Financial compensation and vocational recovery: a prospective study of secondary care neck and back patients

Scandinavian Journal of Rheumatology
Lise HestbaekCharlotte Leboeuf-Yde

Abstract

Financial compensation has been shown to be a negative prognostic factor for pain and disability in patients with neck or low back pain. It is unclear whether this association is causal and to what extent it hampers return to work. The objective of this study was to assess the direct influence of a financial compensation process on the ability to remain in regular employment in patients with suspected disc herniation. A prospective cohort study with a register-based follow-up at 1, 3, and 5 years after baseline was carried out at two multidisciplinary, non-surgical spine clinics in two public hospitals in Denmark. The study population comprised consecutive patients in regular employment with neck pain radiating to the arm or low back pain radiating to the leg. The exposure variable was any type of claim for financial compensation for the actual low back/leg or neck/arm pain. The outcome measure was receiving income compensation benefits. This information was obtained through national registers. Follow-up points were 1, 3, and 5 years after inclusion. The study included 1243 low back pain patients and 202 neck pain patients. The odds ratio, adjusted for relevant confounders, of receiving income compensation benefits in case of b...Continue Reading

References

Sep 12, 1998·British Journal of Rheumatology·M A Brown, B P Wordsworth
Nov 17, 2005·Journal of Rehabilitation Medicine·Anne Pernille LysgaardClaus V Nielsen

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Citations

Dec 10, 2013·Best Practice & Research. Clinical Rheumatology·Kate M DunnJ David Cassidy
Feb 20, 2013·Journal of Shoulder and Elbow Surgery·Marianne RudbeckKirsten Fonager
Apr 12, 2016·Work : a Journal of Prevention, Assessment, and Rehabilitation·Andreja Švajger, Barbara Piškur
Sep 28, 2017·The Journal of the American Academy of Orthopaedic Surgeons·Alan H DanielsMark A Palumbo
May 8, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Junie S CarriereRobert R Edwards

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