Compensation benefits in a population-based cohort of men and women on long-term disability after musculoskeletal injuries: costs, course, predictors

Lederer, Valérie; Rivard, Mélina

doi:10.1136/oemed-2014-102304

Cited by 16 publications

(17 citation statements)

References 43 publications

(51 reference statements)

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“…There was a higher percentage of fall injuries that resulted in back injuries in Private SLE compared to Public SLE. Back injuries typically result in higher median costs per workers’ claim, and total costs for both genders, as well as longer compensation benefit duration (Lederer and Rivard 2014 ). Since back claims are so costly, ALJ adjudication may occur more often to resolve compensation monetary award disputes.…”

Section: Discussionmentioning

confidence: 99%

Workers compensation-reported injuries among security and law enforcement personnel in the private versus public sectors

2018

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BackgroundPrivate and Public security and law enforcement (SLE) sectors perform multiple overlapping job duties.MethodsWorkers’ compensation (WC) SLE first reports of injury (FROI) data (2005–2015) were analyzed to describe injuries, identify differences in awarded WC benefits, and compare the probability of a FROI resulting in awarded benefits between Public and Private SLE. A Pearson’s chi-square test was utilized and reverse selection logistic regression was performed to estimate the odds ratio that a FROI would result in an awarded benefit for Private vs. Public SLE, while adjusting for relevant covariates.ResultsPrivate SLE had higher FROI percentages for younger and for older workers, fall injuries, and back injuries, compared to Public SLE. The adjusted odds that a FROI resulted in an awarded benefit was 1.4 times higher for Private SLE compared to Public SLE; (95% confidence interval [CI] = 1.09,1.69). Middle-aged SLE employee adjusted odds of awarded benefits was 3.3 times (95% CI [1.96, 5.39]) higher compared to younger employees. Adjusted odds of awarded benefits was 3.8 times (95% CI [1.34, 10.61]) higher for gunshots and 1.7 times (95% CI [1.22, 2.39]) higher for fractures/dislocations compared to other nature of injuries. Motor vehicle injury, fall/slip, and strain related FROIs had elevated adjusted odds of awarded benefits compared to other injury causes.ConclusionsResults highlight the importance of injury prevention education and worker safety training for Private and Public SLE sector workers on fall prevention (especially in Private SLE) and strain prevention (especially in Public SLE), as well as motor vehicle safety.

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Section: Discussionmentioning

confidence: 99%

Workers compensation-reported injuries among security and law enforcement personnel in the private versus public sectors

2018

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“…A growing body of literature has identified that there are important differences in the work disability duration of men and women, evident in different likelihoods of injured workers returning to work [1], transitioning off disability benefits [2, 3], and transitioning onto permanent disability pension [4–6]. Understanding why differences may exist between men and women’s occupational health outcomes, such as work disability duration, is challenging due to the role of biological sex-based factors as well as more socially determined gender-based factors.…”

Section: Introductionmentioning

confidence: 99%

“…In Norway, administrative data were used to examine the likelihood of workers with long-term sickness absence (≥ 8 weeks) transitioning onto permanent disability to find that despite larger proportions of permanent disability among women (6.5%) than men (4.9%), there was no statistically significant difference after adjusting for confounders [4]. In Quebec, Canada, using administrative data, men and women transitioned off work disability benefits at a similar rate in the first 3-to-12 months but by the second and third years, the transition slowed more for men, resulting in a statistically significant shorter duration for women over the long term [2].…”

Section: Introductionmentioning

confidence: 99%

Do Differences in Work Disability Duration Between Men and Women Vary by Province in Canada?

et al. 2018

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Purpose Research has shown that there are important sex and gender-based differences in the work disability duration of men and women. This research is often limited to single jurisdictions, using different outcome measures, and therefore has limited generalisability of findings. This study examined if differences between work disability of men and women differed by province and by duration of work disability. Methods Cohorts of injured workers in the Canadian provinces of British Columbia (BC), Manitoba (MB) and Ontario (ON) were analysed using workers’ compensation data for work-related injuries occurring between 2007 and 2011. Work disability duration was measured using cumulative days in receipt of disability benefits paid during one-year post-injury. Poisson models with restricted cubic splines tested whether differences between men and women in the likelihood of transitioning off disability benefits varied by duration of work disability in each province, adjusting for confounders. Results Men transitioned off disability benefits faster than women for claim durations of up to two to four months, after which women transitioned off disability benefits faster until ten months. Differences between men and women were consistent across all jurisdictions. For claims longer than ten months, men transitioned off work disability benefits faster than women in BC and ON, but there were no significant differences between men and women in MB. Conclusions Differences in the work disability duration between men and women vary by province and duration of work disability. Claims management processes need to be sensitive to differences that men and women face and the timing of interventions. Electronic supplementary material The online version of this article (10.1007/s10926-018-9819-1) contains supplementary material, which is available to authorized users.

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“…4 According to the United States Bureau of Labor Statistics, CTS accounted for the third highest number of median days away from work in 2013, behind only injuries involving fractures, 32 and is generally associated with significant costs to society and the health care system. 12,22 Carpal tunnel syndrome is frequently claimed to be an occupational disease, though studies have both supported and refuted this claim. 11,20,27,28 Workers' compensation (WC) patients who undergo carpal tunnel release (CTR) have been found to have poorer outcomes and delayed return to work (RTW) when compared with noncompensated patients in prior studies.…”

Section: Introductionmentioning

confidence: 99%

Prognostic Variables for Patient Return-to-Work Interval Following Carpal Tunnel Release in a Workers’ Compensation Population

Kho

Gaspar

Kane

et al. 2016

Hand (New York, N,Y.)

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WC patients with depression, anxiety, or fibromyalgia and other chronic pain disorders were significantly more likely to have delayed RTW following CTR than were WC patients without these conditions. In addition, those who use opioid medications preoperatively and those with preoperative work restrictions were also found to have a significantly delayed RTW after CTR. Knowledge of these risk factors may help care providers and employers identify those WC patients who are most likely to have a protracted postoperative recovery period.

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Compensation benefits in a population-based cohort of men and women on long-term disability after musculoskeletal injuries: costs, course, predictors

Cited by 16 publications

References 43 publications

Workers compensation-reported injuries among security and law enforcement personnel in the private versus public sectors

Workers compensation-reported injuries among security and law enforcement personnel in the private versus public sectors

Do Differences in Work Disability Duration Between Men and Women Vary by Province in Canada?

Prognostic Variables for Patient Return-to-Work Interval Following Carpal Tunnel Release in a Workers’ Compensation Population

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