The Effect of Financial Compensation on Health Outcomes following Musculoskeletal Injury: Systematic Review

Murgatroyd, Darnel; Casey, Petrina; Cameron, Ian D.; Harris, Ian

doi:10.1371/journal.pone.0117597

Cited by 70 publications

(52 citation statements)

References 77 publications

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“…2 A recent systematic review concluded that there was an association between compensation (and related factors) and poorer health after a musculoskeletal injury. 29 Since, the NHIS does not capture information on whether individuals received any financial compensation for work- or service-related injuries, we were unable to explore the impact of these variables in our regression model. In particular, it would be informative to compare the prevalence with which Veterans receive compensation for service-related injuries versus compensation for work-related injuries in nonveterans.…”

Section: Discussionmentioning

confidence: 99%

Severe Pain in Veterans: The Effect of Age and Sex, and Comparisons With the General Population

Nahin

2017

The Journal of Pain

208

130

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This study provides national prevalence estimates of US military Veterans with severe pain, and compares Veterans to nonveterans of similar age and sex. Data used are from the 2010–2014 National Health Interview Survey (NHIS) on 67,696 adults who completed the Adult Functioning and Disability (AFD) Supplement. Participants with severe pain were identified using a validated pain severity coding system imbedded in the NHIS AFD. It was estimated that 65.5% of US military Veterans reported pain in the previous 3 months, with 9.1% classified as having severe pain. In comparison to Veterans, fewer nonveterans reported any pain (56.4%) or severe pain (6.4%). While Veterans aged 18–39 had significantly higher prevalence rates for severe pain (7.8%) than did similar-aged nonveterans (3.2%), Veterans age 70 or older were less likely to report severe pain (7.1%) than nonveterans (9.6%). Male Veterans (9.0%) were more likely to report severe pain than male nonveterans (4.7%); however, no statistically significant difference was seen between the two female groups. The prevalence of severe pain was significantly higher in Veterans with back pain (21.6%), jaw pain (37.5%), severe headaches or migraine (26.4%), and neck pain (27.7%) than in nonveterans with these conditions (respectively: 16.7%; 22.9%; 15.9%; and 21.4%). Although Veterans (43.6%) were more likely than nonveterans (31.5%) to have joint pain, no difference was seen in the prevalence of severe pain associated with this condition. Perspective Prevalence of severe pain, defined as that which occurs “most days” or “every day” and bothers the individual “a lot”, is strikingly more common in Veterans than in members of the general population, particularly in Veterans who served during recent conflicts. Additional assistance may be necessary to help Veterans cope with their pain.

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Section: Discussionmentioning

confidence: 99%

Severe Pain in Veterans: The Effect of Age and Sex, and Comparisons With the General Population

Nahin

2017

The Journal of Pain

208

130

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“…Similar to our study, Murgatroyd et al hypothesized that the effect of receiving WC differed depending on the type of outcome, such as physical function, psychological function, and pain. (14) In their systematic review, they concluded that WC was associated with poorer psychological and physical function results and more pain. However, they were unable to compare outcome types because they did not perform a meta-analysis.…”

Section: Discussionmentioning

confidence: 99%

The Effect of Workers’ Compensation on Outcome Measurement Methods after Upper Extremity Surgery: A Systematic Review and Meta-Analysis

Fujihara

Shauver

Lark

et al. 2017

Plastic &Amp; Reconstructive Surgery

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Background Patients who receive workers’ compensation (WC) often display worse surgical result such as prolonged pain or reduced functional ability. The outcomes of surgery can be assessed using a variety of surveys, assessments, and measurements. It is unknown if the confounding effect differs based on how results are measured. The aim of this study is to determine if these variations exist. Methods A search of full-length articles published between January 1, 1995 and December 31, 2015 was conducted using PubMed, Embase, and CINAHL. We performed a systematic review and meta-analysis using unique inclusion criteria for each. Results A total of 101 articles were included in the systematic review; 62 of those were retained for the meta-analysis. In the systematic review, 70% of studies found that patients receiving WC had significantly worse postoperative results than uncompensated patients, whereas only 42% of studies that measured pre- vs postoperative improvement were influenced by WC. The meta-analysis found that uncompensated patients were more likely to experience improvement after surgery than patients receiving WC (summary OR 3.17; 95% CI 2.47–4.08). A subgroup analysis demonstrated that functional measures, such as grip strength or nonunion, were least affected by WC, compared with other outcome measures such as patient-reported outcomes questionnaires or time off work. The specific disorder or the country of study did not change the effect of WC on results. Conclusion Potential bias introduced by WC can be mitigated by evaluating surgical treatment of work-related upper extremity disorders using pre- vs postoperative improvement or functional measures.

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“…Few qualitative studies have identified factors that largely depend on a person's environment and health‐care and compensation systems . Others reported factors such as lack of family support, legal involvement and the compensation claim . However, it is still unclear how these factors impact the recovery outcome; how they interact; and which from an injured person's perspective are the most important to measure to identify people at high risk for poor recovery.…”

Section: Introductionmentioning

confidence: 99%

Biopsychosocial barriers affecting recovery after a minor transport‐related injury: A qualitative study from Victoria

Samoborec

Ayton

Ruseckaite

et al. 2019

Health Expectations

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ObjectiveThe aim of the study was to understand the recovery phenomena and to explore participants' perspectives on the biopsychosocial facilitators and barriers affecting their recovery after a minor transport injury.MethodsA qualitative method was used involving semi‐structured interviews with 23 participants who sustained a minor transport injury. Interviews and analysis were guided by the biopsychosocial model (BPS) of health. The outcomes were themes capturing biopsychosocial barriers to, and personal experiences of, recovery using a previously defined framework.ResultsThe themes indicate that recovery is a multifaceted phenomenon affected by comorbidities such as chronic pain, depression and anxiety. A range of subsequent complexities such as the inability to self‐care and undertaking daily domestic duties, and incapacity to participate in recreational activities were major barriers to recovery. These barriers were found to be an on‐going source of frustration, dissatisfaction and a perceived cause of depressive symptomatology in many participants. Most participants reported mixed feelings of the care received. Other common issues raised included a lack of understanding of the assessment time, regular follow‐up, guidance and on‐going support.ConclusionThis study revealed that recovery after a minor transport‐related injury was a challenging, complex, demanding and a long‐term process for the individuals in this study. Findings from this limited cohort suggested that, for participants to return to their pre‐accident health status, a more coordinated approach to information and care delivery may be required.

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The Effect of Financial Compensation on Health Outcomes following Musculoskeletal Injury: Systematic Review

Cited by 70 publications

References 77 publications

Severe Pain in Veterans: The Effect of Age and Sex, and Comparisons With the General Population

Severe Pain in Veterans: The Effect of Age and Sex, and Comparisons With the General Population

The Effect of Workers’ Compensation on Outcome Measurement Methods after Upper Extremity Surgery: A Systematic Review and Meta-Analysis

Biopsychosocial barriers affecting recovery after a minor transport‐related injury: A qualitative study from Victoria

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