Diagnostic and management procedures for compensable back injuries without serious associated injuries : Modeling of the 1991 injury cohort from a major Michigan compensation insurer.
A retrospective cohort of 2425 workers with compensated back conditions was created fror the 1991 compensated cohort of the largest compensation insurer in Michigan by linking computerized information on social and demographic factors, diagnostic and management procedures, and cumulative missed worktime.
To describe medical care use from date of injury in 1991 to mid-1993 by type of back condition, to identify factors affecting this use, to determine the effect of alternative model selection strategies on identifying such factors, to investigate the timing of surgery and the use of diagnostic studies in patients with displaced or herniated discs with and without surgery, and to compare the use of medical care in the study group with that recommended by national expert panels. of Background Data.
Despite the enormous costs involved in medical care for patients with work-related back injuries, almost no information on the use of medical care is available for compensated back injuries by diagnostic and procedure code.
Use of medical care was grouped into 18 categories for tabulation.
Factors affecting use of medical care were identified by logistic regression, supplemented by Cox analysis for time to first procedure.
The Hosmer-Lemeshow chi-square statistic was compared with the Bayes Information Criterion for evaluating model fit. (...)
Mots-clés Pascal : Lombalgie, Association, Poste travail, Epidémiologie, Facteur risque, Diagnostic, Traitement, Compensation, Incapacité, Pronostic, Homme, Douleur, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie
Mots-clés Pascal anglais : Low back pain, Association, Workplace layout, Epidemiology, Risk factor, Diagnosis, Treatment, Compensation, Disability, Prognosis, Human, Pain, Diseases of the osteoarticular system, Spine disease, Rachialgia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0102635
Code Inist : 002B15F. Création : 22/06/1998.