{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T15:19:54Z","timestamp":1782487194777,"version":"3.54.5"},"reference-count":49,"publisher":"BMJ","issue":"4","funder":[{"DOI":"10.13039\/501100006636","name":"Forskningsr\u00e5det om H\u00e4lsa, Arbetsliv och V\u00e4lf\u00e4rd","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005878","name":"Terveyden Tutkimuksen Toimikunta","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005878","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2018,2,20]]},"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>We examined trends of diagnosis-specific work disability before and after ischaemic heart disease (IHD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Participants were followed 4\u2009years before and 4\u2009years after an IHD event for diagnosis-specific work disability (sickness absence and disability pension).<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting and participants<\/jats:title><jats:p>A Swedish population-based cohort study using register data on all individuals aged 25\u201360 years, living in Sweden, and who suffered their first IHD event in 2006\u20132008 (n=23 971) was conducted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Before the event, the most common diagnoses of work disability were musculoskeletal disorders (21 annual days for men and 44 for women) and mental disorders (19 men and 31 for women). After multivariable adjustments, we observed a fivefold increase (from 12 to 60 days) in work disability due to diseases of the circulatory system in the first postevent year compared with the last pre-event year among men. Among women, the corresponding increase was fourfold (from 14 to 62 days). By the second postevent year, the number of work disability days decreased significantly compared with the first postevent year among both sexes (to 19 days among men and 23 days among women). Among women, mean days of work disability due to diseases of the circulatory system remained at a higher level than among men during the postevent years. Work disability risk after versus before an IHD event was slightly higher among men (rate ratio (RR) 2.49; 95% CI 2.36 to 2.62) than among women (RR 2.29, 95%\u2009CI 2.12 to 2.49). When pre-event long-term work disability was excluded, diseases of the circulatory system were the most prevalent diagnosis for work disability after an IHD event among both men and women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>An IHD event was strongly associated with an increase in work disability due to diseases of the circulatory system, especially among men and particularly in the first postevent year.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2017-019749","type":"journal-article","created":{"date-parts":[[2018,4,19]],"date-time":"2018-04-19T07:30:36Z","timestamp":1524123036000},"page":"e019749","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Trends in diagnosis-specific work disability before and after ischaemic heart disease: a nationwide population-based cohort study in Sweden"],"prefix":"10.1136","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9113-2428","authenticated-orcid":false,"given":"Jenni","family":"Ervasti","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marianna","family":"Virtanen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tea","family":"Lallukka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilie","family":"Friberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ellenor","family":"Mittendorfer-Rutz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Lundstr\u00f6m","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristina","family":"Alexanderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,4,19]]},"reference":[{"key":"2024051711121215000_8.4.e019749.1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(86)90155-9"},{"key":"2024051711121215000_8.4.e019749.2","unstructured":"Who is at risk for coronary heart disease?: National Institutes of Health, National heart, Lung and Blood Institute. 2016 https:\/\/www.nhlbi.nih.gov\/health\/health-topics\/topics\/cad\/atrisk (accessed 21 Mar 2017)."