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dc.contributor.authorHammer, Lovise
dc.contributor.authorIngebrigtsen, Tor
dc.contributor.authorGulati, Sasha
dc.contributor.authorHara, Sozaburo
dc.contributor.authorNygaard, Øystein Petter
dc.contributor.authorHara, Karen Walseth
dc.contributor.authorSolberg, Tore
dc.date.accessioned2023-09-06T09:18:16Z
dc.date.available2023-09-06T09:18:16Z
dc.date.issued2023-07-09
dc.description.abstractObjectives To assess the odds for not returning to work (non-RTW) 1 year after treatment among patients who had applied for or were planning to apply for disability pension (DP-applicant) prior to an operation for degenerative disorders of the lumbar spine.<p> <p>Methods This population-based cohort study from the Norwegian Registry for Spine surgery included 26 688 cases operated for degenerative disorders of the lumbar spine from 2009 to 2020. The primary outcome was RTW (yes/no). Secondary patient-reported outcome measures (PROMs) were the Oswestry Disability Index, Numeric Rating Scales for back and leg pain, EuroQoL five-dimension and the Global Perceived Effect Scale. Logistic regression analysis was used to investigate associations between being a DP-applicant prior to surgery (exposure), possible confounders (modifiers) at baseline and RTW 12 months after surgery (outcome). <p>Results The RTW ratio for DP-applicants was 23.1% (having applied: 26.5%, planning to apply 21.1%), compared with 78.6% among non-applicants. All secondary PROMs were more favourable among nonapplicants. After adjusting for all significant confounders (low expectations and pessimism related to working capability, not feeling wanted by the employer and physically demanding work), DP-applicants with under 12 months preoperative sick leave had 3.8 (95% CI 1.8 to 8.0) higher odds than non-applicants for non-RTW 12 months after surgery. The subgroup having applied for disability pension had the strongest impact on this association. <p>Conclusion Less than a quarter of the DP-applicants returned to work 12 months after surgery. This association remained strong, also when adjusted for the confounders as well as other covariates related RTW.en_US
dc.identifier.citationHammer, Ingebrigtsen, Gulati, Hara, Nygaard, Hara, Solberg. Prospects of returning to work after lumbar spine surgery for patients considering disability pension: A nationwide study based on data from the Norwegian Registry for Spine Surgery. Occupational and Environmental Medicine. 2023;80(8):447-454en_US
dc.identifier.cristinIDFRIDAID 2170544
dc.identifier.doi10.1136/oemed-2023-108864
dc.identifier.issn1351-0711
dc.identifier.issn1470-7926
dc.identifier.urihttps://hdl.handle.net/10037/30724
dc.language.isoengen_US
dc.publisherBMJen_US
dc.relation.journalOccupational and Environmental Medicine
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0en_US
dc.rightsAttribution-NonCommercial 4.0 International (CC BY-NC 4.0)en_US
dc.titleProspects of returning to work after lumbar spine surgery for patients considering disability pension: A nationwide study based on data from the Norwegian Registry for Spine Surgeryen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)
Med mindre det står noe annet, er denne innførselens lisens beskrevet som Attribution-NonCommercial 4.0 International (CC BY-NC 4.0)