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Outcomes research in Washington state workers' compensation

✍ Scribed by Gary M. Franklin; Deborah Fulton-Kehoe

Publisher
John Wiley and Sons
Year
1996
Tongue
English
Weight
634 KB
Volume
29
Category
Article
ISSN
0271-3586

No coin nor oath required. For personal study only.

✦ Synopsis

The extensive claim and medical bill payment databases of the Washington state workers' compensation system have been used to conduct epidemiologic and outcome studies of work-related conditions. Computerized administrative data must he supplemented with medical record review and structured interview of workers in outconie studies in order to adequately adjust for baseline severi9 and to address functional and patient satisfaction outcomes, respectively. Three examples of surgical outcome studies are described (carpal tunnel, lumbar fusion, thoracic outlet). Duration of disability prior to surgical intervention is an irnportant predictor of' duration of disability following surgery, even uhen other biologic tnarkers of severity are included in multivariate modeling. Sufficient follow-up time is required to adequately assess longer-term outcomes, such as return-to-work status arid the substantial effects of residual impairment even ajter claim settlement. Finally, Mvell-coriducted outcome studies may be linked to the development of surgical treatment guidelines in workers' compensation. 0 I996 Wilev-Liss, h c .

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