Is an expert diagnosis enough for assessment of sick leave for employees with musculoskeletal and mental disorders?

Disabil Rehabil. 2011;33(13-14):1147-56. doi: 10.3109/09638288.2010.523509. Epub 2010 Oct 13.

Abstract

Purpose: The aim of this study is to determine differences in self-reported work ability, work conditions, health and function between ICD-10 groups with musculoskeletal disorders (MSD), mental disorders (MDs) and MSD + MD and to determine which variables are associated with sick leave.

Method: A cross-sectional study of 210 employees was conducted at an occupational health service unit. Physiotherapists and physicians classified the employees' health problems according to ICD-10 and the employees answered a questionnaire with questions on demographic variables, health, functioning, work ability and work conditions.

Results: Forty-four per cent of the employees had MSD, 22% had MD and 34% had a MSD + MD. The group on sick leave had worse results for all health and work measures. Belonging to the MD group, belonging to the MSD + MD group, having poor work ability and functioning were associated with being on sick leave. The value for the model explaining being on sick leave was 0.63 (Nagelkerke R²).

Conclusions: Having a diagnosis of MD based on a professional opinion and having poor work ability and functioning based on self-reports are associated with being on sick leave. The results suggest that self-reported data could be used to complement the expert-based diagnosis.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Diagnostic Self Evaluation*
  • Female
  • Humans
  • International Classification of Diseases
  • Logistic Models
  • Male
  • Mental Disorders / diagnosis*
  • Mental Disorders / rehabilitation
  • Middle Aged
  • Musculoskeletal Diseases / diagnosis*
  • Musculoskeletal Diseases / rehabilitation
  • Sick Leave*
  • Sweden
  • Work Capacity Evaluation*