Costs by industry and diagnosis among musculoskeletal claims in a state workers compensation system: 1999-2004

Background Musculoskeletal disorders (MSDs) are a tremendous burden on industry in the United States. However, there is limited understanding of the unique issues relating to specific industry sectors, specifically the frequency and costs of different MSDs. Methods Claim data from 1999 to 2004 from...

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Bibliographic Details
Published in:	American journal of industrial medicine Vol. 53; no. 3; pp. 276 - 284
Main Authors:	Dunning, Kari K., Davis, Kermit G., Cook, Chad, Kotowski, Susan E., Hamrick, Chris, Jewell, Gregory, Lockey, James
Format:	Journal Article
Language:	English
Published:	Hoboken Wiley Subscription Services, Inc., A Wiley Company 01-03-2010 Wiley-Liss
Subjects:	Accidents, Occupational - statistics & numerical data Adult Age Distribution back Biological and medical sciences carpal tunnel syndrome Costs and Cost Analysis - statistics & numerical data Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction Diseases of the osteoarticular system Diseases of the spine Female Health Expenditures - statistics & numerical data Humans indemnity costs Industry - classification Industry - economics Industry - statistics & numerical data injury costs Insurance Claim Reporting - economics Insurance Claim Reporting - statistics & numerical data Insurance, Health, Reimbursement - economics Insurance, Health, Reimbursement - statistics & numerical data International Classification of Diseases knee low back disorders Male medical costs Medical sciences Middle Aged Musculoskeletal Diseases - classification Musculoskeletal Diseases - diagnosis Musculoskeletal Diseases - economics Musculoskeletal Diseases - epidemiology Nervous system (semeiology, syndromes) Neurology Ohio - epidemiology Sex Distribution shoulder upper extremity Workers' Compensation - economics Workers' Compensation - statistics & numerical data Workplace - statistics & numerical data Young Adult United States North America America Ohio USA, Ohio Knee indemnity costs Compression Costs Lumbar spine Low back pain Diseases of the osteoarticular system back Spine disease Occupational exposure Indemnization Industry Pain low back disorders Compensation Shoulder Rachialgia Worker Peripheral nerve disease Diagnosis Human Carpal tunnel syndrome Nervous system diseases Indemnity Upper extremity Trauma Striated muscle disease Musculoskeletal disorder Health economy injury costs medical costs Economic aspect Cost analysis Occupational medicine
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Summary:	Background Musculoskeletal disorders (MSDs) are a tremendous burden on industry in the United States. However, there is limited understanding of the unique issues relating to specific industry sectors, specifically the frequency and costs of different MSDs. Methods Claim data from 1999 to 2004 from the Ohio Bureau of Workers' Compensation were analyzed as a function of industry sector (NAICS industry‐sector categories) and anatomical region (ICD‐9 codes). Results Almost 50% of the claims were lumbar spine (26.9%) or hand/wrist (21.7%). The majority of claims were from manufacturing (25.1%) and service (32.8%) industries. The industries with the highest average costs per claim were transportation, warehouse, and utilities and construction. Across industries, the highest costs per claim were consistently for the lumbar spine, shoulder, and cervical spine body regions. Conclusion This study provides insight into the severity (i.e., medical and indemnity costs) of MSDs across multiple industries, providing data for prioritizing of resources for research and interventions. Am. J. Ind. Med. 53:276–284, 2010. © 2009 Wiley‐Liss, Inc.
Bibliography:	ArticleID:AJIM20774 Ohio Bureau of Workers' Compensation istex:42455A50EC8B40829CE3E27179434B61F7AB7471 ark:/67375/WNG-MMD70H3M-D ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0271-3586 1097-0274
DOI:	10.1002/ajim.20774