Evidence map›Paper›PMID 33219840›Full record

ArticleInternational archives of occupational and environmental health2021

Self-reported work ability predicts health-related exit and absence from work, work participation, and death: longitudinal findings from a sample of German employees.

Matthias Bethge, Katja Spanier, Stefanie Köhn, Anna Schlumbohm

Abstract read
In one paragraph

Article in International archives of occupational and environmental health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
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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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Individual and occupational correlates of work ability of Polish employees with visual impairments.International journal of occupational medicine and environmental health · 2026
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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

4 authors.

Matthias BethgeInstitute for Social Medicine and Epidemiology, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany. matthias.bethge@uksh.de.ORCID http://orcid.org/0000-0002-6417-7812
Katja SpanierInstitute for Social Medicine and Epidemiology, University of Lübeck, Ratzeburger Allee 160, 23562, Lübeck, Germany.ORCID http://orcid.org/0000-0002-3184-4930
Stefanie KöhnInstitute of Medical Sociology and Rehabilitation Science, Charité, Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0002-8299-2415
Anna SchlumbohmInstitute of Medical Sociology and Rehabilitation Science, Charité, Universitätsmedizin Berlin, Berlin, Germany.ORCID http://orcid.org/0000-0003-1808-9210

Funding

Deutsche Rentenversicherung Bund (DE) 8011-106-31/31.104.1
6 · The paper itself

Abstract

objectiveThe cohort study examined the performance of the Work Ability Index in predicting health-related exit and absence from work, work participation, and death among a sample of workers previously receiving sickness absence benefits.

methodsWorkers aged 40-54 years who received sickness absence benefits in 2012 completed the Work Ability Index in 2013. Outcomes were extracted from administrative data records covering the period until the end of 2016.

resultsData for 2266 participants were included (mean age: 47.9 years; 54.4% women). Maximum follow-up was 43 months. In terms of work ability, 38.4% had good scores, 38.2% moderate scores, and 23.4% poor scores. Fully adjusted analyses showed an increased risk of a disability pension in workers with poor (HR = 12.98; 95% CI 5.81-28.99) and moderate Work Ability Index scores (HR = 3.17; 95% CI 1.36-7.38) compared to workers with good or excellent scores. The risk of a rehabilitation measure was also significantly increased for workers with poor and moderate scores. In addition, poor scores were prospectively associated with a longer duration of sickness absence and unemployment benefits, and fewer employment days and less income from regular employment. Those with poor Work Ability Index scores also had a significantly increased risk of premature death.

conclusionsThe Work Ability Index is a potential tool to identify individuals with previous long-term sickness absence having an increased risk of health-related exit and absence from work and poor work participation outcomes.

Indexed as

Work Capacity EvaluationAbsenteeismAdultCohort StudiesDeathFemaleGermanyHealth StatusHumansLongitudinal StudiesMaleMiddle AgedPensionsPersons with DisabilitiesRisk FactorsSelf ReportCohort studyNeeds assessmentOccupational healthPensionsRehabilitation

Identifiers

PMID33219840
PMCPMC8068707

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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.