Evidence map›Paper›PMID 29374662›Full record

ArticleBMJ open2018

Evaluating sickness absence duration by musculoskeletal and mental health issues: a retrospective cohort study of Scottish healthcare workers.

Evangelia Demou, Shanley Smith, Abita Bhaskar, Daniel F Mackay, Judith Brown, Kate Hunt, Sergio Vargas-Prada, Ewan B Macdonald

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
10.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

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  8. Absenteeism Among Healthcare Workers: Job Grade and Other Factors That Matter in Sickness Absence.International journal of environmental research and public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Evangelia DemouMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.ORCID 0000-0001-8616-525X
Shanley SmithPublic Health, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Abita BhaskarMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Daniel F MackayPublic Health, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Judith BrownPublic Health, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Kate HuntMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, UK.
Sergio Vargas-PradaCenter for Research in Occupational Health (CiSAL), Universitat Pompeu Fabra, Barcelona, Spain.
Ewan B MacdonaldPublic Health, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
University of Glasgow · GBMRC/CSO Social and Public Health Sciences Unit · GBUniversitat Pompeu Fabra · ES

Funding

Chief Scientist Office SCPH/15Chief Scientist Office SPHSU12Medical Research Council MC/PC/13027Medical Research Council MC_PC_13027Medical Research Council MC_UU_12017/12
6 · The paper itself

Abstract

objectivesSickness absence (SA) among healthcare workers is associated with occupational and non-occupational risk factors and impacts employee health, healthcare delivery and patient health. At the same time, healthcare is one of the employment sectors with the highest rates of work-related ill health in the UK. Musculoskeletal (MSK) and mental health (MH) issues are leading causes of SA, but there is a lack of research on how certain MSK/MH conditions impact on SA duration. The study aim is to determine differences in SA duration by MH and MSK disorders in healthcare employees.

methodsSurvival analyses were used to estimate SA duration due to MSK and MH problems over 6 years, and Cox's proportional hazards models to determine the HRs of returning to work, using a bespoke Scottish health board database with over 53 000 SA events. SA duration and time to return-to-work (RTW) were estimated for employees by age, gender, job and health conditions.

resultsMSK and MH conditions accounted for 27% and 6% of all SA events and 23.7% and 19.5% of all days lost, respectively. Average SA duration was 43.5 days for MSK and 53.9 days for MH conditions. For MSK conditions, employees with low back or neck pain had the fastest RTW (median P

conclusionsUsing a unique and rich database, we found significant differences in SA duration by presenting condition in healthcare workers. MH conditions, and depression specifically, accounted for the most working days' absence. Significant variations in duration were also observed for MSK conditions. Our findings can inform public health practitioners and healthcare managers of the most significant factors impacting MSK-related and MH-related SA to develop and implement tailored and targeted workplace interventions.

Indexed as

AdolescentAdultAge DistributionFemaleHealth PersonnelHumansMaleMental DisordersMental HealthMiddle AgedMultivariate AnalysisMusculoskeletal DiseasesOccupational HealthProportional Hazards ModelsRetrospective StudiesReturn to Workanxietydepressionhealthcare workermental healthmusculoskeletal disordersreturn to work

Identifiers

PMID29374662
PMCPMC5829784
OpenAlexW2786069644

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.