scholarly journals Does gradually returning to work improve time to sustainable work after a work-acquired musculoskeletal disorder in British Columbia, Canada? A matched cohort effectiveness study

2021 ◽  
pp. oemed-2020-107014
Author(s):  
Esther T Maas ◽  
Mieke Koehoorn ◽  
Christopher B McLeod
Keyword(s):  
Women Workers ◽  
Soft Tissue ◽  
Return To Work ◽  
Work Disability ◽  
Musculoskeletal Disorder ◽  
Soft Tissue Injuries ◽  
Injured Workers ◽  
Effectiveness Study ◽  
Matched Cohort ◽  
Time Loss

ObjectiveThis study investigates if gradual return to work (GRTW) is associated with full sustainable return to work (RTW) for seriously injured workers with a musculoskeletal disorder (MSD), in British Columbia, Canada.MethodsThis is an effectiveness study using a retrospective cohort study design. Accepted workers’ compensation lost-time claims were extracted for workers with an MSD who were on full work disability for at least 30 days, between 2010 and 2015 (n=37 356). Coarsened exact matching yielded a final matched cohort of 12 494 workers who experienced GRTW at any point 30 days post-injury and 12 494 workers without any GRTW. The association between GRTW and sustainable RTW through to end of 12 months was estimated with multivariable quantile regression.ResultsWorkers who were provided with GRTW experienced more time-loss days until sustainable RTW between the 2nd and 5th months after the first time-loss day (<50th quantile of time loss), but less time-loss days until sustainable RTW between the 6th and 12th months of work disability (70th quantile of time loss), with the largest effect for women, workers with soft-tissue injuries and workers in the manufacturing or trades sector (all in the 60th and 70th percentile, after 6–7 months of time loss).ConclusionsFor seriously injured workers with at least 30 days of disability due to a work-acquired MSD, the effect of GRTW becomes apparent at longer disability durations (more than 6 months), with larger beneficial effects for women, workers with soft-tissue injuries and for trade and manufacturing sectors.

scholarly journals Data linkage to build detailed return-to-work trajectories for work disability research

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Esther Maas ◽  
Wei Zhang ◽  
Mieke Koehoorn ◽  
Chris McLeod
Keyword(s):  
Health Services ◽  
Return To Work ◽  
Work Disability ◽  
Population Based ◽  
Economic Benefits ◽  
Injured Workers ◽  
Workers Compensation ◽  
Prescription Data ◽  
Cost Benefits ◽  
The Cost

IntroductionMusculoskeletal disorders (MSDs) are the most prevalent chronic condition in Canada, and account for the highest disability costs. Gradual-return-to-work (GRTW) can improve health and labour market outcomes in an aging workforce at risk of MSDs. Linked longitudinal data enables us to generate evidence of GRTW to inform policy needs. Objectives and ApproachThe objective of this study was to investigate the effectiveness and cost-benefits of GRTW for workers with a work-acquired MSD in British Columbia, Canada. We linked workers’ compensation data, health services data, and prescription data from three governing bodies to 1) identify injured workers with an accepted MSD lost-time injury between 2010 and 2015; 2) identify trajectories of RTW states (injury, sickness absence, GRTW, RTW, and non-RTW) and the probability of transitioning between states; and 3) assess the association between workers characteristics and RTW trajectories, and analyze the cost-benefits of GRTW. ResultsFinal results are expected early 2019. To our knowledge, this will be the first study linking workers’ compensation data (in particular detailed RTW data), health services data and prescription data from three different governing bodies for a comprehensive, population-based investigation of work disability experiences over a longitudinal time period and within the Canadian context. Also, using this data for the purpose of assessing the cost-benefits is new, and will help to prioritize prevention resources and strategies to limit the health and economic impact of work-related MSDs on employers, workers’ compensation boards and society. Conclusion/ImplicationsEvaluating the effects of GRTW on work disability is essential to maximize the health and economic benefits for injured workers. The innovation of this project is that is links three population-based databases to capture multiple indicators of health and work status to build RTW trajectories over time.

scholarly journals O2C.2 Does region of residence matter for return-to-work after work-related injury? A comparative analysis of six canadian workers’ compensation jurisdictions

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A16.1-A16
Author(s):  
Robert Macpherson ◽  
Hui Shen ◽  
Mieke Koehoorn ◽  
Benjamin Amick ◽  
Alex Collie ◽  
...  
Keyword(s):  
Return To Work ◽  
Rural Areas ◽  
Urban Areas ◽  
Work Disability ◽  
Injured Workers ◽  
Workers Compensation ◽  
Disability Benefits ◽  
Work Related ◽  
Work Related Injury ◽  
Urban Rural

