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  1. Article ; Online: Male patients with inflammatory joint diseases are less likely than controls to be childless: results from a Norwegian population-based cohort study of 10 865 patients.

    Sigmo, Gudrun David / Hauge, Solveig / Hufthammer, Karl Ove / Wallenius, Marianne / Salvesen, Kjell Åsmund / Daltveit, Anne Kjersti Nesje / Bakland, Gunnstein / Fevang, Bjorg-Tilde Svanes

    Annals of the rheumatic diseases

    2024  Volume 83, Issue 4, Page(s) 457–463

    Abstract: Objectives: To investigate the number of children per man and the proportion of childless men as a proxy of fertility in a national cohort of men with inflammatory joint diseases (IJDs), compared with matched controls from the general population.: ... ...

    Abstract Objectives: To investigate the number of children per man and the proportion of childless men as a proxy of fertility in a national cohort of men with inflammatory joint diseases (IJDs), compared with matched controls from the general population.
    Methods: This is a nationwide, population-based retrospective cohort study. Male patients with IJDs (n = 10 865) in the Norwegian Arthritis Registry were individually matched 1:5 on birth year and county of residence with men without IJDs obtained from the National Population Register (n = 54 325). Birth data were obtained from the Medical Birth Registry of Norway. We compared the mean number of children per man and the proportion of childless men and analysed the impact of age and year of diagnosis.
    Results: The mean number of children per man in the patient group was 1.80 versus 1.69 in the comparison group (p <0.001), and 21% of the patients in the patient group were childless versus 27% in the comparison group (p <0.001). The finding of less childlessness and higher number of children per man remained consistent across age at diagnosis, except for those diagnosed at age 0-19 years. The difference in childlessness was most pronounced for men diagnosed after year 2000, especially when diagnosed at 30-39 years of age (22% vs 32%, p<0.001).
    Conclusion: In this large cohort study we found that patients with IJD have a higher number of children and are less likely to be childless compared with controls. Factors associated with developing or having an IJD might influence fertility and this requires further investigation.
    MeSH term(s) Child ; Humans ; Male ; Infant, Newborn ; Infant ; Child, Preschool ; Adolescent ; Young Adult ; Adult ; Retrospective Studies ; Cohort Studies ; Arthritis ; Norway
    Language English
    Publishing date 2024-03-12
    Publishing country England
    Document type Journal Article
    ZDB-ID 7090-7
    ISSN 1468-2060 ; 0003-4967
    ISSN (online) 1468-2060
    ISSN 0003-4967
    DOI 10.1136/ard-2023-224998
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Dying from within: granzyme B converts entosis to emperitosis.

    Salvesen, G S

    Cell death and differentiation

    2013  Volume 21, Issue 1, Page(s) 3–4

    MeSH term(s) Animals ; Apoptosis ; Emperipolesis ; Entosis ; Granzymes/deficiency ; Granzymes/genetics ; Granzymes/metabolism ; Humans ; Mice ; Mice, Knockout ; T-Lymphocytes, Cytotoxic/enzymology ; T-Lymphocytes, Cytotoxic/immunology
    Chemical Substances Granzymes (EC 3.4.21.-)
    Language English
    Publishing date 2013-11-29
    Publishing country England
    Document type Editorial
    ZDB-ID 1225672-9
    ISSN 1476-5403 ; 1350-9047
    ISSN (online) 1476-5403
    ISSN 1350-9047
    DOI 10.1038/cdd.2013.157
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Quantitative cellular changes in multiple system atrophy brains.

    Andersen, Alberte M / Kaalund, Sanne S / Marner, Lisbeth / Salvesen, Lisette / Pakkenberg, Bente / Olesen, Mikkel V

    Neuropathology and applied neurobiology

    2023  Volume 49, Issue 6, Page(s) e12941

    Abstract: ... such as stereology and diagnostic imaging (e.g. MRI, PET and SPECT) with clinical data allows for a more detailed ...

