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Does Workers’ Compensation Status Affect Outcomes after Lumbar Spine Surgery? A Systematic Review and Meta-Analysis

Author

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  • Fabrizio Russo

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Sergio De Salvatore

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Luca Ambrosio

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Gianluca Vadalà

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Luca Fontana

    (Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers’ Compensation Authority (INAIL), 00078 Rome, Italy)

  • Rocco Papalia

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

  • Jorma Rantanen

    (Department of Public Health/Occupational Health, University of Helsinki, 00250 Helsinki, Finland)

  • Sergio Iavicoli

    (Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, Italian Workers’ Compensation Authority (INAIL), 00078 Rome, Italy)

  • Vincenzo Denaro

    (Department of Orthopaedic and Trauma Surgery, Campus Bio-Medico University of Rome, 00128 Rome, Italy)

Abstract

Low back pain (LBP) is currently the leading cause of disability worldwide and the most common reason for workers’ compensation (WC) claims. Studies have demonstrated that receiving WC is associated with a negative prognosis following treatment for a vast range of health conditions. However, the impact of WC on outcomes after spine surgery is still controversial. The aim of this meta-analysis was to systematically review the literature and analyze the impact of compensation status on outcomes after lumbar spine surgery. A systematic search was performed on Medline, Scopus, CINAHL, EMBASE and CENTRAL databases. The review included studies of patients undergoing lumbar spine surgery in which compensation status was reported. Methodological quality was assessed through ROBINS-I and quality of evidence was estimated using the GRADE rating. A total of 26 studies with a total of 2668 patients were included in the analysis. WC patients had higher post-operative pain and disability, as well as lower satisfaction after surgery when compared to those without WC. Furthermore, WC patients demonstrated to have a delayed return to work. According to our results, compensation status is associated with poor outcomes after lumbar spine surgery. Contextualizing post-operative outcomes in clinical and work-related domains helps understand the multifactorial nature of the phenomenon.

Suggested Citation

  • Fabrizio Russo & Sergio De Salvatore & Luca Ambrosio & Gianluca Vadalà & Luca Fontana & Rocco Papalia & Jorma Rantanen & Sergio Iavicoli & Vincenzo Denaro, 2021. "Does Workers’ Compensation Status Affect Outcomes after Lumbar Spine Surgery? A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(11), pages 1-21, June.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:11:p:6165-:d:570596
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    References listed on IDEAS

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    1. Gray, Shannon E. & Lane, Tyler J. & Sheehan, Luke & Collie, Alex, 2019. "Association between workers’ compensation claim processing times and work disability duration: Analysis of population level claims data," Health Policy, Elsevier, vol. 123(10), pages 982-991.
    2. Bartys, Serena & Frederiksen, Pernille & Bendix, Tom & Burton, Kim, 2017. "System influences on work disability due to low back pain: An international evidence synthesis," Health Policy, Elsevier, vol. 121(8), pages 903-912.
    3. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Federico D’Antoni & Fabrizio Russo & Luca Ambrosio & Luca Bacco & Luca Vollero & Gianluca Vadalà & Mario Merone & Rocco Papalia & Vincenzo Denaro, 2022. "Artificial Intelligence and Computer Aided Diagnosis in Chronic Low Back Pain: A Systematic Review," IJERPH, MDPI, vol. 19(10), pages 1-20, May.
    2. Giuseppe Francesco Papalia & Giorgia Petrucci & Fabrizio Russo & Luca Ambrosio & Gianluca Vadalà & Sergio Iavicoli & Rocco Papalia & Vincenzo Denaro, 2022. "COVID-19 Pandemic Increases the Impact of Low Back Pain: A Systematic Review and Metanalysis," IJERPH, MDPI, vol. 19(8), pages 1-11, April.
    3. Giorgia Petrucci & Giuseppe Francesco Papalia & Fabrizio Russo & Gianluca Vadalà & Michela Piredda & Maria Grazia De Marinis & Rocco Papalia & Vincenzo Denaro, 2021. "Psychological Approaches for the Integrative Care of Chronic Low Back Pain: A Systematic Review and Metanalysis," IJERPH, MDPI, vol. 19(1), pages 1-19, December.
    4. Fabrizio Russo & Giuseppe Francesco Papalia & Gianluca Vadalà & Luca Fontana & Sergio Iavicoli & Rocco Papalia & Vincenzo Denaro, 2021. "The Effects of Workplace Interventions on Low Back Pain in Workers: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(23), pages 1-17, November.

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