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oai:docta.ucm.es:20.500.14352/1139162025-01-14T00:54:50Zcom_20.500.14352_14col_20.500.14352_15

Prognostic Factors in Short-Term Disability Due to Musculoskeletal Disorders Abásolo, Lydia Carmona, Loreto Lajas Petisco, Cristina De Jesús Candelas Rodríguez, Gloria Del Mar Blanco, Margarita Loza, Estíbaliz Hernández García, César Jover Jover, Juan Ángel 616.72-002 Ciencias Biomédicas 32 Ciencias Médicas 3205.09 Reumatología Objective: To identify factors associated with poor outcome in temporary work disability (TWD) due to musculoskeletal disorders (MSDs). Methods: We conducted a secondary data analysis of a 2-year randomized controlled trial in which all patients with TWD due to MSDs in 3 health districts of Madrid (Spain) were included. Analyses refer to the patients in the intervention group. Primary outcome variables were duration of TWD and recurrence. Diagnoses, sociodemographic, work-related administrative, and occupational factors were analyzed by Cox proportional hazards models. Results: We studied 3,311 patients with 4,424 TWD episodes. The following were independently associated with slower return to work: age (hazard ratio [HR] 0.99, 95% confidence interval [95% CI] 0.98-0.99), female sex (HR 0.84, 95% CI 0.78-0.90), married (HR 0.90, 95% CI 0.83-0.97), peripheral osteoarthritis (HR 0.77, 95% CI 0.6-0.9), sciatica (HR 0.59, 95% CI 0.54-0.65), self-employment (HR 0.56, 95% CI 0.48-0.65), unemployment (HR 0.41, 95% CI 0.28-0.58), manual worker (HR 0.86, 95% CI 0.79-0.94), and work position covered during sick leave (HR 0.84, 95% CI 0.77-0.92). The factors that better predicted recurrence were peripheral osteoarthritis (HR 1.75, 95% CI 1.14-2.6), inflammatory diseases (HR 1.66, 95% CI 1.009-2.72), sciatica (HR 1.30, 95% CI 1.08-1.56), indefinite work contract (HR 1.43, 95% CI 1.14-1.75), frequent kneeling (HR 1.39, 95% CI 1.15-1.69), manual worker (HR 1.19, 95% CI 1.003-1.42), and duration of previous episodes (HR 1.003, 95% CI 1.001-1.005). Conclusion: Sociodemographic, work-related administrative factors, diagnosis, and, to a lesser extent, occupational factors may explain the duration and recurrence of TWD related to MSD. Depto. de Medicina Fac. de Medicina TRUE pub 2025-01-13T11:26:46Z 2025-01-13T11:26:46Z 2007-04-04 journal article VoR https://hdl.handle.net/20.500.14352/113916 2151-4658 10.1002/art.23537 eng Abásolo L, Carmona L, Lajas C, Candelas G, Blanco M, Loza E, Hernández-García C, Jover JA. Prognostic factors in short-term disability due to musculoskeletal disorders. Arthritis Rheum. 2008 Apr 15;59(4):489-96. doi: 10.1002/art.23537 restricted access application/pdf Wiley