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Shift work: a risk factor for central serous chorioretinopathy
Abstract Purpose To investigate if shift work or sleep disturbances are risk factors of central serous chorioretinopathy (CSCR). Design Prospective case control study. Methods Forty patients with active CSCR and 40 controls (age and sex matched) were prospectively recruited from Ophthalmology depart...
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Published in: | American journal of ophthalmology 2016-05, Vol.165, p.23-28 |
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container_title | American journal of ophthalmology |
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creator | Bousquet, Elodie Dhundass, Myriam Lehmann, Mathieu Rothschild, Pierre-Raphaël Bayon, Virginie Leger, Damien Bergin, Ciara Dirani, Ali Beydoun, Talal Behar-Cohen, Francine |
description | Abstract Purpose To investigate if shift work or sleep disturbances are risk factors of central serous chorioretinopathy (CSCR). Design Prospective case control study. Methods Forty patients with active CSCR and 40 controls (age and sex matched) were prospectively recruited from Ophthalmology department of Hôtel Dieu Hospital, Paris between November 2013 and December 2014. All patients were asked to complete a questionnaire addressing previously described risk factors, working hours and the Insomnia Severity Index (ISI), a validated instrument for assessing sleep disturbances. Results The mean age of the CSCR group was 44± 9 years whereas the mean age of the control group was 43 ±10 years. By use of multivariate analysis, shift work (odd ratio (OR), 95% confidence interval: 5 [1.2-20.4] ; p=0.02), steroid use (OR: 5.5 [1.1-26.2] ; p=0.03) and recent psychological stress (OR: 15.3 [4.1-54.5] ; p |
doi_str_mv | 10.1016/j.ajo.2016.02.012 |
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Design Prospective case control study. Methods Forty patients with active CSCR and 40 controls (age and sex matched) were prospectively recruited from Ophthalmology department of Hôtel Dieu Hospital, Paris between November 2013 and December 2014. All patients were asked to complete a questionnaire addressing previously described risk factors, working hours and the Insomnia Severity Index (ISI), a validated instrument for assessing sleep disturbances. Results The mean age of the CSCR group was 44± 9 years whereas the mean age of the control group was 43 ±10 years. By use of multivariate analysis, shift work (odd ratio (OR), 95% confidence interval: 5 [1.2-20.4] ; p=0.02), steroid use (OR: 5.5 [1.1-26.2] ; p=0.03) and recent psychological stress (OR: 15.3 [4.1-54.5] ; p<0.001) were found to be independently associated with CSCR. Conclusion The outcomes of this study suggest that shift work is an independent risk factor of CSCR. Further studies are required to confirm these results and to examine if work reconversion would be beneficial in the treatment of patients with chronic/recurrent CSCR.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/j.ajo.2016.02.012</identifier><identifier>PMID: 26915576</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Age ; Alcohol ; Cardiovascular disease ; Case-Control Studies ; Central Serous Chorioretinopathy - diagnosis ; Central Serous Chorioretinopathy - epidemiology ; Confidence intervals ; Female ; Humans ; Hypertension ; Male ; Middle Aged ; Multivariate analysis ; Odds Ratio ; Ophthalmology ; Prospective Studies ; Questionnaires ; Risk Factors ; Shift work ; Sleep ; Sleep Disorders, Circadian Rhythm - diagnosis ; Sleep Disorders, Circadian Rhythm - epidemiology ; Stress, Psychological - diagnosis ; Stress, Psychological - epidemiology ; Studies ; Surveys and Questionnaires ; Work Schedule Tolerance ; Young Adult</subject><ispartof>American journal of ophthalmology, 2016-05, Vol.165, p.23-28</ispartof><rights>Elsevier Inc.