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首页> 外文期刊>Occupational and environmental medicine >Absence from work and return to work in people with back pain: A systematic review and meta-analysis
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Absence from work and return to work in people with back pain: A systematic review and meta-analysis

机译：背痛患者的缺勤和重返工作：系统的回顾和荟萃分析

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摘要

Background: A considerable proportion of work absence is attributed to back pain, however prospective studies in working populations with back pain are variable in setting and design, and a quantitative summary of current evidence is lacking. Objective: To investigate the extent to which differences in setting, country, sampling procedures and methods for data collection are responsible for variation in estimates of work absence and return to work. Methods: Systematic searches of seven bibliographic databases. Inclusion criteria were: adults in paid employment, with back pain, work absence or return to work during follow-up had been reported. Random effects meta-analysis and meta-regression analysis was carried out to provide summary estimates of work absence and return to work rates. Results: 45 studies were identified for inclusion in the review; 34 were included in the meta-analysis. The pooled estimate for the occurrence of work absence in workers with back pain was 15.5% (95% CI 9.8% to 23.6%, n=17 studies, I2 98.1%) in studies with followup periods of ≤ 6 months. The pooled estimate for the proportion of people with back pain returning to work was 68.2% (95% CI 54.8% to 79.1%, n=13, I2 99.2%), 85.6% (95% CI 78.2% to 90.7%, n=13, I2 98.7%) and 93.3% (95% CI 84.0% to 94.7%, n=10, I2 99%), at 1 month, 1-6 months and 6 months, respectively. Differences in setting, risk of participation bias and method of assessing work absence explained some of the heterogeneity. Conclusions: Pooled estimates suggest high return to work rates, with wide variation in estimates of return to work only partly explained by a priori defined study-level variables. The estimated 32% not back at work at 1 month are at a crucial point for intervention to prevent long term work absence.
机译：背景：大量的工作缺勤归因于背痛，但是在背痛的工作人群中，前瞻性研究的背景和设计各不相同，并且缺乏对现有证据的定量总结。目的：调查背景，国家，抽样程序和数据收集方法的差异在多大程度上造成工作缺勤和重返工作的估计差异。方法：系统搜索七个书目数据库。纳入标准为：有成年人从事有偿工作，背部疼痛，缺勤或在随访期间重返工作的报道。进行了随机效应荟萃分析和荟萃回归分析，以提供对工作缺勤和返工率的简要估算。结果：鉴定出45项研究纳入评价;荟萃分析共纳入34篇。在随访期≤6个月的研究中，腰痛工人缺勤的总估计为15.5％（95％CI 9.8％至23.6％，n = 17研究，I2 98.1％）。腰痛重返工作岗位的人群的总估计为68.2％（95％CI 54.8％至79.1％，n = 13，I2 99.2％），85.6％（95％CI 78.2％至90.7％，n =在第1个月，第1-6个月和<6个月时，分别为13，I2 98.7％）和93.3％（95％CI 84.0％至94.7％，n = 10，I2 99％）。在设置，参与偏见风险和评估工作缺勤方法方面的差异解释了一些异质性。结论：汇总估计值表明工作回报率高，而工作回报率估计值差异很大，只能部分由先验定义的研究水平变量来解释。估计有32％的人不能在1个月后恢复工作，这是进行干预以防止长期缺勤的关键时刻。

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