Moeri R, Balague F, Carron R, van Melle G
Centre médical d'observation de l'Assurance Invalidité, Policlinique médicale universitaire, Lausanne.
Schweiz Med Wochenschr. 1991 Dec 14;121(50):1897-9.
The professional outcome in 65 patients with chronic low back pain who stayed in the Invalidity Insurance Medical Observation Center from 1982 to 1987 was studied retrospectively. The group studied was composed of 51 males and 14 females aged 28 to 61 years. Thirty-one out of 65 patients (48%) returned to work, 4 to full time employment (active group), whereas 34 did not return to work (inactive group). Data established during our initial observation served to compare the 2 groups by means of a logistic regression. No significant difference was found between the 2 groups of height, weight, age, family situation, severity of the X-ray findings and the existence of an associated psychiatric diagnosis were compared. On the other hand, the absence of professional training, female gender and the presence of a radicular syndrome significantly decreased the proportion of patients returning to work. If these 3 risk factors were absent, the chance of resuming work was 72%; if one was present it was 50%, and if there were 2 or 3 risk factors it was 28%.
对1982年至1987年期间入住伤残保险医疗观察中心的65例慢性腰痛患者的职业转归进行了回顾性研究。研究组由51名男性和14名女性组成，年龄在28岁至61岁之间。65例患者中有31例（48%）重返工作岗位，4例全职工作（活跃组），而34例未重返工作岗位（非活跃组）。我们在最初观察期间收集的数据用于通过逻辑回归对两组进行比较。比较两组的身高、体重、年龄、家庭情况、X线检查结果的严重程度以及是否存在相关精神疾病诊断，未发现显著差异。另一方面，缺乏职业培训、女性性别以及存在神经根综合征显著降低了患者重返工作岗位的比例。如果不存在这3个危险因素，恢复工作的机会为72%；如果存在1个危险因素，恢复工作的机会为50%；如果存在2个或3个危险因素，恢复工作的机会为28%。
