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The panorama of future sick-leave diagnoses among young adults initially long-term sickness absent due to neck, shoulder, or back diagnoses. An 11-year prospective cohort study
Karolinska Institute.
Karolinska Institute.
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
2009 (English)In: BMC MUSCULOSKELETAL DISORDERS, ISSN 1471-2474, Vol. 10, no 84Article in journal (Refereed) Published
Abstract [en]

Background: Little is known about future sick-leave diagnoses among individuals on long-term sickness absence. The aim of this study was to describe the panorama of sick-leave diagnoses over time among young adults initially sick-listed for andgt;= 28 days due to back, neck, or shoulder diagnoses Methods: An 11-year prospective population-based cohort study including all 213 individuals in a Swedish municipality who, in 1985, were aged 25-34 years and had a new sick-leave spell andgt;= 28 days due to neck, shoulder, or back diagnoses. Results: Over the 11-year period, the young adults in this cohort had 176,825 sick-leave days in 7,878 sick-leave periods (in 4,610 sick-leave spells) due to disorders in 17 of the 18 ICD-8 diagnostic categories (International Classification of Diseases, Revision 8). Musculoskeletal or mental diagnoses accounted for most of the sick-leave days, whereas most of the sick-leave periods were due to musculoskeletal, respiratory, or infectious disorders, or to unclassified symptoms. Most cohort members had had four to eight different sick-leave diagnoses over the 11 years, although some had had up to 11 diagnoses. Only two individuals (1%) had been sickness absent solely due to musculoskeletal diagnoses. Conclusion: Although the young adults initially were sick listed with back, neck, or shoulder diagnoses, their sickness absence during the follow up were due to a wide variety of other medical diagnoses. It might be that the ill-health content of sickness absence due to back pain is greater than usually assumed. More research on prognoses of sick-leave diagnoses among long-term sick listed is warranted.

Place, publisher, year, edition, pages
2009. Vol. 10, no 84
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-19910DOI: 10.1186/1471-2474-10-84OAI: oai:DiVA.org:liu-19910DiVA: diva2:231639
Note
Original Publication: Marjan Vaez, Jan Hagberg and Kristina Alexanderson, The panorama of future sick-leave diagnoses among young adults initially long-term sickness absent due to neck, shoulder, or back diagnoses. An 11-year prospective cohort study, 2009, BMC MUSCULOSKELETAL DISORDERS, (10), 84. http://dx.doi.org/10.1186/1471-2474-10-84 Licensee: BioMed Central http://www.biomedcentral.com/ Available from: 2009-08-25 Created: 2009-08-14 Last updated: 2009-08-25Bibliographically approved

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