Prognostic factors for return to work in patients affected by chronic low back pain: a systematic review.

Low back pain Prognostic factors Return to work Sick leave Systematic review

Journal

Musculoskeletal surgery
ISSN: 2035-5114
Titre abrégé: Musculoskelet Surg
Pays: Italy
ID NLM: 101498346

Informations de publication

Date de publication:
12 Jun 2024
Historique:
received: 21 04 2024
accepted: 17 05 2024
medline: 12 6 2024
pubmed: 12 6 2024
entrez: 12 6 2024
Statut: aheadofprint

Résumé

Chronic low back pain (LBP) represents a leading cause of absenteeism from work. An accurate knowledge of complex interactions is essential in understanding the difficulties of return to work (RTW) experienced by workers affected by chronic LBP. This study aims to identify factors related to chronic LBP, the worker, and the psycho-social environment that could predict and influence the duration of an episode of sick leave due to chronic LBP.Studies reporting the relation between prognostic factors and absenteeism from work in patients with LBP were included. The selected studies were grouped by prognostic factors. The results were measured in absolute terms, relative terms, survival curve, or duration of sick leave. The level of evidence was defined by examining the quality and the appropriateness of findings across studies in terms of significance and direction of relationship for each prognostic factor.A total of 20 studies were included. Prognostic factors were classified in clinical, psycho-social, and social workplace, reaching a total of 31 constructs. Global conditions with less favorable repercussions on worker's lives resulted in a delay in time to RTW. Older age, female, higher pain or disability, depression, higher physical work demands, and abuse of smoke and alcohol have shown strong level of evidence for negative outcomes.High global health well-being, great socioeconomic status, and good mental health conditions are decisive in RTW outcomes. Interventions that aim at RTW of employee's sick-listed with LBP should focus on psycho-social aspects, health behaviors, and workplace characteristics.

Identifiants

DOI: 10.1007/s12306-024-00828-y PMID: 38864993
pubmed: 38864993
doi: 10.1007/s12306-024-00828-y
pii: 10.1007/s12306-024-00828-y
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Istituto Nazionale per l'Assicurazione Contro Gli Infortuni sul Lavoro
ID : BRIC-2021 ID4
Organisme : Istituto Nazionale per l'Assicurazione Contro Gli Infortuni sul Lavoro
ID : BRIC-2022 ID28
Organisme : Istituto Nazionale per l'Assicurazione Contro Gli Infortuni sul Lavoro
ID : BRIC-2022 ID30

Informations de copyright

© 2024. The Author(s).

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Auteurs

F Russo (F)

Operative Research Unit of Orthopaedic and Trauma Surgery, Department of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128, Rome, Italy.

G F Papalia (GF)

Operative Research Unit of Orthopaedic and Trauma Surgery, Department of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128, Rome, Italy.

L A Diaz Balzani (LA)

Operative Research Unit of Orthopaedic and Trauma Surgery, Department of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128, Rome, Italy.

G Stelitano (G)

Operative Research Unit of Orthopaedic and Trauma Surgery, Department of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128, Rome, Italy.

B Zampogna (B)

Operative Research Unit of Orthopaedic and Trauma Surgery, Department of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128, Rome, Italy.

L Fontana (L)

Occupational Health Unit, Department of Public Health, Federico II University of Naples, Naples, Italy.

G Vadalà (G)

Operative Research Unit of Orthopaedic and Trauma Surgery, Department of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy. g.vadala@policlinicocampus.it.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128, Rome, Italy. g.vadala@policlinicocampus.it.
ORCID: 0000-0001-7142-1660

S Iavicoli (S)

Directorate for Communication and International Affairs, Ministry of Health, Rome, Italy.

R Papalia (R)

Operative Research Unit of Orthopaedic and Trauma Surgery, Department of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128, Rome, Italy.

V Denaro (V)

Operative Research Unit of Orthopaedic and Trauma Surgery, Department of Orthopaedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Via Alvaro del Portillo 200, 00128, Rome, Italy.
Research Unit of Orthopaedic and Trauma Surgery, Department of Medicine and Surgery, Università Campus Bio-Medico di Roma, Via Alvaro del Portillo, 00128, Rome, Italy.

Classifications MeSH