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Pre-surgery disability compensation predicts long-term disability among workers with carpal tunnel syndrome.

Authors
Spector-JT; Turner-JA; Fulton-Kehoe-D; Franklin-G
Source
Am J Ind Med 2012 Sep; 55(9):816-832
NIOSHTIC No.
20041841
Abstract
Background: We sought to identify early risk factors for work disability compensation prior to and after carpal tunnel syndrome (CTS) surgery, and to determine whether pre-surgery disability compensation is associated with long-term disability. Methods: Washington State workers' compensation administrative data and data from interviews with workers 18 days (median) after submitting new workers' compensation claims for CTS were examined. Baseline risk factors for pre-surgery disability compensation and for long-term disability (>365 days of work disability compensation prior to 2 years after claim filing) were evaluated for workers who underwent CTS surgery and had at least 1 day of disability compensation (N = 670). Results: After adjustment for baseline long-term disability risk factors, workers with pre-surgery disability compensation had over five times the odds of long-term disability. Baseline factors in multiple domains, including job, psychosocial, clinical, and worker pain and function, were associated with both pre-surgery disability compensation and long-term disability. Conclusions: Risk factors for work disability prior to and after CTS surgery are similar, and early work disability is a risk factor for long-term CTS-related disability. An integrated approach to CTS-related disability prevention could include identifying and addressing combined risk factors soon after claim filing, more efficient use of conservative treatments and appropriate work modifications to minimize early work loss, and, when indicated, timely surgical intervention.
Keywords
Musculoskeletal-system-disorders; Carpal-tunnel-syndrome; Surgery; Disabled-workers; Hand-injuries; Health-care; Medical-treatment; Risk-factors; Injury-prevention; Job-analysis; Work-practices; Cumulative-trauma-disorders; Author Keywords: carpal tunnel syndrome (CTS); workers' compensation; surgery; disability compensation; disability; work; occupational diseases
Contact
June T. Spector, MD, MPH, Occupational and Environmental Medicine Program, 325 9th Avenue, Box 359739, Seattle, WA 98104
CODEN
AJIMD8
Publication Date
20120901
Document Type
Journal Article
Email Address
spectj@u.washington.edu
Funding Type
Grant
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-004069; B20121218D
Issue of Publication
9
ISSN
0271-3586
Source Name
American Journal of Industrial Medicine
State
WA
Performing Organization
University of Washington
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