Lengthy-term follow-up of whiplash accidents reported to insurance coverage corporations: a cohort examine on patient-reported outcomes and affect of economic compensation.
Eur Backbone J. 2018 Feb 10;:
Authors: Rydman E, Ponzer S, Brisson R, Ottosson C, Pettersson-Järnbert H
PURPOSE: The long-term final result of Whiplash-associated dysfunction (WADs) has been reported to be poor in populations from medical settings. Nevertheless, no trials have investigated the long-term prognosis of sufferers from medico-legal atmosphere. For this group, the “compensation speculation” suggests monetary compensation being related to worsened final result. The goals of this examine have been to explain long-term (2-Four years) non-recovery charges in contributors with WAD recruited from insurance coverage corporations and to analyze the affiliation between self-reported non-recovery and monetary compensation.
METHODS: 144 contributors, reporting neck ache after a motorized vehicle accident, have been recruited from two main insurance coverage corporations in Sweden. Self-reported restoration was measured at 6 months and 2-Four years. Those that acquired monetary compensation from an insurance coverage firm have been in contrast with those that acquired no compensation.
RESULTS: The general non-recovery price after 2-Four years was 55.9% (66/118). Within the non-compensated group, the non-recovery price was 51.zero% (25/49) and within the compensated group 73% (27/37) (p = zero.039). Adjusted OR was Four.33 (1.37-13.66). Excessive degree of ache at baseline was a robust predictor of non-recovery [OR 46 (4.7-446.0)]. Nevertheless, no affiliation was discovered between ache degree at baseline and monetary compensation.
CONCLUSIONS: The non-recovery price amongst sufferers making insurance coverage claims is excessive, particularly amongst these receiving monetary compensation even when causal relationship can’t be decided based mostly on this examine. Nevertheless, lack of affiliation between baseline degree of ache and compensation helps the compensation speculation.
PMID: 29429037 [PubMed – as supplied by publisher]