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Significant Decreasing Trend in Back Injuries in a Multiemployer Environment: A Follow-Up Study
Nina Leung1, Larry Yuspeh, Nimisha Kalia
1Department of Population Health, Dell Medical School, The University of Texas at Austin, Austin, Texas (Drs Bernacki, Leung, Tsourmas); Louisiana Workers' Compensation Corporation, Instructor in Medicine, Johns Hopkins University School of Medicine - Department of Medicine, Baltimore, Maryland (Mr Yuspeh); Division of Occupational and Environmental Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland (Drs Kalia, Tao); Department of Neurology, University of Maryland School of Medicine, Baltimore, Maryland (Dr Lavin).
Background:
A significant decrease in back injury claims was observed in a single employer.
Objective:
The aim of this study was to validate whether back injury claims are decreasing in a multiemployer environment within a non-monopolistic state and quantify the risk of delayed return-to-work and adverse cost of injured workers with back injuries.
Methods:
Thirty-six thousand four hundred sixty-three claims from 1998 to 2015 were analyzed with descriptive statistics and multivariate logistic and Cox-Proportional Hazards models.
Results:
Back injury claims decreased three-fold (5.02 to 1.60 per 1000 employees) and were more likely to have claim costs over $100,000 (odds ratio = 2.41) and delayed return-to-work (hazard ratio = 1.16).
Conclusion:
Back injury claims are decreasing in a multiemployer environment within a non-monopolistic state.
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