École de réadaptation, Faculté de médecine et des sciences de la santé, Centre de Recherche Charles-Le Moyne, Centre d'action en prévention et en réadaptation de l'incapacité au travail, Université de Sherbrooke, Longueuil, QC, Canada.
Department of Psychology, McGill University, Montreal, QC, Canada.
Pain. 2023 Apr 1;164(4):e190-e206. doi: 10.1097/j.pain.0000000000002789. Epub 2022 Sep 26.
The objective of this systematic review is to quantify the association between recovery expectations and return-to-work outcomes in adults with musculoskeletal pain conditions. In addition, this review has the second objective to compare the predictive utility of single-item and multi-item recovery expectation scales on return-to-work outcomes. Relevant articles were selected from Embase, PsycINFO, PubMed, Cochrane, and manual searches. Studies that assessed recovery expectations as predictors of return-to-work outcomes in adults with musculoskeletal pain conditions were eligible. Data were extracted on study characteristics, recovery expectations, return-to-work outcomes, and the quantitative association between recovery expectations and return-to-work outcomes. Risk of bias was assessed using the Effective Public Health Practice Project. Odds ratios were pooled to examine the effects of recovery expectations on return-to-work outcomes. Chi-square analyses compared the predictive utility of single-item and multi-item recovery expectation scales on return-to-work outcomes. Thirty studies on a total of 28,741 individuals with musculoskeletal pain conditions were included in this review. The odds of being work disabled at follow-up were twice as high in individuals with low recovery expectations (OR = 2.06 [95% CI 1.20-2.92] P < 0.001). Analyses also revealed no significant differences in the predictive value of validated and nonvalidated single-item measures of recovery expectations on work disability (χ 2 = 1.68, P = 0.19). There is strong evidence that recovery expectations are associated with return-to-work outcomes. The results suggest that single-item measures of recovery expectations can validly be used to predict return-to-work outcomes in individuals with musculoskeletal pain conditions.
本系统评价的目的是量化成人肌肉骨骼疼痛患者的康复预期与重返工作岗位结果之间的关联。此外，本综述还有第二个目的，即比较单项和多项康复预期量表对重返工作岗位结果的预测效用。从 Embase、PsycINFO、PubMed、Cochrane 和手动搜索中选择了相关文章。评估康复预期作为成人肌肉骨骼疼痛患者重返工作岗位结果预测因素的研究符合入选标准。提取了关于研究特征、康复预期、重返工作岗位结果以及康复预期与重返工作岗位结果之间定量关联的数据。使用有效公共卫生实践项目评估偏倚风险。汇总了比值比，以检查康复预期对重返工作岗位结果的影响。卡方分析比较了单项和多项康复预期量表对重返工作岗位结果的预测效用。本综述共纳入了 30 项针对共 28741 名肌肉骨骼疼痛患者的研究。与康复预期低的个体相比，随访时残疾工作的可能性高两倍（OR = 2.06 [95% CI 1.20-2.92] P < 0.001）。分析还表明，验证和非验证的单项康复预期措施对残疾工作的预测价值无显著差异（χ 2 = 1.68，P = 0.19）。有强有力的证据表明康复预期与重返工作岗位结果相关。结果表明，单项康复预期措施可有效用于预测肌肉骨骼疼痛患者的重返工作岗位结果。
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