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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
Main Authors: Bousquet, Elodie, Dhundass, Myriam, Lehmann, Mathieu, Rothschild, Pierre-Raphaël, Bayon, Virginie, Leger, Damien, Bergin, Ciara, Dirani, Ali, Beydoun, Talal, Behar-Cohen, Francine
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cited_by cdi_FETCH-LOGICAL-c502t-a798dbf305f829bbd022479670802ca60e13ad3b4327428847a72c50c1cea2643
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container_title American journal of ophthalmology
container_volume 165
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&lt;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&lt;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 &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; 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&lt;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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