Outcome of multidisciplinary investigations of long-term sickness absentees
Objective. The aim was to investigate the results of multidisciplinary investigations of long-term sickness absentees regarding diagnoses, degree and prognoses of work incapacity, and need of rehabilitation measures and whether this was associated with socio-demographic factors. Method. A cross-sect...
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| Veröffentlicht in: | Disability and rehabilitation 2009, Vol.31 (2), p.131-137 |
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| creator | Salmi, Peter Svedberg, Pia Hagberg, Jan Lundh, Göran Linder, Jürgen Alexanderson, Kristina |
| description | Objective. The aim was to investigate the results of multidisciplinary investigations of long-term sickness absentees regarding diagnoses, degree and prognoses of work incapacity, and need of rehabilitation measures and whether this was associated with socio-demographic factors.
Method. A cross-sectional study of 545 long-term (>1 year) sickness absentees referred to multidisciplinary investigations by the Social Insurance Office. Data was obtained from questionnaires and medical records. The patients were examined by specialists in psychiatry, orthopaedic surgery, and rehabilitation medicine who afterwards agreed on diagnoses, work incapacity, time to return to work (RTW), and rehabilitation measures. Descriptive statistics and logistic regression were used for description and analyses of data. Data on age, country of birth, education, employment and marital status were included.
Results. The prevalence of psychiatric diagnoses was 72%, and 58% of the patients had that in combination with somatic diagnoses. Most patients were assessed to be capable of RTW within 6 - 24 months after further rehabilitation measures. Higher age was associated with a negative prognosis of RTW and those patients were less often recommended additional rehabilitation.
Conclusion. Despite long-term sickness absence and high rates of psychiatric and somatic diagnoses in combination, RTW was considered possible for most patients after further rehabilitation measures. |
| doi_str_mv | 10.1080/09638280701855545 |
| format | Article |
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Method. A cross-sectional study of 545 long-term (>1 year) sickness absentees referred to multidisciplinary investigations by the Social Insurance Office. Data was obtained from questionnaires and medical records. The patients were examined by specialists in psychiatry, orthopaedic surgery, and rehabilitation medicine who afterwards agreed on diagnoses, work incapacity, time to return to work (RTW), and rehabilitation measures. Descriptive statistics and logistic regression were used for description and analyses of data. Data on age, country of birth, education, employment and marital status were included.
Results. The prevalence of psychiatric diagnoses was 72%, and 58% of the patients had that in combination with somatic diagnoses. Most patients were assessed to be capable of RTW within 6 - 24 months after further rehabilitation measures. Higher age was associated with a negative prognosis of RTW and those patients were less often recommended additional rehabilitation.
Conclusion. Despite long-term sickness absence and high rates of psychiatric and somatic diagnoses in combination, RTW was considered possible for most patients after further rehabilitation measures.</description><identifier>ISSN: 0963-8288</identifier><identifier>EISSN: 1464-5165</identifier><identifier>DOI: 10.1080/09638280701855545</identifier><identifier>PMID: 18608401</identifier><identifier>CODEN: DREHET</identifier><language>eng</language><publisher>England: Informa UK Ltd</publisher><subject>Absenteeism ; Adult ; Chi-Square Distribution ; Cross-Sectional Studies ; Diagnosis ; Female ; Humans ; Logistic Models ; Male ; Medical Records ; Medicin och hälsovetenskap ; Mental Disorders - diagnosis ; Middle Aged ; psychiatric diagnoses ; Rehabilitation ; Return to work ; Risk Factors ; sick leave ; Sick Leave - statistics & numerical data ; Sickness absence ; Sociodemographic aspects ; somatic diagnoses ; Surveys and Questionnaires ; Sweden</subject><ispartof>Disability and rehabilitation, 2009, Vol.31 (2), p.131-137</ispartof><rights>2009 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c523t-12984714d634e56b3e01620e02c74de49971d8f7556217c3e3c563471504b8f63</citedby><cites>FETCH-LOGICAL-c523t-12984714d634e56b3e01620e02c74de49971d8f7556217c3e3c563471504b8f63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/09638280701855545$$EPDF$$P50$$Ginformahealthcare$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/09638280701855545$$EHTML$$P50$$Ginformahealthcare$$H</linktohtml><link.rule.ids>230,314,780,784,885,4024,27923,27924,27925,31000,59647,59753,60436,60542,61221,61256,61402,61437</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18608401$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:118216040$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Salmi, Peter</creatorcontrib><creatorcontrib>Svedberg, Pia</creatorcontrib><creatorcontrib>Hagberg, Jan</creatorcontrib><creatorcontrib>Lundh, Göran</creatorcontrib><creatorcontrib>Linder, Jürgen</creatorcontrib><creatorcontrib>Alexanderson, Kristina</creatorcontrib><title>Outcome of multidisciplinary investigations of long-term sickness absentees</title><title>Disability and rehabilitation</title><addtitle>Disabil Rehabil</addtitle><description>Objective. The aim was to investigate the results of multidisciplinary investigations of long-term sickness absentees regarding diagnoses, degree and prognoses of work incapacity, and need of rehabilitation measures and whether this was associated with socio-demographic factors.
