Recurrence of Medically Certified Sickness Absence According to Diagnosis: A Sickness Absence Register Study
Introduction Sickness absence is a major public health problem. Research on sickness absence focuses on interventions aimed at expediting return to work. However, we need to know more about sustaining employees at work after return to work. Therefore, this study investigated the recurrence of sickne...
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| Veröffentlicht in: | Journal of occupational rehabilitation 2010-03, Vol.20 (1), p.113-121 |
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| creator | Roelen, C. A. M. Koopmans, P. C. Anema, J. R. van der Beek, A. J. |
| description | Introduction
Sickness absence is a major public health problem. Research on sickness absence focuses on interventions aimed at expediting return to work. However, we need to know more about sustaining employees at work after return to work. Therefore, this study investigated the recurrence of sickness absence according to diagnosis.
Methods
We analyzed the registered sickness absence data of 137,172 employees working for the Dutch Post and Telecom. Episodes of sickness absence were medically certified, according to the ICD-10 classification of diseases, by an occupational physician. The incidence density (ID) and recurrence density (RD) of medically certified absences were calculated per 1,000 person-years in each ICD-10 category.
Results
Sickness absence due to musculoskeletal disorders had the highest recurrence (RD = 118.7 per 1,000 person-years), followed by recurrence of sickness absence due to mental disorders (RD = 80.4 per 1,000 person-years). The median time to recurrent sickness absence due to musculoskeletal disorders was 409 days after the index episode. Recurrences of sickness absence due to musculoskeletal disorders accounted for 37% of the total number of recurrent sickness absence days. For recurrences of sickness absence due to mental disorders this was 328 days and 21%, respectively. Unskilled employees with a short duration ( |
| doi_str_mv | 10.1007/s10926-009-9226-8 |
| format | Article |
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Sickness absence is a major public health problem. Research on sickness absence focuses on interventions aimed at expediting return to work. However, we need to know more about sustaining employees at work after return to work. Therefore, this study investigated the recurrence of sickness absence according to diagnosis.
Methods
We analyzed the registered sickness absence data of 137,172 employees working for the Dutch Post and Telecom. Episodes of sickness absence were medically certified, according to the ICD-10 classification of diseases, by an occupational physician. The incidence density (ID) and recurrence density (RD) of medically certified absences were calculated per 1,000 person-years in each ICD-10 category.
Results
Sickness absence due to musculoskeletal disorders had the highest recurrence (RD = 118.7 per 1,000 person-years), followed by recurrence of sickness absence due to mental disorders (RD = 80.4 per 1,000 person-years). The median time to recurrent sickness absence due to musculoskeletal disorders was 409 days after the index episode. Recurrences of sickness absence due to musculoskeletal disorders accounted for 37% of the total number of recurrent sickness absence days. For recurrences of sickness absence due to mental disorders this was 328 days and 21%, respectively. Unskilled employees with a short duration (<5 years) of employment had a higher risk of recurrent sickness absence.
