Iraq/Afghanistan-era Veterans with back pain: Characteristics and predictors of compensation and pension award.
Iraq/Afghanistan-era Veterans with back pain: Characteristics and predictors of compensation and pension award.
复制标题
DOI：
10.1682/jrrd.2015.08.0151
复制
发表时间：
2016
影响因子：
--
通讯作者：
Rosen MI
中科院分区：
文献类型：
--
作者：
Sakr CJ;Black AC;Slade MD;Calfo J;Rosen MI
大约有44万美国退伍军人因背部和/或颈部疾病获得赔偿。退伍军人福利管理局（Veterans Benefits Administration）的标准指出，背部补偿的确定是基于受损的背部功能，而不是合并症或生活方式，但补偿是否仅基于腰骶部的考虑尚不清楚。在这项研究中，我们进行了一项横断面分析的医疗图表数据从178后9/11退伍军人申请服务连接背痛在2012财年在退伍军人事务部康涅狄格州医疗保健系统。总共有62%的人注意到背部功能受损，74%的人获得了赔偿。合并症（肥胖、抑郁、吸烟和非法药物使用）的发生率很高。在多变量模型预测赔偿授予，只有一个受损的背部与服务相关的补偿。疼痛与服务连接的程度，但这种关系是完全介导的功能性背部损伤。没有其他措施（包括工作状态）显着预测补偿。总之，服务连接主要是基于功能障碍，如要求在ESTA标准。虽然疼痛和合并症无疑会影响日常功能，但这些因素与服务连接无关。退伍军人目前有许多可补救的条件，服务连接评估可能是一个机会，让他们参与治疗。
Approximately 440,000 U.S. Veterans receive compensation for back and/or neck conditions. Veterans Benefits Administration (VBA) criteria state that back compensation determinations are based on impaired back function and not comorbidity or lifestyle, but whether compensation is based solely on consideration of the lumbosacral region is unknown. In this study, we conducted a cross-sectional analysis of medical chart data from 178 post-9/11 Veterans applying for service connection for back pain in fiscal year 2012 at the Department of Veterans Affairs Connecticut Healthcare System. Altogether, 62% were noted to have impairment of back functioning and 74% were awarded compensation. Rates of comorbidities (obesity, depression, smoking, and illicit drug use) were high. In multivariate models predicting compensation awarded, only having an impaired back was associated with service-connected compensation. Pain was associated with extent of service connection, but this relationship was fully mediated by functional back impairment. No other measure (including work status) significantly predicted compensation. In summary, service connection was largely based on functional impairment, as called for in VBA criteria. Although pain and comorbidities undoubtedly affect day-to-day functioning, these factors were not independently related to service connection. Veterans present with many remediable conditions, and the service-connection evaluation may be an opportunity to engage them in treatment.
登录
查看更多内容
影响因子：
4.2
作者：
Gil, KM;Carson, JW;Orringer, E
通讯作者：
Orringer, E
影响因子：
3.8
作者：
Rosenberger, Patricia H.;Kerns, Robert;Ickovics, Jeannette R.
通讯作者：
Ickovics, Jeannette R.
影响因子：
5.5
作者：
Hoerster, Katherine D.;Lehavot, Keren;Nelson, Karin M.
通讯作者：
Nelson, Karin M.
影响因子：
5.7
作者：
Brown, David W.
通讯作者：
Brown, David W.
影响因子：
3
作者：
Murdoch, M;Hodges, J;Sayer, N
通讯作者：
Sayer, N