Temporomandibular disorder pain is associated with increased sick leave and reduced health related quality of life.
Journal
European journal of pain (London, England)
ISSN: 1532-2149
Titre abrégé: Eur J Pain
Pays: England
ID NLM: 9801774
Informations de publication
Date de publication:
27 Jul 2024
27 Jul 2024
Historique:
revised:
15
06
2024
received:
24
04
2024
accepted:
26
06
2024
medline:
29
7
2024
pubmed:
29
7
2024
entrez:
29
7
2024
Statut:
aheadofprint
Résumé
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. 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. 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). 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. 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.
Sections du résumé
BACKGROUND
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
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
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
CONCLUSIONS
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
CONCLUSIONS
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.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Author(s). European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation ‐ EFIC ®.
Références
Abdallah, C. G., & Geha, P. (2017). Chronic pain and chronic stress: Two sides of the same coin? Chronic Stress (Thousand Oaks), 1, 247054701770476. https://doi.org/10.1177/2470547017704763
Alamir, A. H., & Quadri, M. F. A. (2020). Tobacco use and orofacial pain: A meta‐analysis. Nicotine & Tobacco Research, 22(11), 1957–1963. https://doi.org/10.1093/ntr/ntaa074
Bitiniene, D., Zamaliauskiene, R., Kubilius, R., Leketas, M., Gailius, T., & Smirnovaite, K. (2018). Quality of life in patients with temporomandibular disorders. A systematic review. Stomatologija, 20(1), 3–9.
Bueno, C. H., Pereira, D. D., Pattussi, M. P., Grossi, P. K., & Grossi, M. L. (2018). Gender differences in temporomandibular disorders in adult populational studies: A systematic review and meta‐analysis. Journal of Oral Rehabilitation, 45(9), 720–729. https://doi.org/10.1111/joor.12661
Canty, A., & Ripley, B. (2021). Boot: Bootstrap R (S‐Plus) functions. Version R package version 1.3‐28. https://cran.r‐project.org/web/packages/boot/
Carapinha, I. H. A., De la Torre Canales, G., Poluha, R. L., Câmara‐Souza, M. B., Christidis, N., Ernberg, M., de Almeida, A. M., & Manso, A. (2024). Sociodemographic profile: A forgotten factor in temporomandibular disorders? A scoping review. Journal of Pain Research, 17, 393–414. https://doi.org/10.2147/jpr.S434146
Charles, T., Karlsson, J., & Marianne, S. (2004). Performance of the Swedish SF‐36 version 2.0. Quality of Life Research, 13(1), 251–256.
Dahlström, L., & Carlsson, G. E. (2010). Temporomandibular disorders and oral health‐related quality of life. A systematic review. Acta Odontologica Scandinavica, 68(2), 80–85. https://doi.org/10.3109/00016350903431118
Dubrovsky, B., Janal, M. N., Lavigne, G. J., Sirois, D. A., Wigren, P. E., Nemelivsky, L., Krieger, A. C., & Raphael, K. G. (2017). Depressive symptoms account for differences between self‐reported versus polysomnographic assessment of sleep quality in women with myofascial TMD. Journal of Oral Rehabilitation, 44(12), 925–933. https://doi.org/10.1111/joor.12552
Dworkin, S. F., & LeResche, L. (1992). Research diagnostic criteria for temporomandibular disorders: Review, criteria, examinations and specifications, critique. Journal of Craniomandibular Disorders, 6(4), 301–355.
