在工伤赔偿数据库中获取病例：以颈部疼痛为例。
Capturing cases in workers' compensation databases: the example of neck pain.
作者信息
Van Eerd Dwayne, Côté Pierre, Beaton Dorcas, Hogg-Johnson Sheilah, Vidmar Marjan, Kristman Vicki
机构信息
Institute for Work & Health, University of Toronto, Ontario, Canada.
出版信息
Am J Ind Med. 2006 Jul;49(7):557-68. doi: 10.1002/ajim.20329.
BACKGROUND
There is a need to more accurately enumerate workers with musculoskeletal injuries who make lost-time claims to workers compensation boards. The objective of this study is to develop an approach to more accurately enumerate these workers.
METHODS
Lost-time claims to the Ontario Workplace Safety & Insurance Board (WSIB) were reviewed. Using neck pain as an example, nature of injury and part of body codes were identified to classify cases. Claims of a random sample of 434 claimants were reviewed. The proportion of claimants classified as having neck pain was computed.
RESULTS
The proportion of claimants classified with soft-tissue injuries to the neck varied from 0.88 for codes including "neck/cervical region," 0.69 for "back region" to 0.05 for those coded as "shoulder/upper arm."
CONCLUSIONS
Restricting the enumeration of injuries to specific part of body codes can lead to a gross underestimation of the magnitude of soft-tissue disorders in epidemiological studies using workers' compensation data. The proposed approach leads to more accurate enumeration.
背景
需要更准确地统计向工人赔偿委员会提出误工索赔的肌肉骨骼损伤工人数量。本研究的目的是开发一种方法，以更准确地统计这些工人的数量。
方法
对安大略省 Workplace Safety & Insurance Board（WSIB）的误工索赔进行了审查。以颈部疼痛为例，确定损伤性质和身体部位代码以对病例进行分类。对434名索赔人的随机样本索赔进行了审查。计算了被分类为患有颈部疼痛的索赔人的比例。
结果
被分类为颈部软组织损伤的索赔人的比例，对于包括“颈部/颈椎区域”的代码为0.88，对于“背部区域”为0.69，对于编码为“肩部/上臂”的那些为0.05。
结论
在使用工人赔偿数据的流行病学研究中，将损伤的统计限制在特定身体部位代码可能会导致对软组织疾病严重程度的严重低估。所提出的方法能实现更准确的统计。
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