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. 2017 Jul 2;7(6):e014939.
doi: 10.1136/bmjopen-2016-014939.

Factors associated with return to work among people on work absence due to long-term neck or back pain: a narrative systematic review

Mamunur Rashid  1 , Marja-Leena Kristofferzon  2   3 , Annika Nilsson  2   3 , Marina Heiden  1
Affiliations

Factors associated with return to work among people on work absence due to long-term neck or back pain: a narrative systematic review

Mamunur Rashid et al. BMJ Open. .

Abstract

Objective: The purpose of this narrative systematic review was to summarise prognostic factors for return to work (RTW) among people with long-term neck/shoulder or back pain.

Methods: A systematic literature search was performed through three databases (Medline, CINAHL and PsycINFO) for studies published until February 2016. Only observational studies of people on work absence (≥2 weeks) due to neck/shoulder or back pain were included. The methodological quality of the included studies was assessed using guidelines for assessing quality in prognostic studies on the basis of Framework of Potential Biases. Factors found in the included studies were grouped into categories based on similarities and then labelled according to the aspects covered by the factors in the category.

Results: Nine longitudinal prospective cohort studies and one retrospective study fulfilled the inclusion criteria. From these, five categories of factors were extracted. Our findings indicate that recovery beliefs, health-related factors and work capacity are important for RTW among people with long-term neck or back pain. We did not find support for workplace factors and behaviour being predictive of RTW.

Conclusions: Our findings suggest that recovery beliefs, perceived health and work capacity may be important targets of intervention for people with long-term neck or back pain. However, more high-quality prospective studies are needed to confirm the results and improve our understanding of what is needed to facilitate RTW in this population.

Keywords: musculoskeletal; prognostic factors; sick leave; work ability.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Flow diagram of the selection process. All authors independently screened the titles, abstracts and, if necessary, the full text of the articles.
See this image and copyright information in PMC

References

    1. Henderson M, Glozier N, Holland Elliott K. Long term sickness absence: Is caused by common conditions and needs managing. BMJ 2005;330:802–3. - PMC - PubMed
    1. Frank JW, Brooker AS, DeMaio SE, et al. . Disability resulting from occupational low back pain. Part II: what do we know about secondary prevention? A review of the scientific evidence on prevention after disability begins. Spine 1996;21:2918–29. - PubMed
    1. Abenhaim L, Rossignol M, Gobeille D, et al. . The prognostic consequences in the making of the initial medical diagnosis of work-related back injuries. Spine 1995;20:791–5. 10.1097/00007632-199504000-00010 - DOI - PubMed
    1. Alexanderson K. Sickness absence: a review of performed studies with focused on levels of exposures and theories utilized. Scand J Soc Med 1998;26:241–9. - PubMed
    1. Lancourt J, Kettelhut M. Predicting return to work for lower back pain patients receiving worker's compensation. Spine 1992;17:629–40. 10.1097/00007632-199206000-00002 - DOI - PubMed

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