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Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-4088
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dc.contributor.authorMelloh, Markus-
dc.contributor.authorCornwall, Jon-
dc.contributor.authorCrawford, Rebecca J.-
dc.contributor.authorElfering, Achim-
dc.date.accessioned2018-02-05T09:01:07Z-
dc.date.available2018-02-05T09:01:07Z-
dc.date.issued2015-
dc.identifier.issn1836-1935de_CH
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/2560-
dc.description.abstractBackground: 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.de_CH
dc.language.isoende_CH
dc.publisherAustralasian Medical Journalde_CH
dc.relation.ispartofAustralasian Medical Journalde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectLow back painde_CH
dc.subjectBenefitsde_CH
dc.subjectAccident Compensation Corporationde_CH
dc.subjectInjuryde_CH
dc.subjectClaimde_CH
dc.subject.ddc617.5: Orthopädische Chirurgiede_CH
dc.titleDoes injury claim status and benefit status predict low back pain outcomes?de_CH
dc.typeBeitrag in wissenschaftlicher Zeitschriftde_CH
dcterms.typeTextde_CH
zhaw.departementGesundheitde_CH
zhaw.organisationalunitInstitut für Public Health (IPH)de_CH
zhaw.publisher.placePerthde_CH
dc.identifier.doi10.21256/zhaw-4088-
zhaw.funding.euNode_CH
zhaw.issue8de_CH
zhaw.originated.zhawYesde_CH
zhaw.pages.end276de_CH
zhaw.pages.start268de_CH
zhaw.publication.statuspublishedVersionde_CH
zhaw.volume8de_CH
zhaw.publication.reviewPeer review (Publikation)de_CH
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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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