ObjectivesTo investigate regional differences in return-to-work following work-related injury and whether these differences persist after adjusting for individual characteristics.MethodsWorkers’ compensation claims from six Canadian provinces were used to create comparable cohorts of workers aged 15–80 with a work-related injury resulting in at least one disability day from 2011 to 2015. Workers’ residential postal codes were mapped to Census standard geographic units to categorize workers into six regions representing decreasing urban density and metropolitan influence (ranging from large urban areas of 100,000+people to rural areas of <10 000 people with no metropolitan influence). Cox regression models were used to estimate the effect of urban-rural residence on the likelihood of injured workers transitioning off work disability benefits within one-year post-injury, adjusting for confounders, including provincial compensation jurisdiction. Models were stratified by industry sectors.ResultsThe cohort included 7 46 029 work disability claims, of which the majority resided in large urban areas (69%). Unadjusted models showed that workers residing in smaller urban and rural areas had a lower likelihood of transitioning off work disability benefits compared to those in large urban areas. Urban-rural differences persisted in adjusted models (e.g. HR=0.91 95% CI 0.89, 0.94 for workers in rural areas with no metropolitan influence). Industry-stratified models showed that greater differences existed between urban and rural places of residence for workers in the transportation and construction sectors, and smaller differences for workers in the health care and manufacturing sectors.ConclusionsThe main finding suggests that injured workers in more rural areas face barriers in returning to work and that workers’ compensation resources may need to be allocated to address these regional disparities. Future research will incorporate both individual and regional-level variables in a multilevel model framework to identify the characteristics that are the most important in explaining variability in work disability duration.

Management of Maxillofacial and Neck Soft-Tissue Injuries

1989 ◽  
Vol 8 (1) ◽  
pp. 11-23
Author(s):  
Michael J. White ◽  
Peter C. Johnson ◽  
Frederick R. Heckler
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Tissue Injuries

MR Imaging of Tibial Plateau Fractures: Evaluation of Fracture Types and Associated Soft Tissue Injuries

1997 ◽  
Vol 36 (5) ◽  
pp. 867
Author(s):  
Geon Lee ◽  
Chan Heo ◽  
Yong Jo Kim ◽  
Hyeok Po Kwon ◽  
Jung Hyeok Kwon ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Mr Imaging ◽  
Tibial Plateau ◽  
Soft Tissue Injuries ◽  
Tibial Plateau Fractures ◽  
Tissue Injuries ◽  
Fracture Types

Features of soft tissue injuries in elderly patients with shoulder dislocation

2019 ◽  
Vol 17 (1) ◽  
pp. 108-111
Author(s):  
A. A. Makovsky ◽  
◽  
G. V. Fedoruk ◽  
A. P. Stepanchenko ◽  
◽  
...  
Keyword(s):  
Soft Tissue ◽  
Elderly Patients ◽  
Shoulder Dislocation ◽  
Soft Tissue Injuries ◽  
Tissue Injuries

The Role of Magnetic Resonance Imaging for Diagnosing Soft Tissue Lesions Associated with Anterior Cruciate Ligament Injuries

2018 ◽  
Vol 69 (9) ◽  
pp. 2498-2500
Author(s):  
Bogdan Sendrea ◽  
Antoine Edu ◽  
George Viscopoleanu
Keyword(s):  
Magnetic Resonance Imaging ◽  
Anterior Cruciate Ligament ◽  
Magnetic Resonance ◽  
Soft Tissue ◽  
Traumatic Event ◽  
Cruciate Ligament ◽  
Soft Tissue Injuries ◽  
Resonance Imaging ◽  
Soft Tissue Lesions ◽  
Anterior Cruciate

Magnetic resonance imaging has become the gold standard for soft tissue lesions evaluation especially after a traumatic event where there is need for diagnostic confirmation. The objective of the current paper was to evaluate the ability of magnetic resonance imaging in diagnosing soft tissue lesions in patients who underwent anterior cruciate ligament reconstruction compared with arthroscopic findings. Through the ability to diagnose soft tissue injuries, particularly meniscal lesions, magnetic resonance imaging should be considered as fundamental in guiding therapeutic management in patients with anterior cruciate ligament lesions.

Interventions for preventing soft-tissue injuries of the knee

2014 ◽  
Author(s):  
Davide Susta ◽  
Dónal P O'Mathúna ◽  
Michael Parkinson
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Injuries ◽  
Tissue Injuries
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