Evidence map›Paper›PMID 38431296›Full record

ArticleBMJ open2024

Modifiable prognostic factors of high societal costs among people on sick leave due to musculoskeletal disorders: findings from an occupational cohort study.

Rikke Munk Killingmo, Anne Therese Tveter, Are Hugo Pripp, Alexander Tingulstad, Esther Maas, Tarjei Rysstad, Margreth Grotle

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04196634 (Risk Assessment for Prolonged Sickness Absence Due to Musculoskeletal Conditions), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 11% 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.

NCT04196634 unknown statusnot on this map

Risk Assessment for Prolonged Sickness Absence Due to Musculoskeletal Conditions

TypeobservationalSponsorOslo Metropolitan UniversityRan2018 to 2023Enrolled560ConditionsMusculoskeletal Pain DisorderArmsRisk assessment
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
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

7 authors at 4 institutions in 2 countries.

Rikke Munk KillingmoDepartment of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway rikke@oslomet.no.ORCID 0000-0003-1971-2449
Anne Therese TveterCenter for treatment of rheumatic and musculoskeletal diseases (REMEDY), Diakonhjemmet Hospital, Oslo, Norway.ORCID 0000-0003-1701-9835
Are Hugo PrippDepartment of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway.
Alexander TingulstadDepartment of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway.
Esther MaasDepartment of Health Sciences, Vrije University Amsterdam, Amsterdam, The Netherlands.
Tarjei RysstadDepartment of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway.ORCID 0000-0003-2630-4136
Margreth GrotleDepartment of Rehabilitation Science and Health Technology, Oslo Metropolitan University, Oslo, Norway.ORCID 0000-0001-8243-1143
OsloMet – Oslo Metropolitan University · NOOslo University Hospital · NODiakonhjemmet Hospital · NOVrije Universiteit Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe objective was to identify modifiable prognostic factors of high societal costs among people on sick leave due to musculoskeletal disorders, and to identify modifiable prognostic factors of high costs related to separately healthcare utilisation and productivity loss.

designA prospective cohort study with a 1-year follow-up. PARTICIPANTS AND

settingA total of 549 participants (aged 18-67 years) on sick leave (≥ 4 weeks) due to musculoskeletal disorders in Norway were included. OUTCOME MEASURES AND

methodThe primary outcome was societal costs aggregated for 1 year of follow-up and dichotomised as high or low, defined by the top 25th percentile. Secondary outcomes were high costs related to separately healthcare utilisation and productivity loss aggregated for 1 year of follow-up. Healthcare utilisation was collected from public records and included primary, secondary and tertiary healthcare use. Productivity loss was collected from public records and included absenteeism, work assessment allowance and disability pension. Nine modifiable prognostic factors were selected based on previous literature. Univariable and multivariable binary logistic regression analyses were performed to identify associations (crude and adjusted for selected covariates) between each modifiable prognostic factor and having high costs.

resultsAdjusted for selected covariates, six modifiable prognostic factors associated with high societal costs were identified: pain severity, disability, self-perceived health, sleep quality, return to work expectation and long-lasting disorder expectation. Depressive symptoms, work satisfaction and health literacy showed no prognostic value. More or less similar results were observed when high costs were related to separately healthcare utilisation and productivity loss.

conclusionFactors identified in this study are potential target areas for interventions which could reduce high societal costs among people on sick leave due to musculoskeletal disorders. However, future research aimed at replicating these findings is warranted. TRIAL REGISTRATION NUMBER: NCT04196634, 12 December 2019.

Indexed as

Musculoskeletal DiseasesSick LeaveCohort StudiesHumansPrognosisProspective StudiesHEALTH ECONOMICSMusculoskeletal disordersObservational Study

Identifiers

PMID38431296
PMCPMC10910429
OpenAlexW4392345841

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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.