},{"key":"2024051711121215000_8.4.e019749.3","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0b013e31820290f4"},{"key":"2024051711121215000_8.4.e019749.4","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-11-35"},{"key":"2024051711121215000_8.4.e019749.5","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1186\/s12913-015-0925-x","article-title":"Productivity loss and indirect costs associated with cardiovascular events and related clinical procedures","volume":"15","author":"Song","year":"2015","journal-title":"BMC Health Serv Res"},{"key":"2024051711121215000_8.4.e019749.6","doi-asserted-by":"crossref","first-page":"1117","DOI":"10.1007\/s10198-015-0749-y","article-title":"Work productivity loss and indirect costs associated with new cardiovascular events in high-risk patients with hyperlipidemia: estimates from population-based register data in Sweden","volume":"17","author":"Banefelt","year":"2016","journal-title":"Eur J Health Econ"},{"key":"2024051711121215000_8.4.e019749.7","first-page":"101","article-title":"Permanent work disability in patients \u226450 years old after percutaneous coronary intervention and coronary artery bypass grafting (the CRAGS study)","volume":"3","author":"Lautam\u00e4ki","year":"2017","journal-title":"Eur Heart J Qual Care Clin Outcomes"},{"key":"2024051711121215000_8.4.e019749.8","doi-asserted-by":"publisher","DOI":"10.1185\/030079908X261096"},{"key":"2024051711121215000_8.4.e019749.9","doi-asserted-by":"publisher","DOI":"10.1016\/S0828-282X(09)70098-4"},{"key":"2024051711121215000_8.4.e019749.10","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.1337"},{"key":"2024051711121215000_8.4.e019749.11","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0086758","article-title":"Impact of gender, co-morbidity and social factors on labour market affiliation after first admission for acute coronary syndrome. A cohort study of Danish patients 2001-2009","volume":"9","author":"Osler","year":"2014","journal-title":"PLoS One"},{"key":"2024051711121215000_8.4.e019749.12","doi-asserted-by":"publisher","DOI":"10.1177\/2047487313518472"},{"key":"2024051711121215000_8.4.e019749.13","doi-asserted-by":"crossref","first-page":"578-585","DOI":"10.1093\/eurheartj\/ehx183","article-title":"Synergistic effect between ischaemic heart disease and common mental disorders and the risk of premature exit from the labour market: a nationwide register based study from Sweden","volume":"39","author":"Mittendorfer-Rutz","year":"2018","journal-title":"Eur Heart J"},{"key":"2024051711121215000_8.4.e019749.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2012.10.028"},{"key":"2024051711121215000_8.4.e019749.15","doi-asserted-by":"crossref","unstructured":"Virtanen M , Elovainio M , Josefsson K , et al . Coronary heart disease and risk factors as predictors of trajectories of psychological distress from midlife to old age. Heart 2017;103.doi:10.1136\/heartjnl-2016-310207","DOI":"10.1136\/heartjnl-2016-310207"},{"key":"2024051711121215000_8.4.e019749.16","doi-asserted-by":"crossref","first-page":"511","DOI":"10.1007\/s11883-015-0511-z","article-title":"Sex differences in the pathophysiology, treatment, and outcomes in IHD","volume":"17","author":"Sanghavi","year":"2015","journal-title":"Curr Atheroscler Rep"},{"key":"2024051711121215000_8.4.e019749.17","doi-asserted-by":"publisher","DOI":"10.1038\/nrcardio.2013.93"},{"key":"2024051711121215000_8.4.e019749.18","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0040952","article-title":"Sickness absence following coronary revascularisation. A national study of women and men of working age in Sweden 1994-2006","volume":"7","author":"Voss","year":"2012","journal-title":"PLoS One"},{"key":"2024051711121215000_8.4.e019749.19","doi-asserted-by":"publisher","DOI":"10.1007\/s00392-014-0788-x"},{"key":"2024051711121215000_8.4.e019749.20","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2008.074369"},{"key":"2024051711121215000_8.4.e019749.21","unstructured":"Summary of Population Statistics 1960\u20132016: Statistics Sweden. 2017 http:\/\/www.scb.se\/en\/finding-statistics\/statistics-by-subject-area\/population\/population-composition\/population-statistics\/pong\/tables-and-graphs\/yearly-statistics-the-whole-country\/summary-of-population-statistics\/."},{"key":"2024051711121215000_8.4.e019749.22","unstructured":"NOMESCO Classification of Surgical Procedures: Nordic Medico-Statistical Committee (NOMESCO). 2011."},{"key":"2024051711121215000_8.4.e019749.23","unstructured":"OECD. Sickness, disability and work: breaking the barriers. A synthesis of findings across OECD Countries. Paris: OECD Publishing, 2010."