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Diagnosis-Specific Work Disability before and after Lumbar Spine Decompression Surgery—A Register Study from Sweden

Author

Listed:
  • Thomas E. Dorner

    (Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden
    Department of Social and Preventive Medicine, Centre for Public Health, Medical University of Vienna, Kinderspitalgasse 15/I, 1090 Wien, Austria)

  • Ellenor Mittendorfer-Rutz

    (Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden)

  • Magnus Helgesson

    (Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden)

  • Tea Lallukka

    (Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden
    Department of Public Health, University of Helsinki, P.O. Box 20, 00014 Helsinki, Finland)

  • Jenni Ervasti

    (Finnish Institute of Occupational Health, P.O. Box 18, FI-00032 Työterveyslaitos, Helsinki, Finland)

  • Konstantinos Pazarlis

    (Department of Surgical Sciences, Division of Orthopaedics, Uppsala University Hospital, Akademiska Sjukhuset Ing 70, SE-751 85 Uppsala, Sweden
    Stockholm Spine Center, 194 89 Upplands Väsby, Sweden)

  • Annina Ropponen

    (Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden
    Finnish Institute of Occupational Health, P.O. Box 18, FI-00032 Työterveyslaitos, Helsinki, Finland)

  • Pia Svedberg

    (Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden)

  • Mo Wang

    (Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden)

  • Syed Rahman

    (Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden)

Abstract

Low back pain (LBP) patients undergoing lumbar spine decompression surgery (LSDS) often suffer from multi-comorbidity and experience high work disability. This study aimed to identify diagnosis-specific work disability patterns in all LBP-patients before and after LSDS during 2008–2010, that were aged 19–60 years and living in Sweden ( n = 10,800) and compare these patterns to LBP-patients without LSDS ( n = 109,179), and to matched individuals without LBP ( n = 472,191). Work disability days (long-term sickness absence (LTSA), disability pension (DP)) during the three years before to three years after the cohort’s entry date were identified by generalised estimating equations. LBP-patients undergoing LSDS had higher overall work disability during the three years following surgery (LTSA: 23.6%, DP: 6.3%) than LBP-patients without LSDS (LTSA: 19.5%, DP: 5.9%), and those without LBP (LTSA: 7.9%, DP: 1.7%). Among patients undergoing LSDS, the prevalence of work disability due to dorsopathies increased from 20 days three years before surgery to 70 days in the year after and attenuated to 30 days in the third year following surgery. Work disability for other diagnoses remained stable at a low level in this group (<10 days annually). LBP-patients undergoing LSDS have an unfavourable long-term work disability prognosis, primarily due to dorsopathies. Decompression surgery seemed to restrict further inclines in work disability in the long run.

Suggested Citation

  • Thomas E. Dorner & Ellenor Mittendorfer-Rutz & Magnus Helgesson & Tea Lallukka & Jenni Ervasti & Konstantinos Pazarlis & Annina Ropponen & Pia Svedberg & Mo Wang & Syed Rahman, 2021. "Diagnosis-Specific Work Disability before and after Lumbar Spine Decompression Surgery—A Register Study from Sweden," IJERPH, MDPI, vol. 18(17), pages 1-13, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:17:p:8937-:d:621422
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    References listed on IDEAS

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    1. Magnus Helgesson & Staffan Marklund & Klas Gustafsson & Gunnar Aronsson & Constanze Leineweber, 2020. "Interaction Effects of Physical and Psychosocial Working Conditions on Risk for Sickness Absence: A Prospective Study of Nurses and Care Assistants in Sweden," IJERPH, MDPI, vol. 17(20), pages 1-15, October.
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