PT Journal AU Shiri, R Heliövaara, M Ahola, K Kaila-Kangas, L Haukka, E Kausto, J Saastamoinen, P Leino-Arjas, P Lallukka, T TI A screening tool for the risk of disability retirement due to musculoskeletal disorders SO Scandinavian Journal of Work, Environment & Health PD 1VL PY 2018 BP 37 EP 46 IS 1 DI 10.5271/sjweh.3684 WP https://www.sjweh.fi/show_abstract.php?abstract_id=3684 DE disability retirement; MSD; musculoskeletal disease; musculoskeletal disorder; prediction; prevention; screening; screening tool SN 0355-3140 AB '

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OBJECTIVE ': 'This study aimed to develop and validate a risk screening tool using a points system to assess the risk of future disability retirement due to musculoskeletal disorders (MSD).

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METHODS ': 'The development population, the Health 2000 Survey, consisted of a nationally representative sample of Finnish employees aged 30–60 years (N=3676) and the validation population, the Helsinki Health Study, consisted of employees of the City of Helsinki aged 40–60 years (N=6391). Both surveys were linked to data on disability retirement awards due to MSD from national register for an 11-year follow-up.

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RESULTS ': 'The discriminative ability of the model with seven predictors was good (Gönen and Heller’s K concordance statistic=0.821). We gave points to seven predictors: sex-dependent age, level of education, pain limiting daily activities, multisite musculoskeletal pain, history of arthritis, and surgery for a spinal disorder or carpal tunnel syndrome. A score of 3 or higher out of 7 (top 30% of the index) had good sensitivity (83%) and specificity (70%). Individuals at the top 30% of the risk index were at 29 [95% confidence interval (CI) 15–55) times higher risk of disability retirement due to MSD than those at the bottom 40%.

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CONCLUSION ': 'This easy-to-use screening tool based on self-reported risk factor profiles can help identify individuals at high risk for disability retirement due to MSD.

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