Evidence map›Paper›PMID 38753046›Full record

SynthesisJournal of occupational rehabilitation2025

Prognostic Factors and Models for Predicting Work Absence in Adults with Musculoskeletal Conditions Consulting a Healthcare Practitioner: A Systematic Review.

Gwenllian Wynne-Jones, Elaine Wainwright, Nicola Goodson, Joanne L Jordan, Amardeep Legha, Millie Parchment, Ross Wilkie, George Peat

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of occupational rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Review
  2. 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

8 authors.

Gwenllian Wynne-JonesFaculty of Medicine and Health Sciences, and Versus Arthritis/Medical Research Council Centre for Musculoskeletal Health and Work, School of Medicine, Keele University, Keele, ST5 5BG, UK. g.wynne-jones@keele.ac.uk.
Elaine WainwrightAberdeen Centre for Arthritis and Musculoskeletal Health (Epidemiology Group), School of Medicine, Medical Sciences and Nutrition, Versus Arthritis/Medical Research Council Centre for Musculoskeletal Health and Work, University of Aberdeen, Aberdeen, UK.
Nicola GoodsonDepartment of Rheumatology, Versus Arthritis/Medical Research Council Centre for Musculoskeletal Health and Work, Liverpool University Hospitals, Liverpool, L9 7AL, UK.
Joanne L JordanFaculty of Medicine and Health Sciences, and Versus Arthritis/Medical Research Council Centre for Musculoskeletal Health and Work, School of Medicine, Keele University, Keele, ST5 5BG, UK.
Amardeep LeghaFaculty of Medicine and Health Sciences, and Versus Arthritis/Medical Research Council Centre for Musculoskeletal Health and Work, School of Medicine, Keele University, Keele, ST5 5BG, UK.
Millie ParchmentNIHR Applied Research Collaboration for Greater Manchester, University of Manchester, Manchester, M13 9PL, UK.
Ross WilkieFaculty of Medicine and Health Sciences, and Versus Arthritis/Medical Research Council Centre for Musculoskeletal Health and Work, School of Medicine, Keele University, Keele, ST5 5BG, UK.
George PeatCentre for Applied Health & Social Care Research (CARe), Sheffield Hallam University, Sheffield, UK.

Funding

Versus Arthritis/MRC Centre for Musculoskeletal Health and Work 22090
6 · The paper itself

Abstract

purposeIt is difficult to predict which employees, in particular those with musculoskeletal pain, will return to work quickly without additional vocational advice and support, which employees will require this support and what levels of support are most appropriate. Consequently, there is no way of ensuring the right individuals are directed towards the right services to support their occupational health needs. The aim of this review will be to identify prognostic factors for duration of work absence in those already absent and examine the utility of prognostic models for work absence.

methodsEight databases were search using a combination of subject headings and key words focusing on work absence, musculoskeletal pain and prognosis. Two authors independently assessed the eligibility of studies, extracted data from all eligible studies and assessed risk of bias using the QUIPS or PROBAST tools, an adapted GRADE was used to assess the strength of the evidence. To make sense of the data prognostic variables were grouped according to categories from the Disability Prevention Framework and the SWiM framework was utilised to synthesise findings.

resultsA total of 23 studies were included in the review, including 13 prognostic models and a total of 110 individual prognostic factors. Overall, the evidence for all prognostic factors was weak, although there was some evidence that older age and better recovery expectations were protective of future absence and that previous absence was likely to predict future absences. There was weak evidence for any of the prognostic models in determining future sickness absence.

conclusionAnalysis was difficult due to the wide range of measures of both prognostic factors and outcome and the differing timescales for follow-up. Future research should ensure that consistent measures are employed and where possible these should be in-line with those suggested by Ravinskaya et al. (2023).

Indexed as

AbsenteeismMusculoskeletal DiseasesMusculoskeletal PainReturn to WorkSick LeaveAdultHumansPrognosisAbsenceMusculoskeletal painPrognosisSystematic reviewWork absence

Identifiers

PMID38753046
PMCPMC12089206

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.