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Primary care patients with musculoskeletal pain : value of health-status and sense-of-coherence measures in predicting long-term work disability

Atroshi, Isam (author)
Department of Orthopedics, Hässleholm-Kristianstad Hospitals
Andersson, H. Ingemar, 1950- (author)
Department of Rehabilitation Medicine, Kristianstad Hospital
Gummesson, Christina (author)
Department of Orthopedics, Hässleholm-Kristianstad Hospitals
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Leden, Ido (author)
Department of Medicine, Division of Rheumatology, Kristianstad Hospital
Odenbring, Sten (author)
Department of Orthopedics, Hässleholm-Kristianstad Hospitals
Ornstein, Ewald (author)
Department of Orthopedics, Hässleholm-Kristianstad Hospitals
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 (creator_code:org_t)
2002
2002
English.
In: Scandinavian Journal of Rheumatology. - 0300-9742 .- 1502-7732. ; 31:4, s. 239-244
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • OBJECTIVE: To investigate long-term sick leave among primary care patients with musculoskeletal disorders and the predictive value of health-status and sense-of-coherence measures. METHODS: Patients aged 17 to 64 years who, during seven weeks, attended one of six primary care centers because of non-traumatic musculoskeletal pain and who completed the SF-36 health questionnaire and the sense of coherence (SOC) scale at baseline and after one year. RESULTS: Of 189 patients, 36 (19%) were sicklisted for at least three months before and/or after their visit; the most common diagnoses were non-specific soft-tissue or multiple joint, low back, and shoulder pain. The long-term sicklisted patients had significantly worse baseline SF-36 and SOC scores than the non-sicklisted patients; moderate improvement in the SF-36 bodily pain but no improvement in the physical functioning scores occurred. The duration of sick leave at baseline and the SF-36 bodily pain score were significant predictors of continuos one-year work disability. CONCLUSION: Long-term sick leave was common among primary care patients with musculoskeletal pain. The physical functioning and return-to-work outcomes after one year were poor. The SF-36 bodily pain scale might be helpful in identifying at risk patients.

Subject headings

MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Keyword

pain
sense of coherence
primary care
sick-listing
Public health science
Folkhälsovetenskap
MEDICINE
MEDICIN

Publication and Content Type

ref (subject category)
art (subject category)

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