Chapter 4: Disabilities Related to the Musculoskeletal System: Physical Evaluation Board Data

Amoroso, Paul J.; Canham, Michelle L.

doi:10.1093/milmed/164.suppl_8.4-1

Cited by 13 publications

(15 citation statements)

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“…Because of the substantial excess fraction of disability associated with smoking (38% among current smokers with meniscal injuries), the introduction of smoking cessation efforts at the time of diagnosis has great potential to prevent the development of physical disability and to reduce the large associated direct and indirect costs of musculoskeletal-related disability payments to veterans (lifetime costs of $485 million to newly disabled Army personnel in 1993 [AFEB, 1996] and average costs of $274,000 per permanent disability case [Amoroso and Canham, 1999]). Secondary prevention initiatives that alleviate the tissue deoxygenation induced by smoking, such as post-operative hyperbaric and ultrasound treatments [Upson, 1986;Cook et al, 1997], may also be helpful.…”

Section: Discussionmentioning

confidence: 99%

“…The following ratings were selected to represent long-term disability status: (1) permanent disability/retirement; (2) severance with a lump sum payment but no benefits; or (3) temporary disability. Persons can remain on temporary disability for a maximum of five years and must be re-evaluated within 18 months, although most ultimately receive permanent disability retirements [Amoroso and Canham, 1999].…”

Section: Outcomementioning

confidence: 99%

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The effect of cigarette smoking on musculoskeletal‐related disability

Lincoln

Smith

Amoroso

et al. 2003

American J Industrial Med

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Section: Discussionmentioning

confidence: 99%

Section: Outcomementioning

confidence: 99%

The effect of cigarette smoking on musculoskeletal‐related disability

Lincoln

Smith

Amoroso

et al. 2003

American J Industrial Med

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“…37,38 As a result, it is not surprising that the incidence and prevalence of OA among military service members and other tactical athletes in the current systematic review appeared to be higher than in nonexposed controls in the general population. This was particularly evident when we reviewed studies that specifically examined these OA outcomes in tactical athlete populations (Table 1).…”

Section: Discussionmentioning

confidence: 70%

“…4,5,40,41 Although estimates are that posttraumatic OA accounts for 12% of all OA cases in the general population, 42 the prevalence of posttraumatic OA in tactical athletes remains unclear and is probably much higher. Joint trauma in military populations has been associated with high rates of disability and medical discharge from service 38,[43][44][45][46] and likely contributes to the high rates of disability discharge associated with OA observed in this population. 37,47,48 Limited data are available on acute traumatic joint injuries in other tactical athlete populations, but they are also probably at increased risk for these injuries.…”

Section: Discussionmentioning

confidence: 99%

Osteoarthritis and the Tactical Athlete: A Systematic Review

Cameron

Driban

Svoboda

2016

Journal of Athletic Training

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Objective: Although tactical athletes (eg, military service members, law enforcement personnel, fire fighters) are exposed to several known risk factors, it remains unclear if they are at increased risk for osteoarthritis (OA). The purpose of this systematic review was to investigate the association between serving as a tactical athlete and the incidence and prevalence of OA. Data Sources: We completed a comprehensive systematic literature search in November 2014 using 12 bibliographic databases (eg, PubMed, Ovid, SportDiscus) supplemented with manual searches of reference lists. Study Selection: Studies were included if they met the following criteria: (1) an aim of the study was to investigate an association between tactical athletes and OA; (2) the outcome measure was radiographic OA, clinical OA, total joint replacement, self-reported diagnosis of OA, or placement on a waiting list for a total joint replacement; (3) the study design was a cohort study; and (4) the study was written in English. Data Extraction: One investigator extracted data from articles that met all inclusion criteria (eg, group descriptions, measures of disease burden, source of nonexposed controls). Data Synthesis: Twelve articles met the inclusion criteria and described retrospective cohort studies. Firefighters, active-duty military service members, and veteran military parachutists consistently had a higher incidence or prevalence of knee, hip, or any OA diagnosis (4 studies). Active-duty pilots and veteran military parachutists may have a higher prevalence of spine OA, but this was not statistically significant (2 studies). Occupational risk factors for OA among tactical athletes include rank and branch of military service. The risk of OA among individuals who completed mandatory national military service remains unclear (6 studies). Conclusions: The incidence of OA among tactical athletes appears to be significantly higher when compared with nonexposed controls. Further research is needed to specifically identify modifiable risk factors within this high-risk population to develop and implement effective risk-reduction strategies.

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“…For fiscal year 1994, 53% of all disability discharges from the Army were due to musculoskeletal conditions. The next most common cause of disability discharge, mental disorders, accounted for only 14% of disabilities (6,55).…”

Section: Occupational Musculoskeletal Disabilitiesmentioning

confidence: 99%

Knee-Related Injuries and Disabilties in the U.S. Army, 1980-1997

Sulsky¹,

Mundt²,

Bigelow³

et al. 2000

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Objectives: This report identifies predictors of occupational knee injury and knee-related disability; demonstrates that a series of case-control comparisons can be used to identify differences in the determinants of these outcomes; and demonstrates that data collected for administrative purposes represent a cost-effective resource for epidemiologic research. Methods: Using the Total Army Injury and Health Outcomes Database (TAIHOD), we conducted separate case-control comparisons of occupational knee injury and knee-related disability discharge from active duty service. Results: Among men and women, non-whites were at about 30% lower risk than whites for both outcomes. There was increasing risk of both injury and disability with increasing age for women, and for disability among men. Duration of service (positive) and pay grade (negative) were associated with both outcomes for men and women. Other risk factors differed for men and women by outcome, and the final models included different parameters for each gender. Exploratory analyses suggested interactions between demographic and occupational factors. Conclusions: The differences between the final injury and disability models underscores the utility of separate case-control comparisons to identify risk factors for related outcomes. This study demonstrates the usefulness of large linked databases in epidemiologic research of occupational injury and disability.

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Chapter 4: Disabilities Related to the Musculoskeletal System: Physical Evaluation Board Data

Cited by 13 publications

References 0 publications

The effect of cigarette smoking on musculoskeletal‐related disability

The effect of cigarette smoking on musculoskeletal‐related disability

Osteoarthritis and the Tactical Athlete: A Systematic Review

Knee-Related Injuries and Disabilties in the U.S. Army, 1980-1997

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