Pain and disability retirement: a prospective cohort study

Pain
P SaastamoinenEero Lahelma

Abstract

This study examined the association of pain with subsequent disability retirement due to all causes as well as musculoskeletal diseases, mental disorders, and a heterogeneous group of other diseases and to study whether pain has an effect of its own after taking into account long-standing illness, physician-diagnosed diseases, working conditions, and occupational class, which are the key factors affecting disability retirement. The data consisted of the Helsinki Health Study baseline survey linked to national pension register data (n=6258). Mean follow-up time was 8.1 years. The data included 594 disability retirement events. Pain (acute or chronic) was stratified by long-standing illness (yes/no). Cox regression analysis was performed. Chronic pain without and with co-occurring long-standing illness was strongly associated with all types of disability retirement outcomes, but the associations were particularly strong for disability retirement due to musculoskeletal diseases. The associations remained even when further adjusted for physician diagnosed chronic conditions and diseases, psychosocial and physical working conditions, and occupational class. Associations for acute pain were also found, but they were clearly weaker th...Continue Reading

References

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Citations

Apr 3, 2012·International Journal of Epidemiology·Eero LahelmaP Saastamoinen
Jun 3, 2014·Journal of Affective Disorders·Leena Kaila-KangasPäivi Leino-Arjas
Oct 30, 2013·Journal of Occupational and Environmental Medicine·Rahman ShiriPäivi Leino-Arjas
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Aug 16, 2016·Occupational and Environmental Medicine·Tea LallukkaS Solovieva
Nov 30, 2019·International Archives of Occupational and Environmental Health·Tea LallukkaJaana I Halonen
Oct 6, 2018·Occupational and Environmental Medicine·Tea LallukkaJaana I Halonen
Apr 14, 2019·European Journal of Pain : EJP·Pekka VartiainenEija Kalso
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Related Concepts

Physically Challenged
Health Surveys
Regression Analysis
Retirement
Incidence Studies
Safety, Occupational
Workplace
Widespread Chronic Pain
Mental Disorders
Regression Analysis

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