemployment

KW - Work

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U2 - 10.1016/j.sleep.2023.05.011

DO - 10.1016/j.sleep.2023.05.011

M3 - Journal article

C2 - 37307696

AN - SCOPUS:85163132120

SN - 1389-9457

VL - 108

SP - 16

EP - 21

JO - Sleep Medicine

JF - Sleep Medicine

ER -

Risk of permanent social security benefits and overview of work participation among patients with obstructive sleep apnea

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