Prognostic factors specific to work-related musculoskeletal disorders: An overview of recent systematic reviews

Work-related injuries affect a considerable number of people each year and represent a significant burden for society. To reduce this burden, optimizing rehabilitation care by integrating prognostic factors (PF) into the clinical decision-making process is a promising way to improve clinical outcome...

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Published in:Musculoskeletal science & practice 2023-08, Vol.66, p.102825-102825, Article 102825
Main Authors: Tousignant-Laflamme, Yannick, Houle, Catherine, Longtin, Christian, Gérard, Thomas, Lagueux, Emilie, Perreault, Kadija, Beaudry, Hélène, Tétreault, Pascal, Blanchette, Marc-André, Décary, Simon
Format: Article
Language:English
Subjects:
Fear
Humans
Musculoskeletal diseases
Musculoskeletal Diseases - rehabilitation
Pain
Prognosis
Prognostic factors
Return to Work
Systematic review
Systematic Reviews as Topic
Work
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Summary:Work-related injuries affect a considerable number of people each year and represent a significant burden for society. To reduce this burden, optimizing rehabilitation care by integrating prognostic factors (PF) into the clinical decision-making process is a promising way to improve clinical outcomes. The aim of this study was to identify PF specific to work-related musculoskeletal disorders. We performed an overview of systematic reviews reporting on PF that had the following outcomes of interest: Return to work, pain, disability, functional status, or poor outcomes. Each extracted PF was categorized according to its level of evidence (grade A or B) and whether it was modifiable or not. The risk of bias of each study was assessed with the ROBIS tool. We retrieved 757 citations from 3 databases. After removing 307 duplicates, 450 records were screened, and 20 studies were retained. We extracted a total of 20 PF with a Grade A recommendation, where 7 were deemed modifiable, 11 non-modifiable and 2 were index test. For example, return to work expectations, previous sick leave, delay in referral and pain intensity were found to be predictors of return-to-work outcomes. We also identified 17 PF with a Grade B recommendation, where 11 were deemed modifiable. For example, poor general health, negative recovery expectations, coping and fear-avoidance beliefs, pain severity, and particularly physical work were found to predict return to work outcomes. We found numerous modifiable PFs that can help clinicians personalize their treatment plan beyond diagnostic-related information for work-related musculoskeletal disorders. •Prognostic factors have the potential to enhance quality of rehabilitation care.•Targeting prognostic factors (PF) is a promising way to improve clinical outcomes.•We found numerous PFs that can be targeted to personalize the treatment plan.
ISSN:2468-7812
2468-7812
DOI:10.1016/j.msksp.2023.102825