Study Examines Predictors of Unfavorable Vocational Prognosis After Lumbar Disc Herniation

Spine

Predictors for an unfavorable vocational prognosis after hospital contact for herniated lumbar discs includes nonacademic work and less than 40 weeks of employment within year two before hospital contact, according to a study published in Spine.

Researchers followed 2,039 in- and outpatients diagnosed with herniated lumbar discs at Danish University Hospital from 2001-2005. The researchers found 41.8 percent of the patients received an unfavorable vocational prognosis, which was associated with unskilled work Hazard Ratio 2.1, skilled work HR 1.9 and semi academic work HR 1.5. Academic work and less than 40 weeks of employment within year two before hospital contact was HR 2.1.

Additional factors for a negative prognosis included lumbar fusions alone and combined with discectomy. Ethnicity and gender also had a negative influence on the outcome.

Read the study about vocational prognoses for patients with herniated lumbar discs.

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