},{"key":"2024051711121215000_8.4.e019749.24","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/14.4.350"},{"key":"2024051711121215000_8.4.e019749.25","doi-asserted-by":"crossref","first-page":"460","DOI":"10.5271\/sjweh.3508","article-title":"Predictors of permanent work disability among \u226450-year-old patients undergoing percutaneous coronary intervention","volume":"41","author":"Gunn","year":"2015","journal-title":"Scand J Work Environ Health"},{"key":"2024051711121215000_8.4.e019749.26","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.115.002611"},{"key":"2024051711121215000_8.4.e019749.27","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.1038\/s41598-017-01216-2","article-title":"Work disability before and after a major cardiovascular event: a ten-year study using nationwide medical and insurance registers","volume":"7","author":"Virtanen","year":"2017","journal-title":"Sci Rep"},{"key":"2024051711121215000_8.4.e019749.28","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht395"},{"key":"2024051711121215000_8.4.e019749.29","doi-asserted-by":"crossref","unstructured":"Wang M , Vaez M , Dorner TE , et al . Trajectories and characteristics of work disability before and after acute myocardial infarction. Heart 2018;104.doi:10.1136\/heartjnl-2017-311950","DOI":"10.1136\/heartjnl-2017-311950"},{"key":"2024051711121215000_8.4.e019749.30","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2013.03.013"},{"key":"2024051711121215000_8.4.e019749.31","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2015.06.004"},{"key":"2024051711121215000_8.4.e019749.32","doi-asserted-by":"crossref","first-page":"393","DOI":"10.1016\/j.autrev.2016.01.006","article-title":"Coexistence of ischemic heart disease and rheumatoid arthritis patients-A case control study","volume":"15","author":"Houri Levi","year":"2016","journal-title":"Autoimmun Rev"},{"key":"2024051711121215000_8.4.e019749.33","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2010.07.016"},{"key":"2024051711121215000_8.4.e019749.34","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kes243"},{"key":"2024051711121215000_8.4.e019749.35","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2010.01.026"},{"key":"2024051711121215000_8.4.e019749.36","doi-asserted-by":"publisher","DOI":"10.1111\/ijn.12203"},{"key":"2024051711121215000_8.4.e019749.37","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2009.05.005"},{"key":"2024051711121215000_8.4.e019749.38","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht462"},{"key":"2024051711121215000_8.4.e019749.39","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.jpsychores.2014.10.007","article-title":"Depression, anxiety and 6-year risk of cardiovascular disease","volume":"78","author":"Seldenrijk","year":"2015","journal-title":"J Psychosom Res"},{"key":"2024051711121215000_8.4.e019749.40","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehl440"},{"key":"2024051711121215000_8.4.e019749.41","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.09.057"},{"key":"2024051711121215000_8.4.e019749.42","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.27.4.990"},{"key":"2024051711121215000_8.4.e019749.43","doi-asserted-by":"publisher","DOI":"10.2337\/dc10-2225"},{"key":"2024051711121215000_8.4.e019749.44","first-page":"209","article-title":"Contribution of comorbid conditions to the association between diabetes and disability pensions: a population-based nationwide cohort study","volume":"42","author":"Ervasti","year":"2016","journal-title":"Scand J Work Environ Health"},{"key":"2024051711121215000_8.4.e019749.45","doi-asserted-by":"publisher","DOI":"10.2337\/dc15-0247"},{"key":"2024051711121215000_8.4.e019749.46","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-450"},{"key":"2024051711121215000_8.4.e019749.47","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-661"},{"key":"2024051711121215000_8.4.e019749.48","doi-asserted-by":"publisher","DOI":"10.1136\/oem.55.2.91"},{"key":"2024051711121215000_8.4.e019749.49","doi-asserted-by":"publisher","DOI":"10.1136\/jech-2014-204506"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2017-019749","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,17]],"date-time":"2024-05-17T19:48:35Z","timestamp":1715975315000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2017-019749"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4]]},"references-count":49,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2018,4,19]]},"published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1136\/bmjopen-2017-019749"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2017-019749","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4]]}}}