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

doi:10.1186/s10194-018-0911-x

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 language	English
Article number	78
Journal	Journal of Headache and Pain
Volume	19
Issue number	1
DOIs	https://doi.org/10.1186/s10194-018-0911-x
Publication status	Published - 2018 Sept 3

Bibliographical note

Funding Information:
YJC, BKK, PWC, MJL, JWP, JYA, BSK, TJS, JHS, KO, KSL, SKK, KYP, JMC, HSM, and CSC report no conflict of interest. MKC was involved as a site investigator for a multicenter trial sponsored by Eli Lilly, worked an advisory member for Teva, and received lecture honoraria from Allergan Korea and Yuyu Pharmaceutical Company. SJC was involved as a site investigator of multicenter trial sponsored by Otsuka Korea, Eli Lilly and Company, Korea BMS, and Parexel Korea Co., Ltd., and received research support from Hallym University Research Fund 2016 and Myungin Research Fund 2016.

Funding Information:
This study was supported by a grant from Korean Neurological Association (KNA-16-MI-09). No other financial relationships relevant to this publication were disclosed.

Publisher Copyright:
© 2018 The Author(s).

Keywords

Cluster headache
Disability
Employment
Occupation
Sick leave
Work

ASJC Scopus subject areas

Clinical Neurology
Anesthesiology and Pain Medicine

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10.1186/s10194-018-0911-x

Cite this

Choi, Y. J., Kim, B. K., Chung, P. W., Lee, M. J., Park, J. W., Chu, M. K., Ahn, J. Y., Kim, B. S., Song, T. J., Sohn, J. H., Oh, K., Lee, K. S., Kim, S. K., Park, K. Y., Chung, J. M., Moon, H. S., Chung, C. S., & Cho, S. J. (2018). Impact of cluster headache on employment status and job burden: A prospective cross-sectional multicenter study. Journal of Headache and Pain, 19(1), Article 78. https://doi.org/10.1186/s10194-018-0911-x

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

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

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.",

keywords = "Cluster headache, Disability, Employment, Occupation, Sick leave, Work",

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

note = "Funding Information: YJC, BKK, PWC, MJL, JWP, JYA, BSK, TJS, JHS, KO, KSL, SKK, KYP, JMC, HSM, and CSC report no conflict of interest. MKC was involved as a site investigator for a multicenter trial sponsored by Eli Lilly, worked an advisory member for Teva, and received lecture honoraria from Allergan Korea and Yuyu Pharmaceutical Company. SJC was involved as a site investigator of multicenter trial sponsored by Otsuka Korea, Eli Lilly and Company, Korea BMS, and Parexel Korea Co., Ltd., and received research support from Hallym University Research Fund 2016 and Myungin Research Fund 2016. Funding Information: This study was supported by a grant from Korean Neurological Association (KNA-16-MI-09). No other financial relationships relevant to this publication were disclosed. Publisher Copyright: {\textcopyright} 2018 The Author(s).",

year = "2018",

month = sep,

day = "3",

doi = "10.1186/s10194-018-0911-x",

language = "English",

volume = "19",

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TY - JOUR

T1 - Impact of cluster headache on employment status and job burden

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

N1 - Funding Information: YJC, BKK, PWC, MJL, JWP, JYA, BSK, TJS, JHS, KO, KSL, SKK, KYP, JMC, HSM, and CSC report no conflict of interest. MKC was involved as a site investigator for a multicenter trial sponsored by Eli Lilly, worked an advisory member for Teva, and received lecture honoraria from Allergan Korea and Yuyu Pharmaceutical Company. SJC was involved as a site investigator of multicenter trial sponsored by Otsuka Korea, Eli Lilly and Company, Korea BMS, and Parexel Korea Co., Ltd., and received research support from Hallym University Research Fund 2016 and Myungin Research Fund 2016. Funding Information: This study was supported by a grant from Korean Neurological Association (KNA-16-MI-09). No other financial relationships relevant to this publication were disclosed. Publisher Copyright: © 2018 The Author(s).

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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KW - Disability

KW - Employment

KW - Occupation

KW - Sick leave

KW - Work

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SN - 1129-2369

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JO - Journal of Headache and Pain

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ER -

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

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

Access to Document

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