Multisite musculoskeletal pain predicts medically certified disability retirement among Finns

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http://hdl.handle.net/10138/232577

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Haukka , E , Kaila-Kangas , L , Ojajarvi , A , Saastamoinen , P , Holtermann , A , Jorgensen , M B , Karppinen , J , Heliovaara , M & Leino-Arjas , P 2015 , ' Multisite musculoskeletal pain predicts medically certified disability retirement among Finns ' , European Journal of Pain , vol. 19 , no. 8 , pp. 1119-1128 . https://doi.org/10.1002/ejp.635

Title: Multisite musculoskeletal pain predicts medically certified disability retirement among Finns
Author: Haukka, E.; Kaila-Kangas, L.; Ojajarvi, A.; Saastamoinen, P.; Holtermann, A.; Jorgensen, M. B.; Karppinen, J.; Heliovaara, M.; Leino-Arjas, P.
Contributor: University of Helsinki, Department of Public Health
Date: 2015-09
Language: eng
Number of pages: 10
Belongs to series: European Journal of Pain
ISSN: 1090-3801
URI: http://hdl.handle.net/10138/232577
Abstract: BackgroundMusculoskeletal pain at several sites (multisite pain) is more common than single-site pain. Little is known on its effects on disability pension (DP) retirement. MethodsA nationally representative sample comprised 4071 Finns in the workforce aged 30 to 63. Data (questionnaire, interview, clinical examination) were gathered in 2000-2001 and linked with national DP registers for 2000-2011. Pain during the preceding month in 18 locations was combined into four sites (neck, upper limbs, low back, lower limbs). Hazard ratios (HR) of DP were estimated by Cox regression. ResultsThe HR of any DP (n=477) was 1.6 (95% confidence interval 1.2-2.1) for one, 2.5 (1.9-3.3) for two, 3.1 (2.3-4.3) for three and 5.6 (4.0-7.8) for four pain sites, when adjusted for age and gender. When additionally adjusted for clinically assessed chronic diseases, the HRs varied from 1.4 (1.0-1.8) to 3.5 (2.5-4.9), respectively. When further adjusted for physical and psychosocial workload, education, body mass index, smoking, exercise and sleep disorders, the HRs were 1.3 (0.9-1.7), 1.6 (1.2-2.2), 1.8 (1.3-2.5) and 2.5 (1.8-3.6). The number of pain sites was especially strong in predicting DPs due to musculoskeletal diseases (HRs in the full model; 3.1 to 4.3), but it also predicted DPs due to other somatic diseases (respective HRs 1.3 to 2.3); pain in all four sites was also predictive of DPs due to mental disorders (full model HR 2.2). ConclusionsThe number of pain sites independently predicted DP retirement. Employees with multisite pain may need specific support to maintain their work ability.
Subject: WORKING-CONDITIONS
FOLLOW-UP
WIDESPREAD PAIN
RISK-FACTORS
JOB STRAIN
PENSION
EMPLOYEES
HEALTH
COHORT
SITES
3126 Surgery, anesthesiology, intensive care, radiology
3124 Neurology and psychiatry
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