    Abstract Multiple system atrophy (MSA) is a neurodegenerative disorder characterised by a combined symptomatology of parkinsonism, cerebellar ataxia, autonomic failure and corticospinal dysfunction. In brains of MSA patients, the hallmark lesion is the aggregation of misfolded alpha-synuclein in oligodendrocytes. Even though the underlying pathological mechanisms remain poorly understood, the evidence suggests that alpha-synuclein aggregation in oligodendrocytes may contribute to the neurodegeneration seen in MSA. The primary aim of this review is to summarise the published stereological data on the total number of neurons and glial cell subtypes (oligodendrocytes, astrocytes and microglia) and volumes in brains from MSA patients. Thus, we include in this review exclusively the reports of unbiased quantitative data from brain regions including the neocortex, nuclei of the cerebrum, the brainstem and the cerebellum. Furthermore, we compare and discuss the stereological results in the context of imaging findings and MSA symptomatology. In general, the stereological results agree with the common neuropathological findings of neurodegeneration and gliosis in brains from MSA patients and support a major loss of nigrostriatal neurons in MSA patients with predominant parkinsonism (MSA-P), as well as olivopontocerebellar atrophy in MSA patients with predominant cerebellar ataxia (MSA-C). Surprisingly, the reports indicate only a minor loss of oligodendrocytes in sub-cortical regions of the cerebrum (glial cells not studied in the cerebellum) and negligible changes in brain volumes. In the past decades, the use of stereological methods has provided a vast amount of accurate information on cell numbers and volumes in the brains of MSA patients. Combining different techniques such as stereology and diagnostic imaging (e.g. MRI, PET and SPECT) with clinical data allows for a more detailed interdisciplinary understanding of the disease and illuminates the relationship between neuropathological changes and MSA symptomatology.
    MeSH term(s) Humans ; Multiple System Atrophy/pathology ; alpha-Synuclein/metabolism ; Cerebellar Ataxia ; Parkinsonian Disorders ; Neocortex/pathology
    Chemical Substances alpha-Synuclein
    Language English
    Publishing date 2023-10-09
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 80371-6
    ISSN 1365-2990 ; 0305-1846
    ISSN (online) 1365-2990
    ISSN 0305-1846
    DOI 10.1111/nan.12941
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: The short-term effect of a modified comprehensive geriatric assessment and regularly case conferencing on neuropsychiatric symptoms in nursing homes: a cluster randomized trial.

    Stensvik, Geir-Tore / Helvik, Anne-Sofie / Haugan, Gørill / Steinsbekk, Aslak / Salvesen, Øyvind / Nakrem, Sigrid

    BMC geriatrics

    2022  Volume 22, Issue 1, Page(s) 316

    Abstract: Aims: To investigate the short-term effect of implementing a modified comprehensive geriatric assessment and regularly case conferencing in nursing homes on neuropsychiatric symptoms.: Background: Neuropsychiatric symptoms are common and may persist ... ...

    Abstract Aims: To investigate the short-term effect of implementing a modified comprehensive geriatric assessment and regularly case conferencing in nursing homes on neuropsychiatric symptoms.
    Background: Neuropsychiatric symptoms are common and may persist over time in nursing home residents. Evidence of effective interventions is scarce.
    Design: A parallel cluster-randomised controlled trial.
    Methods: The intervention was monthly standardised case conferencing in combination with a modified comprehensive geriatric assessment. The control group received care as usual.
    Main outcome measure: The total score on the short version of the Neuropsychiatric Inventory (NPI-Q, 12-items).
    Results: A total of 309 residents at 34 long-term care wards in 17 nursing homes (unit of randomisation) were included. The intervention care units conducted on average two case conference-meetings (range 1-3), discussing a mean of 4.8 (range 1-8) residents. After 3 months, there were no difference of NPI-Q total score between the intervention (-0.4) and the control group (0.5) (estimated mean difference = -1.0, 95% CI -2.4 to 0.5, p = 0.19). There was a difference in favour of the intervention group on one of the secondary outcome measures, the apathy symptoms (-0.5 95% CI: -0.9 to -0.1, p = 0.03).
    Conclusion: In this study there were no short-term effect of case conferencing and modified comprehensive geriatric assessments after three months on the total score on neuropsychiatric symptoms. The intervention group had less apathy at 3 months follow-up compared to those receiving care as usual. The findings suggest that a more comprehensive intervention is needed to improve the total Neuropsychiatric symptoms burden and complex symptoms.
    Trial registration: Due to delays in the organisation, the study was registered after study start, i.e. retrospectively in Clinicaltrials.gov # NCT02790372 at  https://clinicaltrials.gov/

    Date of clinical trial registration: 03/06/2016.
    MeSH term(s) Aged ; Dementia/psychology ; Geriatric Assessment ; Humans ; Nursing Homes ; Quality of Life/psychology ; Retrospective Studies
    Language English
    Publishing date 2022-04-11
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2059865-8
    ISSN 1471-2318 ; 1471-2318
    ISSN (online) 1471-2318
    ISSN 1471-2318
    DOI 10.1186/s12877-022-02976-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Gain of function of a metalloproteinase associated with multiple myeloma, bicuspid aortic valve, and Von Hippel-Lindau syndrome.

