Factors associated with variability in length of sick leave because of acute low back pain in Chile

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dc.contributor.authorDiaz Ledezma, Claudio
dc.contributor.authorUrrutia, Julio
dc.contributor.authorRomeo, Jose
dc.contributor.authorChelen, Alfonso
dc.contributor.authorGonzalez Wilhelm, Leonardo
dc.contributor.authorLavarello, Cristian
dc.date.accessioned2024-01-10T12:05:26Z
dc.date.available2024-01-10T12:05:26Z
dc.date.issued2009
dc.description.abstractBACKGROUND CONTEXT: Acute low back pain (LBP) is a frequent cause of physician visits and sick leave. Patients with longer sick leave account for most costs associated with LBP. Most research on risk factors for prolonged sick leave because of LBP has been done in Anglo-Saxon or Northern European populations with occupational LBP. Few studies have been conducted in less affluent Latin countries.
dc.description.abstractPURPOSE: To investigate the prevalence of acute LBP as a cause of sick leave and the variables associated with longer work absence (WA) because of acute LBP in Chile.
dc.description.abstractSTUDY DESIGN: A retrospective study of nonoccupational sick leave certificates issued in a 1-year period by the Chilean Public Health System.
dc.description.abstractPATIENT SAMPLE: Ten thousand cases with nonoccupational sick leave certificates issued with the diagnosis of acute LBP.
dc.description.abstractOUTCOME MEASURES: Prevalence of acute LBP as a cause of sick leave, days of WA, and subsidy payment.
dc.description.abstractMETHODS: A review of sick leave certificates from patients with different diagnoses was done to determine the prevalence of acute LBP as a cause of sick leave. We investigated whether age, gender, history of at least one episode of sick leave in the previous year because of acute LBP or because of other diagnoses, stipendiary subsidy paid (converted to US $), work activity, occupation, and the specialty of the attending physician influenced the length of sick leave.
dc.description.abstractRESULTS: Acute LBP represented 5.4% of cases causing sick leave. Patients with acute LBP who had significantly longer sick leave than the rest of the population were patients with an episode of WA because of LBP in the previous year (14% longer sick leave than patients without that history), manual workers (35% longer than nonmanual workers), and patients seen by orthopedic surgeons (43% longer than patients seen by other medical specialists). Nonpregnant women and men had similar durations of sick leave because of acute LBP.
dc.description.abstractCONCLUSIONS: Physicians who treat patients with LBP should be aware of these variables associated with longer sick leave because of acute LBP, which represents a significant burden to any society and is an important epidemiologic problem. (C) 2009 Elsevier Inc. All rights reserved.
dc.fechaingreso.objetodigital11-04-2024
dc.format.extent6 páginas
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.spinee.2009.09.004
dc.identifier.eissn1878-1632
dc.identifier.issn1529-9430
dc.identifier.pubmedidMEDLINE:19477693
dc.identifier.pubmedidMEDLINE:19837008
dc.identifier.urihttps://doi.org/10.1016/j.spinee.2009.09.004
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/76009
dc.identifier.wosidWOS:000272736000008
dc.information.autorucMedicina;Urrutia J;S/I;69910
dc.issue.numero12
dc.language.isoen
dc.nota.accesoContenido parcial
dc.pagina.final1015
dc.pagina.inicio1010
dc.publisherELSEVIER SCIENCE INC
dc.revistaSPINE JOURNAL
dc.rightsacceso restringido
dc.subjectLow back pain
dc.subjectSick leave
dc.subjectPrevalence
dc.subjectCost of Illness
dc.subjectAbsenteeism
dc.subjectFEAR-AVOIDANCE BELIEFS
dc.subjectQUALITY-OF-LIFE
dc.subjectRISK-FACTORS
dc.subjectPROGNOSTIC-FACTORS
dc.subjectGENERAL-POPULATION
dc.subjectUNITED-STATES
dc.subjectPRIMARY-CARE
dc.subjectDISABILITY
dc.subjectWORK
dc.subjectPREVALENCE
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleFactors associated with variability in length of sick leave because of acute low back pain in Chile
dc.typeartículo
dc.volumen9
sipa.codpersvinculados69910
sipa.indexWOS
sipa.indexScopus
sipa.trazabilidadCarga SIPA;09-01-2024
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