Return-to-Work Barriers Among Manual Workers After Hand Injuries: 1-Year Follow-up Cohort Study

Marom, Batia; Ratzon, Navah Z.; Carel, Rafael S.; Sharabi, Moshe

doi:10.1016/j.apmr.2018.07.429

Cited by 29 publications

(52 citation statements)

References 34 publications

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“…Hand injuries (HI) are common and may result in a long-term physical and functional disability that limits participation in a wide range of activities, including work [6][7][8]. According to the literature HI account for up to 20% of all injuries and about 10% to 30% of all admissions to emergency units [8]. HI are common among males whose job involves physical labor [8].…”

Section: Introductionmentioning

confidence: 99%

“…According to the literature HI account for up to 20% of all injuries and about 10% to 30% of all admissions to emergency units [8]. HI are common among males whose job involves physical labor [8]. Since these young male workers [7][8], have a long working life expectancy requiring continued use of hand function, it is essential to improve recovery rates.…”

Section: Introductionmentioning

confidence: 99%

“…HI are common among males whose job involves physical labor [8]. Since these young male workers [7][8], have a long working life expectancy requiring continued use of hand function, it is essential to improve recovery rates. Additionally, those who do not return-to-work (RTW) at an early phase are at increased risk for long-term disability [8].…”

Section: Introductionmentioning

confidence: 99%

“…Since these young male workers [7][8], have a long working life expectancy requiring continued use of hand function, it is essential to improve recovery rates. Additionally, those who do not return-to-work (RTW) at an early phase are at increased risk for long-term disability [8]. Difficulties in RTW often cause economic and social distress for the injured individuals, their family and society at large [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…Studies agree that findings related to medical conditions and objective medical findings are not the only factors that can predict RTW. Current literature emphasizes the integration of medical, psychosocial, personal, and environmental variables [8]. The International Classification of Functioning, Disability and Health (ICF) is a framework that can be used to characterize the complexity of factors affecting RTW after HI.…”

Section: Introductionmentioning

confidence: 99%

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Returning to work after a hand injury: Does ethnicity matter?

et al. 2020

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Background Hand injuries (HI) are common and may limit participation in work. The objective of this study is to examine the effect of ethnicity and other prognostic variables on return-to-work (RTW) among male manual workers after acute HI. Methods A cohort of 178 subjects (90 Arabs, 88 Jews) aged 22 to 65 was studied. Trained bilingual occupational therapists evaluated and interviewed the subjects, using structured validated questionnaires for evaluating personal and environmental factors, body function and structure, and activity limitation and participation restrictions. Employment status 3 months post injury was assessed by a telephone interview. To establish a predictive model for RTW, ethnicity and certain variables of the four domains mentioned above were analyzed using logistic regression analysis. Results A significant difference in the rate of RTW between Jews and Arabs was found (45.5% for Jews, 28.9% for Arabs, p = 0.03) three months post HI. In the univariate regression analysis, ethnicity was associated with RTW (OR = 2.05; CI: 1.10-3.81) for Jews vs. Arabs. Using a multivariate analysis, only legal counseling, educational attainment, and the severity of disability were significantly associated with RTW. Conclusion RTW three months post HI among manual workers is directly related to variables such as education and legal counseling and only indirectly related to ethnicity. Patients with a lower level of education and those who were engaged in legal counseling need special attention and close guidance in the process of RTW.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Returning to work after a hand injury: Does ethnicity matter?

et al. 2020

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Racial and Ethnic Inequities in the Return-to-Work of Workers Experiencing Injury or Illness: A Systematic Review

Jetha,

Navaratnerajah,

Shahidi

et al. 2023

J Occup Rehabil

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Purpose Non-White workers face more frequent, severe, and disabling occupational and non-occupational injuries and illnesses when compared to White workers. It is unclear whether the return-to-work (RTW) process following injury or illness differs according to race or ethnicity. Objective To determine racial and ethnic differences in the RTW process of workers with an occupational or non-occupational injury or illness. Methods A systematic review was conducted. Eight academic databases - Medline, Embase, PsycINFO, CINAHL, Sociological Abstracts, ASSIA, ABI Inform, and Econ lit - were searched. Titles/abstracts and full texts of articles were reviewed for eligibility; relevant articles were appraised for methodological quality. A best evidence synthesis was applied to determine key findings and generate recommendations based on an assessment of the quality, quantity, and consistency of evidence. Results 15,289 articles were identified from which 19 studies met eligibility criteria and were appraised as medium-to-high methodological quality. Fifteen studies focused on workers with a non-occupational injury or illness and only four focused on workers with an occupational injury or illness. There was strong evidence indicating that non-White and racial/ethnic minority workers were less likely to RTW following a non-occupational injury or illness when compared to White or racial/ethnic majority workers. Conclusions Policy and programmatic attention should be directed towards addressing racism and discrimination faced by non-White and racial/ethnic minority workers in the RTW process. Our research also underscores the importance of enhancing the measurement and examination of race and ethnicity in the field of work disability management.

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Evaluation of the Accuracy of the Smart Work Injury Management (SWIM) System to Assist Case Managers in Predicting the Work Disability of Injured Workers

Yeung,

Chen,

et al. 2024

J Occup Rehabil

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Purpose Many countries have developed clinical decision-making support tools, such as the smart work injury management (SWIM) system in Hong Kong, to predict rehabilitation paths and address global issues related to work injury disability. This study aims to evaluate the accuracy of SWIM by comparing its predictions on real work injury cases to those made by human case managers, specifically with regard to the duration of sick leave and the percentage of permanent disability. Methods The study analyzed a total of 442 work injury cases covering the period from 2012 to 2020, dividing them into non-litigated and litigated cases. The Kruskal–Wallis post hoc test with Bonferroni adjustment was used to evaluate the differences between the actual data, the SWIM predictions, and the estimations made by three case managers. The intra-class correlation coefficient was used to assess the inter-rater reliability of the case managers. Results The study discovered that the predictions made by the SWIM model and a case manager possessing approximately 4 years of experience in case management exhibited moderate reliability in non-litigated cases. Nevertheless, there was no resemblance between SWIM’s predictions regarding the percentage of permanent disability and those made by case managers. Conclusion The findings indicate that SWIM is capable of replicating the sick leave estimations made by a case manager with an estimated 4 years of case management experience, albeit with limitations in generalizability owing to the small sample size of case managers involved in the study. Implications These findings represent a significant advancement in enhancing the accuracy of CDMS for work injury cases in Hong Kong, signaling progress in the field.

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Return-to-Work Barriers Among Manual Workers After Hand Injuries: 1-Year Follow-up Cohort Study

Cited by 29 publications

References 34 publications

Returning to work after a hand injury: Does ethnicity matter?

Returning to work after a hand injury: Does ethnicity matter?

Racial and Ethnic Inequities in the Return-to-Work of Workers Experiencing Injury or Illness: A Systematic Review

Evaluation of the Accuracy of the Smart Work Injury Management (SWIM) System to Assist Case Managers in Predicting the Work Disability of Injured Workers

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