    Snipas, Scott J / Jappelli, Roberto / Torkamani, Ali / Paternostro, Giovanni / Salvesen, Guy S

    The Biochemical journal

    2022  Volume 479, Issue 14, Page(s) 1533–1542

    Abstract: A patient diagnosed with multiple myeloma, bicuspid aortic valve, and Von Hippel-Lindau syndrome underwent whole-exome sequencing seeking a unified genetic cause for these three pathologies. The patient possessed a single-point mutation of arginine to ... ...

    Abstract A patient diagnosed with multiple myeloma, bicuspid aortic valve, and Von Hippel-Lindau syndrome underwent whole-exome sequencing seeking a unified genetic cause for these three pathologies. The patient possessed a single-point mutation of arginine to cysteine (R24C) in the N-terminal region(pro-domain) of matrix metalloproteinase 9 (MMP-9). The pro-domain interacts with the catalytic site of this enzyme rendering it inactive. MMP-9 has previously been associated with all three pathologies suffered by the patient. We hypothesized that the observed mutation in the pro-domain would influence the activity of this enzyme. We expressed recombinant versions of MMP-9 and an investigation of their biochemical properties revealed that MMP-9 R24C is a constitutively active zymogen. To our knowledge, this is the first example of a mutation that discloses catalytic activity in the pro-form in any of the 24 human MMPs.
    MeSH term(s) Bicuspid Aortic Valve Disease ; Gain of Function Mutation ; Humans ; Matrix Metalloproteinase 9/genetics ; Multiple Myeloma/complications ; Multiple Myeloma/genetics ; von Hippel-Lindau Disease/complications ; von Hippel-Lindau Disease/genetics
    Chemical Substances Matrix Metalloproteinase 9 (EC 3.4.24.35)
    Language English
    Publishing date 2022-07-05
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2969-5
    ISSN 1470-8728 ; 0006-2936 ; 0306-3275 ; 0264-6021
    ISSN (online) 1470-8728
    ISSN 0006-2936 ; 0306-3275 ; 0264-6021
    DOI 10.1042/BCJ20220166
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  6. Article ; Online: Oxidation of caspase-8 by hypothiocyanous acid enables TNF-mediated necroptosis.

    Bozonet, Stephanie M / Magon, Nicholas J / Schwartfeger, Abigail J / Konigstorfer, Andreas / Heath, Sarah G / Vissers, Margreet C M / Morris, Vanessa K / Göbl, Christoph / Murphy, James M / Salvesen, Guy S / Hampton, Mark B

    The Journal of biological chemistry

    2023  Volume 299, Issue 6, Page(s) 104792

    Abstract: Necroptosis is a form of regulated cell death triggered by various host and pathogen-derived molecules during infection and inflammation. The essential step leading to necroptosis is phosphorylation of the mixed lineage kinase domain-like protein by ... ...

    Abstract Necroptosis is a form of regulated cell death triggered by various host and pathogen-derived molecules during infection and inflammation. The essential step leading to necroptosis is phosphorylation of the mixed lineage kinase domain-like protein by receptor-interacting protein kinase 3. Caspase-8 cleaves receptor-interacting protein kinases to block necroptosis, so synthetic caspase inhibitors are required to study this process in experimental models. However, it is unclear how caspase-8 activity is regulated in a physiological setting. The active site cysteine of caspases is sensitive to oxidative inactivation, so we hypothesized that oxidants generated at sites of inflammation can inhibit caspase-8 and promote necroptosis. Here, we discovered that hypothiocyanous acid (HOSCN), an oxidant generated in vivo by heme peroxidases including myeloperoxidase and lactoperoxidase, is a potent caspase-8 inhibitor. We found HOSCN was able to promote necroptosis in mouse fibroblasts treated with tumor necrosis factor. We also demonstrate purified caspase-8 was inactivated by low concentrations of HOSCN, with the predominant product being a disulfide-linked dimer between Cys360 and Cys409 of the large and small catalytic subunits. We show oxidation still occurred in the presence of reducing agents, and reduction of the dimer was slow, consistent with HOSCN being a powerful physiological caspase inhibitor. While the initial oxidation product is a dimer, further modification also occurred in cells treated with HOSCN, leading to higher molecular weight caspase-8 species. Taken together, these findings indicate major disruption of caspase-8 function and suggest a novel mechanism for the promotion of necroptosis at sites of inflammation.
    MeSH term(s) Animals ; Mice ; Caspase 8/chemistry ; Caspase 8/metabolism ; Inflammation/metabolism ; Necroptosis/drug effects ; Oxidants/metabolism ; Oxidants/pharmacology ; Oxidation-Reduction/drug effects ; Tumor Necrosis Factors/metabolism ; Fibroblasts/drug effects ; Fibroblasts/enzymology ; Fibroblasts/metabolism ; Peroxidase ; Lactoperoxidase ; Catalytic Domain
    Chemical Substances Caspase 8 (EC 3.4.22.-) ; hypothiocyanous acid ; Oxidants ; Tumor Necrosis Factors ; Peroxidase (EC 1.11.1.7) ; Lactoperoxidase (EC 1.11.1.-)
    Language English
    Publishing date 2023-05-06
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't
    ZDB-ID 2997-x
    ISSN 1083-351X ; 0021-9258
    ISSN (online) 1083-351X
    ISSN 0021-9258
    DOI 10.1016/j.jbc.2023.104792
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: COVID-19 Vaccination Recommendations and Practices for Women of Reproductive Age by Health Care Providers - Fall DocStyles Survey, United States, 2022.

