Predictive factors for disability pension--an 11-year follow up of young persons on sick leave due to neck, shoulder, or back diagnoses.
ABSTRACT Although back diagnoses are recurrent and the main diagnoses behind sickness absence and disability pension surprisingly few longitudinal studies have been performed. This study identifies predictive factors for disability pension among young persons initially sick-listed with back diagnoses.
An 11-year prospective cohort study was conducted, including all individuals in a Swedish city who, in 1985, were aged 25-34 and sick-listed > or =28 days owing to neck, shoulder, or back diagnoses (n = 213). The following data was obtained: disability pension, emigration, and death for 1985-96, sickness absence for 1982-84, and demographics in 1985 regarding sex, income, occupation, marital status, diagnosis, socioeconomic group, and citizenship. Cox regression and life tables were used in the analyses.
In 1996, i.e. within 11 years, 22% of the individuals (27% of the women and 14% of the men) had been granted disability pension. The relative risk for disability pension was higher for women (2.4; p = 0.010), persons with foreign citizenship (3.6; p=0.009), and those who had had >14 sick-leave days per spell during the three years before inclusion, compared to those with <7 days/spell (3.1; p=0.003).
This cohort of young persons proved to be a high-risk group for disability pension. Some of the factors known to predict long-time sickness absence also predict disability pension in a cohort of already sick-listed persons.
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ABSTRACT: Stress-related mental disorders rank among the leading causes of sickness absence in several European countries. The aim of this study was to investigate predictors of all-cause and diagnosis-specific disability pension in sickness absentees with stress-related mental disorders.BMC Public Health 08/2014; 14(1):805. · 2.08 Impact Factor
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ABSTRACT: Study Design. A register-based national study.Objective. To describe the occurrence of spinal disorders (SDs) resulting in disability pension (DP) in Finland during 1990-2010.Summary of Background Data. The indirect cost of spinal disorder is excessive. The most significant indirect cost is caused by DP. There are no nation wide long-term studies of disability pension trends caused by SDs.Methods. The study setting consisted of Finnish working age population (20-64 years of age). All new cases were identified from the nationwide register maintained by the Finnish Centre of Pensions from the beginning of 1990 to the end of 2010. The data included sex, age group, year of the DP decision and main cause of incapacity (diagnosis) leading to DP. Main outcome measure was DPs due to SDs.Results. A total of 84375 individuals (40415 female, 43960 male) received DP during the study period. Age and sex adjusted incidence rate ratio was 0.45 (95% CI: 0.44 to 0.46) between time periods of 1990-1994 and 2005-2010. In males crude incidence in 1990-1994 was 21.0 (95% CI: 20.6 to 21.3) per 10 000 person years and in 2005-2010 11.1 (10.9 to 11.3), and in females 18.8 (95% CI: 18.5 to 19.1) and 11.4 (95% CI: 11.1 to 11.6). During the study period the overall DP rate also decreased. Age and gender adjusted incidence rate ratio was 0.66 (95 % CI: 0.65 to 0.67) between time periods 1990-1994 and 2005-2010. However, the proportion of DPs due to the SDs of all new DPs was higher in the first half of 1990s than in 2005-2010 [adjusted proportion 19.6 % (95% CI: 19.4 to 19.8) vs 14.4 % (95% CI: 14.2 to 14.6)].Conclusion. The occurrence of DPs due to spinal disorders has decreased significantly during the period of 1990-2010 in Finland. Based on the register data non-medical factors and legislative reforms may explain the decrease of DPs more than treatments provided by health-care.Spine 12/2013; · 2.16 Impact Factor
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ABSTRACT: The aim was to study whether a workplace-registered frequent short-term sick leave spell pattern was an early indicator of future disability pension or future long-term sick leave among municipal eldercare workers. The municipal healthcare sector in the city of Aarhus, which is the second largest city in Denmark. All elder care employees who worked the entire year of 2004 in the municipality of Aarhus, Denmark (N=2774). The employees' sick leave days during 2004 were categorised into: 0-2 and 3-17 short (1-7 days) spells, 2-13 mixed short and long (8+ days) spells and long spells only. Student workers (n=180), employees who were absent due to maternal/paternal leave (n=536) and employees who did not work the entire year of 2004 (n=1218) were not included. Disability pension and long-term sick leave (≥8 weeks) were subsequently identified in a National register. The cumulative incidence proportion as a function of follow-up weeks was estimated using the Kaplan-Meier curve. The relative cumulative incidence (RR) of experiencing events within 352 weeks was analysed in a generalised linear regression model using the pseudo values method adjusted for age, occupation, unfavourable work factors and sick leave length. A frequent short-term and a mixed sick leave pattern showed RRs of being granted a disability pension of 2.08 (95% CI 1.00 to 4.35) and 2.61 (95% CI 1.33 to 5.12) compared with 0-2 short spells. The risk of long-term sick leave was significantly increased for all sick leave patterns compared with 0-2 short spells. Adding sick leave length to the models attenuated all RRs and they became non-significant. Sick leave length was a better indicator of future workability than spell frequency. Preventive actions should target employees engaged in homecare. The more sick leave days the greater the preventive potential seems, irrespective of spell frequency.BMJ Open 01/2014; 4(2):e003941. · 1.58 Impact Factor