Title
Prognostic factors for duration of sick leave due to low back pain in Dutch health care professionals
Author
Steenstra, I.A.
Koopman, F.S.
Knol, D.L.
Kat, E.
Bongers, P.M.
de Vet, H.C.W.
van Mechelen, W.
TNO Kwaliteit van Leven
Publication year
2005
Abstract
Information on prognostic factors for duration of sick leave due to low-back pain (LBP) is growing. In this prospective cohort study, prognostic factors for duration of sick leave and course of disability were identified at a very early stage of sick leave due to LBP. A total of 615 workers calling in sick from work due to LBP at an occupational health service (OHS) of one institution, completed a questionnaire. Duration of follow-up was 26 weeks. Median time to first return to work (RTW) was 5 days (Inter Quartile Range (IQR) = 2–12). Median time to lasting return to work (LRTW) was 6 days (IQR = 3–13). Analysis resulted in final models for delayed RTW, for LRTW, and for total days on sick leave (TDSL). Explained variance (R2) of these models ranged from 30 to 35%. On the basis of the models is concluded that poor prognosis for duration of sick leave can be identified by means of a simple questionnaire administered on the first day of sick leave. Workers at high risk for longer duration of sick leave (all outcomes) expected to stay off work longer, were already being treated by a MD, sought OP care, and had diminished mobility. In case of delayed LRTW workers reported job stress as a possible cause of sick leave. Interactions were found in both RTW and LRTW between care-seeking and diminished mobility and in LRTW between expected duration of sick leave and seeking OP care. Older age increased TDSL with borderline significance.
Subject
Workplace
Beroepsrehabilitatie
Veilig en gezond werken
Rugklachten
Hernia
Reintegratie
Arbeidsgehandicapten
Ziekteverzuim
Sociaal verzuim
Return to work
Absenteeism
Calculation
Conference paper
Disease course
Follow up
General practice
Health care personnel
Medical specialist
Multiple regression
Occupational disease
Occupational health
Occupational health service
Outpatient
Patient mobility
Regression analysis
Self report
Stress
Work
Work disability
Work resumption
Worker
Workload
Adult
Disability Evaluation
Female
Humans
Linear Models
Low Back Pain
Male
Multivariate Analysis
Netherlands
Occupational Diseases
Prognosis
Proportional Hazards Models
Prospective Studies
Questionnaires
Sick Leave
Time Factors
To reference this document use:
http://resolver.tudelft.nl/uuid:fff5988a-9ebb-436c-b950-bcc67e21c853
DOI
https://doi.org/10.1007/s10926-005-8037-9
TNO identifier
277770
Source
Journal of occupational rehabilitation, 15 (4), 591-605
Document type
article