从患者角度看慢性腰痛导致的工作残疾对经济的负面影响:一项法国195名患者的横断面研究。

IF 3.7 2区 医学 Q1 REHABILITATION
Charlotte Logiou, Agnès Ostertag, Jean-Francois Vergnol, Pascal Richette, David Petrover, Louis Jacob, Johann Beaudreuil
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引用次数: 0

摘要

目的:从患者角度探讨慢性腰痛(cLBP)致残对经济的影响。设计:我们于2010年1月至2019年12月进行了一项回顾性单中心横断面研究。环境:本研究在三级医疗机构的一所大学医院进行。参与者:该研究包括195名cLBP和工作残疾患者,他们在2010年1月至2019年12月期间使用功能恢复进行单位多学科康复。干预措施:所有数据都是在功能恢复计划开始之前的一个时间点收集的。它们是人口统计、社会专业、经济(收入变化,负值表明在工作残疾期间收入损失)和与lbp相关的数据。主要结果测量指标:主要结果测量指标是由于与工伤和失业有关或无关的工作残疾而导致的收入变化。结果:我们研究了195名工人(平均年龄42.6岁;47.7%为女性;cLBP导致工作残疾的时间为11个月)。我们观察到研究人群的收入中位数下降了-14.3% (IQR为29.9)。失业患者的收入损失较高(-29.82% IQR 15.6),而因工伤请病假的患者收入损失较低(-9.5% IQR 24)。根据收入损失水平对患者进行两个亚组的描述:高收入损失和低收入损失,基于使用中位数进行二分类的主要结果测量。结论:从患者的角度来看,cLBP导致的工作残疾具有负面的经济影响。收入损失在不同的补偿类别之间是不同的。在更大的cLBP患者样本中,仍有必要进一步调查以确定与收入损失相关的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Negative Economic Impact of Work Disability Because of Chronic Low Back Pain From the Patient Perspective: A French Cross-sectional Study of 195 Patients.

Objective: To investigate the economic effect of work disability because of chronic low back pain (cLBP) from the patient's perspective.

Design: We conducted a retrospective monocentric cross-sectional study from January 2010 to December 2019.

Setting: The study was conducted in a university hospital in a tertiary care setting.

Participants: The study included 195 patients (N=195) with cLBP and work disability who were referred for unit multidisciplinary rehabilitation using functional restoration from January 2010 to December 2019.

Interventions: All data were collected at a single point in time, immediately before beginning a functional restoration program. They were demographic, socio-professional, economic (change in income, a negative value indicated a loss of income at the time of work disability), and LBP-related data.

Main outcome measures: The main outcome measure was change in income because of work disability, related or unrelated to work injury and unemployment.

Results: We studied 195 workers (mean age, 42.6y; 47.7% women; duration of work disability because of cLBP, 11mo). We observed a median decrease in income of -14.3% (interquartile range [IQR], 29.9) in the study population. Loss of income appeared higher for unemployed patients (-29.82% IQR 15.6) and lower for those on sick leave related to work injury (-9.5% IQR 24). Two subgroups of patients were described according to the level of income loss: high-income loss and low-income loss, on the basis of the main outcome measure dichotomized using the median.

Conclusions: Work disability because of cLBP has a negative economic effect from the patient's perspective. Loss of income differs between different compensation categories. Further investigations remain necessary to identify factors associated with loss of income in larger samples of patients with cLBP.

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来源期刊
CiteScore
6.20
自引率
4.70%
发文量
495
审稿时长
38 days
期刊介绍: The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.
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