Method. A cross-sectional study of 545 long-term (>1 year) sickness absentees referred to multidisciplinary investigations by the Social Insurance Office. Data was obtained from questionnaires and medical records. The patients were examined by specialists in psychiatry, orthopaedic surgery, and rehabilitation medicine who afterwards agreed on diagnoses, work incapacity, time to return to work (RTW), and rehabilitation measures. Descriptive statistics and logistic regression were used for description and analyses of data. Data on age, country of birth, education, employment and marital status were included.
Results. The prevalence of psychiatric diagnoses was 72%, and 58% of the patients had that in combination with somatic diagnoses. Most patients were assessed to be capable of RTW within 6 - 24 months after further rehabilitation measures. Higher age was associated with a negative prognosis of RTW and those patients were less often recommended additional rehabilitation.
Conclusion. Despite long-term sickness absence and high rates of psychiatric and somatic diagnoses in combination, RTW was considered possible for most patients after further rehabilitation measures.</description><subject>Absenteeism</subject><subject>Adult</subject><subject>Chi-Square Distribution</subject><subject>Cross-Sectional Studies</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medical Records</subject><subject>Medicin och hälsovetenskap</subject><subject>Mental Disorders - diagnosis</subject><subject>Middle Aged</subject><subject>psychiatric diagnoses</subject><subject>Rehabilitation</subject><subject>Return to work</subject><subject>Risk Factors</subject><subject>sick leave</subject><subject>Sick Leave - statistics & numerical data</subject><subject>Sickness absence</subject><subject>Sociodemographic aspects</subject><subject>somatic diagnoses</subject><subject>Surveys and Questionnaires</subject><subject>Sweden</subject><issn>0963-8288</issn><issn>1464-5165</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkU1v1DAQhi0EokvhB3BBOXFLmYk_4gguqIKCqNQLnC3HmbRuE3uxE6r-e7zahQohysmW_TyjV_My9hLhBEHDG-gU142GFlBLKYV8xDYolKglKvmYbXb_dQH0EXuW8zUAIG_FU3aEWoEWgBv25WJdXJypimM1r9PiB5-d304-2HRX-fCD8uIv7eJjyDtmiuGyXijNVfbuJlDOle0zhYUoP2dPRjtlenE4j9m3jx--nn6qzy_OPp--P6-dbPhSY9Np0aIYFBckVc8JUDVA0LhWDCS6rsVBj62UqsHWceJOFrRFCaLXo-LHrN7Pzbe0XXuzTX4uaU203hyebsqNTNG4FoXv_slvUxzupV8iom5QgYDivt67Bfy-lmWYuSyIpskGims2SmkuBNf_BWXbyE7DLj3uQZdizonG33kQzK5W81etxXl1GL72Mw33xqHHArzbAz6MMc32NqZpMIu9m2Iakw3OZ8Mfmv_2D_2K7LRcOZvIXMc1hdLmA-l-AmFIwvI</recordid><startdate>2009</startdate><enddate>2009</enddate><creator>Salmi, Peter</creator><creator>Svedberg, Pia</creator><creator>Hagberg, Jan</creator><creator>Lundh, Göran</creator><creator>Linder, Jürgen</creator><creator>Alexanderson, Kristina</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope><scope>8BM</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>2009</creationdate><title>Outcome of multidisciplinary investigations of long-term sickness absentees</title><author>Salmi, Peter ; Svedberg, Pia ; Hagberg, Jan ; Lundh, Göran ; Linder, Jürgen ; Alexanderson, Kristina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c523t-12984714d634e56b3e01620e02c74de49971d8f7556217c3e3c563471504b8f63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Absenteeism</topic><topic>Adult</topic><topic>Chi-Square Distribution</topic><topic>Cross-Sectional Studies</topic><topic>Diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medical Records</topic><topic>Medicin och hälsovetenskap</topic><topic>Mental Disorders - diagnosis</topic><topic>Middle Aged</topic><topic>psychiatric