Impact of cluster headache on employment status and job burden: A prospective cross-sectional multicenter study

Yun Ju Choi, Byung Kun Kim, Pil Wook Chung, Mi Ji Lee, Jung Wook Park, Min Kyung Chu, Jin Young Ahn, Byung Su Kim, Tae Jin Song, Jong Hee Sohn, Kyungmi Oh, Kwang Soo Lee, Soo Kyoung Kim, Kwang Yeol Park, Jae Myun Chung, Heui Soo Moon, Chin Sang Chung, Soo Jin Cho

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Abstract

Background: Cluster headaches (CH) are recurrent severe headaches, which impose a major burden on the life of patients. We investigated the impact of CH on employment status and job burden. Methods: The study was a sub-study of the Korean Cluster Headache Registry. Patients with CH were enrolled from September 2016 to February 2018 from 15 headache clinics in Korea. We also enrolled a headache control group with age-sex matched patients with migraine or tension-type headache. Moreover, a control group including individuals without headache complaints was recruited. All participants responded to a questionnaire that included questions on employment status, type of occupation, working time, sick leave, reductions in productivity, and satisfaction with current occupation. The questionnaire was administered to participants who were currently employed or had previous occupational experience. Results: We recruited 143 patients with CH, 38 patients with other types of headache (migraine or tension-type headache), and 52 headache-free controls. The proportion of employees was lower in the CH group compared with the headache and headache-free control groups (CH: 67.6% vs. headache controls: 84.2% vs. headache-free controls: 96.2%; p = 0.001). The CH group more frequently experienced difficulties at work and required sick leave than the other groups (CH: 84.8% vs. headache controls: 63.9% vs. headache-free controls: 36.5%; p < 0.001; CH: 39.4% vs. headache controls: 13.9% vs. headache-free controls: 3.4%; p < 0.001). Among the patients with CH, sick leave was associated with younger age at CH onset (25.8 years vs. 30.6 years, p = 0.014), severity of pain rated on a visual analogue scale (9.3 vs. 8.8, p = 0.008), and diurnal periodicity during the daytime (p = 0.003). There were no significant differences with respect to the sick leave based on sex, age, CH subtypes, and CH recurrence. Conclusions: CH might be associated with employment status. Most patients with CH experienced substantial burdens at work.

Original languageEnglish
Article number78
JournalJournal of Headache and Pain
Volume19
Issue number1
DOIs
Publication statusPublished - 2018 Sep 3

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Cluster Headache
Multicenter Studies
Cross-Sectional Studies
Headache
Sick Leave
Tension-Type Headache
Migraine Disorders
Occupations
Control Groups
Periodicity

Keywords

  • Cluster headache
  • Disability
  • Employment
  • Occupation
  • Sick leave
  • Work

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

Cite this

Impact of cluster headache on employment status and job burden : A prospective cross-sectional multicenter study. / Choi, Yun Ju; Kim, Byung Kun; Chung, Pil Wook; Lee, Mi Ji; Park, Jung Wook; Chu, Min Kyung; Ahn, Jin Young; Kim, Byung Su; Song, Tae Jin; Sohn, Jong Hee; Oh, Kyungmi; Lee, Kwang Soo; Kim, Soo Kyoung; Park, Kwang Yeol; Chung, Jae Myun; Moon, Heui Soo; Chung, Chin Sang; Cho, Soo Jin.

In: Journal of Headache and Pain, Vol. 19, No. 1, 78, 03.09.2018.

Research output: Contribution to journalArticle

Choi, YJ, Kim, BK, Chung, PW, Lee, MJ, Park, JW, Chu, MK, Ahn, JY, Kim, BS, Song, TJ, Sohn, JH, Oh, K, Lee, KS, Kim, SK, Park, KY, Chung, JM, Moon, HS, Chung, CS & Cho, SJ 2018, 'Impact of cluster headache on employment status and job burden: A prospective cross-sectional multicenter study', Journal of Headache and Pain, vol. 19, no. 1, 78. https://doi.org/10.1186/s10194-018-0911-x
Choi, Yun Ju ; Kim, Byung Kun ; Chung, Pil Wook ; Lee, Mi Ji ; Park, Jung Wook ; Chu, Min Kyung ; Ahn, Jin Young ; Kim, Byung Su ; Song, Tae Jin ; Sohn, Jong Hee ; Oh, Kyungmi ; Lee, Kwang Soo ; Kim, Soo Kyoung ; Park, Kwang Yeol ; Chung, Jae Myun ; Moon, Heui Soo ; Chung, Chin Sang ; Cho, Soo Jin. / Impact of cluster headache on employment status and job burden : A prospective cross-sectional multicenter study. In: Journal of Headache and Pain. 2018 ; Vol. 19, No. 1.
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abstract = "Background: Cluster headaches (CH) are recurrent severe headaches, which impose a major burden on the life of patients. We investigated the impact of CH on employment status and job burden. Methods: The study was a sub-study of the Korean Cluster Headache Registry. Patients with CH were enrolled from September 2016 to February 2018 from 15 headache clinics in Korea. We also enrolled a headache control group with age-sex matched patients with migraine or tension-type headache. Moreover, a control group including individuals without headache complaints was recruited. All participants responded to a questionnaire that included questions on employment status, type of occupation, working time, sick leave, reductions in productivity, and satisfaction with current occupation. The questionnaire was administered to participants who were currently employed or had previous occupational experience. Results: We recruited 143 patients with CH, 38 patients with other types of headache (migraine or tension-type headache), and 52 headache-free controls. The proportion of employees was lower in the CH group compared with the headache and headache-free control groups (CH: 67.6{\%} vs. headache controls: 84.2{\%} vs. headache-free controls: 96.2{\%}; p = 0.001). The CH group more frequently experienced difficulties at work and required sick leave than the other groups (CH: 84.8{\%} vs. headache controls: 63.9{\%} vs. headache-free controls: 36.5{\%}; p < 0.001; CH: 39.4{\%} vs. headache controls: 13.9{\%} vs. headache-free controls: 3.4{\%}; p < 0.001). Among the patients with CH, sick leave was associated with younger age at CH onset (25.8 years vs. 30.6 years, p = 0.014), severity of pain rated on a visual analogue scale (9.3 vs. 8.8, p = 0.008), and diurnal periodicity during the daytime (p = 0.003). There were no significant differences with respect to the sick leave based on sex, age, CH subtypes, and CH recurrence. Conclusions: CH might be associated with employment status. Most patients with CH experienced substantial burdens at work.",
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T2 - A prospective cross-sectional multicenter study