    Meghani, Mehreen / Salvesen Von Essen, Beatriz / Zapata, Lauren B / Polen, Kara / Galang, Romeo R / Razzaghi, Hilda / Meaney-Delman, Dana / Waits, Grayson / Ellington, Sascha

    MMWR. Morbidity and mortality weekly report

    2023  Volume 72, Issue 39, Page(s) 1045–1051

    Abstract: Pregnant and postpartum women are at increased risk for severe illness from COVID-19 compared with nonpregnant women of reproductive age. COVID-19 vaccination is recommended for all persons ≥6 months of age. Health care providers (HCPs) have a unique ... ...

    Abstract Pregnant and postpartum women are at increased risk for severe illness from COVID-19 compared with nonpregnant women of reproductive age. COVID-19 vaccination is recommended for all persons ≥6 months of age. Health care providers (HCPs) have a unique opportunity to counsel women of reproductive age, including pregnant and postpartum patients, about the importance of receiving COVID-19, influenza, and tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccines. Data from the Fall 2022 DocStyles survey were analyzed to examine the prevalence of COVID-19 vaccination attitudes and practices among HCPs caring for women of reproductive age, and to determine whether providers recommended and offered or administered COVID-19 vaccines to women of reproductive age, including their pregnant patients. Overall, 82.9% of providers reported recommending COVID-19 vaccination to women of reproductive age, and 54.7% offered or administered the vaccine in their practice. Among HCPs who cared for pregnant patients, obstetrician-gynecologists were more likely to recommend COVID-19 vaccination to pregnant patients (94.2%) than were family practitioners or internists (82.1%) (adjusted prevalence ratio [aPR] = 1.1). HCPs were more likely to offer or administer COVID-19 vaccination on-site to pregnant patients if they also offered or administered influenza (aPR = 5.5) and Tdap vaccines (aPR = 2.3). Encouraging HCPs to recommend, offer, and administer the COVID-19 vaccines along with influenza or Tdap vaccines might help reinforce vaccine confidence and increase coverage among women of reproductive age, including pregnant women.
    MeSH term(s) Female ; Pregnancy ; Humans ; United States/epidemiology ; Middle Aged ; COVID-19 Vaccines ; Diphtheria-Tetanus-acellular Pertussis Vaccines ; Influenza, Human/epidemiology ; Influenza, Human/prevention & control ; Whooping Cough/epidemiology ; COVID-19/epidemiology ; COVID-19/prevention & control ; Vaccination ; Influenza Vaccines ; Health Personnel
    Chemical Substances COVID-19 Vaccines ; Diphtheria-Tetanus-acellular Pertussis Vaccines ; Influenza Vaccines
    Language English
    Publishing date 2023-09-29
    Publishing country United States
    Document type Journal Article
    ZDB-ID 412775-4
    ISSN 1545-861X ; 0149-2195
    ISSN (online) 1545-861X
    ISSN 0149-2195
    DOI 10.15585/mmwr.mm7239a1
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  8. Article ; Online: Mapping population access to essential surgical care in Liberia using equipment, personnel, and bellwether capability standards.

