Conséquences professionnelles des algodystrophies

Dauty, Marc; Renaud, P; Deniaud, Chantal; Tortellier, L.; Dubois, C

doi:10.1016/s0168-6054(00)00065-9

Cited by 15 publications

(4 citation statements)

References 6 publications

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“…10 In the study by Paraskevas et al, 11 the recovery rate was even 100%. The time to return to work also appeared to be consistent with the results reported by Dauty et al, 12 with an average of 10.5 months. 13 The definition of return to work (under what conditions-permanent or temporary?)…”

Section: Work Prognosis Of Complex Regionalsupporting

confidence: 90%

Work Prognosis of Complex Regional Pain Syndrome Type I

Dumas

Pichon

D’Apolito

et al. 2011

Journal of Occupational &Amp; Environmental Medicine

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Section: Work Prognosis Of Complex Regionalsupporting

confidence: 90%

Work Prognosis of Complex Regional Pain Syndrome Type I

Dumas

Pichon

D’Apolito

et al. 2011

Journal of Occupational &Amp; Environmental Medicine

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“…9 In addition, predictors for the return to work in CRPS were often based on cross-sectional or univariate analysis due to small sample sizes. [10][11][12] We expect that a multivariate longitudinal model predicting the work incapacity in patients with CRPS might help to better understand this condition. Among the indices for work incapacity, the time to fitness for work (TFW) is a valid measure and independent to the economic context.…”

Section: Introductionmentioning

confidence: 99%

Healthcare Costs, Time to Fitness for Work, and Related Factors in Chronic Complex Regional Pain Syndrome: A Comparative and Longitudinal Study of 5-Year Follow-Up

Duong¹,

Léger²,

Scholz-Odermatt³

et al. 2023

JPR

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To assess and compare the healthcare costs, time to fitness for work (TFW) between chronic complex regional pain syndrome (CRPS) and non-CRPS; and identify factors associated with these outcomes in a comparative longitudinal study. Patients and Methods: 148 patients with chronic CRPS of the hand and 273 patients with chronic hand impairments but without CRPS (non-CRPS) were admitted at a Swiss rehabilitation clinic between 2007 and 2016. Healthcare costs and TFW were retrieved from insurance data over 5 years after the accident. Socio-demographic factors, biopsychosocial complexity measured by means of the INTERMED questionnaire, pain intensity and DASH disability scores were collected during rehabilitation. Generalized estimation equations and Cox proportional-hazards models were used to identify factors associated with outcomes. Results: Healthcare costs were increased by 20% for the CRPS versus non-CRPS group (coefficient = 1.20, 95% CI = 1.08-1.35, p<0.001). The median TFW was longer for CRPS than non-CRPS patients (816 vs 672 days, p = 0.02). After adjusting for covariates, TFW did not differ between the two groups (hazard ratio = 0.94, 95% CI = 0.73-1.21, p=0.61). For CRPS patients, higher healthcare costs were associated with severe or moderate initial injury, high INTERMED or DASH disability scores. Longer TFW were associated with severe initial injury, low educational level, no work contract, and high INTERMED or DASH disability scores. Conclusion: Overall, the healthcare costs were higher for CRPS than non-CRPS patients, but the TFW was comparable. We demonstrated also the significant associations of disability and biopsychosocial factors with the healthcare costs and TFW in CRPS patients.

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“…It is true, considering CRPS1 for instance, that very few studies report its socioeconomic impact [2][3][4][5][6][7][8] , and there appears to be wide variability in the rate of return to work, from as little as 30% 2 to as much as 75% 6,7 or more 8 , with most being based on a small number of patients (20 patients, or fewer for 5 studies). A proportion of return to work of over 50% in 12 to 18 th months seemed common, depending on the localisation (upper limb), the cause of CRPS1 (work accident, severe trauma for instance 6 ), and in case of comorbidity (alcoholism, medicinal products).…”

mentioning

confidence: 99%

“…A proportion of return to work of over 50% in 12 to 18 th months seemed common, depending on the localisation (upper limb), the cause of CRPS1 (work accident, severe trauma for instance 6 ), and in case of comorbidity (alcoholism, medicinal products).…”

mentioning

confidence: 99%