Citation

Cote PE, Hogg-Johnson S, Cassidy JD, Carroll L, Frank JW. J. Clin. Epidemiol. 2001; 54(3): 275-286.

Affiliation

Institute for Work & Health, #702-250 Bloor Street East, M4W 1E6, Toronto, ON, Canada. pcote@iwh.on.ca

Copyright

(Copyright © 2001, Elsevier Publishing)

DOI

unavailable

PMID

11223325

Abstract

Time-to-claim-closure is a common outcome in cohort studies of whiplash injuries. However, its relationship to health recovery is unknown. We investigated the association between neck pain, physical functioning, depressive symptomatology and time-to-claim-closure in a Saskatchewan cohort of 5398 whiplash claimants in 1994-1995. Participants were surveyed five times over 1 year. In 1995, the insurance system changed from tort to no-fault, eliminating compensation for pain and suffering. Under tort, a 10-point increase in pain reduced the claim-closure rate by 13-24% while a 10-point increase in physical functioning increased it by 17%. Depressive symptomatology reduced the claim-closure rate by 37%. Under no-fault, a 10-point increase in pain reduced the claim-closure rate by 18% while a 10-point increase in physical functioning increased it by 10-35%. The presence of depressive symptomatology reduced the claim-closure rate by 36%. The results suggests lower pain, better function and the absence of depressive symptoms are strongly associated with faster time-to-claim-closure and recovery after whiplash, independent of the insurance system.

Language: en