Résumé
Purpose Our objective was to develop a clinical prediction model to identify workers with sustainable employment following an episode of work-related low back pain (LBP). Methods We used data from a cohort study of injured workers with incident LBP claims in the USA to predict employment patterns 1 and 6 months following a workers’ compensation claim. We developed three sequential models to determine the contribution of three domains of variables: (1) basic demographic/clinical variables; (2) health-related variables; and (3) work-related factors. Multivariable logistic regression was used to develop the predictive models. We constructed receiver operator curves and used the c-index to measure predictive accuracy. Results Seventy-nine percent and 77 % of workers had sustainable employment at 1 and 6 months, respectively. Sustainable employment at 1 month was predicted by initial back pain intensity, mental health-related quality of life, claim litigation and employer type (c-index = 0.77). At 6 months, sustainable employment was predicted by physical and mental health-related quality of life, claim litigation and employer type (c-index = 0.77). Adding health-related and work-related variables to models improved predictive accuracy by 8.5 and 10 % at 1 and 6 months respectively. Conclusion We developed clinically-relevant models to predict sustainable employment in injured workers who made a workers’ compensation claim for LBP. Inquiring about back pain intensity, physical and mental health-related quality of life, claim litigation and employer type may be beneficial in developing programs of care. Our models need to be validated in other populations.
| Langue d'origine | English |
|---|---|
| Pages (de-à) | 445-455 |
| Nombre de pages | 11 |
| Journal | Journal of Occupational Rehabilitation |
| Volume | 27 |
| Numéro de publication | 3 |
| DOI | |
| Statut de publication | Published - sept. 1 2017 |
Note bibliographique
Funding Information:Dr. Shearer, Dr. Côté, Dr. Frank, & Professor Johnson declare they have no conflict of interest. Dr. Boyle has received research grants payable to the University Health Network from the Workplace Safety and Insurance Board and the Canadian Chiropractic Protective Association. She has received a grant payable to the University of Southern Denmark from the Fonden til fremme af Kiropraktisk forskning og postgraduate uddannelse. Dr. Hayden has received funding for a research professorship at Dalhousie University from the Canadian Chiropractic Research Foundation.
Funding Information:
This research was supported by the Graduate Education and Research Department at the Canadian Memorial Chiropractic College. The Arizona State University Healthy Back Study was supported by a grant from the National Chiropractic Insurance Company (NCMIC). Neither funding agency was involved in the collection of data, data analysis, interpretation of data, or drafting of the manuscript.
Publisher Copyright:
© 2016, Springer Science+Business Media New York.
ASJC Scopus Subject Areas
- Rehabilitation
- Occupational Therapy
ODD de l’ONU
Cette action contribue à la réalisation des objectifs de développement durable suivants
