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Cost and outcome analyses on the timing of first independent medical evaluation in patients with work-related lumbosacral sprain.

Authors
Sun-C; Jin-C; Martin-C; Gerbo-R; Wang-Y; Hu-W; Atkins-J; Ducatman-A
Source
J Occup Environ Med 2007 Nov; 49(11):1264-1268
NIOSHTIC No.
20032983
Abstract
OBJECTIVE: To assess outcomes for different times to the first independent medical evaluation (IME) for work-related lumbosacral sprain. METHODS: The 2005 West Virginia workers' compensation claims for "lumbosacral sprain" were used for our analyses. Outcomes included costs, maximal medical improvement status, number of IMEs performed, and the length of temporary total disability. Multiple logistic regression modeling was applied to determine the significance between the timing of first IME and these outcomes. RESULTS: Patients with a first IME within 101 to 150 days after the injury had the best outcomes, measured by no repeat IMEs, appropriately reaching maximal medical improvement, and decreasing the temporary total disability length and related costs. CONCLUSIONS: Scheduling the first IME between 101 and 150 days after the injury contained indemnity costs, and shortened the length of disability.
Keywords
Statistical-analysis; Back-injuries; Skeletal-disorders; Skeletal-system-disorders; Mathematical-models; Medical-care; Medical-services; Medical-treatment; Disabled-workers
Contact
Department of Community Medicine, Institute of Occupational and Environmental Health, West Virginia University School of Medicine, Morgantown, WV 26506
CODEN
JOEMFM
Publication Date
20071101
Document Type
Journal Article
Email Address
csun@hsc.wvu.edu
Funding Type
Grant
Fiscal Year
2008
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-T01-OH-008431
Issue of Publication
11
ISSN
1076-2752
Source Name
Journal of Occupational and Environmental Medicine
State
WV
Performing Organization
West Virginia University
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