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Primary care patients with musculoskeletal pain: value of health-status and sense-of-coherence measures in predicting long-term work disability
Department of Orthopedics, Hässleholm-Kristianstad Hospitals.
Department of Rehabilitation Medicine, Kristianstad Hospital.ORCID iD: 0000-0001-9283-5096
Department of Orthopedics, Hässleholm-Kristianstad Hospitals.
Department of Medicine, Division of Rheumatology, Kristianstad Hospital.
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2002 (English)In: Scandinavian Journal of Rheumatology, ISSN 0300-9742, Vol. 31, no 4, 239-244 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate long-term sick leave among primary care patients with musculoskeletal disorders and the predictive value of health-status and sense-of-coherence measures. METHODS: Patients aged 17 to 64 years who, during seven weeks, attended one of six primary care centers because of non-traumatic musculoskeletal pain and who completed the SF-36 health questionnaire and the sense of coherence (SOC) scale at baseline and after one year. RESULTS: Of 189 patients, 36 (19%) were sicklisted for at least three months before and/or after their visit; the most common diagnoses were non-specific soft-tissue or multiple joint, low back, and shoulder pain. The long-term sicklisted patients had significantly worse baseline SF-36 and SOC scores than the non-sicklisted patients; moderate improvement in the SF-36 bodily pain but no improvement in the physical functioning scores occurred. The duration of sick leave at baseline and the SF-36 bodily pain score were significant predictors of continuos one-year work disability. CONCLUSION: Long-term sick leave was common among primary care patients with musculoskeletal pain. The physical functioning and return-to-work outcomes after one year were poor. The SF-36 bodily pain scale might be helpful in identifying at risk patients.

Place, publisher, year, edition, pages
2002. Vol. 31, no 4, 239-244 p.
Keyword [en]
pain, sense of coherence, primary care, sick-listing
National Category
Public Health, Global Health, Social Medicine and Epidemiology Medical and Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-890DOI: 10.1080/030097402320318440ISI: 000177729700010PubMedID: 12369657OAI: oai:DiVA.org:hkr-890DiVA: diva2:222670
Available from: 2009-06-09 Created: 2009-06-09 Last updated: 2014-01-15Bibliographically approved

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Andersson, H. Ingemar
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CiteExportLink to record
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Citation style
  • apa
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More styles
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