Fillingim, R. B. (2017). Individual differences in pain: Understanding the mosaic that makes pain personal. Pain, 158(Suppl 1), S11–s18. https://doi.org/10.1097/j.pain.0000000000000775
Fillingim, R. B., Ohrbach, R., Greenspan, J. D., Knott, C., Dubner, R., Bair, E., Baraian, C., Slade, G. D., & Maixner, W. (2011). Potential psychosocial risk factors for chronic TMD: Descriptive data and empirically identified domains from the OPPERA case‐control study. The Journal of Pain, 12(11), T46–T60. https://doi.org/10.1016/j.jpain.2011.08.007
Fjellman‐Wiklund, A., Näsström, A., Wänman, A., & Lövgren, A. (2019). Patients' perceived treatment need owing to temporomandibular disorders and perceptions of related treatment in dentistry—A mixed‐method study. Journal of Oral Rehabilitation, 46(9), 792–799. https://doi.org/10.1111/joor.12813
Floderus, B., Göransson, S., Alexanderson, K., & Aronsson, G. (2005). Self‐estimated life situation in patients on long‐term sick leave. Journal of Rehabilitation Medicine, 37(5), 291–299. https://doi.org/10.1080/16501970510034422
Galobardes, B., Shaw, M., Lawlor, D. A., Lynch, J. W., & Davey Smith, G. (2006). Indicators of socioeconomic position (part 1). Journal of Epidemiology and Community Health, 60(1), 7–12. https://doi.org/10.1136/jech.2004.023531
Gębska, M., Dalewski, B., Pałka, Ł., Kołodziej, Ł., & Sobolewska, E. (2021). The importance of type D personality in the development of temporomandibular disorders (TMDs) and depression in students during the COVID‐19 pandemic. Brain Sciences, 12(1), 1–12. https://doi.org/10.3390/brainsci12010028
Geneen, L. J., Moore, R. A., Clarke, C., Martin, D., Colvin, L. A., & Smith, B. H. (2017). Physical activity and exercise for chronic pain in adults: An overview of Cochrane reviews. Cochrane Database of Systematic Reviews, 4(4), CD011279. https://doi.org/10.1002/14651858.CD011279.pub3
Greifer, N. (2021). WeightIt: Weighting for covariate balance in observational studies. (Version 0.12.0). https://cran.r‐project.org/package=WeightIt
Hadler‐Olsen, E., Thon, E., Holde, G. E., Jönsson, B., Oscarson, N., & Tillberg, A. (2021). Temporomandibular disorders in an adult population in northern Norway: A cross‐sectional study. Clinical and Experimental Dental Research, 7(6), 1144–1153. https://doi.org/10.1002/cre2.463
Häggman‐Henrikson, B., Jawad, N., Acuña, X. M., Visscher, C. M., Schiffman, E., & List, T. (2022). Fear of movement and catastrophizing in participants with temporomandibular disorders. Journal of Oral & Facial Pain and Headache, 36(1), 59–66. https://doi.org/10.11607/ofph.3060
Häggman‐Henrikson, B., Liv, P., Ilgunas, A., Visscher, C. M., Lobbezoo, F., Durham, J., & Lövgren, A. (2020). Increasing gender differences in the prevalence and chronification of orofacial pain in the population. Pain, 161(8), 1768–1775. https://doi.org/10.1097/j.pain.0000000000001872
Harrell, F. E. Jr. (2015). General aspects of fitting regression models. In J. F. E. Harrell (Ed.), Regression modeling strategies: With applications to linear models, logistic and ordinal regression, and survival analysis (pp. 26–28). Springer International Publishing. https://doi.org/10.1007/978‐3‐319‐19425‐7_2
Harrell, F. E., Jr. (2022). rms: Regression modeling strategies. https://cran.r‐project.org/package=rms
Harrell, F. E., Jr. (2023). Hmisc: Harrell miscellaneous. https://CRAN.R‐project.org/package=Hmisc
Hosseinpoor, A. R., Stewart Williams, J., Amin, A., Araujo de Carvalho, I., Beard, J., Boerma, T., Kowal, P., Naidoo, N., & Chatterji, S. (2012). Social determinants of self‐reported health in women and men: Understanding the role of gender in population health. PLoS One, 7(4), e34799. https://doi.org/10.1371/journal.pone.0034799
