The impact of musculoskeletal injuries sustained in road traffic crashes on work-related outcomes: a protocol for a systematic review

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Abstract

Background

Musculoskeletal injuries (strains/sprains, contusions, dislocations, and fractures) are the most common injury sustained in a road traffic crash. They can have a long-term impact upon the ability to engage in work. Persisting symptoms as well as poor physical and psychological recovery may reduce the ability to return to or remain at work necessitating the use of sick leave or alternate duties to enable a gradual return to full duties. There is also a need to investigate rates of return to work, along with other work-related outcomes in this population so that interventions designed to facilitate return to work can be targeted to this clinical population. In addition, there is a need to explore factors associated with work-related outcomes in people with musculoskeletal injuries subsequent to a road traffic crash.

Methods

A systematic review will be conducted to determine the impact of sustaining a musculoskeletal injury during a road traffic crash on an individual’s ability to work. Observational studies will be identified by searching six electronic databases for reports of adults having sustained musculoskeletal injuries during a road traffic crash. Studies featuring paediatric cohorts or those with neurological injuries will be excluded. To be eligible for inclusion, studies must report at least one of the following work-related outcomes: return to work status/rate, sick leave, work ability, work capacity, and health-related work productivity loss. The methodological quality of included studies will be assessed with the National Institutes of Health National Heart, Lung, and Blood Institute Study Quality Assessment Tools for observational cohort and cross-sectional studies, and case-control studies.

Discussion

The results of this systematic review may increase our knowledge of work-related outcomes and understanding of the associated factors for people with musculoskeletal injuries following road traffic crashes. Future studies could use the results to plan interventions and influence policy and legislation, and raise awareness of the needs of this clinical population.

Systematic review registration

Registered on PROSPERO, reference number CRD42018099252, dated 14 August 2018.

Electronic supplementary material

The online version of this article (10.1186/s13643-018-0869-4) contains supplementary material, which is available to authorized users.

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Most cited references 21

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On the meaning of work: A theoretical integration and review

Brent D. Rosso, Kathryn H. Dekas, Amy Wrzesniewski (2010)

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The effects of work-related and individual factors on the Work Ability Index: a systematic review.

T. I. J. van den Berg, L. Elders, B C H de Zwart … (2009)

This paper systematically reviews the scientific literature on the effects of individual and work-related factors on the Work Ability Index (WAI). Studies on work ability published from 1985 to 2006 were identified through a structured search in PubMed, and Web of Science. Studies were included if the WAI was used as measure of work ability and if quantitative information was presented on determinants of work ability. In total, 20 studies were included with 14 cross-sectional studies and six longitudinal studies. Factors associated with poor work ability, as defined by WAI, were lack of leisure-time vigorous physical activity, poor musculoskeletal capacity, older age, obesity, high mental work demands, lack of autonomy, poor physical work environment, and high physical work load. The WAI is associated with individual characteristics, lifestyle, demands at work, and physical condition. This multifactorial nature of work ability should be taken into account in health promotion programmes aimed at maintaining and promoting the participation of the labour force and improvement of the performance at work.

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A review of health-related workplace productivity loss instruments.

Laura Pizzi, Jennifer H. Lofland, Kevin Frick (2003)

The objective of this review was to identify health-related workplace productivity loss survey instruments, with particular emphasis on those that capture a metric suitable for direct translation into a monetary figure. A literature search using Medline, HealthSTAR, PsycINFO and Econlit databases between 1966 and 2002, and a telephone-administered survey of business leaders and researchers, were conducted to identify health-related workplace productivity measurement survey instruments. This review was conducted from the societal perspective. Each identified instrument was reviewed for the following: (i). reliability; (ii). content validity; (iii). construct validity; (iv). criterion validity; (v). productivity metric(s); (vi). instrument scoring technique; (vii). suitability for direct translation into a monetary figure; (viii). number of items; (ix). mode(s) of administration; and (x). disease state(s) in which it had been tested. Reliability and validity testing have been performed for 8 of the 11 identified surveys. Of the 11 instruments identified, six captured metrics that are suitable for direct translation into a monetary figure. Of those six, one instrument measured absenteeism, while the other five measured both absenteeism and presenteeism. All of the identified instruments except for one were available as paper, self-administered questionnaires and many were available in languages other than English. This review provides a comprehensive overview of the published, peer-reviewed survey instruments available to measure health-related workplace productivity loss. As the field of productivity measurement matures, tools may be developed that will allow researchers to accurately calculate lost productivity costs when performing cost-effectiveness and cost-benefit analyses. Using data captured by these instruments, society and healthcare decision makers will be able to make better informed decisions concerning the value of the medications, disease management and health promotion programmes that individuals receive.

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Author and article information

Contributors

Elise M. Gane:

ORCID: http://orcid.org/0000-0002-5901-3899

+617 3346 4826 , e.gane@uq.edu.au

Charlotte L. Brakenridge: c.brakenridge@uq.edu.au

Esther J. Smits: e.smits@uq.edu.au

Venerina Johnston: v.johnston@uq.edu.au

Journal

Journal ID (nlm-ta): Syst Rev

Journal ID (iso-abbrev): Syst Rev

Title: Systematic Reviews

Publisher: BioMed Central (London )

ISSN (Electronic): 2046-4053

Publication date (Electronic): 20 November 2018

Publication date PMC-release: 20 November 2018

Publication date Collection: 2018

Volume: 7

Electronic Location Identifier: 202

Affiliations

RECOVER Injury Research Centre, The University of Queensland, Oral Health Centre, Herston, QLD 4006 Australia

Author information

Elise M. Gane http://orcid.org/0000-0002-5901-3899

Article

Publisher ID: 869

DOI: 10.1186/s13643-018-0869-4

PMC ID: 6247704

PubMed ID: 30458851

SO-VID: ae078501-84a4-4084-8902-2825676fc9fc

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 29 July 2018

Date accepted : 1 November 2018

Custom metadata

ScienceOpen disciplines: Public health

Keywords: return to work,work,employment,work performance,traffic accidents,musculoskeletal diseases,wounds and injuries,whiplash injuries,pain

Data availability:

ScienceOpen disciplines: Public health

Keywords: return to work, work, employment, work performance, traffic accidents, musculoskeletal diseases, wounds and injuries, whiplash injuries, pain

The impact of musculoskeletal injuries sustained in road traffic crashes on work-related outcomes: a protocol for a systematic review

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Abstract

Background

Methods

Discussion

Systematic review registration

Electronic supplementary material

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Chinese Journal of School Health

Most cited references 21

On the meaning of work: A theoretical integration and review

The effects of work-related and individual factors on the Work Ability Index: a systematic review.

A review of health-related workplace productivity loss instruments.

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