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Prediction of long-term absence due to sickness in employees
Development and validation of a multifactorial risk score in two cohort studies Objectives: This study aimed to develop and validate a risk prediction model for long-term sickness absence. Methods: Survey responses on work- and lifestyle-related questions from 65 775 public-sector employees were linked to sickness absence records to develop a prediction score for medically-certified sickness absence lasting >9 days and ≥90 days. The score was externally validated using data from an independent population-based cohort of 13 527 employees. For both sickness absence outcomes, a full model including...
Occupational and genetic risk factors for osteoarthritis: A review
BACKGROUND : Osteoarthritis (OA) is a multifactorial disease with strong genetic and occupational components. Although published studies have described several risk factors for OA, very few studies have investigated the occupational and genetic factors that contribute to this debilitating condition. OBJECTIVE : To describe occupational and genetic factors that may contribute to the risk of developing (OA). METHODS : A literature search was conducted in PubMed using the search terms osteoarthritis, occupation, work, and genetics. RESULTS : Heavy physical work load was the most common occupational...
Predicting Return to Work in Workers with All-Cause Sickness Absence Greater than 4 Weeks: A Prospective Cohort Study
Introduction Long-term sickness absence is a major public health and economic problem. Evidence is lacking for factors that are associated with return to work (RTW) in sick-listed workers. The aim of this study is to examine factors associated with the duration until full RTW in workers sick-listed due to any cause for at least 4 weeks. Methods In this cohort study, health-related, personal and job-related factors were measured at entry into the study. Workers were followed until 1 year after the start of sickness absence to determine the duration until full RTW. Cox proportional hazards regression...
Work-related psychosocial and mechanical risk factors for work disability
A 3-year follow-up study of the general working population in Norway Objectives This study examines the impact of work-related psychosocial and mechanical risk factors for work disability in the general working population. Methods A randomly drawn cohort from the general population in Norway aged 18–66 years was followed for 3 years (N=12 550, 67% response rate at baseline). Eligible respondents were in paid work for ≥10 hours per week in 2006 and were still in paid work or had quit working because of health problems (work disability) in 2009 (N=6745). Five work-related psychosocial factors...
La notion d’appartenance ethnoculturelle dans la recherche et l’intervention en réadaptation
Au Canada, avec le vieillissement de la main-d’oeuvre et le faible taux de natalité, l’État doit faire appel à l’immigration pour éviter une croissance négative de la population et pour combler les besoins de main-d’oeuvre de l’industrie. Il est rapporté que les immigrants et les personnes issues des minorités ethnoculturelles présentent une vulnérabilité accrue face aux risques liés à la SST et à l’incapacité prolongée. Cependant, très peu de choses...
Prediction of failure to retain work 1 year after interdisciplinary functional restoration in occupational injuries
OBJECTIVE: To identify risk factors for work retention (a patients' ability to both obtain and retain employment) at 1 year after treatment for a chronic disabling occupational musculoskeletal disorder (CDOMD). DESIGN: Prospective cohort study. SETTING: Consecutive patients undergoing interdisciplinary functional restoration treatment in a regional rehabilitation referral center. PARTICIPANTS: A sample of 1850 consecutive CDOMD patients, who were admitted to and completed a functional restoration program, were subsequently classified as work retention or nonwork retention at a 1-year posttreatment...
Identifying factors relevant in the assessment of return-to-work efforts in employees on long-term sickness absence due to chronic low back pain: a focus group study
Muijzer, Anne et coll. (2012, sous presse). Identifying factors relevant in the assessment of return-to-work efforts in employees on long-term sickness absence due to chronic low back pain: a focus group study. BMC Public Health , 12. (version provisoire en libre accès) Background: Efforts undertaken during the return to work (RTW) process need to be sufficient to prevent unnecessary applications for disability benefits. The purpose of this study was to identify factors relevant to RTW Effort Sufficiency (RTW-ES) in cases of sick-listed employees with chronic low back pain (CLBP). Methods...
Évaluation de l’implantation et de l’impact du programme PRÉVICAP
Les lésions musculo-squelettiques (LMS) constituaient 37,3 % des maladies professionnelles indemnisées au Québec en 2000, occasionnant ainsi 40,7 % des sommes déboursées, soit près de 170 millions de dollars. Vu la situation, la CSST souhaite obtenir une évaluation scientifique de l'implantation du programme de réadaptation PRÉVICAP, actuellement à l'essai dans quatre régions. Les chercheurs étudieront la capacité de ce programme à répondre aux besoins des travailleurs risquant une incapacité...
