Please use this identifier to cite or link to this item: http://repositorio.unifesp.br/handle/11600/35606
Title: Workers' Compensation Status: Does It Affect Orthopaedic Surgery Outcomes? A Meta-Analysis
Authors: Moraes, Vinícius Ynoe de [UNIFESP]
Godin, Katelyn
Tamaoki, Marcel Jun Sugawara [UNIFESP]
Faloppa, Flávio [UNIFESP]
Bhandari, Mohit
Belloti, João Carlos [UNIFESP]
Universidade Federal de São Paulo (UNIFESP)
McMaster Univ
Issue Date: 5-Dec-2012
Publisher: Public Library Science
Citation: Plos One. San Francisco: Public Library Science, v. 7, n. 12, 9 p., 2012.
Abstract: Introduction: Previous reviews have demonstrated that patient outcomes following orthopaedic surgery are strongly influenced by the presence of Workers' Compensation. However, the variability in the reviews' methodology may have inflated the estimated strength of this association. the main objective of this meta-analysis is to evaluate the influence of Workers' Compensation on the outcomes of orthopaedic surgical procedures.Methods: We conducted a systematic search of the literature published in this area from 1992-2012, with no language restrictions. the following databases were used MEDLINE (Ovid), Embase (Ovid), CINAHL, Google Scholar, LILACS and Pubmed. We also hand-searched the reference sections of all selected papers. We included all prospective studies evaluating the effect of compensation status on outcomes in adult patients who had undergone surgery due to orthopaedic conditions or diseases. Outcomes of interest included disease specific, region specific and/or overall quality of life scales/questionnaires and surgeons' personal judgment of the results. We used an assessment tool to appraise the quality of all included studies. We used Review Manager to create forest plots to summarize study data and funnel plots for the assessment of publication bias.Results: Twenty studies met our eligibility criteria. the overall risk ratio for experiencing an unsatisfactory result after orthopaedic surgery for patients with compensation compared to non-compensated patients is 2.08 (95% CI 1.54-2.82). A similar association was shown for continuous data extracted from the studies using assessment scales or questionnaires (Standard Mean Difference = -0.70 95% CI -0.97=-0.43).Conclusions: Among patients who undergo orthopaedic surgical procedures, those receiving Workers' Compensation experience a two-fold greater risk of a negative outcome. Our findings show a considerably lower estimate of risk compared to previous reviews that include retrospective data. Further research is warranted to determine the etiological explanation for the influence of compensation status on patient outcomes.
URI: http://repositorio.unifesp.br/handle/11600/35606
ISSN: 1932-6203
Other Identifiers: http://dx.doi.org/10.1371/journal.pone.0050251
Appears in Collections:Em verificação - Geral

Files in This Item:
File Description SizeFormat 
WOS000323179700005.pdf694.93 kBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.