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: Rotator cuff syndrome can substantially affect a person’s health and functioning with pain and/or weakness often restricting a person’s ability to carry out their daily activities and to work. Rotator cuff syndrome frequently results in lost productivity and significant financial costs for industry and employers.The guidelines have been developed using a rigorous methodology for searching,appraising and grading evidence. Recommendations have been developed using recent research evidence in conjunction with a multidisciplinary working party. Flowcharts and resources have been developed to support the use of the guidelines. Resources include: rotator cuff syndrome information sheet (for injured workers) and return to work (RTW), guides for employers and GPs. The guidelines are applicable to GPs, medical specialists and other health care providers involved in the treatment of people with rotator cuff syndrome such as physiotherapists, occupational therapists, psychologists, ergonomists, chiropractors and osteopaths. The guidelines can also be used by the injured worker and both workplace-based employees and workers compensation insurers involved in coordinating and supporting the RTW for workers with rotator cuff syndrome.1st edited by L Krahe,, 01/2013; University of NSW, Medicine, Rural Clinical School, Port Macquarie Campus., ISBN: 978-0-7334-3195-5
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ABSTRACT: Objective: To assess the associations between psychological factors and return to work among long-term sickness absentees. Design: Longitudinal study with a 3-year follow-up. Subjects: Long-term sickness absentees (n = 905) who had undergone a multidisciplinary medical assessment. Methods: Three years after multidisciplinary medical assessment, return to work status (full, partial, or none) was determined according to whether the individuals received full, partial, or no sickness benefits. Multinomial logistic regression analyses were performed to assess the odds ratios with 95% confidence intervals for return to work related to indecision, lassitude, fatigability, reduced sleep, social functioning, emotional role limitations, and vitality. Results: After adjusting for socio-demographic factors and medical diagnoses most of the studied psychological factors were significantly associated with full (odds ratios 2.13-1.50) and partial (odds ratios 2.25-1.63) return to work in the follow-up period. Low level of lassitude was associated with full return to work (odds ratio 1.72) even when the other psychological factors were controlled for. Similarly, low fatigability was associated with partial return to work (odds ratio 1.81). Conclusion: This study indicates that psychological factors are important for both full and partial return to work among long-term sickness absentees who have undergone a multidisciplinary medical assessment.Journal of rehabilitation medicine: official journal of the UEMS European Board of Physical and Rehabilitation Medicine 11/2012; · 1.88 Impact Factor
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ABSTRACT: Technical Report includes Methodology, Tables of Evidence, technical information for systematic searches and appraisal, evidence statements for recommendations1st edited by L Krahe, L Scahill, 01/2013; University of NEw South Wales, Medicine, Rural Clinical School., ISBN: 978-0-7334-3196-8