Factors affecting return to work after carpal tunnel syndrome surgery in a large French cohort
Parot-Schinkel, E. et coll. (2011). Factors affecting return to work after carpal tunnel syndrome surgery in a large French cohort. Archives of Physical Medicine & Rehabilitation , 92 (11) :1863-1869. OBJECTIVE: To evaluate occupational outcomes after surgical release of the median nerve in carpal tunnel syndrome (CTS). DESIGN: Retrospective study 12 to 24 months after surgery. SETTING: Hand centers (N=3) in 2 different areas. PARTICIPANTS: Patients who had undergone surgical release of the median nerve in 2002 to 2003. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE: Duration of sick leave...
Disability-Free Life Expectancy: A Cross-National Comparison Among Bulgarian, Italian, and Latin American Older Population
Minuchi, Nadie et al. (2011). Disability-Free Life Expectancy: A Cross-National Comparison Among Bulgarian, Italian, and Latin American Older Population. Journal of Aging & Health , 23 (4): 629-681. Objective: To present sociodemographic and health status harmonized variables constructed to evaluate cross-national differences in term of Disability Free Life Expectancy (DFLE) across different surveys. Method: The study comprises national surveys conducted in Bulgaria, Italy, and Latin America and the Caribbean. A homogeneous group of health determinants for the older population was created and...
Are immigrants in the nursing industry at increased risk of bullying at work? A one-year follow-up study
Hogh, Annie et al. (2011). Are immigrants in the nursing industry at increased risk of bullying at work? A one-year follow-up study. Scandinavian Journal of Psychology, 52 (1) : 49-58. The purpose of this study was to explore whether (a) immigrant health care workers (HCW) are more at risk of bullying at work than Danish staff members, (b) this association is increased by previous exposure to bullying and (c) immigrants experience more bullying from supervisors, colleagues and clients/residents. We analyzed cross-sectional baseline data from 5,635 health care students of whom 10.4% were immigrants...
Sick-listed employees with severe medically unexplained physical symptoms: burden or routine for the occupational health physician? A cross sectional study
Hoedeman, Rob et al. (2010). Sick-listed employees with severe medically unexplained physical symptoms: burden or routine for the occupational health physician? A cross sectional study. BioMedCentral, 10 (305) (article en libre accès) The two primary objectives of this study were to the assess consultation load of occupational health physicians (OHPs), and their difficulties and needs with regard to their sickness certification tasks in sick-listed employees with severe medical unexplained physical symptoms (MUPS). Third objective was to determine which disease-, patient-, doctor- and practice...
Optimism and pessimism as predictors of work disability with a diagnosis of depression: A prospective cohort study of onset and recovery
Kronström, Kim et al. (2011). Journal of Affective Disorders ,130 (1-2): 294-299 Personality characteristics are assumed to affect to the vulnerability to depression and its outcomes. The aim of this study was to examine optimism and pessimism as predictors of depression-related work disability and subsequent return to work. Methods: We conducted a prospective cohort study of 38,214 public sector employees with no record of diagnosed depression. Optimism and pessimism were measured using the Revised Life Orientation Test (LOT-R). Records of long-term (> 90 days) work disability with a diagnosis...
Help-seeking behaviour for the treatment of chronic pain
There are more people living with chronic pain than cardiovascular disease and cancer combined. Many people with chronic pain do not seek help from health professionals and suffer in silence for many years. Untreated chronic pain can lead to increased disability, increased risk of fall, depression, sleep deprivation, reduced quality of life and social isolation. The aim of this review is to determine the factors associated with help-seeking for chronic pain in an effort to highlight potential reasons why help may or may not be sought. A total of 23 studies were included in the review. On the whole...
Association of hip osteoarthritis and manual handling of loads over 20 kg
Physically loading work factors may play a considerable role in the development of hip osteoarthritis. Recurrent work-related manual handling of workloads over 20 kg was associated with hip osteoarthritis in both genders between the ages of 30 and 97. The risk was visible after 12 years' exposure. These results are based on a study of the Finnish Institute of Occupational Health, Kuopio University Hospital, University of Eastern Finland and National Institute for Health and Welfare. There were a nationally representative sample of 3110 Finnish men and 3446 women in the study. Source : Kaila...
The influence of work and treatment related factors on clinical status and disability in patients with non-specific work-related upper limb disorders
Objective: To assess the influence of work- and treatment-related factors on clinical status and functional disability in patients with non-specific work-related upper limb disorders (WRULD). Participants: 182 computer workers with non-specific WRULD, 18–50 years old, not having specific WRULD nor incomplete medical records. Methods: Retrospective cohort study among computer workers with non-specific WRULD; average follow-up 4 years. Medical records at time of diagnosis and during treatment period and a follow-up questionnaire were used. Setting: Outpatient department of Rehabilitation Medicine...
