Work-Related Recovery Expectations and the Prognosis of Chronic Low Back Pain Within a Workers' Compensation Setting
Objective: We examined the association between work-related recove expectations and return-to-work in patients with chronic back pain. Methods: A prospective cohort of workers receiving time-loss benefits for back pain of at least 6 weeks ' duration was studied. Workers completed a battery of m...
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Veröffentlicht in: | Journal of occupational and environmental medicine 2005-04, Vol.47 (4), p.428-433 |
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description | Objective: We examined the association between work-related recove expectations and return-to-work in patients with chronic back pain. Methods: A prospective cohort of workers receiving time-loss benefits for back pain of at least 6 weeks ' duration was studied. Workers completed a battery of measures, including a work-related recovery expectations questionnaire. Outcomes included surrogate indicators of timely return-to-work (days until suspension of time-loss benefits) and recovery (claim closure) censored at 1 year. Analysis included multivariable Cox and logistic regression. Results: The sample was predominantly male (63%), with a mean age of 42 years. Positive work-related recovery expectations predicted a 26% faster suspension of time-loss benefit (95% confidence interval = 8-40%) and explained 7% of the variation in this outcome. Conclusion: Recovery expectations provide important information for predicting time to return-to-work, as measured through suspension of time-loss benefits (R² approximately 7%) in patients with chronic back pain. |
doi_str_mv | 10.1097/01.jom.0000158706.96994.a5 |
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Methods: A prospective cohort of workers receiving time-loss benefits for back pain of at least 6 weeks ' duration was studied. Workers completed a battery of measures, including a work-related recovery expectations questionnaire. Outcomes included surrogate indicators of timely return-to-work (days until suspension of time-loss benefits) and recovery (claim closure) censored at 1 year. Analysis included multivariable Cox and logistic regression. Results: The sample was predominantly male (63%), with a mean age of 42 years. Positive work-related recovery expectations predicted a 26% faster suspension of time-loss benefit (95% confidence interval = 8-40%) and explained 7% of the variation in this outcome. Conclusion: Recovery expectations provide important information for predicting time to return-to-work, as measured through suspension of time-loss benefits (R² approximately 7%) in patients with chronic back pain.</description><identifier>ISSN: 1076-2752</identifier><identifier>EISSN: 1536-5948</identifier><identifier>DOI: 10.1097/01.jom.0000158706.96994.a5</identifier><identifier>PMID: 15824635</identifier><identifier>CODEN: JOEMFM</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Alberta ; Back ; Biological and medical sciences ; Chronic Disease ; Chronic illnesses ; Employment ; Female ; Humans ; Injuries of the skin. Diseases of the skin due to physical agents ; Low Back Pain - psychology ; Low Back Pain - rehabilitation ; Male ; Medical diagnosis ; Medical sciences ; ORIGINAL ARTICLES ; Pain ; Pain Measurement ; Prognosis ; Prospective Studies ; Time Factors ; Traumas. Diseases due to physical agents ; Workers compensation ; Workers' Compensation - statistics & numerical data</subject><ispartof>Journal of occupational and environmental medicine, 2005-04, Vol.47 (4), p.428-433</ispartof><rights>Copyright © 2005 American College of Occupational and Environmental Medicine</rights><rights>2005The American College of Occupational and Environmental Medicine</rights><rights>2005 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Apr 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5032-54a32af56fcf61ec4f45aa614518ac41fc6b4e95c5f8a57b85fc568ee3dfb3583</citedby><cites>FETCH-LOGICAL-c5032-54a32af56fcf61ec4f45aa614518ac41fc6b4e95c5f8a57b85fc568ee3dfb3583</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44997008$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44997008$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16742405$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15824635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gross, Douglas P.</creatorcontrib><creatorcontrib>Battié, Michele C.</creatorcontrib><title>Work-Related Recovery Expectations and the Prognosis of Chronic Low Back Pain Within a Workers' Compensation Setting</title><title>Journal of occupational and environmental medicine</title><addtitle>J Occup Environ Med</addtitle><description>Objective: We examined the association between work-related recove expectations and return-to-work in patients with chronic back pain. Methods: A prospective cohort of workers receiving time-loss benefits for back pain of at least 6 weeks ' duration was studied. Workers completed a battery of measures, including a work-related recovery expectations questionnaire. Outcomes included surrogate indicators of timely return-to-work (days until suspension of time-loss benefits) and recovery (claim closure) censored at 1 year. Analysis included multivariable Cox and logistic regression. Results: The sample was predominantly male (63%), with a mean age of 42 years. Positive work-related recovery expectations predicted a 26% faster suspension of time-loss benefit (95% confidence interval = 8-40%) and explained 7% of the variation in this outcome. Conclusion: Recovery expectations provide important information for predicting time to return-to-work, as measured through suspension of time-loss benefits (R² approximately 7%) in patients with chronic back pain.