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Caractéristiques socioprofessionnelles, reconnaissance en maladie professionnelle et devenir fonctionnel et professionnel de patients opérés d’un syndrome du canal carpien en Île-de-France (2009-2012)
Points clés Cette étude menée par Santé publique France en partenariat avec le Réseau Prévention Main Île-de-France (IdF), chez des patients opérés d'un syndrome du canal carpien (SCC), décrit les caractéristiques socio-professionnelles (CSP, déclaration en maladie professionnelle…) des patients et leurs liens avec la durée d'arrêt de travail. Parmi les patients en activité au cours des 10 ans précédant l'intervention, 59 % considéraient leur travail comme...
Comorbid symptoms of depression and musculoskeletal pain and risk of long term sickness absence
Background: Symptoms of depression and musculoskeletal pain have both been found to be associated with increased risk of long term sickness absence (LTSA). The comorbidity between depression and pain i.e. simultaneous presence of both symptoms, is well established in the literature. The aim for the current investigation was to investigate whether the presence of comorbid pain influences the associations between depressive symptoms and LTSA or if the presence of comorbid depressive symptoms influences associations between musculoskeletal pain and LTSA. Methods: A sample of 6572 Danish female health...
The impact of workplace ergonomics and neck-specific exercise versus ergonomics and health promotion interventions on office worker productivity
A cluster-randomized trial A 12-week workplace combined ergonomics and neck-specific exercise intervention improves sickness presenteeism and monetized health-related productivity loss among a general population of office workers and longer-term sickness absenteeism for those with neck pain, when compared to ergonomics and health promotion education combined. This study provides employers of office workers sought-after evidence of health-related productivity benefit from such workplace interventions. Source: Pereira, M., Comans, T., Sjøgaard, G., Straker, L., Melloh, M., O'Leary, S....
Prediction models to identify workers at risk of sick leave due to low-back pain in the Dutch construction industry
Objective: The aim of this study was to develop a prediction model based on variables measured in occupational health checks to identify non-sick listed workers at risk of sick leave due to non-specific low-back pain (LBP). Methods: This cohort study comprised manual (N=22 648) and non-manual (N=9735) construction workers who participated in occupational health checks between 2010 and 2013. Occupational health check variables were used as potential predictors and LBP sick leave was recorded during 1-year follow-up. The prediction model was developed with logistic regression analysis among the manual...
The Effect of Intelligent Physical Exercise Training on Sickness Presenteeism and Absenteeism Among Office Workers
Objective: The aim of this study was to investigate the effect of individually tailored intelligent physical exercise training (IPET) on presenteeism and absenteeism among office workers. Methods: In a 1-year randomized controlled trial (RCT), employees were allocated to a training group TG (N = 193) or control group CG (N = 194). TG received 1-hour high-intensity IPET once a week within working hours, and was recommended to perform 30 minutes of moderate-intensity physical activity (PA) 6 days a week during leisure-time. Results: An intention-to-treat analysis showed no effect on absenteeism,...
Cumulative occupational mechanical exposures during working life and risk of sickness absence and disability pension
Prospective cohort study Using a biomechanical job exposure matrix combined with Danish registers, cumulative occupational mechanical exposures throughout life (ie, more years with heavy and frequent lifting, and kneeling work) predicted risk of long-term sickness absence among older workers. Importantly, heavy lifting throughout working life was associated with disability pension. Source: Sundstrup E, Hansen ÅM, Mortensen EL, Poulsen OM, Clausen T, Rugulies R, Møller A, Andersen LL. (2017). Scand J Work Environ Health . http://dx.doi.org/10.5271/sjweh.3663
Sickness absence and permanent work disability in relation to upper- and lower-body pain and occupational mechanical and psychosocial exposures
Musculoskeletal pain in multiple sites has been associated with sickness absence and permanent work disability. We found that high occupational mechanical exposures were associated with sickness absence, particularly in case of combined pain in the upper and lower body. We also found that combined pain and low social support at work were associated with permanent work disability. Source: Sommer, T. G., Svendsen, S. W., & Frost, P. (2016). Scandinavian Journal of Work, Environment & Health . http://dx.doi.org/10.5271/sjweh.3600
Regular use of medication for musculoskeletal pain and risk of long-term sickness absence
A prospective cohort study among the general working population BACKGROUND: The aim was to determine the prospective association between use of pain medication - due to musculoskeletal pain in the low back, neck/shoulder and hand/wrist - and long-term sickness absence. METHODS: Cox-regression analysis was performed to estimate the prospective association between regular use of pain medication and long-term sickness absence (LTSA; at least 6 consecutive weeks) among 9,544 employees from the general working population (Danish Work Environment Cohort Study 2010) and free from LTSA during 2009-2010...
