Does Workers’ Compensation Status Affect Outcomes after Lumbar Spine Surgery? : A Systematic Review and Meta-Analysis

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dc.contributor.author Russo, Fabrizio
dc.contributor.author De Salvatore, Sergio
dc.contributor.author Ambrosio, Luca
dc.contributor.author Vadalà, Gianluca
dc.contributor.author Fontana, Luca
dc.contributor.author Papalia, Rocco
dc.contributor.author Rantanen, Jorma
dc.contributor.author Iavicoli, Sergio
dc.contributor.author Denaro, Vincenzo
dc.date.accessioned 2021-10-21T12:10:01Z
dc.date.available 2021-10-21T12:10:01Z
dc.date.issued 2021-06-07
dc.identifier.citation Russo , F , De Salvatore , S , Ambrosio , L , Vadalà , G , Fontana , L , Papalia , R , Rantanen , J , Iavicoli , S & Denaro , V 2021 , ' Does Workers’ Compensation Status Affect Outcomes after Lumbar Spine Surgery? A Systematic Review and Meta-Analysis ' , International Journal of Environmental Research and Public Health , vol. 18 , no. 11 , 6165 . https://doi.org/10.3390/ijerph18116165
dc.identifier.other PURE: 166806469
dc.identifier.other PURE UUID: 9a3b9e11-88df-4be2-8156-cb6aa991460c
dc.identifier.other WOS: 000659931300001
dc.identifier.uri http://hdl.handle.net/10138/335522
dc.description.abstract Low back pain (LBP) is currently the leading cause of disability worldwide and the mostcommon reason for workers’ compensation (WC) claims. Studies have demonstrated that receivingWC is associated with a negative prognosis following treatment for a vast range of health conditions.However, the impact of WC on outcomes after spine surgery is still controversial. The aim of thismeta-analysis was to systematically review the literature and analyze the impact of compensationstatus on outcomes after lumbar spine surgery. A systematic search was performed on Medline,Scopus, CINAHL, EMBASE and CENTRAL databases. The review included studies of patientsundergoing lumbar spine surgery in which compensation status was reported. Methodologicalquality was assessed through ROBINS-I and quality of evidence was estimated using the GRADErating. A total of 26 studies with a total of 2668 patients were included in the analysis. WC patientshad higher post-operative pain and disability, as well as lower satisfaction after surgery whencompared to those without WC. Furthermore, WC patients demonstrated to have a delayed return towork. According to our results, compensation status is associated with poor outcomes after lumbarspine surgery. Contextualizing post-operative outcomes in clinical and work-related domains helpsunderstand the multifactorial nature of the phenomenon. en
dc.format.extent 21
dc.language.iso eng
dc.relation.ispartof International Journal of Environmental Research and Public Health
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject ANTERIOR CERVICAL DISKECTOMY
dc.subject BACK-PAIN
dc.subject COSTS
dc.subject DISABILITY
dc.subject INJURY SEVERITY
dc.subject INTERBODY FUSION
dc.subject POSTEROLATERAL FUSION
dc.subject PREDICTORS
dc.subject RETURN-TO-WORK
dc.subject SURGICAL-TREATMENT
dc.subject disability
dc.subject insurance
dc.subject low back pain
dc.subject lumbar decompression
dc.subject lumbar fusion
dc.subject musculoskeletal disorders
dc.subject occupational health
dc.subject pain
dc.subject return to work
dc.subject satisfaction
dc.subject 3142 Public health care science, environmental and occupational health
dc.title Does Workers’ Compensation Status Affect Outcomes after Lumbar Spine Surgery? : A Systematic Review and Meta-Analysis en
dc.type Review Article
dc.contributor.organization Clinicum
dc.contributor.organization Department of Public Health
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.3390/ijerph18116165
dc.relation.issn 1660-4601
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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