Conclusions
Interventions to expedite return to work of employees sick-listed due to musculoskeletal or mental disorders should also aim at reducing recurrence of sickness absence in order to sustain employees at work.</description><identifier>ISSN: 1053-0487</identifier><identifier>EISSN: 1573-3688</identifier><identifier>DOI: 10.1007/s10926-009-9226-8</identifier><identifier>PMID: 20052523</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Absenteeism ; Adult ; Back pain ; Clinical Psychology ; Cohort analysis ; Confidence Intervals ; Disability pensions ; Employees ; Environmental Health ; Epidemiology ; Female ; Health Policy ; Health Psychology ; Humans ; Incidence ; Male ; Medicine ; Medicine & Public Health ; Mental disorders ; Mental Disorders - epidemiology ; Mental Disorders - rehabilitation ; Mental illness ; Middle Aged ; Musculoskeletal diseases ; Musculoskeletal Diseases - epidemiology ; Musculoskeletal Diseases - rehabilitation ; Netherlands - epidemiology ; Occupational Health ; Occupational Medicine/Industrial Medicine ; Occupational Therapy ; Orthopedics ; Population ; Public health ; Registries ; Rehabilitation ; Return to work programs ; Risk Factors ; Secondary Prevention ; Sick leave ; Sick Leave - statistics & numerical data ; Studies ; Time Factors ; Work Capacity Evaluation ; Worker absenteeism</subject><ispartof>Journal of occupational rehabilitation, 2010-03, Vol.20 (1), p.113-121</ispartof><rights>The Author(s) 2010</rights><rights>COPYRIGHT 2010 Springer</rights><rights>Springer Science+Business Media, LLC 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c601t-56884d70cfa2d22fe8580c931c1018e0302da45c7714f72614cf56841b1085f83</citedby><cites>FETCH-LOGICAL-c601t-56884d70cfa2d22fe8580c931c1018e0302da45c7714f72614cf56841b1085f83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10926-009-9226-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10926-009-9226-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27923,27924,41487,42556,51318</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20052523$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Roelen, C. A. M.</creatorcontrib><creatorcontrib>Koopmans, P. C.</creatorcontrib><creatorcontrib>Anema, J. R.</creatorcontrib><creatorcontrib>van der Beek, A. J.</creatorcontrib><title>Recurrence of Medically Certified Sickness Absence According to Diagnosis: A Sickness Absence Register Study</title><title>Journal of occupational rehabilitation</title><addtitle>J Occup Rehabil</addtitle><addtitle>J Occup Rehabil</addtitle><description>Introduction
Sickness absence is a major public health problem. Research on sickness absence focuses on interventions aimed at expediting return to work. However, we need to know more about sustaining employees at work after return to work. Therefore, this study investigated the recurrence of sickness absence according to diagnosis.
Methods
We analyzed the registered sickness absence data of 137,172 employees working for the Dutch Post and Telecom. Episodes of sickness absence were medically certified, according to the ICD-10 classification of diseases, by an occupational physician. The incidence density (ID) and recurrence density (RD) of medically certified absences were calculated per 1,000 person-years in each ICD-10 category.
Results
Sickness absence due to musculoskeletal disorders had the highest recurrence (RD = 118.7 per 1,000 person-years), followed by recurrence of sickness absence due to mental disorders (RD = 80.4 per 1,000 person-years). The median time to recurrent sickness absence due to musculoskeletal disorders was 409 days after the index episode. Recurrences of sickness absence due to musculoskeletal disorders accounted for 37% of the total number of recurrent sickness absence days. For recurrences of sickness absence due to mental disorders this was 328 days and 21%, respectively. Unskilled employees with a short duration (<5 years) of employment had a higher risk of recurrent sickness absence.
Conclusions
Interventions to expedite return to work of employees sick-listed due to musculoskeletal or mental disorders should also aim at reducing recurrence of sickness absence in order to sustain employees at work.