Effects of multidisciplinary inpatient rehabilitation for chronic back or neck pain: a register-linkage study of sickness absences and analgesic purchases in an occupational cohort
| Autor: | Tuula Oksanen, Jaana Pentti, Jussi Vahtera, Katariina Hinkka, Timo Klaukka, Mika Kivimäki, Heikki Suoyrjö |
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| Rok vydání: | 2007 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Drug Administration Schedule Occupational medicine Indirect costs Musculoskeletal disorder Sickness Impact Profile Work Schedule Tolerance Back pain medicine Humans Prospective Studies Registries Finland Patient Care Team Neck pain Analgesics Rehabilitation Neck Pain business.industry Public Health Environmental and Occupational Health Middle Aged medicine.disease Low back pain Occupational Diseases Treatment Outcome Back Pain Chronic Disease Physical therapy Regression Analysis Female medicine.symptom Sick Leave business Cohort study |
| Zdroj: | Occupational and environmental medicine. 65(3) |
| ISSN: | 1470-7926 |
| Popis: | Objective: To determine the effects of multidisciplinary in-patient rehabilitation for chronic back or neck pain on sickness absences and analgesic purchases. Design: A prospective observational study. Setting: 10 towns in Finland. Participants: 34 838 local government employees, including 418 participants in rehabilitation for chronic back pain and 195 participants in rehabilitation for chronic neck pain between 1994 and 2002. Main outcome measures: The annual rates of short (1– 3 days), long (.3 days), and very long (.21 days) sickness absences and the defined daily doses (DDD) of prescribed analgesics. Results: The rate of very long (.21 days) sickness absence among the chronic back pain rehabilitees was 3.03-fold (95% CI 2.55 to 3.60) compared to the nonrehabilitees in the year before rehabilitation. This ratio declined to 1.88 (95% CI 1.65 to 2.37) three years after rehabilitation. No further decline in the rate of very long sickness absence was observed in the subsequent years. For chronic neck pain rehabilitees, no evidence of the effectiveness of rehabilitation on sickness absence was found. In relation to consumption of analgesics, the mean rate of DDDs declined among the back and neck pain rehabilitees after rehabilitation compared to the nonrehabilitees. Conclusions: Multidisciplinary in-patient rehabilitation for chronic back pain may decrease the risk of very long sickness absence for three years. In relation to rehabilitation for chronic neck pain, no changes in sickness absences were found. It has been estimated that in most developed countries 0.5–2% of gross national product is attributed to the costs of back pain in terms of work loss, sickness absence and other indirect costs. 1 The risk of long-lasting or permanent work disability among patients with chronic back and neck pain is high. In the UK, for example, 20% of all incapacity benefit claims filed were due to musculoskeletal disorders in 2006. 2 In Finland and Sweden, over 30% of new long-term sick leaves and disability pensions have been granted on account of musculoskeletal disorders, mostly back or neck pain, during the past few years. 3–5 Furthermore |
| Databáze: | OpenAIRE |
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