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https://doi.org/10.21256/zhaw-4088| Publication type: | Article in scientific journal |
| Type of review: | Peer review (publication) |
| Title: | Does injury claim status and benefit status predict low back pain outcomes? |
| Authors: | Melloh, Markus Cornwall, Jon Crawford, Rebecca J. Elfering, Achim |
| DOI: | 10.21256/zhaw-4088 |
| Published in: | Australasian Medical Journal |
| Volume(Issue): | 8 |
| Issue: | 8 |
| Page(s): | 268 |
| Pages to: | 276 |
| Issue Date: | 2015 |
| Publisher / Ed. Institution: | Australasian Medical Journal |
| Publisher / Ed. Institution: | Perth |
| ISSN: | 1836-1935 |
| 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. |
| URI: | https://digitalcollection.zhaw.ch/handle/11475/2560 |
| Fulltext version: | Published version |
| License (according to publishing contract): | Licence according to publishing contract |
| Departement: | School of Health Sciences |
| Organisational Unit: | Institute of Public Health (IPH) |
| Appears in collections: | Publikationen Gesundheit |
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| File | Description | Size | Format | |
|---|---|---|---|---|
| 2015_Melloh_Does injury claim status and benefit status_Australasian Medical Journal.pdf | 581.81 kB | Adobe PDF |  View/Open |
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Melloh, M., Cornwall, J., Crawford, R. J., & Elfering, A. (2015). Does injury claim status and benefit status predict low back pain outcomes? Australasian Medical Journal, 8(8), 268–276. https://doi.org/10.21256/zhaw-4088
Melloh, M. et al. (2015) ‘Does injury claim status and benefit status predict low back pain outcomes?’, Australasian Medical Journal, 8(8), pp. 268–276. Available at: https://doi.org/10.21256/zhaw-4088.
M. Melloh, J. Cornwall, R. J. Crawford, and A. Elfering, “Does injury claim status and benefit status predict low back pain outcomes?,” Australasian Medical Journal, vol. 8, no. 8, pp. 268–276, 2015, doi: 10.21256/zhaw-4088.
MELLOH, Markus, Jon CORNWALL, Rebecca J. CRAWFORD und Achim ELFERING, 2015. Does injury claim status and benefit status predict low back pain outcomes? Australasian Medical Journal. 2015. Bd. 8, Nr. 8, S. 268–276. DOI 10.21256/zhaw-4088
Melloh, Markus, Jon Cornwall, Rebecca J. Crawford, and Achim Elfering. 2015. “Does Injury Claim Status and Benefit Status Predict Low Back Pain Outcomes?” Australasian Medical Journal 8 (8): 268–76. https://doi.org/10.21256/zhaw-4088.
Melloh, Markus, et al. “Does Injury Claim Status and Benefit Status Predict Low Back Pain Outcomes?” Australasian Medical Journal, vol. 8, no. 8, 2015, pp. 268–76, https://doi.org/10.21256/zhaw-4088.
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