Longitudinal Relationship Between Sitting Time on a Working Day and Vitality, Work Performance, Presenteeism, and Sickness Absence
Objective: The aim of this study was to explore the longitudinal relationship between sitting time on a working day and vitality, work performance, presenteeism, and sickness absence. Methods: At the start and end of a five-month intervention program at the workplace, as well as 10 months after the intervention, sitting time and work-related outcomes were measured using a standardized self-administered questionnaire and company records. Generalized linear mixed models were used to estimate the longitudinal relationship between sitting time and work-related outcomes, and possible interaction effects...
Predicting chronic low-back pain based on pain trajectories in patients in an occupational setting
An exploratory analysis We applied latent class growth analysis was applied in low-back pain patients in an occupational setting to determine different pain trajectories, something that has never been done before. The pain trajectories were used as outcome to evaluate a previously developed prognostic model for the development of chronic low back pain. The prediction model shows (after internal validation) a good predictive performance (AUC: 0.75). Source: Panken G, Hoekstra T, Verhagen A, van Tulder M, Twisk J, Heymans MW. Scand J Work Environ Health , 2016. http://dx.doi.org/10.5271/sjweh.3584
Physical workload and risk of long-term sickness absence in the general working population and among blue-collar workers
Prospective cohort study with register follow-up Objective: To determine the prospective association between physical workload—in terms of specific physical exposures and the number of exposures—and long-term sickness absence (LTSA). Methods: Using cox-regression analyses, we estimated the risk of register-based incident LTSA (at least 3 consecutive weeks) from self-reported exposure to different physical workloads among 11 908 wage earners from the general working population (Danish Work Environment Cohort Study year 2000 and 2005). Results: The incidence of LTSA was 8.9% during two...
Tarification à l’expérience, incidence des troubles musculo-squelettiques et arrêts de travail
Dans un grand nombre de pays, l'assurance des risques professionnels est financée par les entreprises qui versent des contributions modulées selon leur sinistralité passée. En France, pour une entreprise de plus de 10 salariés, plus le nombre et la gravité des accidents et maladies professionnels sont importants, plus le montant de sa contribution sera élevée. Ce mode de tarification devrait contribuer à sensibiliser les employeurs à l'intérêt de développer des démarches préventives ...
Occupational exposures and sick leave during pregnancy
Results from a Danish cohort study Objective: This study aimed to investigate associations between work postures, lifting at work, shift work, work hours, and job strain and the risk of sick leave during pregnancy from 10–29 completed pregnancy weeks in a large cohort of Danish pregnant women. Methods: Data from 51 874 pregnancies in the Danish National Birth Cohort collected between 1996–2002 were linked to the Danish Register for Evaluation of Marginalization. Exposure information was based on telephone interviews. Hazard ratios (HR) with 95% confidence intervals (95% CI) were calculated...
Predictors of sickness absence related to musculoskeletal pain
A two-year follow-up study of workers in municipal kitchens Objective : We studied predictors of sickness absences (SA) due to musculoskeletal pain over two years among 386 municipal female kitchen workers. Methods : Pain and SA periods (no/yes) due to pain in seven sites during the past three months were assessed at 3-month intervals over two years by questionnaire. Age, musculoskeletal pain, multisite pain (pain in ≥3 sites), musculoskeletal and other somatic diseases, depressive symptoms, physical and psychosocial workload, body mass index, smoking, and leisure-time physical activity (LTPA...
