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Work participation and working life expectancy after a disabling shoulder lesion
Maria Sirén1,2, Eira Viikari-Juntura1, Jari Arokoski2,3
1Finnish Institute of Occupational Health, Helsinki, Finland.
Occupational and Environmental Medicine
|April 1, 2019
Summary
Disabling shoulder lesions significantly reduce working life expectancy, leading to premature exit from employment and disability retirement. Early interventions are crucial for improving function and preventing long-term work loss.
Area of Science:
- Occupational health
- Musculoskeletal disorders
- Public health
Background:
- Shoulder lesions can cause prolonged sickness absence.
- Impact on work participation and career longevity is a significant concern.
- Understanding long-term consequences is vital for effective management.
Purpose of the Study:
- To assess the effect of disabling non-traumatic shoulder lesions on work participation.
- To estimate the impact on working life expectancy.
- To identify predictors of early exit from paid employment.
Main Methods:
- Followed 7,644 Finnish wage earners (30-59 years) with shoulder lesions from 2006-2014.
- Calculated work participation status and used Cox regression for determinant analysis.
- Estimated working life expectancy using the Sullivan method.
Main Results:
- Work time decreased from 77.7% to 46.7% over 9 years.
- 15.8% received disability retirement, primarily for musculoskeletal issues.
- Expected working life loss ranged from 1.8 to 8.1 years, varying by age.
Conclusions:
- Disabling shoulder lesions substantially reduce working life expectancy.
- Musculoskeletal problems are the main driver of disability retirement.
- Interventions should focus on improving musculoskeletal function and work modifications.
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