Document Detail


Outcome of multidisciplinary investigations of long-term sickness absentees.
MedLine Citation:
PMID:  18608401     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim was to investigate the results of multidisciplinary investigations of long-term sickness absentees regarding diagnoses, degree and prognoses of work incapacity, and need of rehabilitation measures and whether this was associated with socio-demographic factors. METHOD: A cross-sectional study of 545 long-term (>1 year) sickness absentees referred to multidisciplinary investigations by the Social Insurance Office. Data was obtained from questionnaires and medical records. The patients were examined by specialists in psychiatry, orthopaedic surgery, and rehabilitation medicine who afterwards agreed on diagnoses, work incapacity, time to return to work (RTW), and rehabilitation measures. Descriptive statistics and logistic regression were used for description and analyses of data. Data on age, country of birth, education, employment and marital status were included. RESULTS: The prevalence of psychiatric diagnoses was 72%, and 58% of the patients had that in combination with somatic diagnoses. Most patients were assessed to be capable of RTW within 6 - 24 months after further rehabilitation measures. Higher age was associated with a negative prognosis of RTW and those patients were less often recommended additional rehabilitation. CONCLUSION: Despite long-term sickness absence and high rates of psychiatric and somatic diagnoses in combination, RTW was considered possible for most patients after further rehabilitation measures.
Authors:
Peter Salmi; Pia Svedberg; Jan Hagberg; Goran Lundh; Jurgen Linder; Kristina Alexanderson
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Disability and rehabilitation     Volume:  31     ISSN:  0963-8288     ISO Abbreviation:  Disabil Rehabil     Publication Date:  2009  
Date Detail:
Created Date:  2009-01-19     Completed Date:  2009-04-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9207179     Medline TA:  Disabil Rehabil     Country:  England    
Other Details:
Languages:  eng     Pagination:  131-7     Citation Subset:  IM    
Affiliation:
Section of Personal Injury, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, USA. peter.salmi@ki.se
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MeSH Terms
Descriptor/Qualifier:
Absenteeism*
Adult
Chi-Square Distribution
Cross-Sectional Studies
Female
Humans
Logistic Models
Male
Medical Records
Mental Disorders / diagnosis
Middle Aged
Questionnaires
Risk Factors
Sick Leave / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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