{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:36:01Z","timestamp":1777937761937,"version":"3.51.4"},"reference-count":33,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,7,5]],"date-time":"2018-07-05T00:00:00Z","timestamp":1530748800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002706","name":"AFA F\u00f6rs\u00e4kring","doi-asserted-by":"publisher","award":["150142"],"award-info":[{"award-number":["150142"]}],"id":[{"id":"10.13039\/501100002706","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Public Health"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:p>Aims: Scientific knowledge about risk factors for work disability in terms of long-term sickness absence and disability pension following lumbar spine decompression surgery remains insufficient. This study aimed to investigate the associations between socio-demographic, work-related, and medical characteristics with subsequent long-term sickness absence (&gt;90 days) and disability pension for individuals who underwent lumbar spine decompression surgery. Methods: A prospective cohort study of all individuals aged 19\u201360 years with diagnosed dorsopathies, who underwent lumbar spine decompression surgery 2008\u201310 in Sweden ( n=7373) was performed. Univariate and multivariate hazard ratios with 95% confidence intervals regarding long-term sickness absence and disability pension with a 3-year follow-up period were estimated by Cox proportional regression. Results: Low educational level, being a non-European immigrant and preoperative sickness absence were risk factors for both long-term sickness absence and disability pension (hazard ratios: 1.2\u20133.8). Female sex was a risk factor for long-term sickness absence (hazard ratios: 1.3) whereas age &gt;44 years and being a Nordic immigrant were risk factors for disability pension (hazard ratios: 1.9\u20132.6). Medical factors as common mental disorders, other mental disorders, prescribed psychiatric medication and somatic comorbidity were risk factors for both long-term sickness absence and disability pension (hazard ratios: 1.2\u20133.4). A simultaneous lumbar fusion surgery and high preoperative pain severity were risk factors for long-term sickness absence (hazard ratios 1.2\u20131.8). Conclusions: To prevent long-term work disability after lumbar spine decompression surgery, specific focus is required on older and female patients, those with mental or somatic comorbidities, high levels of preoperative pain or sickness absence, with a simultaneous lumbar fusion surgery, a low educational level or a non-European immigrant background.<\/jats:p>","DOI":"10.1177\/1403494818785055","type":"journal-article","created":{"date-parts":[[2018,7,5]],"date-time":"2018-07-05T06:07:05Z","timestamp":1530770825000},"page":"281-292","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Determinants of work disability following lumbar spine decompression surgery"],"prefix":"10.1177","volume":"47","author":[{"given":"Mo","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellenor","family":"Mittendorfer-Rutz","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas E.","family":"Dorner","sequence":"additional","affiliation":[{"name":"Department of Social and Preventive Medicine, Medical University of Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos A.","family":"Pazarlis","sequence":"additional","affiliation":[{"name":"Uppsala University Hospital, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Annina","family":"Ropponen","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Sweden"},{"name":"Finnish Institute of Occupational Health, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pia","family":"Svedberg","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magnus","family":"Helgesson","sequence":"additional","affiliation":[{"name":"Department of Clinical Neuroscience, Karolinska Institutet, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2018,7,5]]},"reference":[{"key":"bibr1-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2005.06.009"},{"key":"bibr2-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.h6234"},{"key":"bibr3-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2013-101571"},{"key":"bibr4-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181a1390d"},{"key":"bibr5-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2016.08.003"},{"key":"bibr6-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1111\/ner.12018"},{"issue":"12","key":"bibr7-1403494818785055","volume":"62","author":"Steenstra IA","year":"2005","journal-title":"J Occup Environ Med"},{"key":"bibr8-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1080\/13814780903051866"},{"key":"bibr9-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-005-8031-2"},{"key":"bibr10-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e31818ed8f4"},{"key":"bibr11-1403494818785055","unstructured":"WHO. International Statistical Classification of Diseases and Related Health Problems, 10 revision (ICD 10) [available from: http:\/\/www.who.int\/classifications\/icd\/en\/]. 2010."},{"key":"bibr12-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(10)60571-5"},{"key":"bibr13-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1007\/s10926-006-9020-9"},{"key":"bibr14-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-007-0189-9"},{"key":"bibr15-1403494818785055","unstructured":"WHOCC. WHO Collaborating Centre for Drug Statistics Methodology. ATC\/DDD Index 2016: WHOCC; [available from: http:\/\/www.whocc.no\/atc_ddd_index\/]. 2016."},{"key":"bibr16-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-11-450"},{"key":"bibr17-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1016\/j.eurpsy.2017.01.2248"},{"key":"bibr18-1403494818785055","unstructured":"Social insurance in figures, 2016. Social Insurance Agency. 2016."},{"key":"bibr19-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0b013e3181ef6243"},{"key":"bibr20-1403494818785055","author":"Mittendorfer-Rutz E","year":"2017","journal-title":"Wien Klin Wochenschr"},{"key":"bibr21-1403494818785055","unstructured":"(Administration) RNSI. Regionala skillnader i sjukskrivning \u2013 hur ser de ut och vad beror de p\u00e5? (Regional differences in sick leave - what do they look like and what are they due to?) [In Swedish with summary in English]. 2003."},{"key":"bibr22-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2006.02.009"},{"key":"bibr23-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-017-1344-6"},{"key":"bibr24-1403494818785055","unstructured":"\u00c5slund O, Nordstr\u00f6m-Skans O. Measuring conditional segregation: methods and empirical examples. IFAU working paper. 2005;2005:12."},{"key":"bibr25-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/12.4.287"},{"key":"bibr26-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200112010-00018"},{"key":"bibr27-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-845"},{"key":"bibr28-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1016\/j.spinee.2015.10.037"},{"key":"bibr29-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000000863"},{"key":"bibr30-1403494818785055","first-page":"1","volume":"2015","author":"Dorner TE","journal-title":"Psychol Med"},{"key":"bibr31-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1097\/01.PSY.0000106883.94059.C5"},{"key":"bibr32-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2011-000778"},{"key":"bibr33-1403494818785055","doi-asserted-by":"publisher","DOI":"10.1097\/BRS.0000000000001970"}],"container-title":["Scandinavian Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1403494818785055","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1403494818785055","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1403494818785055","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T04:14:30Z","timestamp":1777695270000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1403494818785055"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,5]]},"references-count":33,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2019,5]]}},"alternative-id":["10.1177\/1403494818785055"],"URL":"https:\/\/doi.org\/10.1177\/1403494818785055","relation":{},"ISSN":["1403-4948","1651-1905"],"issn-type":[{"value":"1403-4948","type":"print"},{"value":"1651-1905","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,5]]}}}