How much do preexisting chronic conditions contribute to age differences in health care expenditures after a work-related musculoskeletal injury?
OBJECTIVES: To estimate the contribution of preexisting chronic conditions on age differences in health care expenditures for the management of work-related musculoskeletal injuries in British Columbia. METHODS: A secondary analysis of workers' compensation claims submitted over the 5-year period between January 1, 2002 and December 31, 2006 (N=55,827 claims among men and 32,141 claims among women). Path models examined the relationships between age and health care expenditures, and the extent to which age differences in health care expenditures were mediated by preexisting chronic conditions...
Reducing Temporary Work Absence Through Early Intervention
The case of MSDs in the EU With many EU member states set to see 50% of their population diagnosed with an MSD by 2030, this report warns that this growing problem cannot be ignored and must be urgently addressed. MSDs are the leading cause of sickness absence across the EU -44 million workers have MSDs – including back pain and strains of the neck, shoulder and arms. This costs up to €240bn annually in lost productivity and sickness absence, representing up to 2% of GDP across the EU. The report calls on EU member states to coordinate action between government departments, employers...
Impact of pre-existing chronic conditions on age differences in sickness absence after a musculoskeletal work injury
A path analysis approach Objectives: This study aims to examine the extent to which a greater prevalence of pre-existing chronic conditions among older workers explains why older age is associated with longer duration of sickness absence (SA) following a musculoskeletal work-related injury in British Columbia. Methods: A secondary analysis of workers' compensation claims in British Columbia over three time periods (1997–1998; 2001–2002, and 2005–2006), the study comprised 102 997 and 53 882 claims among men and women, respectively. Path models examined the relationships between...
Health beliefs, low mood, and somatizing tendency: contribution to incidence and persistence of musculoskeletal pain with and without reported disability
Objective This study aims to investigate whether associations of psychological risk factors with the incidence and persistence of disabling musculoskeletal pain differ from those for non-disabling musculoskeletal pain. Methods As part of the international Cultural and Psychosocial Influences in Disability (CUPID) study, 1105 Spanish nurses and office workers were asked at baseline about health beliefs concerning pain, mental health, and somatizing tendency. Musculoskeletal pain in the past months at ten anatomical sites (back, neck, and left and right shoulder, elbow, wrist/hand, and knee) was...
International variation in absence from work attributed to musculoskeletal illness: findings from the CUPID study
Objectives To quantify the variation in rates of absence due to musculoskeletal pain across 47 occupational groups (mostly nurses and office workers) from 18 countries, and to explore personal and group-level risk factors that might explain observed differences. Methods A standardised questionnaire was used to obtain information about musculoskeletal pain, sickness absence and possible risk factors in a cross-sectional survey of 12 416 workers (92–1017 per occupational group). Additionally, group-level data on socioeconomic variables, such as sick pay and unemployment rates, were assembled...
Absenteeism Screening Questionnaire (ASQ): A New Tool for Predicting Long-term Absenteeism Among Workers with Low Back Pain
Introduction : Over the last decades, psychosocial factors were identified by many studies as significant predictive variables in the development of disability related to common low back disorders, which thus contributed to the development of biopsychosocial prevention interventions. Biopsychosocial interventions were supposed to be more effective than usual interventions in improving different outcomes. Unfortunately, most of these interventions show inconclusive results. The use of screening questionnaires was proposed as a solution to improve their efficacy. The aim of this study was to validate...
Health-related effects of early part-time sick leave due to musculoskeletal disorders
A randomized controlled trial Objective : Previously we reported that early part-time sick leave enhances return to work (RTW) among employees with musculoskeletal disorders (MSD). This paper assesses the health-related effects of this intervention. Methods : Patients aged 18–60 years who were unable to perform their regular work due to MSD were randomized to part- or full-time sick leave groups. In the former, workload was reduced by halving working time. Using validated questionnaires, we assessed pain intensity and interference with work and sleep, region-specific disability due to MSD...

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