Evidence map›Paper›PMID 32047973›Full record

ArticleSocial psychiatry and psychiatric epidemiology2020

Are there differences in the return to work process for work-related psychological and musculoskeletal injuries? A longitudinal path analysis.

Peter Smith, Anthony D LaMontagne, Rebbecca Lilley, Sheilah Hogg-Johnson, Malcolm Sim

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Article in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 15 citations in OpenAlex.

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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

5 authors at 5 institutions in 3 countries.

Peter SmithInstitute for Work and Health, 481 University Ave, Suite 800, Toronto, ON, M5G 2E9, Canada. psmith@iwh.on.ca.ORCID http://orcid.org/0000-0001-8286-4563
Anthony D LaMontagneCentre for Population Health Research, Deakin University, Victoria, Australia.
Rebbecca LilleyDepartment of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand.
Sheilah Hogg-JohnsonInstitute for Work and Health, 481 University Ave, Suite 800, Toronto, ON, M5G 2E9, Canada.
Malcolm SimDepartment of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia.
Canadian Memorial Chiropractic College · CADeakin University · AUMonash University · AUPublic Health Ontario · CAUniversity of Otago · NZ

Funding

Australian Research Council LP130100091
6 · The paper itself

Abstract

purposeTo examine differences in the return to work (RTW) process for workers' compensation claimants with psychological injuries compared to those with musculoskeletal (MSK) injuries.

methodsWe collected data from 869 workers' compensation claimants in Victoria, Australia, at three time points over a 12-month period (21% with psychological injury claims). RTW was assessed through self-report. Potential mediators were identified at the personal, health-care provider, workplace and system levels. The relationships between injury type, mediating factors and RTW were assessed using path analysis, with adjustment for confounders through inverse probability weighting.

resultsWe observed better RTW outcomes for claimants with MSK injuries (compared to those with psychological injuries) at T1 and T2, but not at T3. We also observed differences between psychological injuries and MSK injuries and all but two of the mediating factors examined. These differences, in particular related to supervisor response to injury, consultative RTW planning and offers of accommodation, as well as differences in mental health symptoms, explained approximately two-thirds of differences in RTW between injury types at T1. Differences in RTW at T2 were explained by mediating factors, and differences in RTW at T1.

conclusionClaimants with work-related psychological injuries experience a variety of challenges in RTW compared to those with MSK injuries. While treating and preventing further exacerbation of psychological symptoms should remain an important part of the rehabilitation process, other modifiable factors, in particular supervisor response to injury and consultative RTW planning and modified duties, should be prioritised to reduce inequalities in RTW across injury types.

Indexed as

Musculoskeletal DiseasesOccupational InjuriesHumansReturn to WorkVictoriaWorkers' CompensationOccupational injuriesPath analysisPsychological injuryReturn to work

Identifiers

PMID32047973
OpenAlexW3006037982

What OpenQuestion holds

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Registered trials

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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.