Temporomandibular disorder pain is associated with increased sick leave and reduced health related quality of life

IF 3.5 2区医学 Q1 ANESTHESIOLOGY European Journal of Pain Pub Date : 2024-07-27 DOI:10.1002/ejp.2314

S. Vallin, P. Liv, B. Häggman-Henrikson, C. M. Visscher, F. Lobbezoo, A. Lövgren

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Abstract

Background

Temporomandibular disorders (TMD) are the most common reason for chronic pain in the orofacial area and significantly impact the lives of those affected. The role of lifestyle factors in TMD, however, remains less explored. This cohort study aims to estimate TMD prevalence by addressing potential selection biases and to evaluate the association between TMD and lifestyle factors with a specific focus on sick leave and health related quality of life.

Methods

By linking data on TMD in the general population in Västerbotten, northern Sweden (n = 180,000) to health survey data (n = 120,000), information on sociodemographic factors and quality of life was available for 52,961 individuals (50.6% women) with a mean age of 53 years. We applied inverse probability weighting to adjust for selection bias and Poisson regression to explore associations with TMD.

Results

TMD prevalence was 9.2% during the study period, being higher in women (12.9%) than men (5.4%). Weighting for varying visiting frequencies did not affect TMD prevalence (average difference 0.4% points). Individuals with TMD, especially women, reported more sick leave and use of pain medication, with a significant association between TMD and increased sick leave (prevalence ratio 1.89, 95% CI: 1.78–2.01) among both women and men. In addition, TMD was associated with a lower health related quality of life (p < 0.001).

Conclusion

The association of TMD with sick leave highlights the condition's profound impact on the lives of affected individuals. These findings underscore the influence of TMD on work life and the burden of TMD on the societal level.

Significance Statement

The findings provide insight into how TMD affect individuals, by incorporating lifestyle factors, social determinants and the impact of sick leave at a population level. By incorporating these areas into the study of TMD, we can deepen our understanding of how TMD affects individuals' lives. This approach may also create opportunities to develop more comprehensive strategies to address TMD, focusing on broader implications beyond the clinical symptoms.

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颞下颌关节紊乱疼痛与病假增加和与健康相关的生活质量下降有关

背景颞下颌关节紊乱症（TMD）是导致口面部慢性疼痛的最常见原因，对患者的生活造成严重影响。然而，人们对生活方式因素在 TMD 中所起的作用却了解甚少。这项队列研究旨在通过解决潜在的选择偏差来估算 TMD 的患病率，并评估 TMD 与生活方式因素之间的关联，特别关注病假和与健康相关的生活质量。方法通过将瑞典北部韦斯特博滕地区普通人群的 TMD 数据（n = 180,000 人）与健康调查数据（n = 120,000 人）相联系，我们获得了 52,961 人（50.6% 为女性）的社会人口因素和生活质量信息，他们的平均年龄为 53 岁。我们采用反概率加权法来调整选择偏差，并采用泊松回归法来探讨与TMD的关系。结果TMD在研究期间的患病率为9.2%，女性（12.9%）高于男性（5.4%）。对不同就诊频率进行加权并不影响 TMD 患病率（平均相差 0.4 个百分点）。患有 TMD 的人，尤其是女性，病假和使用止痛药的情况较多，在女性和男性中，TMD 与病假增加之间存在显著关联（患病率比为 1.89，95% CI：1.78-2.01）。此外，TMD 还与健康相关的生活质量下降有关（p < 0.001）。这些研究结果强调了 TMD 对工作生活的影响以及 TMD 在社会层面造成的负担。意义声明这些研究结果通过将生活方式因素、社会决定因素和病假的影响纳入人群层面，让人们深入了解 TMD 如何影响个人。通过将这些领域纳入 TMD 研究，我们可以加深对 TMD 如何影响个人生活的理解。这种方法还可以创造机会，制定更全面的战略来解决 TMD 问题，重点关注临床症状以外的更广泛影响。

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来源期刊

European Journal of Pain 医学-临床神经学

CiteScore

7.50

自引率

5.60%

发文量

163

审稿时长

4-8 weeks

期刊介绍： European Journal of Pain (EJP) publishes clinical and basic science research papers relevant to all aspects of pain and its management, including specialties such as anaesthesia, dentistry, neurology and neurosurgery, orthopaedics, palliative care, pharmacology, physiology, psychiatry, psychology and rehabilitation; socio-economic aspects of pain are also covered. Regular sections in the journal are as follows: • Editorials and Commentaries • Position Papers and Guidelines • Reviews • Original Articles • Letters • Bookshelf The journal particularly welcomes clinical trials, which are published on an occasional basis. Research articles are published under the following subject headings: • Neurobiology • Neurology • Experimental Pharmacology • Clinical Pharmacology • Psychology • Behavioural Therapy • Epidemiology • Cancer Pain • Acute Pain • Clinical Trials.