    Adde, Håvard A / van Duinen, Alex J / Andrews, Benetta C / Bakker, Juul / Goyah, Kezelebah S / Salvesen, Øyvind / Sheriff, Swaliho / Utam, Terseer / Yaskey, Clarence / Weiser, Thomas G / Bolkan, Håkon A

    The British journal of surgery

    2022  Volume 110, Issue 2, Page(s) 169–176

    Abstract: Background: Accurate surveillance of population access to essential surgery is key for strategic healthcare planning. This study aimed to estimate population access to surgical facilities meeting standards for safe surgery equipment, specialized ... ...

    Abstract Background: Accurate surveillance of population access to essential surgery is key for strategic healthcare planning. This study aimed to estimate population access to surgical facilities meeting standards for safe surgery equipment, specialized surgical personnel, and bellwether capability, cesarean delivery, emergency laparotomy, and long-bone fracture fixation and to evaluate the validity of using these standards to describe the full breadth of essential surgical care needs in Liberia.
    Method: An observational study of surgical facilities was conducted in Liberia between 20 September and 8 November 2018. Facility data were combined with geospatial data and analysed in an online visualization platform.
    Results: Data were collected from 51 of 52 surgical facilities. Nationally, 52.9 per cent of the population (2 392 000 of 4 525 000 people) had 2-h access to their closest surgical facility, whereas 41.1 per cent (1 858 000 people) and 48.6 per cent (2 199 000 people) had 2-h access to a facility meeting the personnel and equipment standards respectively. Six facilities performed all bellwether procedures; 38.7 per cent of the population (1 751 000 people) had 2-h access to one of these facilities. Bellwether-capable facilities were more likely to perform other essential surgical procedures (OR 3.13, 95 per cent c.i. 1.28 to 7.65; P = 0.012). These facilities delivered a median of 13.0 (i.q.r. 11.3-16.5) additional essential procedures.
    Conclusion: Population access to essential surgery is limited in Liberia; strategies to reduce travel times ought to be part of healthcare policy. Policymakers should also be aware that bellwether capability might not be a valid proxy for the full breadth of essential surgical care in low-income settings.
    MeSH term(s) Pregnancy ; Female ; Humans ; Liberia/epidemiology ; Laparotomy ; Health Services Accessibility ; Cesarean Section ; Time Factors
    Language English
    Publishing date 2022-12-29
    Publishing country England
    Document type Observational Study ; Journal Article
    ZDB-ID 2985-3
    ISSN 1365-2168 ; 0263-1202 ; 0007-1323 ; 1355-7688
    ISSN (online) 1365-2168
    ISSN 0263-1202 ; 0007-1323 ; 1355-7688
    DOI 10.1093/bjs/znac377
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: What factors are associated with health-related quality of life among patients with chronic musculoskeletal pain? A cross-sectional study in primary health care.

    Garnaes, Kirsti Krohn / Mørkved, Siv / Salvesen, Øyvind / Tønne, Torgrim / Furan, Lars / Grønhaug, Gudmund / Vasseljen, Ottar / Johannessen, Hege Hølmo

    BMC musculoskeletal disorders

    2021  Volume 22, Issue 1, Page(s) 102

    Abstract: Background: Chronic musculoskeletal pain (CMP) affects daily life function and is the most prevalent disorder in primary health care. The primary objective was to examine demographic factors and pain characteristics associated with reduced health- ... ...

    Abstract Background: Chronic musculoskeletal pain (CMP) affects daily life function and is the most prevalent disorder in primary health care. The primary objective was to examine demographic factors and pain characteristics associated with reduced health-related quality of life (HRQoL) among patients in primary care reporting CMP. Our secondary objective was to compare HRQoL in patients with and without CMP.
    Method: This cross-sectional study was conducted in Trondheim, Norway. Twenty randomly selected GPs, and their listed patients aged 21-58 were invited to participate. Self-reported CMP data was collected using online questionnaires. HRQoL was measured by the 15D questionnaire, total score of 0.9 was used as cut-off for clinical reduced HRQoL.
    Results: A total of 969 patients (650 females) were recruited from six GPs' patient lists, mean age 45.6 (SD 10.1). CMP was reported by 517 (53%). Factors significantly associated with reduced HRQoL were gender (OR 2.0, 95% CI 1.2, 3.4), disability pension (OR 26.6, 95% CI 3.1, 228.0), mood (OR 1.3, 95% CI 1.1, 1.6), relations with other people (OR 0.8, 95% CI 0.6, 0.9), sleep (OR 1.2, 95% CI 1.0, 1.3) and enjoyment (OR 1.2, 95% CI 1.0). CMP patients had significantly lower total HRQoL score compared to patients without CMP (Between group difference 0.08, 95% CI 0.07-0.09). Half of the CMP patients reported a HRQoL score < 0.9 compared to 14% in the no CMP group.
    Conclusions: Being female, receiving disability pension, and several psychosocial factors were found highly associated with reduced HRQoL in CMP patients, whereas pain characteristics were not. Patients with CMP reported statistically and clinically significant lower HRQoL than patients without CMP. Due to low response rate the conclusions must be handled with caution.
    Trial registration: Clinicaltrials.gov (NCT02020772).
    MeSH term(s) Adult ; Chronic Pain/diagnosis ; Chronic Pain/epidemiology ; Cross-Sectional Studies ; Female ; Humans ; Middle Aged ; Musculoskeletal Pain/diagnosis ; Musculoskeletal Pain/epidemiology ; Norway/epidemiology ; Primary Health Care ; Quality of Life ; Surveys and Questionnaires ; Young Adult
    Language English
    Publishing date 2021-01-22
    Publishing country England
    Document type Journal Article
    ISSN 1471-2474
    ISSN (online) 1471-2474
    DOI 10.1186/s12891-020-03914-x
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  10. Article ; Online: Depression and ability to work after vestibular schwannoma surgery: a nationwide registry-based matched cohort study on antidepressants, sedatives, and sick leave.

