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Title: Does injury claim status and benefit status predict low back pain outcomes?
Authors : Melloh, Markus
Cornwall, Jon
Crawford, Rebecca J.
Elfering, Achim
Published in : The Journal for Research and Innovation in Health Care
Volume(Issue) : 8
Issue : 8
Pages : 268
Pages to: 276
Publisher / Ed. Institution : Australasian Medical Journal
Publisher / Ed. Institution: Perth
Issue Date: 2015
License (according to publishing contract) : Licence according to publishing contract
Type of review: Peer review (Publication)
Language : English
Subjects : Low back pain; Benefits; Accident Compensation Corporation; Injury; Claim
Subject (DDC) : 617.5: Orthopaedic surgery
Abstract: Background: In New Zealand the Accident Compensation Corporation (ACC) is a state-funded insurance agency that accepts claims for accidental injuries, including lumbar spine injuries. It is unknown whether ACC claim status (accepted, not accepted) affects low back pain (LBP) outcomes, or whether benefit status (e.g., sickness, disability) further affects outcomes in patients without ACC cover. Aims: This study aimed to determine whether ACC claim and benefit status are likely to influence a range of outcomes for people with LBP in New Zealand. Methods: A prospective survey of low back pain patients was performed (April 2008–October 2010). ACC claim status was recorded, and individuals without accepted claims indicated benefit status. Surveys were sent at multiple time points; pain, functional limitation, psychological factors, and general health were assessed. Statistical analysis was undertaken using ANCOVA and ANOVA (p<0.05). Results: In total, 168 patients completed the study. Six-month measures showed individuals with no ACC claim for LBP to overall have poorer outcomes (mental health, p=0.039; pain, p=0.045; functional limitation, p=0.049); sub-group analysis (no ACC claim) between those with or without a benefit showed those on benefits to have significantly higher functional limitation (p<0.001), poorer physical health (p=0.002), greater pain (p=0.027), and stronger fear avoidance behaviours for both work (p=0.047) and physical activity (p=0.35). Conclusion: Findings indicate individuals with accepted ACC claims for LBP have significantly better outcomes than those without, and patients on benefits with no accepted ACC claim for LBP have even poorer outcomes.
Departement: Gesundheit
Organisational Unit: Institute of Health Sciences (IGW)
Publication type: Article in scientific Journal
DOI : 10.4066/AMJ.2015.2464
ISSN: 1836-1935
Appears in Collections:Publikationen Gesundheit

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