Upper extremity disorders in the workplace: costs and outcomes beyond the first return to work.

Background: Cumulative trauma disorders of the upper extremities (CTD) have become increasingly important in workers' compensation caseloads over the last two decades. Relative to occupational back pain, CTD have been much less studied. Methods: We analyzed post-injury employment patterns and return...

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Publicado en:Journal of Occupational Rehabilitation Vol. 16; no. 3; pp. 303 - 324
Autores principales: Baldwin ML, Butler RJ
Formato: equations & formulas research tables/charts Journal Article
Publicado: Springer Nature Sep2006
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: Upper extremity disorders in the workplace: costs and outcomes beyond the first return to work.
      aug:
        au:
          Baldwin ML
          Butler RJ
        affil: W. P. Carey School of Business, School of Health Management and Policy, Arizona State University, Arizona; marjorie.baldwin@asu.edu.
      sug:
        subj:
          Cumulative Trauma Disorders Economics
          Job Re-Entry
          Cumulative Trauma Disorders Physiopathology
          Employment Trends
          Logistic Regression
          Medline
          Meta Analysis
          Occupational Diseases Economics
          Ontario
          PubMed
          Upper Extremity
          Worker's Compensation
          Human
      ab: Background: Cumulative trauma disorders of the upper extremities (CTD) have become increasingly important in workers' compensation caseloads over the last two decades. Relative to occupational back pain, CTD have been much less studied. Methods: We analyzed post-injury employment patterns and return-to-work probabilities for a sample of Ontario workers with CTD, for up to five years after injury. Results for workers with CTD are compared to results for workers with back injuries or fractures. Results: Most workers with CTD return to work at least once, but a first return does not necessarily mark the end of work disability. Among workers absent at least once, 26% with CTD report a second injury-related absence, compared to 18% with back pain and 12% with fractures. After five years, focusing on first returns underestimates work-loss days associated with CTD by 32%. Conclusions: A substantial proportion of workers with CTD or work-related back pain experience injury-related absences after their first return to work. Focusing on the first return to work is misleading for both injury groups, but even more so for CTD, as they appear to be even more susceptible to multiple spells of work absence.
      pubtype: Academic Journal
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        equations & formulas
        research
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      ougenre: Article
    language: English
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