Disability and Pain are the Best Predictors of Sick Leave After a Distal Radius Fracture in Men
Egund, Lisa LU ; Önnby, Karin LU ; Mcguigan, Fiona LU
and Åkesson, Kristina
LU
(2020)
In Journal of Occupational Rehabilitation
30(4).
p.656-664
- Abstract
Purpose Distal radius fracture often compromises working ability, but clinical implications are less studied in men due to its lower incidence. This study therefore describes sick leave in men with distal radius fracture, specifically exploring the impact of patient- and fracture-related factors. Methods Professionally active men aged 20–65 with distal radius fracture were followed prospectively for 1-year (n = 88). Data included treatment method, radiographic parameters pre/post treatment, complications, health, lifestyle and occupational demand. Patient outcomes were self-reported sick leave; Disability of the Arm, Shoulder and Hand (DASH) score; pain (5 likert scale); SF-36: Physical Component Scale (PCS) and Mental Component Scale... (More)
Purpose Distal radius fracture often compromises working ability, but clinical implications are less studied in men due to its lower incidence. This study therefore describes sick leave in men with distal radius fracture, specifically exploring the impact of patient- and fracture-related factors. Methods Professionally active men aged 20–65 with distal radius fracture were followed prospectively for 1-year (n = 88). Data included treatment method, radiographic parameters pre/post treatment, complications, health, lifestyle and occupational demand. Patient outcomes were self-reported sick leave; Disability of the Arm, Shoulder and Hand (DASH) score; pain (5 likert scale); SF-36: Physical Component Scale (PCS) and Mental Component Scale (MCS). Results Median sick leave was 4 weeks (IQR 0; 8); almost a third reported taking no sick leave. Categorizing sick leave into 3 groups (0–6, 7–12 and > 12 weeks), men with the longest sick leave had 22 points higher DASH score (p = 0.001) and 5 points lower PCS (p = 0.02) at 1 week and the difference remained over time; they were also older and more often treated surgically. The strongest predictors of length of sick leave were one-week post-fracture DASH score (rs = 0.4, p < 0.001), pain intensity (rs = 0.4, p < 0.001) and PCS (rs = − 0.4, p = 0.002). The correlation between sick leave and pain was even stronger analyzing treatment groups separately (closed reduction and cast rs = 0.56, p = 0.007, surgery rs = 0.42, p = 0.04). Conclusions Self-reported disability, pain and global health measurements as early as 1 week post-fracture are the strongest predictors of length of sick leave regardless of treatment; an important finding easily transferrable to clinical management of distal radius fractures.
(Less)
- author
- Egund, Lisa
LU
; Önnby, Karin
LU
; Mcguigan, Fiona
LU
and Åkesson, Kristina
LU
- organization
- publishing date
- 2020-12
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Disability, Distal radius fracture, Men, Outcome, Pain, Sick leave
- in
- Journal of Occupational Rehabilitation
- volume
- 30
- issue
- 4
- pages
- 9 pages
- publisher
- Springer
- external identifiers
-
- scopus:85079373875
- pmid:32052265
- ISSN
- 1053-0487
- DOI
- 10.1007/s10926-020-09880-4
- language
- English
- LU publication?
- yes
- id
- b41ffae1-c786-4767-b418-c4b76cf3f9fa
- date added to LUP
- 2020-03-02 15:08:36
- date last changed
- 2024-06-26 11:29:33
@article{b41ffae1-c786-4767-b418-c4b76cf3f9fa,
abstract = {{<p>Purpose Distal radius fracture often compromises working ability, but clinical implications are less studied in men due to its lower incidence. This study therefore describes sick leave in men with distal radius fracture, specifically exploring the impact of patient- and fracture-related factors. Methods Professionally active men aged 20–65 with distal radius fracture were followed prospectively for 1-year (n = 88). Data included treatment method, radiographic parameters pre/post treatment, complications, health, lifestyle and occupational demand. Patient outcomes were self-reported sick leave; Disability of the Arm, Shoulder and Hand (DASH) score; pain (5 likert scale); SF-36: Physical Component Scale (PCS) and Mental Component Scale (MCS). Results Median sick leave was 4 weeks (IQR 0; 8); almost a third reported taking no sick leave. Categorizing sick leave into 3 groups (0–6, 7–12 and > 12 weeks), men with the longest sick leave had 22 points higher DASH score (p = 0.001) and 5 points lower PCS (p = 0.02) at 1 week and the difference remained over time; they were also older and more often treated surgically. The strongest predictors of length of sick leave were one-week post-fracture DASH score (rs = 0.4, p < 0.001), pain intensity (rs = 0.4, p < 0.001) and PCS (rs = − 0.4, p = 0.002). The correlation between sick leave and pain was even stronger analyzing treatment groups separately (closed reduction and cast r<sub>s</sub> = 0.56, p = 0.007, surgery r<sub>s</sub> = 0.42, p = 0.04). Conclusions Self-reported disability, pain and global health measurements as early as 1 week post-fracture are the strongest predictors of length of sick leave regardless of treatment; an important finding easily transferrable to clinical management of distal radius fractures.</p>}},
author = {{Egund, Lisa and Önnby, Karin and Mcguigan, Fiona and Åkesson, Kristina}},
issn = {{1053-0487}},
keywords = {{Disability; Distal radius fracture; Men; Outcome; Pain; Sick leave}},
language = {{eng}},
number = {{4}},
pages = {{656--664}},
publisher = {{Springer}},
series = {{Journal of Occupational Rehabilitation}},
title = {{Disability and Pain are the Best Predictors of Sick Leave After a Distal Radius Fracture in Men}},
url = {{http://dx.doi.org/10.1007/s10926-020-09880-4}},
doi = {{10.1007/s10926-020-09880-4}},
volume = {{30}},
year = {{2020}},
}