Prognostic factors for disability claim duration due to musculoskeletal symptoms among self-employed persons

Abstract

BackgroundEmployees and self-employed persons have, among others, different personal characteristics and different working conditions, which may influence the prognosis of sick leave and the duration of a disability claim. The purpose of the current study is to identify prognostic factors for the duration of a disability claim due to non-specific musculoskeletal disorders (MSD) among self-employed persons in the Netherlands.MethodsThe study population consisted of 276 self-employed persons, who all had a disability claim episode due to MSD with at least 75% work disability. The study was a cohort study with a follow-up period of 12 months. At baseline, participants filled in a questionnaire with possible individual, work-related and disease-related prognostic factors.ResultsThe following prognostic factors significantly increased claim duration: age > 40 years (Hazard Ratio 0.54), no similar symptoms in the past (HR 0.46), having long-lasting symptoms of more than six months (HR 0.60), self-predicted return to work within more than one month or never (HR 0.24) and job dissatisfaction (HR 0.54).ConclusionsThe prognostic factors we found indicate that for self-employed persons, the duration of a disability claim not only depends on the (history of) impairment of the insured, but also on age, self-predicted return to work and job satisfaction.

Person-related factors associated with work participation in employees with health problems: a systematic review

“…In total, 32 quantitative studies investigated the association between expectations regarding recovery or RTW and work participation (Table 1: Audhoe et al 2012; Besen et al 2015; Boot et al 2008; Busch et al 2007; Carriere et al 2015a, b; Carstens et al 2014; Coggon et al 2013; Cowan et al 2012; Du Bois et al 2009; Ekberg et al 2015; Gross and Battié 2010; Hou et al 2008, 2012; Iakova et al 2012; Jensen et al 2013; Johansson et al 2010; Lindell et al 2010; Magnussen et al 2007b; Murgatroyd et al 2016; Nieuwenhuijsen et al 2013; Opsahl et al 2016; Reme et al 2009; Richter et al 2011; Rönnberg et al 2007; Sampere et al 2012; Sluiter and Frings-Dresen 2008; Spector et al 2012; Truchon et al 2012; Turner et al 2008; Vuistiner et al 2015; Wåhlin et al 2012). The majority of these studies found evidence of a positive association, which suggests that having positive expectations about one’s recovery or chances of RTW has a positive effect on work participation for employees with health problems (Audhoe et al 2012; Besen et al 2015; Busch et al 2007; Carriere et al 2015a, b; Carstens et al 2014; Cowan et al 2012; Du Bois et al 2009; Ekberg et al 2015; Gross and Battié 2010; Hou et al 2008, 2012; Jensen et al 2013; Johansson et al 2010; Lindell et al 2010; Magnussen et al 2007b; Murgatroyd et al 2016; Opsahl et al 2016; Reme et al 2009; Richter et al 2011; Rönnberg et al 2007; Sampere et al 2012; Sluiter and Frings-Dresen 2008; Spector et al 2012; Truchon et al 2012; Vuistiner et al 2015; Wåhlin et al 2012).…”

“…The majority of these studies found evidence of a positive association, which suggests that having positive expectations about one’s recovery or chances of RTW has a positive effect on work participation for employees with health problems (Audhoe et al 2012; Besen et al 2015; Busch et al 2007; Carriere et al 2015a, b; Carstens et al 2014; Cowan et al 2012; Du Bois et al 2009; Ekberg et al 2015; Gross and Battié 2010; Hou et al 2008, 2012; Jensen et al 2013; Johansson et al 2010; Lindell et al 2010; Magnussen et al 2007b; Murgatroyd et al 2016; Opsahl et al 2016; Reme et al 2009; Richter et al 2011; Rönnberg et al 2007; Sampere et al 2012; Sluiter and Frings-Dresen 2008; Spector et al 2012; Truchon et al 2012; Vuistiner et al 2015; Wåhlin et al 2012). However, some of these studies indicated that the effect was dependent on the subgroup of participants or the form of expectations (Ekberg et al 2015; Gross and Battié 2010; Murgatroyd et al 2016; Sluiter and Frings-Dresen 2008; Wåhlin et al 2012).…”

“…Twenty-four quantitative studies addressed the possible influence of perceived health on work participation (Table 1: Audhoe et al 2012; Boot et al 2011, 2014; Chen et al 2012; Dawson et al 2011; De Vries et al 2012b; Dionne et al 2007; Dyster-Aas et al 2007; Ekberg et al 2015; Elfving et al 2009; Grøvle et al 2013; Hansen et al 2009; He et al 2010; Iakova et al 2012; Jensen et al 2013; Lindell et al 2010; Morrison et al 2016; Murgatroyd et al 2016; Nielsen et al 2012; Ramel et al 2013; Richter et al 2011; Sampere et al 2012; Sivertsen et al 2013; Vuistiner et al 2015). Seven studies found no association at all between the factor and work participation (Chen et al 2012; De Vries et al 2012b; Elfving et al 2009; Hansen et al 2009; Jensen et al 2013; Lindell et al 2010; Richter et al 2011).…”

“…Seven studies found no association at all between the factor and work participation (Chen et al 2012; De Vries et al 2012b; Elfving et al 2009; Hansen et al 2009; Jensen et al 2013; Lindell et al 2010; Richter et al 2011). However, the majority of the studies found that being positive about one’s general health was positively associated with work participation (Audhoe et al 2012; Boot et al 2011, 2014; Dawson et al 2011; Dionne et al 2007; Dyster-Aas et al 2007; Ekberg et al 2015; He et al 2010; Morrison et al 2016; Murgatroyd et al 2016; Nielsen et al 2012; Ramel et al 2013; Sivertsen et al 2013; Vuistiner et al 2015).…”

Occupational Injury Surveillance Among Law Enforcement Officers Using Workers’ Compensation Data, Illinois 1980 to 2008

“…17,18 In addition, labor agreements require that police and sheriff's officers be able to work full duty in order to return at all, whereas, in most cases, correctional facilities are able to accommodate light duty to some extent. As an indicator of injury severity, TTD is actually used to calculate the total monetary award and is therefore directly related to Total Monetary Compensation.…”