Labor Force Participation and the Influence of Having Back Problems on Income Poverty in Australia

Schofield, Deborah; Callander, Emily; Shrestha, Rupendra; Percival, Richard; Kelly, Simon; Passey, Megan

doi:10.1097/brs.0b013e31824481ee

Cited by 24 publications

(12 citation statements)

References 31 publications

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“…Engaging in a focus more aimed at primary prevention is important to improve employment outcomes for those with PMP [35] as high employer and social costs and reduced personal wealth are associated with employees being off work and subsequent challenges in returning them to work [36]. This is especially the case for people with arthritis and back problems [37,38]. Other enablers were more personal in nature, such as an appropriate medication regime and personal characteristics, and these have been previously documented as important in the maintenance of employment [39].…”

Section: Discussionmentioning

confidence: 99%

Working with Persistent Pain: An Exploration of Strategies Utilised to Stay Productive at Work

2016

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Purpose Maintaining productive employment for people with persistent pain conditions is challenging. This study aims to explore supports-work and non-work- used by employees to assist them in maintaining productive employment. Methods An exploratory, mixed-methods study comprising a questionnaire battery followed by semi-structured interviews to collect in-depth qualitative data was undertaken. The questionnaires measured descriptive variables used to select participants for interviews based on maximum heterogeneity sampling. Thirty-five semi-structured interviews were undertaken (14 males; 21 females). The interview schedule covered: employment situation, workplace challenges, workplace supports, coping strategies, motivations, future employment options and any other resources utilised. Inductive content analysis was undertaken using a grounded theory approach to systematically explore the data. Results Three key themes were identified: barriers to working productively, enablers to working productively, disclosing my condition at work. A key determinant of maintaining productive employment was a supportive employer. In addition, flexibility in the work organisation was also pivotal in maintaining sustainable, productive employment. An important issue emerged with regard to disclosure of one's condition to an employer. For some, this was a significant barrier to employment. Conclusions To ensure sustainable employment is attainable for those with persistent pain conditions, a good match is required between an employee and their work. Workplace accommodations may assist with improving job fit but this requires disclosure of a condition to an employer. Weighing up the risks and benefits of disclosure is difficult, and may be assisted by knowledge of available supports to assist with maintaining ongoing employment.

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Section: Discussionmentioning

confidence: 99%

Working with Persistent Pain: An Exploration of Strategies Utilised to Stay Productive at Work

2016

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“…In Australia, regardless of labour force participation, those with back problems are more likely to be in income poverty compared to those without chronic health problems. 76 Compared to those with back problems who remain in the work force, those who are not working due to back problems are 90% more likely to be in income poverty. 76 …”

Section: Low Back Pain Is Still the Number One Cause Of Disabilitymentioning

confidence: 99%

The Lancet Series call to action to reduce low value care for low back pain: an update

Buchbinder

Underwood

Hartvigsen

et al. 2020

Pain

153

120

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Review and comments The World Drug Report 2019 benefited from the expertise of and invaluable contributions from INCB and from UNODC colleagues in all divisions. The Research and Trend Analysis Branch acknowledges the important contribution from its colleagues in the Laboratory and Scientific Section and in the Programme Development and Management Unit. The Research and Trend Analysis Branch acknowledges the invaluable contributions and advice provided by the World Drug Report Scientific Advisory Committee:

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“…For example, estimates for treatments alone are US$50 billion per annum in the United States [ 3 ] and US$4 billion in the United Kingdom [ 4 ]. The impact of LBP can be profound; in Australia, LBP is the leading cause of early retirement [ 5 ] and of income poverty in older adults [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Estimating the Risk of Chronic Pain: Development and Validation of a Prognostic Model (PICKUP) for Patients with Acute Low Back Pain

et al. 2016

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BackgroundLow back pain (LBP) is a major health problem. Globally it is responsible for the most years lived with disability. The most problematic type of LBP is chronic LBP (pain lasting longer than 3 mo); it has a poor prognosis and is costly, and interventions are only moderately effective. Targeting interventions according to risk profile is a promising approach to prevent the onset of chronic LBP. Developing accurate prognostic models is the first step. No validated prognostic models are available to accurately predict the onset of chronic LBP. The primary aim of this study was to develop and validate a prognostic model to estimate the risk of chronic LBP.Methods and FindingsWe used the PROGRESS framework to specify a priori methods, which we published in a study protocol. Data from 2,758 patients with acute LBP attending primary care in Australia between 5 November 2003 and 15 July 2005 (development sample, n = 1,230) and between 10 November 2009 and 5 February 2013 (external validation sample, n = 1,528) were used to develop and externally validate the model. The primary outcome was chronic LBP (ongoing pain at 3 mo). In all, 30% of the development sample and 19% of the external validation sample developed chronic LBP. In the external validation sample, the primary model (PICKUP) discriminated between those who did and did not develop chronic LBP with acceptable performance (area under the receiver operating characteristic curve 0.66 [95% CI 0.63 to 0.69]). Although model calibration was also acceptable in the external validation sample (intercept = −0.55, slope = 0.89), some miscalibration was observed for high-risk groups. The decision curve analysis estimated that, if decisions to recommend further intervention were based on risk scores, screening could lead to a net reduction of 40 unnecessary interventions for every 100 patients presenting to primary care compared to a “treat all” approach. Limitations of the method include the model being restricted to using prognostic factors measured in existing studies and using stepwise methods to specify the model. Limitations of the model include modest discrimination performance. The model also requires recalibration for local settings.ConclusionsBased on its performance in these cohorts, this five-item prognostic model for patients with acute LBP may be a useful tool for estimating risk of chronic LBP. Further validation is required to determine whether screening with this model leads to a net reduction in unnecessary interventions provided to low-risk patients.

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Labor Force Participation and the Influence of Having Back Problems on Income Poverty in Australia

Abstract: This highlights the need to prevent and effectively treat chronic back problems, as these conditions are associated with reduced living standards.

Cited by 24 publications

References 31 publications

Working with Persistent Pain: An Exploration of Strategies Utilised to Stay Productive at Work

Working with Persistent Pain: An Exploration of Strategies Utilised to Stay Productive at Work

The Lancet Series call to action to reduce low value care for low back pain: an update

Estimating the Risk of Chronic Pain: Development and Validation of a Prognostic Model (PICKUP) for Patients with Acute Low Back Pain

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