</description><subject>Absenteeism</subject><subject>Adult</subject><subject>Back pain</subject><subject>Clinical Psychology</subject><subject>Cohort analysis</subject><subject>Confidence Intervals</subject><subject>Disability pensions</subject><subject>Employees</subject><subject>Environmental Health</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Health Policy</subject><subject>Health Psychology</subject><subject>Humans</subject><subject>Incidence</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental disorders</subject><subject>Mental Disorders - epidemiology</subject><subject>Mental Disorders - rehabilitation</subject><subject>Mental illness</subject><subject>Middle Aged</subject><subject>Musculoskeletal diseases</subject><subject>Musculoskeletal Diseases - epidemiology</subject><subject>Musculoskeletal Diseases - rehabilitation</subject><subject>Netherlands - epidemiology</subject><subject>Occupational Health</subject><subject>Occupational Medicine/Industrial Medicine</subject><subject>Occupational Therapy</subject><subject>Orthopedics</subject><subject>Population</subject><subject>Public health</subject><subject>Registries</subject><subject>Rehabilitation</subject><subject>Return to work programs</subject><subject>Risk Factors</subject><subject>Secondary Prevention</subject><subject>Sick leave</subject><subject>Sick Leave - statistics & numerical data</subject><subject>Studies</subject><subject>Time Factors</subject><subject>Work Capacity Evaluation</subject><subject>Worker absenteeism</subject><issn>1053-0487</issn><issn>1573-3688</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kV9rFDEUxQex2Fr9AL5I0OepN8nMJuODMKx_oUVo9Tlkk5sxdTapyYyw396sU2uLlTwk5P7O4VxOVT2jcEIBxKtMoWOrGqCrO1Ye8kF1RFvBa76S8mF5Q8traKQ4rB7nfAkFlII9qg4ZQMtaxo-q8RzNnBIGgyQ6cobWGz2OO7LGNHnn0ZILb74HzJn0m_yb642JyfowkCmSt14PIWafX5P-X_QcB58nTORimu3uSXXg9Jjx6fV9XH19_-7L-mN9-vnDp3V_WpsV0KluS_rGCjBOM8uYQ9lKMB2nhgKVCByY1U1rhKCNE2xFG-OKpqEbCrJ1kh9Xbxbfq3mzRWswTEmP6ir5rU47FbVXdyfBf1ND_KmY5EyKphi8uDZI8ceMeVKXcU6hZFaMMwq8A16glws06BGVDy4WL7P12ai-JOsEdHxvdXIPVY7FrTcxoPPl_46ALgKTYs4J3U1uCmpfu1pqV6VNta9d7Rd-fnvhG8WfngvAFiCXURgw_V3o_66_AMzOtqY</recordid><startdate>20100301</startdate><enddate>20100301</enddate><creator>Roelen, C. 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A. M.</au><au>Koopmans, P. C.</au><au>Anema, J. R.</au><au>van der Beek, A. J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrence of Medically Certified Sickness Absence According to Diagnosis: A Sickness Absence Register Study</atitle><jtitle>Journal of occupational rehabilitation</jtitle><stitle>J Occup Rehabil</stitle><addtitle>J Occup Rehabil</addtitle><date>2010-03-01</date><risdate>2010</risdate><volume>20</volume><issue>1</issue><spage>113</spage><epage>121</epage><pages>113-121</pages><issn>1053-0487</issn><eissn>1573-3688</eissn><abstract>Introduction
Sickness absence is a major public health problem. Research on sickness absence focuses on interventions aimed at expediting return to work. However, we need to know more about sustaining employees at work after return to work. Therefore, this study investigated the recurrence of sickness absence according to diagnosis.
Methods
We analyzed the registered sickness absence data of 137,172 employees working for the Dutch Post and Telecom. Episodes of sickness absence were medically certified, according to the ICD-10 classification of diseases, by an occupational physician. The incidence density (ID) and recurrence density (RD) of medically certified absences were calculated per 1,000 person-years in each ICD-10 category.
Results
Sickness absence due to musculoskeletal disorders had the highest recurrence (RD = 118.7 per 1,000 person-years), followed by recurrence of sickness absence due to mental disorders (RD = 80.4 per 1,000 person-years). The median time to recurrent sickness absence due to musculoskeletal disorders was 409 days after the index episode. Recurrences of sickness absence due to musculoskeletal disorders accounted for 37% of the total number of recurrent sickness absence days. For recurrences of sickness absence due to mental disorders this was 328 days and 21%, respectively. Unskilled employees with a short duration (<5 years) of employment had a higher risk of recurrent sickness absence.
Conclusions
Interventions to expedite return to work of employees sick-listed due to musculoskeletal or mental disorders should also aim at reducing recurrence of sickness absence in order to sustain employees at work.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>20052523</pmid><doi>10.1007/s10926-009-9226-8</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Absenteeism Adult Back pain Clinical Psychology Cohort analysis Confidence Intervals Disability pensions Employees Environmental Health Epidemiology Female Health Policy Health Psychology Humans Incidence Male Medicine Medicine & Public Health Mental disorders Mental Disorders - epidemiology Mental Disorders - rehabilitation Mental illness Middle Aged Musculoskeletal diseases Musculoskeletal Diseases - epidemiology Musculoskeletal Diseases - rehabilitation Netherlands - epidemiology Occupational Health Occupational Medicine/Industrial Medicine Occupational Therapy Orthopedics Population Public health Registries Rehabilitation Return to work programs Risk Factors Secondary Prevention Sick leave Sick Leave - statistics & numerical data Studies Time Factors Work Capacity Evaluation Worker absenteeism |
| title | Recurrence of Medically Certified Sickness Absence According to Diagnosis: A Sickness Absence Register Study |
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