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Days absent from work due to complications associated with type 2 diabetes: Evidence from 20 years of linked national registry data in Sweden

Diabetes, Obesity and Metabolism Apr 29, 2020

Persson S, Johansen P, Andersson E, et al. - In this investigation involving 413,000 people with type 2 diabetes (T2D) < 66 years with 4.9 million person‐years, researchers analyzed days absent from work related to individual microvascular, macrovascular, and other complications of T2D and identified key drivers of absence. Utilizing Swedish national administrative registers linkage‐based on personal identity numbers, national health and socioeconomic individual‐level data were analyzed for years 1997–2016 for individuals with T2D, and 5:1 age‐, sex‐, and residential region matched controls. Regression analyses demonstrated that complications per se were a key driver of days absent: stroke (+102); end‐stage renal disease (+70); severe vision loss (+56); and angina pectoris, heart failure, and osteoarthritis implied +53 days each. This study provides evidence of the continuing impact of complications on productivity, which supports continued efforts to curb risk factors in T2D. Potential research on disease burden and economic assessments of new treatments and disease management could use this new set of complication-specific estimates to better understand the importance of complications reduction.

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