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Absence from work and return to work in people with back pain : a systematic review and meta-analysis.
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Wynne-Jones, Gwenllian, Cowen, Jemma, Jordan, Joanne L., Uthman, Olalekan A., Main, Chris J, Glozier, Nick and van der Windt, Danielle A. (2013) Absence from work and return to work in people with back pain : a systematic review and meta-analysis. Occupational and Environmental Medicine, 71 (6). pp. 448-56. ISSN 1470-7926.
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Official URL: http://dx.doi.org/10.1136/oemed-2013-101571
Abstract
Background: A considerable proportion of work absence is attributed to back pain, however prospective studies in working populations with back pain are variable in setting and design, and a quantitative summary of current evidence is lacking.
Objective: To investigate the extent to which differences in setting, country, sampling procedures and methods for data collection are responsible for variation in estimates of work absence and return to work.
Methods: Systematic searches of seven bibliographic databases. Inclusion criteria were: adults in paid employment, with back pain, work absence or return to work during follow-up had been reported. Random effects meta-analysis and meta-regression analysis was carried out to provide summary estimates of work absence and return to work rates.
Results: 45 studies were identified for inclusion in the review; 34 were included in the meta-analysis. The pooled estimate for the occurrence of work absence in workers with back pain was 15.5% (95% CI 9.8% to 23.6%, n=17 studies, I2 98.1%) in studies with follow-up periods of ≤6 months. The pooled estimate for the proportion of people with back pain returning to work was 68.2% (95% CI 54.8% to 79.1%, n=13, I2 99.2%), 85.6% (95% CI 78.2% to 90.7%, n=13, I2 98.7%) and 93.3% (95% CI 84.0% to 94.7%, n=10, I2 99%), at 1 month, 1–6 months and ≥6 months, respectively. Differences in setting, risk of participation bias and method of assessing work absence explained some of the heterogeneity.
Conclusions: Pooled estimates suggest high return to work rates, with wide variation in estimates of return to work only partly explained by a priori defined study-level variables. The estimated 32% not back at work at 1 month are at a crucial point for intervention to prevent long term work absence.
Item Type: | Journal Article | |||||||||
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Subjects: | R Medicine > RD Surgery | |||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Population, Evidence & Technologies (PET) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Backache., Backache -- Research., Pain -- Epidemiology. | |||||||||
Journal or Publication Title: | Occupational and Environmental Medicine | |||||||||
Publisher: | B M J Group | |||||||||
ISSN: | 1470-7926 | |||||||||
Official Date: | 1 November 2013 | |||||||||
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Volume: | 71 | |||||||||
Number: | 6 | |||||||||
Page Range: | pp. 448-56 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
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