Association of Disability Benefits and/or Litigation with Time to Return to Work after Tibia Fracture Fixation.

J Occup Environ Med. 2020 Mar 05;:

Authors: Rehman Y, Jones A, Madden K, Heels-Ansdell D, Busse JW, TRUST Investigators

OBJECTIVES: We explored the association of compensation status with return to work (RTW) after tibial fracture.
METHODS: Eligible patients were adults with tibial shaft fractures enrolled in the Trial to Re-evaluate Ultrasound in the Treatment of Tibial Fractures. We explored the association between disability benefits and/or litigation and RTW using multivariable discrete interval hazard analysis, adjusting for sex, age, country of residence, smoking status, body mass index, poly-trauma, fracture severity, fracture gap, pain severity, and physical functioning.
RESULTS: Of 330 eligible patients, 111 (34%) had not returned to full time work 1-year after surgery. In our adjusted model, receipt of disability benefits and/or involvement in litigation was associated with delayed RTW (HR = 0.71, 95% CI 0.52 to 0.96).
DISCUSSION: Tibial shaft fracture patients receiving disability benefits and/or involved in litigation are less likely to RTW.

PMID: 32149937 [PubMed – as supplied by publisher]

Source: ncbi 2

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