Koljonen Paul, Chong Calvin, Yip Daniel
E7 Manhattan Court, KLN, Hong Kong, China.
Int Orthop. 2009 Apr;33(2):315-20. doi: 10.1007/s00264-007-0493-8. Epub 2007 Dec 20.
The purpose of this study was to review the association between compensation status and surgical outcome especially of the shoulder. Given the high prevalence of shoulder injuries in the workplace and the large proportion of workers compensation (WC) claims involving such injuries, it is worth examining the correlation between WC status and surgical outcome of the shoulder. All studies published in journals (MEDLINE and PubMed) from 1980 through 2007 on surgical interventions performed on the shoulder in which workers compensation status was documented and the postoperative functional outcome was compared according to that status were pooled for meta-analysis. This systematic review shows that compensation status of an individual receiving shoulder surgery is a consistent positive predictor of poor functional outcome. The majority of questions posed in the most commonly adopted shoulder-specific functional outcome measurement tools were subjective in nature and may account for part of the phenomenon.
本研究的目的是回顾赔偿状况与手术结果之间的关联，尤其是肩部手术结果。鉴于工作场所肩部损伤的高发生率以及涉及此类损伤的工人赔偿（WC）索赔的很大比例，因此值得研究WC状况与肩部手术结果之间的相关性。对1980年至2007年发表在期刊（MEDLINE和PubMed）上的所有关于肩部手术干预的研究进行汇总分析，这些研究记录了工人赔偿状况，并根据该状况比较了术后功能结果。这项系统评价表明，接受肩部手术的个体的赔偿状况是功能结果不佳的一致正向预测指标。最常用的肩部特定功能结果测量工具中提出的大多数问题本质上是主观的，这可能是该现象的部分原因。
