Sick leave patterns in common musculoskeletal disorders – a study of doctor prescribed sick leave

BMC Musculoskeletal Disorders

Ingemar F Petersson²  Sofia Löfvendahl²  Ulrik Lidwall³  Ulf Hallgårde²  Martin Englund¹  Jenny Hubertsson² 

[1] Clinical Epidemiology Research & Training Unit, Boston University School of Medicine, Boston, MA, USA;Epidemiology and Register Centre South, Skåne University Hospital, Medicon Village AB, SE-223 81 Lund, Sweden;Department of Clinical Neuroscience, Division of Insurance Medicine, Karolinska Institutet, Stockholm, Sweden

关键词: Myalgia;    Rheumatoid arthritis;    Osteoarthritis;    Back pain;    Diagnosis;    Duration of sick leave;    Musculoskeletal;    Sick leave;   

Others  :  1125667
DOI  :  10.1186/1471-2474-15-176

 received in 2014-01-15, accepted in 2014-05-21,  发布年份 2014

【 摘 要 】

Background

Comparative data on sick leave within musculoskeletal disorders (MSDs) is limited. Our objective was to give a descriptive overview of sick leave patterns in different MSDs.

Methods

Using electronic medical records, we collected information on dates and diagnostic codes for all available sick leave certificates, during 2 years (2009–2010), in the North Western part of the Skåne region in Sweden (22 public primary health care centres and two general hospitals). Using the International Classification of Diseases (ICD) 10 codes on the certificates we studied duration, age and sex distribution and recurrent periods of sick leave for six strategically chosen MSDs; low back pain (M54) disc disorders (M51), knee osteoarthritis (M17) hip osteoarthritis (M16) rheumatoid arthritis (M05-M06) and myalgia (M79).

Results

All together 20 251 sick leave periods were issued for 16 673 individuals 16–64 years of age (53% women). Out of the selected disorders, low back pain and myalgia had the shortest sick leave periods, with a mean of 26 and 27 days, respectively, while disc disorders and rheumatoid arthritis had the longest periods with a mean of 150 and 147 days. For low back pain and myalgia 27% and 26% of all sick leave was short (8–14 days) and only 11% and 13%, were long (≥90 days). For the other selected MSDs, less than 5% of the periods were short. For disc disorders, hip osteoarthritis and rheumatoid arthritis, more than 60% of the periods were long (p > 0.001). For back disorders and myalgia most periods were issued in the age groups between 40–49, with similar patterns for women and men. Osteoarthritis and rheumatoid arthritis had most periods in the age groups of 50–64, and patterns for women and men differed. Low back pain, rheumatoid arthritis and myalgia had the greatest share of recurrent sick leave (31%, 34% and 32% respectively).

Conclusion

Duration, age and sex distribution and numbers of recurrent sick leave varies considerably between different MSDs. This underscores the importance of using specified diagnosis, in sick leave research as well as in planning of treatment and rehabilitation and evaluation of prognosis.

【 授权许可】

   
2014 Hubertsson et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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