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Screening Injured Workers for Risk of Extended Work Absence and Work Disability: Understanding the Evidence.

Michael Erdil1,2, William S Shaw1, Lee Okurowski2

  • 1: UConn Health, Division of Occupational and Environmental Medicine, Farmington CT, US (ME, WS [ret], AS).

Journal of Occupational and Environmental Medicine
|June 4, 2026
PubMed
Summary

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This summary is machine-generated.

Identifying at-risk injured workers is crucial. Multidimensional screening tools show promise for predicting extended work absence and improving outcomes.

Area of Science:

  • Occupational Health
  • Musculoskeletal Disorders
  • Evidence-Based Practice

Background:

  • Most work-related musculoskeletal disorders (WMSDs) resolve within predictable timeframes.
  • Psychosocial and work-related factors can prolong work loss for some individuals.
  • Clinicians often require enhanced skills to identify and manage risks associated with WMSDs.

Purpose of the Study:

  • To explore evidence on multidimensional tools for identifying patients at risk of prolonged work absence.
  • To assess the feasibility and validity of screening tools for injured workers.

Main Methods:

  • A narrative review was conducted by a multidisciplinary group.
  • The review focused on the feasibility and validity of screening tools for injured workers.
Keywords:
Extended work absenceMultidimensional risk screening toolsOrebro Musculoskeletal Pain QuestionnairePsychosocial risk factorsSTarT Back Screening ToolWork organizational risk factorsWork-related musculoskeletal disorders

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  • Specific tools examined include the Orebro Musculoskeletal Pain Questionnaire and the STarT Back Screening Tool.

    • Main Results:

    • Certain screening measures demonstrate feasibility and reasonable validity in detecting risks for extended work absence.
    • The strength of evidence for these measures is currently limited.
    • Potential adverse effects of screening include the risk of misclassification.

    Conclusions:

    • Multidimensional and ancillary screening tools can enhance understanding of injured workers.
    • These tools have the potential to improve work outcomes for individuals with WMSDs.
    • Future guidance will address tool adoption, use, and operational considerations.