AU - Choi, Yun Ju

AU - Kim, Byung Kun

AU - Chung, Pil Wook

AU - Lee, Mi Ji

AU - Park, Jung Wook

AU - Chu, Min Kyung

AU - Ahn, Jin Young

AU - Kim, Byung Su

AU - Song, Tae Jin

AU - Sohn, Jong Hee

AU - Oh, Kyungmi

AU - Lee, Kwang Soo

AU - Kim, Soo Kyoung

AU - Park, Kwang Yeol

AU - Chung, Jae Myun

AU - Moon, Heui Soo

AU - Chung, Chin Sang

AU - Cho, Soo Jin

PY - 2018/9/3

Y1 - 2018/9/3

N2 - Background: Cluster headaches (CH) are recurrent severe headaches, which impose a major burden on the life of patients. We investigated the impact of CH on employment status and job burden. Methods: The study was a sub-study of the Korean Cluster Headache Registry. Patients with CH were enrolled from September 2016 to February 2018 from 15 headache clinics in Korea. We also enrolled a headache control group with age-sex matched patients with migraine or tension-type headache. Moreover, a control group including individuals without headache complaints was recruited. All participants responded to a questionnaire that included questions on employment status, type of occupation, working time, sick leave, reductions in productivity, and satisfaction with current occupation. The questionnaire was administered to participants who were currently employed or had previous occupational experience. Results: We recruited 143 patients with CH, 38 patients with other types of headache (migraine or tension-type headache), and 52 headache-free controls. The proportion of employees was lower in the CH group compared with the headache and headache-free control groups (CH: 67.6% vs. headache controls: 84.2% vs. headache-free controls: 96.2%; p = 0.001). The CH group more frequently experienced difficulties at work and required sick leave than the other groups (CH: 84.8% vs. headache controls: 63.9% vs. headache-free controls: 36.5%; p < 0.001; CH: 39.4% vs. headache controls: 13.9% vs. headache-free controls: 3.4%; p < 0.001). Among the patients with CH, sick leave was associated with younger age at CH onset (25.8 years vs. 30.6 years, p = 0.014), severity of pain rated on a visual analogue scale (9.3 vs. 8.8, p = 0.008), and diurnal periodicity during the daytime (p = 0.003). There were no significant differences with respect to the sick leave based on sex, age, CH subtypes, and CH recurrence. Conclusions: CH might be associated with employment status. Most patients with CH experienced substantial burdens at work.

AB - Background: Cluster headaches (CH) are recurrent severe headaches, which impose a major burden on the life of patients. We investigated the impact of CH on employment status and job burden. Methods: The study was a sub-study of the Korean Cluster Headache Registry. Patients with CH were enrolled from September 2016 to February 2018 from 15 headache clinics in Korea. We also enrolled a headache control group with age-sex matched patients with migraine or tension-type headache. Moreover, a control group including individuals without headache complaints was recruited. All participants responded to a questionnaire that included questions on employment status, type of occupation, working time, sick leave, reductions in productivity, and satisfaction with current occupation. The questionnaire was administered to participants who were currently employed or had previous occupational experience. Results: We recruited 143 patients with CH, 38 patients with other types of headache (migraine or tension-type headache), and 52 headache-free controls. The proportion of employees was lower in the CH group compared with the headache and headache-free control groups (CH: 67.6% vs. headache controls: 84.2% vs. headache-free controls: 96.2%; p = 0.001). The CH group more frequently experienced difficulties at work and required sick leave than the other groups (CH: 84.8% vs. headache controls: 63.9% vs. headache-free controls: 36.5%; p < 0.001; CH: 39.4% vs. headache controls: 13.9% vs. headache-free controls: 3.4%; p < 0.001). Among the patients with CH, sick leave was associated with younger age at CH onset (25.8 years vs. 30.6 years, p = 0.014), severity of pain rated on a visual analogue scale (9.3 vs. 8.8, p = 0.008), and diurnal periodicity during the daytime (p = 0.003). There were no significant differences with respect to the sick leave based on sex, age, CH subtypes, and CH recurrence. Conclusions: CH might be associated with employment status. Most patients with CH experienced substantial burdens at work.

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