Predictors for work incapacity continuing after disc surgery

Donceel, Peter; Bois, Marc Du

doi:10.5271/sjweh.433

Cited by 48 publications

(47 citation statements)

References 41 publications

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“…High scores in the ODI and in leg pain assessment by VAS can be regarded as alarm signals for a poor socioeconomic outcome, i.e., more lost working days and higher costs to the society. The ODI has earlier appeared to be a predictor of permanent or prolonged disability after lumbar disc surgery [15,19,28]. The present study is the first to show that the ODI is a risk factor for loss of working time, i.e., indirect societal cost, as well.…”

Section: Discussionmentioning

confidence: 62%

“…Most studies on productivity loss due to lost work related to lumbar disc herniation have only considered permanent exit from the labour market and reported that 60-85% of patients return to work within 1-3 years after lumbar disc surgery [15,40,49]. With longer follow-up times (7-10 years) 77-93% of patients have regained employment [22,34].…”

Section: Introductionmentioning

confidence: 99%

“…In some studies, the clinical outcome has also been associated with some preoperative image findings [45]. Return-to-work has been influenced by psychosocial factors, as well as work-related factors like physical loading of the work, ability to change working conditions, and work satisfaction, whereas clinical and image findings have a little impact [1,5,15,44].…”

Section: Introductionmentioning

confidence: 99%

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Risk factors for back pain-related loss of working time after surgery for lumbar disc herniation: a 5-year follow-up study

et al. 2007

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The aim of this study is to explore the occurrence and the risk factors of back-related loss of working time in patients undergoing surgery for lumbar disc herniation. One hundred and fifty-two gainfully employed patients underwent surgery for lumbar disc herniation. Two months postoperatively, those patients completed a selfreport questionnaire including queries on back and leg pain (VAS), functional capacity (Oswestry disability index-ODI, version 1.0), and motivation to work. After 5 years, lost working time was evaluated by means of a postal questionnaire about sick leave and disability pensions. The cumulative number of back pain-related days-off work was calculated for each patient. All 152 patients, 86 men and 66 women, were prescribed sick leave for the first 2 months. Thereafter, 80 (53%) of them reported back pain-related sick leave or early retirement. A permanent work disability pension due to back problems was awarded to 15 (10%) patients, 5 men (6%) and 10 women (15%). Median number of all work disability days per year was 11 (interquartile range [IQR] 9-37); it was 9 days (IQR 9-22) in patients with minimal disability (ODI score 0-20) at 2 months postoperatively and 67 days (IQR 9-352) in those with moderate or severe disability (ODI [ 20; P \ 0.001). The respective means were 61, 29, and 140 days/year. Multivariate analysis showed ODI [ 20, leg pain, and poor motivation to work to be the risk factors for extension of work disability. Results of the present study show that after the lumbar disc surgery, poor outcome in questionnaire measures the physical functioning (ODI) and leg pain at 2 months postoperatively, as well as poor motivation to work, are associated with the loss of working time. Patients with unfavourable prognosis should be directed to rehabilitation before the loss of employment.

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Section: Discussionmentioning

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Risk factors for back pain-related loss of working time after surgery for lumbar disc herniation: a 5-year follow-up study

et al. 2007

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“…This corroborates with the evidence review for UK occupational health guidelines by Waddell and Burton. They found that the worker's own beliefs that their LBP was caused by their work and their own expectations about inability to RTW are particularly important [4,11,17,19,27]. A systematic review by Mondloch et al summarized the mechanisms by which expectations can affect outcomes [16].…”

Section: Discussionmentioning

confidence: 99%

A screening questionnaire to predict no return to work within 3 months for low back pain claimants

Bois

Donceel

2008

Eur Spine J

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The objective of the present study was to develop a short prediction questionnaire for estimating the risk of no return to work (RTW) within 3 months of sick leave to facilitate triage and management of a patient population of subacute low-back pain (LBP) sufferers. We conducted a prospective study with a 3-month follow-up on 186 patients with LBP introducing a claim for sickness benefits to the largest sickness fund in Belgium. Patients completed a screening questionnaire within 2 weeks after claim submission. All patients were invited for clinical assessment, at 6-8 weeks of sick leave, by the medical adviser. Patients' work status was recorded by the sickness fund. About 20% of the patients did not resume work at 3 months' sick leave. They were more likely to experience pain below the knee, to have an own previous prediction of a 100% no RTW and to have a severe interference of pain on daily activities. The screening tool based on these three items correctly classified 73.7% of the non-resumers and 78.4% of the resumers at a cut-off score of 0.22. The findings of this study provide evidence of the utility of a short screening questionnaire for future use in intervention studies in a social security setting.

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“…Since the MSPQ was introduced in the literature in 1983, the instrument has been used extensively in clinical and research settings. The MSPQ has mainly been employed on individuals suffering from various pain conditions (Adams, Mannion, & Dolan, 1999;Donceel & Du Bois, 1999;Gockel et al, 1995;Greenough, 1993;Koho, Aho, Watson, & Hurri, 2001;Main, 1983;Norrefalk, Svensson, Ekholm, & Borg, 2005;Penta & Fraser, 1997;Trief, Grant, & Fredrickson, 2000;Wand et al, 2004). The instrument has however also been used on tinnitus patients (Newman, Wharton, & Jacobson, 1997;Robinson et al, 2003), on patients with Meniere's disease (Storper, Spitzer, & Scanlan, 1998), on bereaved couples (Lang, Gottlieb, & Amsel, 1996), on individuals with insomnia (Jansson & Linton, 2007), on women with chest pain (Warner, 1995) and on patients with myocardial infarction (Frasure-Smith & Lespe´rance, 2003).…”

Section: Introductionmentioning

confidence: 99%

Exploratory factor analysis of the Modified Somatic Perception Questionnaire on a sample with insomnia symptoms

Jansson‐Fröjmark

MacDonald

2008

Psychology, Health & Medicine

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Predictors for work incapacity continuing after disc surgery

Cited by 48 publications

References 41 publications

Risk factors for back pain-related loss of working time after surgery for lumbar disc herniation: a 5-year follow-up study

Risk factors for back pain-related loss of working time after surgery for lumbar disc herniation: a 5-year follow-up study

A screening questionnaire to predict no return to work within 3 months for low back pain claimants

Exploratory factor analysis of the Modified Somatic Perception Questionnaire on a sample with insomnia symptoms

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