Does gradually returning to work improve time to sustainable work after a work-acquired musculoskeletal disorder in British Columbia, Canada? A matched cohort effectiveness study: A matched cohort effectiveness study

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Titel: Does gradually returning to work improve time to sustainable work after a work-acquired musculoskeletal disorder in British Columbia, Canada? A matched cohort effectiveness study: A matched cohort effectiveness study
Autoren: Esther T Maas, Mieke Koehoorn, Christopher B McLeod
Quelle: Occup Environ Med
Verlagsinformationen: BMJ, 2021.
Publikationsjahr: 2021
Schlagwörter: Adult, Male, Time Factors, Return to Work/statistics & numerical data, Adolescent, British Columbia, Musculoskeletal System/injuries, Middle Aged, Occupational Injuries/epidemiology, Occupational Injuries, 12. Responsible consumption, Young Adult, 03 medical and health sciences, Return to Work, 0302 clinical medicine, Absenteeism, 8. Economic growth, British Columbia/epidemiology, Humans, Female, Workplace, Musculoskeletal System
Beschreibung: ObjectiveThis study investigates if gradual return to work (GRTW) is associated with full sustainable return to work (RTW) for seriously injured workers with a musculoskeletal disorder (MSD), in British Columbia, Canada.MethodsThis is an effectiveness study using a retrospective cohort study design. Accepted workers’ compensation lost-time claims were extracted for workers with an MSD who were on full work disability for at least 30 days, between 2010 and 2015 (n=37 356). Coarsened exact matching yielded a final matched cohort of 12 494 workers who experienced GRTW at any point 30 days post-injury and 12 494 workers without any GRTW. The association between GRTW and sustainable RTW through to end of 12 months was estimated with multivariable quantile regression.ResultsWorkers who were provided with GRTW experienced more time-loss days until sustainable RTW between the 2nd and 5th months after the first time-loss day (ConclusionsFor seriously injured workers with at least 30 days of disability due to a work-acquired MSD, the effect of GRTW becomes apparent at longer disability durations (more than 6 months), with larger beneficial effects for women, workers with soft-tissue injuries and for trade and manufacturing sectors.
Publikationsart: Article
Other literature type
Sprache: English
ISSN: 1470-7926
1351-0711
DOI: 10.1136/oemed-2020-107014
Zugangs-URL: https://europepmc.org/articles/pmc8458068?pdf=render
https://pubmed.ncbi.nlm.nih.gov/33737329
https://research.vu.nl/en/publications/48a4e2e8-64e5-4b16-a5f7-b8cae13ce94a
https://doi.org/10.1136/oemed-2020-107014
https://hdl.handle.net/1871.1/48a4e2e8-64e5-4b16-a5f7-b8cae13ce94a
https://oem.bmj.com/content/early/2021/04/14/oemed-2020-107014
https://oem.bmj.com/content/oemed/78/10/715.full.pdf
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8458068
https://oem.bmj.com/content/78/10/715
Rights: CC BY NC
URL: http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (http://creativecommons.org/licenses/by-nc/4.0/) .
Dokumentencode: edsair.doi.dedup.....6cc92aa6b99dfcf17207a2de3466e622
Datenbank: OpenAIRE
Beschreibung
Abstract:ObjectiveThis study investigates if gradual return to work (GRTW) is associated with full sustainable return to work (RTW) for seriously injured workers with a musculoskeletal disorder (MSD), in British Columbia, Canada.MethodsThis is an effectiveness study using a retrospective cohort study design. Accepted workers’ compensation lost-time claims were extracted for workers with an MSD who were on full work disability for at least 30 days, between 2010 and 2015 (n=37 356). Coarsened exact matching yielded a final matched cohort of 12 494 workers who experienced GRTW at any point 30 days post-injury and 12 494 workers without any GRTW. The association between GRTW and sustainable RTW through to end of 12 months was estimated with multivariable quantile regression.ResultsWorkers who were provided with GRTW experienced more time-loss days until sustainable RTW between the 2nd and 5th months after the first time-loss day (ConclusionsFor seriously injured workers with at least 30 days of disability due to a work-acquired MSD, the effect of GRTW becomes apparent at longer disability durations (more than 6 months), with larger beneficial effects for women, workers with soft-tissue injuries and for trade and manufacturing sectors.
ISSN:14707926
13510711
DOI:10.1136/oemed-2020-107014