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Race
1%
17/3311
Smoking status
22%
734/3311
High Visual Analog Scale (VAS) scores prior to treatment
39%
1307/3311
Type of occupation
33%
1089/3311
Gender
5%
152/3311
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In patients with chronic disabling work-related musculoskeletal disorders, high pre-rehabilitation ratings of pain intensity, as measured by high Visual Analog Scale (VAS) scores, is a negative predictor for a successful outcomes. McGeary et al evaluated the ability of pain intensity ratings in 3,106 patients with chronic disabling occupational musculoskeletal disorders to predict the rehabilitation outcomes and identify patients at risk for poor outcomes. High pain intensity prior to rehabilitation was linearly associated with declining rates of program completion and higher rates of self-reported depression and disability after rehabilitation. The authors did not find any correlation between poor clinical outcomes and race, smoking, gender, or type of occupation. Proctor et al "found that about 25% of patients with a chronic disabling work-related musculoskeletal disorder pursue new health-care services after completing a course of treatment, and this subgroup accounts for a significant proportion of lost worker productivity, unremitting disability payments, and excess health-care consumption."
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