The following factors were found to have consistent , but limited , support as regards their influence on the risk for sick leave due to back and neck disorders : ( a ) heavy physical workload , bent or twisted working position , and low work satisfaction increases the risk for short-term and long-term sick leave ; ( b ) specific back diagnoses and previous sick leave due to back disorders increases the risk for short-term and long-term sick leave ; ( c ) female gender , smoking , exposure to vibration , and deficient social support were not found to significantly increase the risk for short-term and long-term sick leave ; ( d ) self-reported pain and functional impairments were associated with a high risk for long-term sick leave ; ( e ) longer employment periods reduced the risk for short-term sick leave ; ( f ) perceived dem and s at work did not influence short-term sick leave ; ( g ) female gender and higher age increases the risk for disability pension
Prediction of return-to-work of low back pain patients sicklisted for 3–4 months
& NA ; The purpose of this Dutch prospect i ve population ‐based study was to identify prognostic factors for return‐to‐work of employees with 3–4 months sick leave due to low back pain ( LBP ) . A cohort of 328 employees was formed and baseline data were collected . One year after the first day of the sick leave , 91 % of the original cohort participated in a second interview ( n=298 ) . During the baseline measurement , information was collected about health status , history of LBP , occupational variables , job characteristics and social economic variables . At the second interview , 66 % of the employees had returned to work ( n=198 ) . Return‐to‐work was independently predicted by having a better general health status ( OR 1.53 ; 95 % CI 1.30–1.80 ) , having better job satisfaction ( OR 1.26 ; 95 % CI 1.11–1.44 ) , being a bread winner ( OR 2.46 ; 95 % CI 1.37–4.40 ) , having a lower age ( OR 0.70 ; 95 % CI 0.52–0.93 ) and reporting less pain ( OR 0.85 ; 95 % CI 0.73–0.99 ) all measured at cohort entry . This study shows that psycho‐social aspects of health and work in combination with economic aspects have a significantly larger impact on return‐to‐work when compared to relatively more physical aspects of disability and physical requirements of the job . This suggests that interventions aim ed at return‐to‐work of employees sicklisted with LBP should predominantly be focused on these psycho‐social aspects such as health behavior and job satisfaction , and on the ( lack of ) economic incentives for return‐to‐work
The following factors were found to have consistent , but limited , support as regards their influence on the risk for sick leave due to back and neck disorders : ( a ) heavy physical workload , bent or twisted working position , and low work satisfaction increases the risk for short-term and long-term sick leave ; ( b ) specific back diagnoses and previous sick leave due to back disorders increases the risk for short-term and long-term sick leave ; ( c ) female gender , smoking , exposure to vibration , and deficient social support were not found to significantly increase the risk for short-term and long-term sick leave ; ( d ) self-reported pain and functional impairments were associated with a high risk for long-term sick leave ; ( e ) longer employment periods reduced the risk for short-term sick leave ; ( f ) perceived dem and s at work did not influence short-term sick leave ; ( g ) female gender and higher age increases the risk for disability pension