Does the distribution of musculoskeletal pain shape the fate of long-term sick leave? A prospective cohort study with register follow-up
Doménech-García, Víctor ; Skovlund, Sebastian Venge ; Bellosta-López, Pablo ; Calatayud, Joaquín ; López-Bueno, Rubén (Universidad de Zaragoza) ; Andersen, Lars Louis
Resumen: Abstract
Although multisite pain can markedly reduce work ability, the relevance of the bodily pain distribution as a predictor of long-term sick leave is still unknown. This study aimed to investigate the association between musculoskeletal pain distributions and long-term sick leave in the general working population of Denmark and included 66,177 currently employed wage earners without long-term sick leave during the prior 52 weeks. Participants reported whether they had pain in the lower extremity (hips/knees), upper extremity (neck/shoulders), or the low back. The analysis controlled for age, sex, year of survey reply, educational level, occupational group, psychosocial work factors, body max index, smoking, leisure-time physical activity, and mental health confounders. The results demonstrated that the risk of long-term sick leave increased with the number of pain sites. Compared with no pain, localized pain in any body region increased the risk/hazard by 25% to 29% (HR [95% CI]: 1.29 [1.07-1.54] for pain only in the low back), whereas pain in 2 regions increased the risk by 39% to 44% (HR [95% CI]: 1.41 [1.18-1.69] for pain in the low back + hips/knees). Workers reporting pain in all 3 regions experienced a 72% increased risk (HR [95% CI]: 1.72 [1.55-1.91]). Thus, the number of pain regions seems to matter more than the exact pain location. The spatial extension of musculoskeletal pain in workers functions as a gradient system, where pain spread throughout the body is an independent indicator of the high risk of long-term sick leave.
Idioma: Inglés
DOI: 10.1097/j.pain.0000000000003176
Año: 2024
Publicado en: PAIN 165, 8 (2024), 1875-1881
ISSN: 0304-3959
Factor impacto JCR: 5.5 (2024)
Categ. JCR: ANESTHESIOLOGY rank: 6 / 68 = 0.088 (2024) - Q1 - T1
Categ. JCR: NEUROSCIENCES rank: 42 / 314 = 0.134 (2024) - Q1 - T1
Categ. JCR: CLINICAL NEUROLOGY rank: 29 / 285 = 0.102 (2024) - Q1 - T1
Factor impacto SCIMAGO: 2.017 - Anesthesiology and Pain Medicine (Q1) - Pharmacology (Q1) - Neurology (clinical) (Q1) - Neurology (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Área Didáctica Expres.Corporal (Dpto. Expres.Music.Plást.Corp.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material.
Exportado de SIDERAL (2025-09-22-14:40:28)
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Although multisite pain can markedly reduce work ability, the relevance of the bodily pain distribution as a predictor of long-term sick leave is still unknown. This study aimed to investigate the association between musculoskeletal pain distributions and long-term sick leave in the general working population of Denmark and included 66,177 currently employed wage earners without long-term sick leave during the prior 52 weeks. Participants reported whether they had pain in the lower extremity (hips/knees), upper extremity (neck/shoulders), or the low back. The analysis controlled for age, sex, year of survey reply, educational level, occupational group, psychosocial work factors, body max index, smoking, leisure-time physical activity, and mental health confounders. The results demonstrated that the risk of long-term sick leave increased with the number of pain sites. Compared with no pain, localized pain in any body region increased the risk/hazard by 25% to 29% (HR [95% CI]: 1.29 [1.07-1.54] for pain only in the low back), whereas pain in 2 regions increased the risk by 39% to 44% (HR [95% CI]: 1.41 [1.18-1.69] for pain in the low back + hips/knees). Workers reporting pain in all 3 regions experienced a 72% increased risk (HR [95% CI]: 1.72 [1.55-1.91]). Thus, the number of pain regions seems to matter more than the exact pain location. The spatial extension of musculoskeletal pain in workers functions as a gradient system, where pain spread throughout the body is an independent indicator of the high risk of long-term sick leave.
Idioma: Inglés
DOI: 10.1097/j.pain.0000000000003176
Año: 2024
Publicado en: PAIN 165, 8 (2024), 1875-1881
ISSN: 0304-3959
Factor impacto JCR: 5.5 (2024)
Categ. JCR: ANESTHESIOLOGY rank: 6 / 68 = 0.088 (2024) - Q1 - T1
Categ. JCR: NEUROSCIENCES rank: 42 / 314 = 0.134 (2024) - Q1 - T1
Categ. JCR: CLINICAL NEUROLOGY rank: 29 / 285 = 0.102 (2024) - Q1 - T1
Factor impacto SCIMAGO: 2.017 - Anesthesiology and Pain Medicine (Q1) - Pharmacology (Q1) - Neurology (clinical) (Q1) - Neurology (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Área Didáctica Expres.Corporal (Dpto. Expres.Music.Plást.Corp.)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. If you remix, transform, or build upon the material, you may not distribute the modified material. Exportado de SIDERAL (2025-09-22-14:40:28)
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Record created 2024-08-22, last modified 2025-09-23