A significant decrease in back injury claims was observed in a single employer.
The aim of this study was to validate whether back injury claims are decreasing in a multiemployer environment within a non-monopolistic state and quantify the risk of delayed return-to-work and adverse cost of injured workers with back injuries.
Thirty-six thousand four hundred sixty-three claims from 1998 to 2015 were analyzed with descriptive statistics and multivariate logistic and Cox-Proportional Hazards models.
Back injury claims decreased three-fold (5.02 to 1.60 per 1000 employees) and were more likely to have claim costs over $100,000 (odds ratio = 2.41) and delayed return-to-work (hazard ratio = 1.16).
Back injury claims are decreasing in a multiemployer environment within a non-monopolistic state.
Department of Population Health, Dell Medical School, The University of Texas at Austin, Austin, Texas (Drs Bernacki, Leung, Tsourmas); Louisiana Workers’ Compensation Corporation, Instructor in Medicine, Johns Hopkins University School of Medicine – Department of Medicine, Baltimore, Maryland (Mr Yuspeh); Division of Occupational and Environmental Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland (Drs Kalia, Tao); Department of Neurology, University of Maryland School of Medicine, Baltimore, Maryland (Dr Lavin).
Address correspondence to: Xuguang Grant Tao, MD, PhD, Associate Professor of Medicine, Division of Occupational and Environmental Medicine, Department of Medicine, Johns Hopkins University School of Medicine. 2024 E Monument St, Suite 1–300, Baltimore, MD 21205 (Xtao1@jhmi.edu).
This paper is to validate hypotheses that the decreasing trend of back injuries is happening in a multiemployer environment and a non-monopolistic state by using a database with over 20,000 workers’ compensation insurance policyholders and to quantify the impact of back injuries on WC cost and delayed return-to-work so that the benefit of decreasing trend in back injury can be estimated.
There are no conflicts of interest or external sources of funding for this work.