</rights><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited May 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c502t-a798dbf305f829bbd022479670802ca60e13ad3b4327428847a72c50c1cea2643</citedby><cites>FETCH-LOGICAL-c502t-a798dbf305f829bbd022479670802ca60e13ad3b4327428847a72c50c1cea2643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26915576$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bousquet, Elodie</creatorcontrib><creatorcontrib>Dhundass, Myriam</creatorcontrib><creatorcontrib>Lehmann, Mathieu</creatorcontrib><creatorcontrib>Rothschild, Pierre-Raphaël</creatorcontrib><creatorcontrib>Bayon, Virginie</creatorcontrib><creatorcontrib>Leger, Damien</creatorcontrib><creatorcontrib>Bergin, Ciara</creatorcontrib><creatorcontrib>Dirani, Ali</creatorcontrib><creatorcontrib>Beydoun, Talal</creatorcontrib><creatorcontrib>Behar-Cohen, Francine</creatorcontrib><title>Shift work: a risk factor for central serous chorioretinopathy</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>Abstract Purpose To investigate if shift work or sleep disturbances are risk factors of central serous chorioretinopathy (CSCR). Design Prospective case control study. Methods Forty patients with active CSCR and 40 controls (age and sex matched) were prospectively recruited from Ophthalmology department of Hôtel Dieu Hospital, Paris between November 2013 and December 2014. All patients were asked to complete a questionnaire addressing previously described risk factors, working hours and the Insomnia Severity Index (ISI), a validated instrument for assessing sleep disturbances. Results The mean age of the CSCR group was 44± 9 years whereas the mean age of the control group was 43 ±10 years. By use of multivariate analysis, shift work (odd ratio (OR), 95% confidence interval: 5 [1.2-20.4] ; p=0.02), steroid use (OR: 5.5 [1.1-26.2] ; p=0.03) and recent psychological stress (OR: 15.3 [4.1-54.5] ; p<0.001) were found to be independently associated with CSCR. Conclusion The outcomes of this study suggest that shift work is an independent risk factor of CSCR. Further studies are required to confirm these results and to examine if work reconversion would be beneficial in the treatment of patients with chronic/recurrent CSCR.</description><subject>Adult</subject><subject>Age</subject><subject>Alcohol</subject><subject>Cardiovascular disease</subject><subject>Case-Control Studies</subject><subject>Central Serous Chorioretinopathy - diagnosis</subject><subject>Central Serous Chorioretinopathy - epidemiology</subject><subject>Confidence intervals</subject><subject>Female</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multivariate analysis</subject><subject>Odds Ratio</subject><subject>Ophthalmology</subject><subject>Prospective Studies</subject><subject>Questionnaires</subject><subject>Risk Factors</subject><subject>Shift work</subject><subject>Sleep</subject><subject>Sleep Disorders, Circadian Rhythm - diagnosis</subject><subject>Sleep Disorders, Circadian Rhythm - epidemiology</subject><subject>Stress, Psychological - diagnosis</subject><subject>Stress, Psychological - epidemiology</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Work Schedule Tolerance</subject><subject>Young Adult</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNp9kU1r3DAQhkVpaLZpf0AvxdBLL3ZG8oekBAIhtEkg0EPas5DlMSuv19pI3ob9951l0wRyyEFoBM87jJ5h7AuHggNvTofCDqEQVBYgCuDiHVtwJXXOlebv2QIARK5LXR2zjykN9GxkJT-wY9FoXteyWbCL-6Xv5-wxxNVZZrPo0yrrrZtDzHo6Dqc52jFLGMM2ZW4Zog8RZz-FjZ2Xu0_sqLdjws9P9wn78_PH76ub_O7X9e3V5V3uahBzbqVWXduXUPdK6LbtQIhK6kaCAuFsA8hL25VtVQpZCaUqaaWgqOMOrWiq8oR9P_TdxPCwxTSbtU8Ox9FOSIMZLpWWtRRQE_rtFTqEbZxoOqI0cEWGFFH8QLkYUorYm030axt3hoPZyzWDIblmL9eAMCSXMl-fOm_bNXbPif82CTg_AEgq_nqMJjmPk8POR3Sz6YJ_s_3Fq7Qb_eSdHVe4w_TyC5MoYO73290vlzclLZbKf1kMnJE</recordid><startdate>20160501</startdate><enddate>20160501</enddate><creator>Bousquet, Elodie</creator><creator>Dhundass, Myriam</creator><creator>Lehmann, Mathieu</creator><creator>Rothschild, Pierre-Raphaël</creator><creator>Bayon, Virginie</creator><creator>Leger, Damien</creator><creator>Bergin, Ciara</creator><creator>Dirani, Ali</creator><creator>Beydoun, Talal</creator><creator>Behar-Cohen, Francine</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20160501</creationdate><title>Shift work: a risk factor for central serous chorioretinopathy</title><author>Bousquet, Elodie ; Dhundass, Myriam ; Lehmann, Mathieu ; Rothschild, Pierre-Raphaël ; Bayon, Virginie ; Leger, Damien ; Bergin, Ciara ; Dirani, Ali ; Beydoun, Talal ; Behar-Cohen, Francine</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c502t-a798dbf305f829bbd022479670802ca60e13ad3b4327428847a72c50c1cea2643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Age</topic><topic>Alcohol</topic><topic>Cardiovascular disease</topic><topic>Case-Control Studies</topic><topic>Central Serous Chorioretinopathy - diagnosis</topic><topic>Central Serous Chorioretinopathy - epidemiology</topic><topic>Confidence intervals</topic><topic>Female</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multivariate analysis</topic><topic>Odds Ratio</topic><topic>Ophthalmology</topic><topic>Prospective Studies</topic><topic>Questionnaires</topic><topic>Risk Factors</topic><topic>Shift work</topic><topic>Sleep</topic><topic>Sleep Disorders, Circadian Rhythm - diagnosis</topic><topic>Sleep Disorders, Circadian Rhythm - epidemiology</topic><topic>Stress, Psychological - diagnosis</topic><topic>Stress, Psychological - epidemiology</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Work Schedule Tolerance</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bousquet, Elodie</creatorcontrib><creatorcontrib>Dhundass, Myriam</creatorcontrib><creatorcontrib>Lehmann, Mathieu</creatorcontrib><creatorcontrib>Rothschild, Pierre-Raphaël</creatorcontrib><creatorcontrib>Bayon, Virginie</creatorcontrib><creatorcontrib>Leger, Damien</creatorcontrib><creatorcontrib>Bergin, Ciara</creatorcontrib><creatorcontrib>Dirani, Ali</creatorcontrib><creatorcontrib>Beydoun, Talal</creatorcontrib><creatorcontrib>Behar-Cohen, Francine</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bousquet, Elodie</au><au>Dhundass, Myriam</au><au>Lehmann, Mathieu</au><au>Rothschild, Pierre-Raphaël</au><au>Bayon, Virginie</au><au>Leger, Damien</au><au>Bergin, Ciara</au><au>Dirani, Ali</au><au>Beydoun, Talal</au><au>Behar-Cohen, Francine</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Shift work: a risk factor for central serous chorioretinopathy</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>2016-05-01</date><risdate>2016</risdate><volume>165</volume><spage>23</spage><epage>28</epage><pages>23-28</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>Abstract Purpose To investigate if shift work or sleep disturbances are risk factors of central serous chorioretinopathy (CSCR). Design Prospective case control study. Methods Forty patients with active CSCR and 40 controls (age and sex matched) were prospectively recruited from Ophthalmology department of Hôtel Dieu Hospital, Paris between November 2013 and December 2014. All patients were asked to complete a questionnaire addressing previously described risk factors, working hours and the Insomnia Severity Index (ISI), a validated instrument for assessing sleep disturbances. Results The mean age of the CSCR group was 44± 9 years whereas the mean age of the control group was 43 ±10 years. By use of multivariate analysis, shift work (odd ratio (OR), 95% confidence interval: 5 [1.2-20.4] ; p=0.02), steroid use (OR: 5.5 [1.1-26.2] ; p=0.03) and recent psychological stress (OR: 15.3 [4.1-54.5] ; p<0.001) were found to be independently associated with CSCR. Conclusion The outcomes of this study suggest that shift work is an independent risk factor of CSCR. Further studies are required to confirm these results and to examine if work reconversion would be beneficial in the treatment of patients with chronic/recurrent CSCR.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26915576</pmid><doi>10.1016/j.ajo.2016.02.012</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Age Alcohol Cardiovascular disease Case-Control Studies Central Serous Chorioretinopathy - diagnosis Central Serous Chorioretinopathy - epidemiology Confidence intervals Female Humans Hypertension Male Middle Aged Multivariate analysis Odds Ratio Ophthalmology Prospective Studies Questionnaires Risk Factors Shift work Sleep Sleep Disorders, Circadian Rhythm - diagnosis Sleep Disorders, Circadian Rhythm - epidemiology Stress, Psychological - diagnosis Stress, Psychological - epidemiology Studies Surveys and Questionnaires Work Schedule Tolerance Young Adult |
title | Shift work: a risk factor for central serous chorioretinopathy |
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