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Trajectories of future sickness absence and disability pension days among individuals with a new sickness absence spell due to osteoarthritis diagnosis ≥21 days: a prospective cohort study with 13-month follow-up
Karolinska Institutet.
Karolinska Institutet.
The Swedish Red Cross University College, Department of Health Sciences. Karolinska Institutet.
Karolinska Institutet.
2019 (English)In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 9, no 8, article id e030054Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Osteoarthritis is one of the most common types of musculoskeletal diagnoses also among working-age populations, and often leads to long-term sickness absence (SA) spells or even disability pension (DP).

THE AIM: was to identify future trajectories of days of SA and/or DP among people with a new SA spell due to osteoarthritis that became ≥21 long, and to investigate sociodemographic and morbidity characteristics of individuals in identified trajectories.

METHODS: tests and multinomial logistic regression.

RESULTS: We identified five trajectories of SA/DP days: 'fast decrease' (36% of the cohort), 'medium fast decrease' (29%), 'slow decrease' (15%), 'fluctuating' (12%) and 'late decrease' (8%). Individuals in the two trajectories who still had SA/DP days at end of follow-up (late decrease and fluctuating) were more likely to be older, born outside the EU and have indicators of more severe morbidity than those in the other trajectories.

CONCLUSION: Five trajectories of future SA/DP days were identified; 80% of the cohort belonged to trajectories with no SA/DP by the end of follow-up. Identifying trajectories of future SA/DP provides new insights regarding the developments of SA/DP over time among people on SA due to osteoarthritis; not only days in the initial SA spell but also in new spells during follow-up need to be included for a better understanding.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2019. Vol. 9, no 8, article id e030054
Keywords [en]
disability pension, osteoarthritis, return to work, sick leave
National Category
Nursing
Identifiers
URN: urn:nbn:se:rkh:diva-3034DOI: 10.1136/bmjopen-2019-030054PubMedID: 31462481OAI: oai:DiVA.org:rkh-3034DiVA, id: diva2:1355057
Available from: 2019-09-26 Created: 2019-09-26 Last updated: 2019-11-05Bibliographically approved

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