Ilgunas, A., Häggman‐Henrikson, B., Visscher, C. M., Lobbezoo, F., Durham, J., Liv, P., & Lövgren, A. (2023). The longitudinal relationship between jaw catching/locking and pain. Journal of Dental Research, 102(4), 383–390. https://doi.org/10.1177/00220345221138532
InterAct Consortium., Peters, T., Brage, S., Westgate, K., Franks, P. W., Gradmark, A., Tormo Diaz, M. J., Huerta, J. M., Bendinelli, B., Vigl, M., Boeing, H., Wendel‐Vos, W., Spijkerman, A., Benjaminsen‐Borch, K., Valanou, E., de Lauzon Guillain, B., Clavel‐Chapelon, F., Sharp, S., Kerrison, N., Langenberg, C., … Wareham, N. (2012). Validity of a short questionnaire to assess physical activity in 10 European countries. European Journal of Epidemiology, 27(1), 15–25. https://doi.org/10.1007/s10654‐011‐9625‐y
Jenkinson, C. (1999). Comparison of UK and US methods for weighting and scoring the SF‐36 summary measures. Journal of Public Health Medicine, 21(4), 372–376. https://doi.org/10.1093/pubmed/21.4.372
John, M. T., Miglioretti, D. L., LeResche, L., Von Korff, M., & Critchlow, C. W. (2003). Widespread pain as a risk factor for dysfunctional temporomandibular disorder pain. Pain, 102(3), 257–263. https://doi.org/10.1016/s0304‐3959(02)00404‐9
Jonsson, F., Goicolea, I., & San Sebastian, M. (2019). Rural‐urban differences in health among youth in northern Sweden: An outcome‐wide epidemiological approach. International Journal of Circumpolar Health, 78(1), 1640015. https://doi.org/10.1080/22423982.2019.1640015
Kleykamp, B. A., Ferguson, M. C., McNicol, E., Bixho, I., Arnold, L. M., Edwards, R. R., Fillingim, R., Grol‐Prokopczyk, H., Ohrbach, R., Turk, D. C., & Dworkin, R. H. (2022). The prevalence of comorbid chronic pain conditions among patients with temporomandibular disorders: A systematic review. The Journal of the American Dental Association, 153(3), 241–250.e210. https://doi.org/10.1016/j.adaj.2021.08.008
LeResche, L. (1997). Epidemiology of temporomandibular disorders: Implications for the investigation of etiologic factors. Critical Reviews in Oral Biology & Medicine, 8(3), 291–305. https://doi.org/10.1177/10454411970080030401
Lövgren, A., Ilgunas, A., Häggman‐Henrikson, B., Elias, B., Al Roudini, O., Visscher, C. M., Lobbezoo, F., Wänman, A., & Liv, P. (2023). Associations between screening for functional jaw disturbances and patient‐reported outcomes on jaw limitations and oral behaviors. The Journal of Evidence‐Based Dental Practice, 23(3), 101888. https://doi.org/10.1016/j.jebdp.2023.101888
Lövgren, A., Visscher, C. M., Häggman‐Henrikson, B., Lobbezoo, F., Marklund, S., & Wänman, A. (2016). Validity of three screening questions (3Q/TMD) in relation to the DC/TMD. Journal of Oral Rehabilitation, 43(10), 729–736. https://doi.org/10.1111/joor.12428
Manfredini, D., Guarda‐Nardini, L., Winocur, E., Piccotti, F., Ahlberg, J., & Lobbezoo, F. (2011). Research diagnostic criteria for temporomandibular disorders: A systematic review of axis I epidemiologic findings. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, 112(4), 453–462. https://doi.org/10.1016/j.tripleo.2011.04.021
Mansournia, M. A., & Altman, D. G. (2016). Inverse probability weighting. BMJ, 352, i189. https://doi.org/10.1136/bmj.i189
Mitrowska‐Guźmińska, M., Gębska, M., Jonko, K., Dalewski, B., Pałka, Ł., Chęć, M., & Sobolewska, E. (2022). Effect of personality type on the occurrence of temporomandibular disorders – A cross‐sectional study. International Journal of Environmental Research and Public Health, 20(1), 1–13. https://doi.org/10.3390/ijerph20010352
National Academies of Sciences, E., Medicine, Health, Medicine, D., Board on Health Care, S., Board on Health Sciences, P., & Committee on Temporomandibular Disorders: From Research Discoveries to Clinical, T. (2020). The National Academies Collection: Reports funded by National Institutes of Health. In O. Yost, C. T. Liverman, R. English, S. Mackey, & E. C. Bond (Eds.), Temporomandibular disorders: Priorities for research and care (pp. Appendix C). National Academies Press (US) Copyright 2020 by the National Academy of Sciences. All rights reserved https://doi.org/10.17226/25652
