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[The Social Consequences of a Syndrome Diagnosis in Denmark][Article in Danish]Ugeskr Laeger 2003 Jan 27;165(5):469-74Stenager EN, Svendsen MA, Stenager E.Syddansk Universitet, Institut for Sundhedstjenesteforskning, Den SocialeAnkestyrelse, Kobenhavn.PMID: 12599847INTRODUCTION: Since the early 1990s, disability retirement pension may begranted on the basis of a syndrome diagnosis. Before the pension can begranted, local public authorities collect information on health and socialmatters and report to The Social Appeal Board. In 1998, a new diagnostictool was introduced based on the International Statistical Classificationof Diseases and Related Health Problems (ICD-10) diagnoses. The informationavailable in The Social Appeal Board has made it possible to study thesocial consequences of a syndrome diagnosis. The purpose of the study was:1) To estimate the incidence of patients granted disability retirementpension with the diagnoses whiplash, fibromyalgia, chronic pain disorder,chronic fatigue syndrome, chronic strain syndrome, and pelvic syndrome. 2)To estimate changes in the level of pension granted to patients withsyndrome diagnosis. 3) To compare differences between patients withsyndrome diagnosis granted disability retirement pension to patients withother diagnoses on the following parameters: sex, civil status, income whenapplying for pension, and attempts of rehabilitation. 4) To estimatecomorbidity of psychiatric diagnosis in patients with syndrome diagnosis.MATERIAL AND METHODS: A register study of data on pension reported to TheNational Social Appeal Board in the period July 1st 1998 to December 31st,2000.RESULTS: Of all patients granted pension in the period 8.3 per cent had asyndrome diagnosis, 11 per cent of the women and 5 per cent of the men.Both the relative and the absolute number of patients with syndromediagnosis granted a pension were increasing. Comorbidity of psychiatricdisorders was 3 per cent in the group with syndrome diagnosis. Morepatients with syndrome diagnosis than with other diagnoses had receivedsickness benefits and rehabilitation when pension was granted.DISCUSSION: The large number of patients with syndrome diagnosis grantedpension calls for multidisciplinary prophylactic and treatment initiativesin order to reduce the number of patients in need of public support. Theresults are discussed in view of the new Pension's Act which will becomeeffective as from January 1st, 2003.tom
 
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