Prediction of Sickness Absence in Patients with Chronic Low Back Pain: A Systematic Review

Kuijer, Wietske; Groothoff, Johan W.; Brouwer, Sandra; Geertzen, Jan H. B.; Dijkstra, Pieter U.

doi:10.1007/s10926-006-9021-8

Cited by 94 publications

(112 citation statements)

References 74 publications

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“…The finding that expectations regarding RTW at baseline predict NRTW at 2 years is consistent with previous research in general injury cohorts [18][19][20][21][22][23][24][25][26] . This study is the first to demonstrate that this factor predicts RTW in a RTC cohort.…”

Section: Discussionsupporting

confidence: 89%

“…This suggests that developing a screening tool to detect individuals at risk of NRTW would be beneficial, since appropriate and effective interventions to increase the RTW rate could be offered. The two-item measure is short (5-10 minutes to complete) and simple to administer and answer, meaning that non-specialists can easily score the items and determine whether someone is at-risk of NRTW.The finding that expectations regarding RTW at baseline predict NRTW at 2 years is consistent with previous research in general injury cohorts [18][19][20][21][22][23][24][25][26] . This study is the first to demonstrate that this factor predicts RTW in a RTC cohort.…”

supporting

confidence: 80%

“…The most consistent predictor of RTW in broader injury samples was positive expectations at baseline regarding RTW in the future [18][19][20][21][22][23][24][25][26] . Other predictors of NRTW in broader injury samples included older age 18,19,[27][28][29][30][31] (but see 32,33 for conflicting results), lower levels of education 29,[34][35][36][37] , increased injury severity 27,30,34,38,39 (but see 40,41 for conflicting results), type of injury 28, 30, 35, 37 , returning to physical work tasks 28,34,40,42 , perceiving accident severity as severe 38,40,42 , higher baseline pain levels 18,27,30,37,39,43 , baseline mental health symptoms 27,39 , baseline posttraumatic stress 37,…”

mentioning

confidence: 99%

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Predictors of non-return to work 2 years post-injury in road traffic crash survivors: Results from the UQ SuPPORT study

Heron-Delaney

Warren

Kenardy

2017

Injury

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Non-return to work following road traffic crash 2 Abstract Purpose: Individuals who have sustained an injury from a road traffic crash (RTC) are at increased risk for long lasting health problems and non-return to work (NRTW). Determining the predictors of NRTW is necessary to develop screening tools to identify at-risk individuals and to provide early targeted intervention for successful return to work (RTW). The aim of this study was to identify factors that can predict which individuals will not RTW following minor or moderate injuries sustained from a RTC.Method: Participants were 194 claimants (63.4% female) within a common-law "fault-based" system from the UQ SuPPORT cohort who were working prior to their RTC. Participants were assessed at 6 months on a variety of physical and mental health measures and RTW status was determined at 2 years post-RTC. RTW rate was 78.4%.Results: Univariate predictors of NRTW included being the driver or passenger, having a prior psychiatric diagnosis, high disability level, low mental or physical quality of life, predicted non-recovery, high pain, low function, high expectations of pain persistency, low expectations about RTW, having a psychiatric diagnosis, elevated depression or anxiety. The final multivariable logistic regression model included only two variables: disability level and expectations about RTW. Seventy-five percent of individuals who will not RTW by 2 years can be identified accurately at an early stage, using only these two predictors. Conclusion:The results are promising, because they suggest that having information about two factors, which are easily obtainable, can predict with accuracy those who will require additional support to facilitate RTW. Keywords: Motor Vehicles; Traffic Accidents; Return to Work; Mental Health; HealthNon-return to work following road traffic crash 3 Predictors of non-return to work 2 years post-injury in road traffic crash survivors: results from the UQ SuPPORT studyThe annual cost of road traffic crashes (RTCs) in Australia is estimated at $27 billion 1 and Australia reports spending 3.6% of its gross domestic product on RTCs 2 . The World Health Organization 3 anticipates that RTC injuries will be the third leading cause of disabilityadjusted life years lost (DALYs) by 2020. One of the major factors contributing to these costs is non-return to work (NRTW) following injury. NRTW is also problematic because working is associated with better health, self-esteem and social connectedness 4,5 , as well as improved quality of life and overall longevity 6 .Previous research on return to work (RTW) rates and predictors in RTC cohorts have produced varied results, most likely due to the differences in the nature of injuries in the samples assessed, the variance in severity of injury (mild through to catastrophic), the timeframe for follow-up, the compensation scheme and other sociocultural factors that vary across countries, such as the health care system. Rates of RTW range from 42%-69% at 9 to 12 months post-RTC for more serious inju...

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Section: Discussionsupporting

confidence: 89%

supporting

confidence: 80%

mentioning

confidence: 99%

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Predictors of non-return to work 2 years post-injury in road traffic crash survivors: Results from the UQ SuPPORT study

Heron-Delaney

Warren

Kenardy

2017

Injury

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“…This corroborates with the evidence review for UK occupational health guidelines by Waddell and Burton. They found that the worker's own beliefs that their LBP was caused by their work and their own expectations about inability to RTW are particularly important [4,11,17,19,27]. A systematic review by Mondloch et al summarized the mechanisms by which expectations can affect outcomes [16].…”

Section: Discussionmentioning

confidence: 99%

A screening questionnaire to predict no return to work within 3 months for low back pain claimants

Bois

Donceel

2008

Eur Spine J

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The objective of the present study was to develop a short prediction questionnaire for estimating the risk of no return to work (RTW) within 3 months of sick leave to facilitate triage and management of a patient population of subacute low-back pain (LBP) sufferers. We conducted a prospective study with a 3-month follow-up on 186 patients with LBP introducing a claim for sickness benefits to the largest sickness fund in Belgium. Patients completed a screening questionnaire within 2 weeks after claim submission. All patients were invited for clinical assessment, at 6-8 weeks of sick leave, by the medical adviser. Patients' work status was recorded by the sickness fund. About 20% of the patients did not resume work at 3 months' sick leave. They were more likely to experience pain below the knee, to have an own previous prediction of a 100% no RTW and to have a severe interference of pain on daily activities. The screening tool based on these three items correctly classified 73.7% of the non-resumers and 78.4% of the resumers at a cut-off score of 0.22. The findings of this study provide evidence of the utility of a short screening questionnaire for future use in intervention studies in a social security setting.

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“…28,29 There are indicators that competitive constructs can predict the occupational status to at least the same degree. 30,31 Especially patients' self-reported measures have been shown to be significant predictors of successful RTW. So far, 2 studies have confronted FCE-based predictions with self-reported measures: first, the self-reported pain intensity, 28 and second, the patient's expected disability in the job.…”

mentioning

confidence: 99%

Value of Functional Capacity Evaluation Information in a Clinical Setting for Predicting Return to Work

Streibelt

Blume

Thren³

et al. 2009

Archives of Physical Medicine and Rehabilitation

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Prediction of Sickness Absence in Patients with Chronic Low Back Pain: A Systematic Review

Cited by 94 publications

References 74 publications

Predictors of non-return to work 2 years post-injury in road traffic crash survivors: Results from the UQ SuPPORT study

Predictors of non-return to work 2 years post-injury in road traffic crash survivors: Results from the UQ SuPPORT study

A screening questionnaire to predict no return to work within 3 months for low back pain claimants

Value of Functional Capacity Evaluation Information in a Clinical Setting for Predicting Return to Work

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