Norberg, M., Blomstedt, Y., Lönnberg, G., Nyström, L., Stenlund, H., Wall, S., & Weinehall, L. (2012). Community participation and sustainability – Evidence over 25 years in the Västerbotten Intervention Programme. Global Health Action, 5(1), 19166. https://doi.org/10.3402/gha.v5i0.19166
Norberg, M., Wall, S., Boman, K., & Weinehall, L. (2010). The Västerbotten Intervention Programme: Background, design and implications. Global Health Action, 3, 4643. https://doi.org/10.3402/gha.v3i0.4643
Qvintus, V., Sipilä, K., Le Bell, Y., & Suominen, A. L. (2020). Prevalence of clinical signs and pain symptoms of temporomandibular disorders and associated factors in adult Finns. Acta Odontologica Scandinavica, 78(7), 515–521. https://doi.org/10.1080/00016357.2020.1746395
R Core Team. (2024). R: A language and environment for statistical computing. Version 4.3.3. https://www.R‐project.org/
Salinas Fredricson, A., Krüger Weiner, C., Adami, J., Rosén, A., Lund, B., Hedenberg‐Magnusson, B., Fredriksson, L., Svedberg, P., & Naimi‐Akbar, A. (2022). Sick leave and disability pension in a cohort of TMD‐patients – The Swedish National Registry Studies for Surgically Treated TMD (SWEREG‐TMD). BMC Public Health, 22(1), 916. https://doi.org/10.1186/s12889‐022‐13329‐z
Samulowitz, A., Gremyr, I., Eriksson, E., & Hensing, G. (2018). “Brave men” and “emotional women”: A theory‐guided literature review on gender bias in health care and gendered norms towards patients with chronic pain. Pain Research & Management, 2018, 6358624. https://doi.org/10.1155/2018/6358624
Schiffman, E., Ohrbach, R., Truelove, E., Look, J., Anderson, G., Goulet, J. P., List, T., Svensson, P., Gonzalez, Y., Lobbezoo, F., Michelotti, A., Brooks, S. L., Ceusters, W., Drangsholt, M., Ettlin, D., Gaul, C., Goldberg, L. J., Haythornthwaite, J. A., Hollender, L., … Dworkin, S. F. (2014). Diagnostic criteria for temporomandibular disorders (DC/TMD) for clinical and research applications: Recommendations of the international RDC/TMD Consortium Network* and Orofacial Pain Special Interest Group†. Journal of Oral & Facial Pain and Headache, 28(1), 6–27. https://doi.org/10.11607/jop.1151
Slade, G. D., Greenspan, J. D., Fillingim, R. B., Maixner, W., Sharma, S., & Ohrbach, R. (2020). Overlap of five chronic pain conditions: Temporomandibular disorders, headache, back pain, irritable bowel syndrome, and fibromyalgia. Journal of Oral & Facial Pain and Headache, 34(Suppl), S15–S28. https://doi.org/10.11607/ofph.2581
Slade, G. D., Ohrbach, R., Greenspan, J. D., Fillingim, R. B., Bair, E., Sanders, A. E., Dubner, R., Diatchenko, L., Meloto, C. B., Smith, S., & Maixner, W. (2016). Painful temporomandibular disorder: Decade of discovery from OPPERA studies. Journal of Dental Research, 95(10), 1084–1092. https://doi.org/10.1177/0022034516653743
Social Determinants of Health. (2005). Oxford University Press. https://doi.org/10.1093/acprof:oso/9780198565895.001.0001
Statistics Sweden. (2024). Labour Force Surveys. https://www.scb.se/en/finding‐statistics/statistics‐by‐subject‐area/labour‐market/labour‐force‐surveys/labour‐force‐surveys‐lfs/
Sullivan, M., & Karlsson, J. (1998). The Swedish SF‐36 Health Survey III. Evaluation of criterion‐based validity: Results from normative population. Journal of Clinical Epidemiology, 51(11), 1105–1113. https://doi.org/10.1016/S0895‐4356(98)00102‐4
Sullivan, M., Karlsson, J., Taft, C., & Ware, J. E. (2002). SF‐36 hälsoenkät: svensk manual och tolkningsguide = (Swedish manual and interpretation guide) (2. uppl. ed.). Sahlgrenska sjukhuset, Sektionen för vårdforskning.