diagnoses</topic><topic>Rehabilitation</topic><topic>Return to work</topic><topic>Risk Factors</topic><topic>sick leave</topic><topic>Sick Leave - statistics & numerical data</topic><topic>Sickness absence</topic><topic>Sociodemographic aspects</topic><topic>somatic diagnoses</topic><topic>Surveys and Questionnaires</topic><topic>Sweden</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Salmi, Peter</creatorcontrib><creatorcontrib>Svedberg, Pia</creatorcontrib><creatorcontrib>Hagberg, Jan</creatorcontrib><creatorcontrib>Lundh, Göran</creatorcontrib><creatorcontrib>Linder, Jürgen</creatorcontrib><creatorcontrib>Alexanderson, Kristina</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>Disability and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Salmi, Peter</au><au>Svedberg, Pia</au><au>Hagberg, Jan</au><au>Lundh, Göran</au><au>Linder, Jürgen</au><au>Alexanderson, Kristina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of multidisciplinary investigations of long-term sickness absentees</atitle><jtitle>Disability and rehabilitation</jtitle><addtitle>Disabil Rehabil</addtitle><date>2009</date><risdate>2009</risdate><volume>31</volume><issue>2</issue><spage>131</spage><epage>137</epage><pages>131-137</pages><issn>0963-8288</issn><eissn>1464-5165</eissn><coden>DREHET</coden><abstract>Objective. The aim was to investigate the results of multidisciplinary investigations of long-term sickness absentees regarding diagnoses, degree and prognoses of work incapacity, and need of rehabilitation measures and whether this was associated with socio-demographic factors.
Method. A cross-sectional study of 545 long-term (>1 year) sickness absentees referred to multidisciplinary investigations by the Social Insurance Office. Data was obtained from questionnaires and medical records. The patients were examined by specialists in psychiatry, orthopaedic surgery, and rehabilitation medicine who afterwards agreed on diagnoses, work incapacity, time to return to work (RTW), and rehabilitation measures. Descriptive statistics and logistic regression were used for description and analyses of data. Data on age, country of birth, education, employment and marital status were included.
Results. The prevalence of psychiatric diagnoses was 72%, and 58% of the patients had that in combination with somatic diagnoses. Most patients were assessed to be capable of RTW within 6 - 24 months after further rehabilitation measures. Higher age was associated with a negative prognosis of RTW and those patients were less often recommended additional rehabilitation.
Conclusion. Despite long-term sickness absence and high rates of psychiatric and somatic diagnoses in combination, RTW was considered possible for most patients after further rehabilitation measures.</abstract><cop>England</cop><pub>Informa UK Ltd</pub><pmid>18608401</pmid><doi>10.1080/09638280701855545</doi><tpages>7</tpages></addata></record> |
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| source | MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis Medical Library - CRKN; Taylor & Francis Journals Complete |
| subjects | Absenteeism Adult Chi-Square Distribution Cross-Sectional Studies Diagnosis Female Humans Logistic Models Male Medical Records Medicin och hälsovetenskap Mental Disorders - diagnosis Middle Aged psychiatric diagnoses Rehabilitation Return to work Risk Factors sick leave Sick Leave - statistics & numerical data Sickness absence Sociodemographic aspects somatic diagnoses Surveys and Questionnaires Sweden |
| title | Outcome of multidisciplinary investigations of long-term sickness absentees |
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