Alternative Approaches for Measuring Duration of Work Disability After Low Back Injury Based on Administrative Workers’ Compensation Data

Details

• Personal Author:
  Brand RJ ; Dasinger LK ; Deegan LJ ; Krause N ; Rudolph L
• Description:
  Background: Studies of low back pain (LBP) disability remain largely incomparable because of different outcome definitions. To date, systematic comparisons of alternative outcome measures have not been made. Methods: Duration of work disability was studied in a 3-year cohort of 850 workers' compensation LBP claimants. Eleven administrative outcome measures were compared using Kaplan-Meier estimates of the proportion of claimants still on disability benefits during 3.5 years of follow-up. Results: The estimated mean duration of work disability was 75 days for the first temporary disability (TD) episode, 108 days for cumulative time on TD, and 337 for total compensated days, which includes all types of wage replacement benefits during vocational rehabilitation, temporary and permanent disability. Conclusions: Commonly used administrative measures of lost workdays-time to first return to work and time on temporary disability-substantially underestimate the duration of work disability compared to measures based on all wage replacement benefits. [Description provided by NIOSH]
• Subjects:
  Musculoskeletal Diseases Occupational Health Safety
• Keywords:
  Administration Author Keywords: Cohort Study Back-injuries Disabled-workers Injuries Lost-work-days Low Back Pain Musculoskeletal-system-disorders Occupational Injury Occupations Survival-rate Survival Analysis Wage Replacement Work-capability Work Disability Workers Workers' Compensation

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  California ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  35
• Issue:
  6
• NIOSHTIC Number:
  nn:20031727
• Citation:
  Am J Ind Med 1999 Jun; 35(6):604-618
• Contact Point Address:
  Niklas Krause, M.D., Ph.D., M.P.H., School of Public Health, Division of Epidemiology, 140 Warren Hall, University of California, Berkeley, CA 94720-7360
• Email:
  nkrause@uclink4.berkeley.edu
• Federal Fiscal Year:
  1999
• NORA Priority Area:
  Research Tools and Approaches: Health Services Research
• Performing Organization:
  State of California, San Francisco, California
• Peer Reviewed:
  True
• Start Date:
  19950130
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  19990929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:46eb6d92f8d29697416eabc15c4d635f2f7eb34d4cf7bcbc134df5cee1859b6babede55b807b23caf372041376d13a8a986818400e7b78d5d6a3e1670c602cf4
• Download URL:
  https://stacks.cdc.gov/view/cdc/185913/cdc_185913_DS1.pdf
• File Type:
  [PDF - 152.41 KB ]