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Biomedical subjects

I Leden

Publications and source records attributed to I Leden.

At least 19 recordsLinked to original sources
PubMed1995

Health and health care utilization among early retirement pensioners with musculoskeletal disorders.

OBJECTIVE: To estimate subjective health status among early retired individuals pensioned due to disorders of the musculoskeletal system. DESIGN: A survey of self-reported health status and health care utilization by means of a mailed questionnaire. SETTING: Early retirees (cases) and a random sample (controls) of individuals from the municipality of Kristianstad, Sweden. SUBJECTS CASES: all individuals aged 25-59 years granted a full-time early retirement pension during the period 1986-1990 due to disorders of the musculoskeletal system (n = 450). The response rate was 83.6%. CONTROLS: An age- and sex-matched sample (n = 450). The response rate was 82.7%. MAIN OUTCOME MEASURES: Self-reported health status and health care utilization. RESULTS: Early retirement entailed a deterioration in self-reported health status among men, all ages, and women aged 25-54 years. Female retirees aged 55-64 reported an improvement in health status since retirement. Early retired female immigrants were less satisfied with their health status than the Swedish ones. Early retirees reported higher health care utilization than controls, but with a reduction since retirement. Drug consumption was high. CONCLUSION: The beneficial effects of early retirement were evident among old women. Men and young and middle-aged women may need support to adjust to life as a retiree. Special attention should be given to the female immigrant retiree.

Adult↗
PubMed1994

Immigration and socio-economy as predictors of early retirement pensions.

The purpose of this study, performed in a Swedish municipality, was to obtain a view of early retirement pensioners, focusing on immigration and socio-economy as predictors of early retirement pensions. A questionnaire was sent to 453 early retirement pensioners with disorders of the musculoskeletal system. A corresponding questionnaire was sent to a randomly selected, age- and sex-matched control group of the same size. The response rate was 83%. The study concludes that immigration and low socio-economy are predictors of early retirement pension (ERP). The rate of immigrants was 19% among the ERPs compared to 5% among the controls. The early retired immigrants were comparatively young, and some of them were overqualified for their previous jobs. Of the ERPs 74% were blue-collar workers compared to 39% of the controls. Neither work satisfaction nor unemployment was found to predict ERP.

Adult↗
PubMed1992

[Can the chronically ill become the chronically healthy?].

Sick leave from work is on the increase throughout the Western world, despite improvements in welfare and the continual mechanization of heavy industry. By means of early, active rehabilitation measures in cases of musculoskeletal disorders, the duration of sick certification can be reduced and extended absence from work prevented. This has been demonstrated in a successful cooperative project involving the health and social services where, after two years in operation, the saving in costs to the community is calculated to have been SEK 4.5 millions. A brief outline of the project is given in the article.

Absenteeism↗
PubMed1988

Aspects of the history of rheumatoid arthritis in the light of recent osteo-archaeological finds.

Rheumatoid arthritis (RA) is one of our most common disabling diseases today. Whether or not RA also existed in ancient times has been questioned and debated in recent years. Supporters of the view of recent onset claim that evidence of the existence of RA in antiquity can be found neither in old literature nor in paintings--and most important--convincing paleopathological finds are lacking. The following presentation reviews the results of an examination of skeletons found during an excavation of a neolithic burial place in the island of Gotland, Sweden. In two skeletons there were marked peripheral changes in both large and small joints. These changes are compatible with in vivo presence of a chronic aseptic polyarthritis. Different diagnostic possibilities for such polyarticular joint disease are discussed. It is suggested that RA might be the most probable alternative although other possibilities cannot be excluded.

Adult↗
PubMed1985

Flexor tenosynovitis (FTS): a risk indicator of abnormal glucose tolerance.

Diabetes mellitus (DM), particularly of long duration and insulin dependent, can be accompanied by a variety of locomotor system disorders. However, musculo-skeletal syndromes can also appear in patients with mild glucose homeostasis disturbances. Sometimes these locomotor complaints may precede the diagnosis of the deranged glucose metabolism and hence give a clue to the underlying glucose homeostasis abnormality. In the present work, glucose metabolism was studied in 39 patients presenting with palmar flexor tenosynovitis (FTS) but without any other rheumatic manifestations. For comparison, glucose homeostasis was also studied in 44 patients with FTS accompanying rheumatoid arthritis (RA). In the first group, 23% had an abnormal oral glucose tolerance test (OGTT), a significantly increased frequency vis-à-vis the 4.5% found in the RA group and vis-à-vis the 5.4% reported for the general population. It is concluded that in the absence of any other rheumatic disease, FTS is a risk indicator of disturbed glucose metabolism and that a simple screening procedure for the purpose of disclosing glucose homeostasis abnormalities is warranted in patients presenting with FTS.

Adult↗
PubMed1984

Glucose metabolism in patients with rheumatoid arthritis.

Several studies made during the first half of this century suggested an association between chronic arthritis and disturbed glucose metabolism. Moreover, increased prevalence of IGT in patients with idiopathic FTS of the palms has recently been reported and RA is a disease commonly accompanied by FTS. Furthermore, patients with RA are often exposed to drugs that may precipitate or uncover mild undiagnosed DM. For these reasons, glucose tolerance was studied in 101 patients with classical or definite RA. Of these, 4 (4%) had an established type II DM and 6 (6%) a previously undiagnosed IGT. The observed frequencies of disturbed glucose metabolism in RA did not differ from the prevalence rates reported for the general population in Sweden. Hence, this study does not support the previous reports claiming an association between chronic arthritis and disturbed glucose metabolism.

Adult↗
PubMed1983

Nerve palsy after knee arthroplasty in patients with rheumatoid arthritis.

Forty-two consecutive knee arthroplasties on rheumatoid knees (19 Attenborough, 20 Total Condylar, 3 Marmor) were examined pre- and postoperatively for signs of below-the-knee nerve lesions. Sixteen of these knees were also studied neurophysiologically (EMG). Four patients (knees) had peroneal nerve palsy, three early and one late. Three further knees had only EMG signs of nerve lesion. Predisposing factor was correction of flexion contracture of more than 10 degrees and especially when combined with varus change in alignment. Preoperative EMG could not predict nerve lesion.

Action Potentials↗
PubMed1983

Locomotor system disorders in diabetes mellitus. Increased prevalence of palmar flexortenosynovitis.

Diabetes mellitus (DM) may be accompanied by a variety of locomotor system disorders including several hand syndromes. It has been suggested that palmar flexortenosynovitis (FTS) might be included among these hand syndromes, but no conclusive data have been available. Furthermore, recent studies have indicated that FTS may be a clue to previously undiagnosed impaired glucose tolerance. In the present study the prevalence of FTS among diabetics without inflammatory rheumatic disease was 11% compared with less than 1% (p less than 0.001) in a reference group. Thus, FTS could be included among the locomotor system disorders which are associated with DM.

Adult↗