Abstract：
OBJECTIVE: Both vestibular neuronitis (VN) and Meniere\'s disease (MD) have great impact on quality of life and are associated with a significant number of sick leave days absent from work. The aim was to assess labor market participation rate one year after hospital diagnosis of VN and MD and the use of rehabilitation measures.
METHODS: Nationwide register-based cohort study including patients with VN (n = 1,341) and MD (n = 843) and control persons matched in 1:5 with a VN cohort control (n = 6,683) and MD cohort control (n = 4,209).
RESULTS: Compared to control persons, VN patients were more likely to be single, have higher income, and a higher Charlson comorbidity index score. MD patients had a higher level of education and a higher Charlson index compared to control persons. One year after patients were diagnosed with VN, no significant difference in labor market participation was observed (p = 0.88). However, MD patients had a 10.4% reduced probability of possessing a full-time job one year after diagnosis compared to matched control persons (58.1 ± 0.5% vs. 68.5 ± 0.5%, p < 0.001). Both VN and MD patients consulted otorhinolaryngologists, general practitioners, and physiotherapists more than control persons both before and after the initial diagnosis (p < 0.01). In addition, MD patients also consulted psychologists more frequently before and after diagnosis of the disease (p < 0.01).
CONCLUSIONS: Intrahospital diagnosed MD increases the risk of leaving the labor market in opposition to VN. Both MD and VN are associated with significant expenses to the Danish health care system from the use of public rehabilitation measures and medical consultations.
METHODS: Nationwide register-based cohort study including patients with VN (n = 1,341) and MD (n = 843) and control persons matched in 1:5 with a VN cohort control (n = 6,683) and MD cohort control (n = 4,209).
RESULTS: Compared to control persons, VN patients were more likely to be single, have higher income, and a higher Charlson comorbidity index score. MD patients had a higher level of education and a higher Charlson index compared to control persons. One year after patients were diagnosed with VN, no significant difference in labor market participation was observed (p = 0.88). However, MD patients had a 10.4% reduced probability of possessing a full-time job one year after diagnosis compared to matched control persons (58.1 ± 0.5% vs. 68.5 ± 0.5%, p < 0.001). Both VN and MD patients consulted otorhinolaryngologists, general practitioners, and physiotherapists more than control persons both before and after the initial diagnosis (p < 0.01). In addition, MD patients also consulted psychologists more frequently before and after diagnosis of the disease (p < 0.01).
CONCLUSIONS: Intrahospital diagnosed MD increases the risk of leaving the labor market in opposition to VN. Both MD and VN are associated with significant expenses to the Danish health care system from the use of public rehabilitation measures and medical consultations.
摘要：
目的：前庭神经炎（VN）和梅尼埃病（MD）都对生活质量有很大影响，并且与大量病假有关。目的是在医院诊断为VN和MD并采用康复措施后一年评估劳动力市场的参与率。
方法：全国范围的基于注册的队列研究，包括VN（n=1,341）和MD（n=843）患者和对照者，以1：5与VN队列对照（n=6,683）和MD队列对照（n=4,209）匹配。
结果：与对照组相比，VN患者更可能是单身，有更高的收入，Charlson合并症指数得分较高.与对照组相比，MD患者的受教育程度更高，Charlson指数更高。患者被诊断为VN一年后，劳动力市场参与率无显著差异(p=0.88).然而,与匹配的对照组相比，MD患者在诊断后一年拥有全职工作的可能性降低了10.4％（58.1±0.5％与68.5±0.5%,p<0.001)。VN和MD患者都咨询了耳鼻喉科医师，全科医生,在初始诊断前后，物理治疗师均高于对照组（p<0.01）。此外,MD患者在疾病诊断前后也更频繁地咨询心理学家（p<0.01）。
结论：医院内诊断为MD增加了离开劳动力市场反对VN的风险。MD和VN都与使用公共康复措施和医疗咨询给丹麦医疗保健系统带来的巨额费用有关。
方法：全国范围的基于注册的队列研究，包括VN（n=1,341）和MD（n=843）患者和对照者，以1：5与VN队列对照（n=6,683）和MD队列对照（n=4,209）匹配。
结果：与对照组相比，VN患者更可能是单身，有更高的收入，Charlson合并症指数得分较高.与对照组相比，MD患者的受教育程度更高，Charlson指数更高。患者被诊断为VN一年后，劳动力市场参与率无显著差异(p=0.88).然而,与匹配的对照组相比，MD患者在诊断后一年拥有全职工作的可能性降低了10.4％（58.1±0.5％与68.5±0.5%,p<0.001)。VN和MD患者都咨询了耳鼻喉科医师，全科医生,在初始诊断前后，物理治疗师均高于对照组（p<0.01）。此外,MD患者在疾病诊断前后也更频繁地咨询心理学家（p<0.01）。
结论：医院内诊断为MD增加了离开劳动力市场反对VN的风险。MD和VN都与使用公共康复措施和医疗咨询给丹麦医疗保健系统带来的巨额费用有关。
