在州工人赔偿制度中，肌肉骨骼索赔的行业和诊断成本：1999-2004 年。
Costs by industry and diagnosis among musculoskeletal claims in a state workers compensation system: 1999-2004.
机构信息
Department of Rehabilitation Sciences, University of Cincinnati, Ohio, USA.
出版信息
Am J Ind Med. 2010 Mar;53(3):276-84. doi: 10.1002/ajim.20774.
BACKGROUND
Musculoskeletal disorders (MSDs) are a tremendous burden on industry in the United States. However, there is limited understanding of the unique issues relating to specific industry sectors, specifically the frequency and costs of different MSDs.
METHODS
Claim data from 1999 to 2004 from the Ohio Bureau of Workers' Compensation were analyzed as a function of industry sector (NAICS industry-sector categories) and anatomical region (ICD-9 codes).
RESULTS
Almost 50% of the claims were lumbar spine (26.9%) or hand/wrist (21.7%). The majority of claims were from manufacturing (25.1%) and service (32.8%) industries. The industries with the highest average costs per claim were transportation, warehouse, and utilities and construction. Across industries, the highest costs per claim were consistently for the lumbar spine, shoulder, and cervical spine body regions.
CONCLUSION
This study provides insight into the severity (i.e., medical and indemnity costs) of MSDs across multiple industries, providing data for prioritizing of resources for research and interventions.
背景
肌肉骨骼疾病（MSD）给美国工业带来了巨大的负担。然而，对于特定行业部门（特别是不同 MSD 的频率和成本）的特有问题，人们的了解有限。
方法
分析了来自俄亥俄州工人赔偿局的 1999 年至 2004 年的索赔数据，分析的依据是行业部门（NAICS 行业部门类别）和解剖区域（ICD-9 代码）。
结果
近 50%的索赔涉及腰椎（26.9%）或手/腕（21.7%）。大多数索赔来自制造业（25.1%）和服务业（32.8%）。每起索赔平均成本最高的行业是运输、仓库和公用事业以及建筑。在各个行业中，腰椎、肩部和颈椎体区域的索赔成本一直最高。
结论
本研究深入了解了多个行业的 MSD 严重程度（即医疗和赔偿成本），为研究和干预措施的资源优先排序提供了数据。
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