Incident and recurrent back injuries among union carpenters

Lipscomb, Hester J.; Cameron, Wilfrid; Silverstein, Barbara

doi:10.1136/oem.2008.039222

Cited by 42 publications

(52 citation statements)

References 41 publications

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“…This is not surprising since biomechanical studies have demonstrated how low backloads during common patient handling tasks frequently exceed recommended safe limits for maximal acceptable compressive forces on the back (10,11). The problem is further aggravated because, when first initiated, a history of back pain or injury is associated with recurrent back injury (12)(13)(14), which is often more severe and costly than the initial episode (12,14).…”

mentioning

confidence: 92%

Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers

Andersen¹,

Burdorf²,

Fallentin³

et al. 2013

Scand J Work Environ Health

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mentioning

confidence: 92%

Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers

Andersen¹,

Burdorf²,

Fallentin³

et al. 2013

Scand J Work Environ Health

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“…3 Workers with back re-injuries or pain recurrences have higher costs and durations of disability, 4 yet occupational back re-injuries are rarely studied relative to initial injuries. 5 No generally agreed upon case definition of occupational back re-injury exists, challenging further research efforts in this field. Additionally, re-injuries are not distinguished among general occupational injuries by the US Bureau of Labor Statistics; national re-injury statistics are unavailable.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, re-injuries are not distinguished among general occupational injuries by the US Bureau of Labor Statistics; national re-injury statistics are unavailable. 5 Reported prevalence estimates range from 5-82%; 6 this wide range likely reflects the variation and inconsistency regarding definitions and data sources. In addition, few predictors of re-injury have been assessed across multiple studies and even when the same variable has been assessed in multiple studies, there have been conflicting findings.…”

Section: Introductionmentioning

confidence: 99%

Early Predictors of Occupational Back Reinjury

Keeney

Turner

Fulton‐Kehoe

et al. 2013

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Study Design Prospective population-based cohort study Objective To identify early predictors of self-reported occupational back re-injury within 1 year after work-related back injury Summary of Background Data Back injuries are the costliest and most prevalent disabling occupational injuries in the United States. A substantial proportion of workers with back injuries have re-injuries after returning to work, yet there are few studies of risk factors for occupational back re-injuries. Methods We aimed to identify the incidence and early (in the claim) predictors of self-reported back re-injury by approximately 1 year after the index injury among Washington State workers with new work disability claims for back injuries. The Washington Workers’ Compensation Disability Risk Identification Study Cohort (D-RISC) provided a large, population-based sample with information on variables in seven domains: sociodemographic, employment-related, pain and function, clinical status, health care, health behavior, and psychological. We conducted telephone interviews with workers 3 weeks and 1 year after submission of a time-loss claim for the injury. We first identified predictors (p-values < 0.10) of self-reported re-injury within 1 year in bivariate analyses. Those variables were then included in a multivariate logistic regression model predicting occupational back re-injury. Results 290 (25.8%) of 1,123 (70.0% response rate) workers who completed the one-year follow-up interview and had returned to work reported having re-injured their back at work. Baseline variables significantly associated with re-injury (p-value < 0.05) in the multivariate model included male gender, constant whole body vibration at work, a history of previous similar injury, 4 or more previous claims of any type, possessing health insurance, and high fear-avoidance scores. Baseline obesity was associated with reduced odds of re-injury. No other employment-related or psychological variables were significant. Conclusion One-fourth of workers who received work disability compensation for a back injury self-reported re-injury after returning to work. Baseline variables in multiple domains predicted occupational back re-injury. Increased knowledge of early risk factors for re-injury may help lead to interventions, such as efforts to reduce fear-avoidance and graded activity to promote recovery, effective in lowering the risk of re-injury.

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“…While secondary prevention may be warranted, among these workers we have been unable to identify factors that are strongly associated with recurrent back injuries other than prolonged work disability with the initial injury [Lipscomb et al, 2008b]. With only 5% of these injured carpenters experiencing a month or more of time away from work with their first injury, targeted secondary prevention that will have substantive impact on costs among this population is difficult to operationalize.…”

Section: Discussionmentioning

confidence: 82%

Compensation costs of work‐related back disorders among union carpenters, Washington State 1989–2003

Lipscomb

Dement

Silverstein³

et al. 2009

American J Industrial Med

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Increasing costs even among relatively young carpenters likely reflect the heavy nature of their work rather than simply the effects of biological aging. Musculoskeletal back problems remain a common, and consequently costly, source of injury among these carpenters that needs to be addressed through engineering modifications; there are also clearly needs for prevention of the often more costly back injuries associated with acute trauma.

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Incident and recurrent back injuries among union carpenters

Cited by 42 publications

References 41 publications

Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers

Patient transfers and assistive devices: prospective cohort study on the risk for occupational back injury among healthcare workers

Early Predictors of Occupational Back Reinjury

Compensation costs of work‐related back disorders among union carpenters, Washington State 1989–2003

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