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- W1983909111 abstract "Abstract Background and objective To analyse non-work-related sickness absence (NWR-SA) due to inguinal hernia and the factors related to its duration, paying particular attention to the pre-surgical period of NWR-SA. Materials and methods A prospective cohort study was conducted on 1003 workers with an episode of NWR-SA due to an inguinal hernia, belonging to the insured population of a mutual insurance company. We assessed the duration of the NWR-SA episodes and the main demographic, occupational and clinical variables potentially related to it. Cox regression analyses were conducted to establish the predictors of NWR-SA duration. Results The mean duration of NWR-SA due to inguinal hernia was 68.6 days. After multivariate analysis (Cox regression), having a pre-surgical period of NWR-SA (HR=0.35; 95%CI, 0.28–0.43), manual occupations (HR=0.68; 95%CI, 0.49–0.95), construction sector (HR=0.71; 95%CI, 0.58–0.88), direct payment methods by a Mutual Insurance Company during sick leave in self-employed workers (HR=0.58; 95%CI, 0.41–0.82), or employees (HR=0.51; 95%CI, 0.36–0.72), comorbidity (HR=0.45; 95%CI, 0.34–0.59), and surgery performed under an entity other than the Public Health System or a Mutual Insurance Company (HR=0.76; 95%CI, 0.59–0.97) was associated with longer NWR-SA. With a Mutual Insurance Company the surgery was always performed with a pre-surgery period of NWR-SA (mean duration=47±39.6days); this was associated with shorter periods of post-surgical NWR-SA ( P =.001). Conclusions The NWR-SA due to inguinal hernia is a multifactorial phenomenon in which the pre-surgery period plays an important role. The collaboration between organisations involved in the management of NWR-SA seems to be an effective strategy for reducing its duration." @default.
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- W1983909111 date "2014-04-01" @default.
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- W1983909111 title "Pre-Surgical Period and Non-work-related Sickness Absence due to Inguinal Hernia" @default.
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- W1983909111 doi "https://doi.org/10.1016/j.cireng.2012.11.003" @default.
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