Abstract
Multiple sclerosis (MS) is a challenging and disabling condition, predominantly affecting individuals in early adulthood. MS affects the physical, cognitive, and mental health of persons suffering from the disease as well as having a great impact on their financial status and quality of life. However, there is a lack of systematic approach toward assessing the socioeconomic consequences of MS. Our objective was to systematically review analytical observational studies investigating the socioeconomic consequences in persons with MS with different levels of physical disability and cognitive function. We conducted a systematic review on socioeconomic consequences of MS with a focus on employment-, income-, work ability-, and relationship-related outcomes in persons with MS with special focus on disability and cognition. Additionally, the educational characteristics were examined. From 4,957 studies identified, 214 were assessed for eligibility and a total of 19 studies were included in this qualitative assessment; 21 different outcomes were identified. All identified studies reported higher unemployment, higher early retirement, and higher risk of unemployment in relation to higher physical disability. Also, cognitive function was found to be a predictor of employment (unemployment). The studies pointed out significant correlations between greater disability and lower earnings and higher income from benefits. A study found the same correlation in relation to cognitive function. The studies reported higher work disability in relation to higher physical disability and lower cognitive function. In conclusion, this systematic review summarizes the pronounced differences in various socioeconomic outcomes between patients with MS with regards to their physical disability and cognitive function. In addition, we identified a lack of studies with longitudinal design in this field that can provide more robust estimates with covariate adjustments, such as disease modifying treatments.
| Originalsprog | Engelsk |
|---|---|
| Artikelnummer | 737211 |
| Tidsskrift | Frontiers in Neurology |
| Vol/bind | 12 |
| Antal sider | 13 |
| ISSN | 1664-2295 |
| DOI | |
| Status | Udgivet - 6. jan. 2022 |
Bibliografisk note
Funding Information:Conflict of Interest: AK is also employed by Takeda Pharma AB. VD has received financial support from Stockholm County Council; Biogen (recipient of grant and scholarship, PI for project sponsored by); Novartis (Scientific Advisory board member, recipient of scholarship and lecture honoraria); Merc (Scientific Advisory Board member, recipient of lecture honoraria). SB has received speaker’s fee and had travel and conference expenses paid by Biogen. JH received honoraria for serving on advisory boards for Biogen and Novartis and speakers fees from Biogen, MerckSerono, BayerSchering, Teva, and SanofiGenzyme. He has served as P.I. for projects sponsored by, or received unrestricted research support from Biogen, SanofiGenzyme, MerckSerono, TEVA, Novartis, and BayerSchering. His MS research is funded by the Swedish Research Council and the Swedish Brain Foundation.
Funding Information:
For the help with the literature search, defining the search strategy, constructing the search string, and performing the search in the databases, we would like to thank Gun Brit Knutss?n, Information Scientist, Karolinska Institutet University Library.
Publisher Copyright:
Copyright © 2022 Kavaliunas, Danylaitė Karrenbauer, Binzer and Hillert.