Mortality following workplace injury: Quantitative bias analysis

Busey, Andrew; Asfaw, Abay; Applebaum, Katie M.; O'Leary, Paul; Tripodis, Yorghos; Fox, Matthew P.; Stokes, Andrew; Boden, Leslie I.

doi:10.1016/j.annepidem.2021.09.015

Cited by 5 publications

(9 citation statements)

References 28 publications

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“…The statistical approach in this study was the same as that in earlier New Mexico mortality studies 15 16…”

Section: Methodsmentioning

confidence: 99%

“…These simulations are informed by external data on the distribution of the confounders in those with and without lost-time injuries and the strength of the effect of these two variables on mortality (figure 1). 16…”

Section: Methodsmentioning

confidence: 99%

“…This figure was adapted from figure 1 of a publication by the current study’s authors. This quantitative bias analysis approach can apply to any jurisdiction (including New Mexico and Washington) 16. NHANES, National Health and Nutrition Examination Survey; PSID, Panel Study of Income Dynamics.…”

Section: Methodsmentioning

confidence: 99%

“…We summarised the resulting 10 000 adjusted HRs using the median as the point estimate and the 2.5th to the 97.5th percentile of the HR distribution as a 95% simulation interval (SI). These simulations, using national data, rely on the same method used and described in an earlier paper 16…”

Section: Methodsmentioning

confidence: 99%

“…Work-related injuries have substantial long-term negative effects on disability,1 earnings,2 3 family roles,4–6 depression6–9 and opioid use 10 11. Studies in Taiwan, Canada and the USA12–17 have shown increases in all-cause mortality following lost-time injury.…”

Section: Introductionmentioning

confidence: 99%

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Increased all-cause mortality following occupational injury: a comparison of two states

Boden

Asfaw

Busey³

et al. 2022

Occup Environ Med

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ObjectivesTo measure the impact of lost-time occupational injuries on all-cause mortality in Washington State and, using the same data elements and study design, to determine whether the estimated impact was similar to previous estimates for New Mexico.MethodsWe linked injuries in the Washington workers’ compensation system with Social Security Administration data on earnings and mortality. We estimated Cox survival models of mortality for women and men with lost-time compared with medical-only injuries, adjusting for age, pre-injury earnings and industry. We used quantitative bias analysis to account for confounding by pre-injury smoking and obesity.ResultsThe estimated mortality HR was 1.24 for women (95% CI 1.21 to 1.28) and 1.22 for men (95% CI 1.20 to 1.24). After adjusting for unmeasured pre-injury smoking and obesity, the estimated HR for women was 1.10, 95% simulation interval (SI) 1.00 to 1.21; for men, it was 1.15, 95% SI 1.04 to 1.27.ConclusionsAll-cause mortality for Washington workers with lost-time injuries was higher than for those with medical-only injuries. Estimated HRs for Washington were consistent with those previously estimated for New Mexico, a less populous state with lower median wages and a different workers’ compensation insurance mechanism. This suggests that the relationship between workplace injury and long-term mortality may be generalisable to other US states. These findings support greater efforts to enhance safety and to investigate factors that improve postinjury employment opportunities and long-term health. This association should be examined in additional locations, with different study conditions, or using additional data on pre-injury risk factors.

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“…The statistical approach in this study was the same as that in earlier New Mexico mortality studies 15 16…”

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Increased all-cause mortality following occupational injury: a comparison of two states

Boden

Asfaw

Busey³

et al. 2022

Occup Environ Med

Self Cite

View full text Add to dashboard Cite

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Increased Mortality Associated With Disability Among Workers’ Compensation Claimants With Upper Extremity Neuropathy

Martin

Woods

Bertke

et al. 2023

J Occup Environ Med

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The aim of the study was to evaluate and compare mortality after disabling and nondisabling occupational injuries. Methods: Vital status was ascertained through 2020 for 2077 individuals with a workers' compensation claim for upper extremity neuropathy in West Virginia in 1998 or 1999. Standardized mortality ratios compared mortality to the West Virginia general population. Hazard ratios (HRs) obtained from Cox regression models compared mortality among those with and without lost work time or permanent disability. Results: Overall, the standardized mortality ratio for accidental poisoning deaths was elevated (1.75, 95% confidence interval [

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Evaluation of quantitative bias analysis in epidemiological research: A systematic review from 2010 to mid‐2023

Akbaş,

Hark

2024

Evaluation Clinical Practice

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ObjectiveWe aimed to demonstrate the use of quantitative bias analysis (QBA), which reveals the effects of systematic error, including confounding, misclassification and selection bias, on study results in epidemiological studies published in the period from 2010 to mid‐23.MethodThe articles identified through a keyword search using Pubmed and Scopus were included in the study. The articles obtained from this search were eliminated according to the exclusion criteria, and the articles in which QBA analysis was applied were included in the detailed evaluation.ResultsIt can be said that the application of QBA analysis has gradually increased over the 13‐year period. Accordingly, the number of articles in which simple is used as a method in QBA analysis is 9 (9.89%), the number of articles in which the multidimensional approach is used is 10 (10.99%), the number of articles in which the probabilistic approach is used is 60 (65.93%) and the number of articles in which the method is not specified is 12 (13.19%). The number of articles with misclassification bias model is 44 (48.35%), the number of articles with uncontrolled confounder(s) bias model is 32 (35.16%), the number of articles with selection bias model is 7 (7.69%) and the number of articles using more than one bias model is 8 (8.79%). Of the 49 (53.85%) articles in which the bias parameter source was specified, 19 (38.78%) used internal validation, 26 (53.06%) used external validation and 4 (8.16%) used educated guess, data constraints and hypothetical data. Probabilistic approach was used as a bias method in 60 (65.93%) of the articles, and mostly beta (8 [13.33%)], normal (9 [15.00%]) and uniform (8 [13.33%]) distributions were selected.ConclusionThe application of QBA is rare in the literature but is increasing over time. Future researchers should include detailed analyzes such as QBA analysis to obtain inferences with higher evidence value, taking into account systematic errors.

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Mortality following workplace injury: Quantitative bias analysis

Cited by 5 publications

References 28 publications

Increased all-cause mortality following occupational injury: a comparison of two states

Increased all-cause mortality following occupational injury: a comparison of two states

Increased Mortality Associated With Disability Among Workers’ Compensation Claimants With Upper Extremity Neuropathy

Evaluation of quantitative bias analysis in epidemiological research: A systematic review from 2010 to mid‐2023

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