    Thurin, Erik / Förander, Petter / Bartek, Jiri / Gulati, Sasha / Rydén, Isabelle / Smits, Anja / Hesselager, Göran / Salvesen, Øyvind / Jakola, Asgeir Store

    Acta neurochirurgica

    2021  Volume 163, Issue 8, Page(s) 2225–2235

    Abstract: Background: In patients with vestibular schwannomas (VS), tumor control is often achieved, and life expectancy is relatively good. The main risks of surgical treatment are hearing loss and facial nerve function. The occurrence of mood and sleeping ... ...

    Abstract Background: In patients with vestibular schwannomas (VS), tumor control is often achieved, and life expectancy is relatively good. The main risks of surgical treatment are hearing loss and facial nerve function. The occurrence of mood and sleeping disorders in relation to surgery is an important aspect of health that has rarely been studied. Similarly, only limited data exist on the rate of sick leave for patients with VS. In this nationwide registry-based study, we define the use of antidepressants and sedatives and the sick leave pattern before and after VS surgery.
    Methods: Adult patients with histopathologically verified VS were identified in the Swedish Brain Tumor Registry (SBTR) and clinical data were linked to relevant national registries after assigning five matched controls to each patient. We studied patterns of dispensed antidepressants and sedative drugs as well as patterns of sick leave compared to respective controls at 2 years before and 2 years following surgery.
    Results: We identified 333 patients and 1662 matched controls. The rate of antidepressant use was similar between patients and controls 2 years before surgery (6.0% vs 6.3%) and 2 years after surgery (10.1% vs 7.5%). The rate of sedative use was also similar 2 years before surgery (3.9% vs 4.3%) and 2 years after surgery (4.8% vs 5.3%). The rate of sick leave was similar at baseline between patients and controls, but at 2 years after surgery, 75% of patients vs 88% of controls (p < 0.01) had no registered sick leave. Long-term sick leave after surgery was predicted by use of sedatives (OR 0.60, 95% CI 0.38-0.94, p = 0.03), more preoperative sick leave (OR 0.91, 95% CI 0.89-0.93, p < 0.001), and new-onset neurological deficits after surgery (OR 0.42, 95% CI 0.24-0.76, p = 0.004).
    Conclusion: This nationwide study shows no significant differences in the use of antidepressants and sedatives between patients and controls, while the rate of postoperative sick leave was higher in patients than in controls after VS surgery. Our findings underpin the importance of avoiding surgical sequelae and facilitating return to normal professional life.
    MeSH term(s) Adult ; Antidepressive Agents/therapeutic use ; Cohort Studies ; Depression ; Female ; Humans ; Hypnotics and Sedatives/therapeutic use ; Male ; Middle Aged ; Neuroma, Acoustic/epidemiology ; Neuroma, Acoustic/surgery ; Registries ; Sick Leave ; Sweden/epidemiology
    Chemical Substances Antidepressive Agents ; Hypnotics and Sedatives
    Language English
    Publishing date 2021-05-07
    Publishing country Austria
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 80010-7
    ISSN 0942-0940 ; 0001-6268
    ISSN (online) 0942-0940
    ISSN 0001-6268
    DOI 10.1007/s00701-021-04862-8
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