</description><subject>Adult</subject><subject>Alberta</subject><subject>Back</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Chronic illnesses</subject><subject>Employment</subject><subject>Female</subject><subject>Humans</subject><subject>Injuries of the skin. Diseases of the skin due to physical agents</subject><subject>Low Back Pain - psychology</subject><subject>Low Back Pain - rehabilitation</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical sciences</subject><subject>ORIGINAL ARTICLES</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Time Factors</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Workers compensation</subject><subject>Workers' Compensation - statistics & numerical data</subject><issn>1076-2752</issn><issn>1536-5948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkVtvEzEQhVcIREvhJ4CsSsDTBtvrK28QlYsUiaqA-mhNHLvZZHcdbIfQf483iYjES_0ytvSdM-M5VXVJ8IRgLd9hMlmFfoLLIVxJLCZaaM0mwB9V54Q3ouaaqcfljqWoqeT0rHqW0mrECeZPq7Mio0w0_LzKtyGu6xvXQXYLdONs-O3iPbr6s3E2Q27DkBAMC5SXDl3HcDeE1CYUPJouYxhai2Zhhz6CXaNraAd02-ZlKYBGWxfTWzQN_cYNaW-Fvruc2-HuefXEQ5fci2O9qH5-uvox_VLPvn3-Ov0wqy3HDa05g4aC58JbL4izzDMOIAjjRIFlxFsxZ05zy70CLueKe8uFcq5Z-HnDVXNRvTn4bmL4tXUpm75N1nUdDC5skxFSUlU2-CBIldJlY_pBkEgsGdej4-V_4Cps41B-ayihQpMG8wK9P0A2hpSi82YT2x7ivSHYjFEbTIquN6eozT5qA6P41bHDdt67xUl6zLYAr48AJAudjzDYNp04IRll-ynYgduFLpfM1t1256JZOujycmzNGilYTTHmmJVnPQ5Di-zlQbZKOcR_toxpLTFWzV-h48we</recordid><startdate>200504</startdate><enddate>200504</enddate><creator>Gross, Douglas P.</creator><creator>Battié, Michele C.</creator><general>Lippincott Williams & Wilkins</general><general>The American College of Occupational and Environmental Medicine</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><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>7T2</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7U2</scope><scope>7TB</scope><scope>8FD</scope><scope>FR3</scope><scope>KR7</scope><scope>7X8</scope></search><sort><creationdate>200504</creationdate><title>Work-Related Recovery Expectations and the Prognosis of Chronic Low Back Pain Within a Workers' Compensation Setting</title><author>Gross, Douglas P. ; Battié, Michele C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5032-54a32af56fcf61ec4f45aa614518ac41fc6b4e95c5f8a57b85fc568ee3dfb3583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Alberta</topic><topic>Back</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Chronic illnesses</topic><topic>Employment</topic><topic>Female</topic><topic>Humans</topic><topic>Injuries of the skin. Diseases of the skin due to physical agents</topic><topic>Low Back Pain - psychology</topic><topic>Low Back Pain - rehabilitation</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical sciences</topic><topic>ORIGINAL ARTICLES</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Time Factors</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Workers compensation</topic><topic>Workers' Compensation - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gross, Douglas P.</creatorcontrib><creatorcontrib>Battié, Michele C.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Safety Science and Risk</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Civil Engineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of occupational and environmental medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gross, Douglas P.</au><au>Battié, Michele C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Work-Related Recovery Expectations and the Prognosis of Chronic Low Back Pain Within a Workers' Compensation Setting</atitle><jtitle>Journal of occupational and environmental medicine</jtitle><addtitle>J Occup Environ Med</addtitle><date>2005-04</date><risdate>2005</risdate><volume>47</volume><issue>4</issue><spage>428</spage><epage>433</epage><pages>428-433</pages><issn>1076-2752</issn><eissn>1536-5948</eissn><coden>JOEMFM</coden><abstract>Objective: We examined the association between work-related recove expectations and return-to-work in patients with chronic back pain. Methods: A prospective cohort of workers receiving time-loss benefits for back pain of at least 6 weeks ' duration was studied. Workers completed a battery of measures, including a work-related recovery expectations questionnaire. Outcomes included surrogate indicators of timely return-to-work (days until suspension of time-loss benefits) and recovery (claim closure) censored at 1 year. Analysis included multivariable Cox and logistic regression. Results: The sample was predominantly male (63%), with a mean age of 42 years. Positive work-related recovery expectations predicted a 26% faster suspension of time-loss benefit (95% confidence interval = 8-40%) and explained 7% of the variation in this outcome. Conclusion: Recovery expectations provide important information for predicting time to return-to-work, as measured through suspension of time-loss benefits (R² approximately 7%) in patients with chronic back pain.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins</pub><pmid>15824635</pmid><doi>10.1097/01.jom.0000158706.96994.a5</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Alberta Back Biological and medical sciences Chronic Disease Chronic illnesses Employment Female Humans Injuries of the skin. Diseases of the skin due to physical agents Low Back Pain - psychology Low Back Pain - rehabilitation Male Medical diagnosis Medical sciences ORIGINAL ARTICLES Pain Pain Measurement Prognosis Prospective Studies Time Factors Traumas. Diseases due to physical agents Workers compensation Workers' Compensation - statistics & numerical data |
title | Work-Related Recovery Expectations and the Prognosis of Chronic Low Back Pain Within a Workers' Compensation Setting |
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