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Prognostic factors related to recurrent low-back pain and sickness absence

Author: Heuvel, S.G. van den · Ariëns, G.A.M. · Boshuizen, H.C. · Hoogendoorn, W.E. · Bongers, P.M.
Institution: TNO Preventie en Gezondheid
Source:Scandinavian journal of work, environment and health, 6, 30, 459-467
Identifier: 152140
doi: doi:10.5271/sjweh.835
Keywords: Workplace · Lichaamshouding · Lichaamsbeweging · Veilig en gezond werken · Tillen · Rugklachten · Hernia · Beroepsziekten · Ziekteverzuim · Sociaal verzuim · Preventie · Nederland · Factor, psychosocial · Lifting · Posture · Workplace · Morbidity · Working conditions · Absenteeism · Body movement · Body posture · Cohort analysis · Confidence interval · Controlled study · Decision making · Job satisfaction · Major clinical study · Occupational hazard · Prediction · Prognosis · Prospective study · Questionnaire · Recurrence risk · Recurrent disease · Risk factor · Social support · Statistical model · Weight lifting · Work disability · Adult · Analysis of Variance · Cohort Studies · Disability Evaluation · Female · Humans · Linear Models · Low Back Pain · Male · Middle Aged · Netherlands · Occupational Exposure · Prognosis · Prospective Studies · Recurrence · Risk Factors · Sick Leave


This study aimed at determining the prognostic factors related to the recurrence of low-back pain and future sickness absence due to low-back pain. Data were used from a prospective cohort study in a working population with a three year follow-up period. They were collected with annual questionnaires. A generalised estimating equation model was used to study the relation between pain characteristics, individual characteristics, and work-related factors and the recurrence of low-back pain or sickness absence due to low-back pain in the following year. Adjustments were made for potential confounders. According to this study, high disability due to low-back pain is a prognostic factor for recurrent low-back pain and future sickness absence due to low-back pain. In addition, the following work-related factors predict a poor prognosis of low-back pain: flexion or rotation of the trunk, low job satisfaction, low decision authority, and low social support. This work is licensed under a Creative Commons Attribution 4.0 International License.