A Review of Evidence-Based Biopsychosocial Laws Governing the Treatment of Pain and Injury
The impact of scientific findings on medical, psychological, and legal concepts has led to the adoption of laws and regulations that do not easily fit into the established legal categories of medical law or mental health law. Instead, this convergence of forces has resulted in laws and regulations mandating biopsychosocial treatment guidelines, where both medical and psychological cares are integrated within the framework of a single paradigm. Laws and regulations of this type have been adopted by a number of US states and Canadian provinces, and could be considered to represent a new category...
Work disability prevention in rural healthcare workers
Approximately 20% of healthcare workers in high-income countries such as Australia, Canada and the USA work in rural areas. Healthcare workers are known to be vulnerable to occupational injury and poor work disability outcomes; given their rural–urban distribution, it is possible to compare work disability prevention in rural and urban areas. However, little attention has been paid to work disability prevention issues specific to rural workers, including rural healthcare workers. A comprehensive review of the literature was conducted to identify rural–urban differences in work disability...
Epidemiology of Osteoarthritis
Osteoarthritis (OA) is the most common joint disorder in the United States. Symptomatic knee OA occurs in 10% men and 13% in women aged 60 years or older. The number of people affected with symptomatic OA is likely to increase due to the aging of the population and the obesity epidemic. OA has a multifactorial etiology, and can be considered the product of an interplay between systemic and local factors. Old age, female gender, overweight and obesity, knee injury, repetitive use of joints, bone density, muscle weakness, and joint laxity all play roles in the development of joint OA, particularly...
Comparing Alternative Methods of Targeting Potential High-Cost Individuals for Chronic Condition Management
Objective: To compare the performance of predictive models based on health care claims, health risk assessment (HRA), or both in prospectively identifying high-cost individuals with chronic conditions. Methods: Participants included 8056 employees who completed an HRA and were enrolled in a health plan for at least 6 months during the 36-month study period. Two-stage multivariate regression identified predictors of claims cost in four age-by-gender groups. Results: All models predicted costs effectively, but the combined model performed better ( R 2 = 0.198 to 0.309) than either the claims-based...
A qualitative study of perpetuating factors for long term sick leave and promoting factors for return to work: chronic work disabled patients in their own words
Chronic work disability generates high financial costs for society and causes personal suffering to patients and their families; however, crucial knowledge about the factors associated with long-term sick leave is still missing. This study provides insight, from the perspective of chronic work disabled patients, into the perpetuating factors for long-term sick leave and promoting factors for return to work. Patients and methodsFive focus group interviews were conducted with 27 patients with different disorders who had been on long-term sickness absence (18 months or more). Qualitative data analysis...
Cluster Analysis of Symptoms Among Patients with Upper Extremity Musculoskeletal Disorders
Introduction Some musculoskeletal disorders of the upper extremity are not readily classified. The study objective was to determine if there were symptom patterns in self-identified repetitive strain injury (RSI) patients. Methods Members ( n = 700) of the Dutch RSI Patients Association filled out a detailed symptom questionnaire. Factor analysis followed by cluster analysis grouped correlated symptoms. Results Eight clusters, based largely on symptom severity and quality were formulated. All but one cluster showed diffuse symptoms; the exception was characterized by bilateral symptoms of stiffness...
Early Intervention Options for Acute Low Back Pain Patients: A Randomized Clinical Trial with One-Year Follow-Up Outcomes
In an earlier study, Gatchel et al. (J Occup Rehabil 13:1–9, 2003) demonstrated that participants at high risk for developing chronic low back pain disability (CLBPD), who received a biopsychosocial early intervention treatment program, displayed significantly more symptom improvement, as well as cost savings, relative to participants receiving standard care. The purpose of the present study was to expand on these results by examining whether the addition of a work-transition component would further strengthen the effectiveness of this early intervention treatment. Methods Using an existing...
Correlates of Upper Extremity Disability in Medical Transcriptionists
Objective To investigate the association between disability and personal/lifestyle, medical, and psychosocial risk factors for upper extremity musculoskeletal symptoms and disorders (UEMSDs) in medical transcriptionists. Methods A web-based survey involving the Disabilities of the Arm, Shoulder and Hand (DASH), Perceived Stress Scale (PSS) and Overall Job Satisfaction (OJS) questionnaires of all medical transcriptionists working at a large healthcare facility. Results Responses were received from 80% (251 of 314) possible participants. Mean DASH, PSS, and OJS scores for those working at their current...
Factors contributing to work-ability for injured workers: literature review and comparison with available measures
Despite a range of factors being proposed in research literature to be key to ‘work-ability’, agreed definitions and boundaries of this concept are lacking. This review sought to identify and clarify key factors thought to contribute to individual work-ability, then compare these against existing measures of work-ability for people with injury. Method .A literature search was undertaken based on principles of systematic review. MEDLINE, AMED, Scopus and Web of Science databases were searched. All potentially relevant articles were obtained and, if they met inclusion criteria, evaluated...
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