Sullivan, M., Karlsson, J., & Ware, J. E., Jr. (1995). The Swedish SF‐36 Health Survey–I. Evaluation of data quality, scaling assumptions, reliability and construct validity across general populations in Sweden. Social Science & Medicine, 41, 1349–1358. https://doi.org/10.1016/0277‐9536(95)00125‐q
Suvinen, T. I., Reade, P. C., Kemppainen, P., Könönen, M., & Dworkin, S. F. (2005). Review of aetiological concepts of temporomandibular pain disorders: Towards a biopsychosocial model for integration of physical disorder factors with psychological and psychosocial illness impact factors. European Journal of Pain, 9(6), 613–633. https://doi.org/10.1016/j.ejpain.2005.01.012
Thomas, D. C., Khan, J., Manfredini, D., & Ailani, J. (2023). Temporomandibular joint disorder comorbidities. Dental Clinics of North America, 67(2), 379–392. https://doi.org/10.1016/j.cden.2022.10.005
Visscher, C. M., Ohrbach, R., van Wijk, A. J., Wilkosz, M., & Naeije, M. (2010). The Tampa Scale for Kinesiophobia for temporomandibular disorders (TSK‐TMD). Pain, 150(3), 492–500. https://doi.org/10.1016/j.pain.2010.06.002
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., & Vandenbroucke, J. P. (2007). Strengthening the reporting of observational studies in epidemiology (STROBE) statement: Guidelines for reporting observational studies. BMJ, 335(7624), 806–808. https://doi.org/10.1136/bmj.39335.541782.AD
Ware, J. E., Mark, K., & Keller, S. D. (1994). SF‐36 physical and mental health summary scales: A user's manual. Health Institute, New England Medical Center.
Wareham, N. J., Jakes, R. W., Rennie, K. L., Schuit, J., Mitchell, J., Hennings, S., & Day, N. E. (2003). Validity and repeatability of a simple index derived from the short physical activity questionnaire used in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Public Health Nutrition, 6(4), 407–413. https://doi.org/10.1079/PHN2002439
Weinehall, L., Hallgren, C.‐G., Westman, G., Janlert, U., & Wall, S. (1998). Reduction of selection bias in primary prevention of cardiovascular disease through involvement of primary health care. Scandinavian Journal of Primary Health Care, 16(3), 171–176. https://doi.org/10.1080/028134398750003133
White, B. A., Williams, L. A., & Leben, J. R. (2001). Health care utilization and cost among health maintenance organization members with temporomandibular disorders. Journal of Orofacial Pain, 15(2), 158–169.
Zajacova, A., Grol‐Prokopczyk, H., & Zimmer, Z. (2021). Pain trends among American adults, 2002–2018: Patterns, disparities, and correlates. Demography, 58(2), 711–738. https://doi.org/10.1215/00703370‐8977691
Zimmer, Z., Fraser, K., Grol‐Prokopczyk, H., & Zajacova, A. (2022). A global study of pain prevalence across 52 countries: Examining the role of country‐level contextual factors. Pain, 163(9), 1740–1750. https://doi.org/10.1097/j.pain.0000000000002557