Cited by 191Musculoskeletal pain and rehabilitationWorkplace Health and Well-beingMedical Practices and Rehabilitation

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Chronic pain, work performance and litigation

Blyth, Fiona M, March, Lyn M, Nicholas, Michael K, Cousins, Michael J·2003·Pain

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Abstract

The overall population impact of chronic pain on work performance has been underestimated as it has often been described in terms of work-related absence, excluding more subtle effects that chronic pain may have on the ability to work effectively. Additionally, most studies have focussed on occupational and/or patient cohorts and treatment seeking, rather than sampling from the general population. We undertook a population-based random digit dialling computer-assisted telephone survey with participants randomly selected within households in order to measure the impact of chronic pain on work performance. In addition, we measured the association between pain-related disability and litigation. The study took place in Northern Sydney Health Area, a geographically defined urban area of New South Wales, Australia, and included 484 adults aged 18 or over with chronic pain. The response rate was 73.4%. Working with pain was more common (on an average 83.8 days in 6 months) than lost work days due to pain (4.5 days) among chronic pain participants in full-time or part-time employment. When both lost work days and reduced-effectiveness work days were summed, an average of 16.4 lost work day equivalents occurred in a 6-month period, approximately three times the average number of lost work days. In multiple logistic regression modelling with pain-related disability as the dependent variable, past or present pain-related litigation had the strongest association (odds ratio (OR)=3.59, P=0.001). In conclusion, chronic pain had a larger impact on work performance than has previously been recognised, related to reduced performance while working with pain. A significant proportion were able to work effectively with pain, suggesting that complete relief of pain may not be an essential therapeutic target. Litigation (principally work-related) for chronic pain was strongly associated with higher levels of pain-related disability, even after taking into account other factors associated with poor functional outcomes.

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Fleischmann, M., McLaughlin, P. A., Vaughan, B., & Hayes, A. (2023) · International journal of osteopathic medicine · doi:10.1016/j.ijosm.2023.100706
“The use of PROMs in clinical practice is important to measure change in the patients ’ presentation over time [36] with respect to activities of daily living, functional capacity and pain [37 – 40].”
Die neue Klassifikation chronischer Schmerzen in der ICD-11 – Eine Einführung
Korwisi, B., & Barke, A. (2025) · MSK – Muskuloskelettale Physiotherapie · doi:10.1055/a-2452-1548
“So haben die betroffenen Personen häufig mit einer funktionellen Einschränkung im Alltag (z. B. Arbeits - unfähigkeit oder reduzierter Arbeitsleistung [4, 5]) und einer psychi - schen Belastung [6] sowie einer insgesamt verminderten Lebens - qualität [7] zu kämpfen.”
Chronic pain after liver transplant: A cross-sectional study
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Dolor crónico tras trasplante hepático: estudio transversal
Duarte, A. M., Farías, F. A., Pires, V. D. S., Poeira, R., & Canas, M. (2025) · Revista Española de Anestesiología y Reanimación · doi:10.1016/j.redar.2025.501953
The impact of nature of onset of pain and posttraumatic stress on adjustment to chronic pain and treatment outcome.
Tadros, M. (2008) · UPT. Syiah Kuala University Library (Syiah Kuala University)
Financial Burden in Adults With Chronic Illness in Switzerland: A Secondary Analysis of Qualitative Interviews Using Natural Language Processing and Topic Modeling
Spitale, G., Seinsche, J., Visscher, R. M. S., Schöpf-Lazzarino, A. C., Jurisic, J., Germani, F., Alder, E., Biller‐Andorno, N., Ribi, K., & Schwind, B. (2026) · JMIR Formative Research · doi:10.2196/79290
Die neue Klassifikation chronischer Schmerzen in der ICD-11 – Eine Einführung
Korwisi, B., & Barke, A. (2026) · physiopraxis · doi:10.1055/a-2775-7983

Authors: Blyth, F. M., March, L. M., Nicholas, M. K., & Cousins, M. J.
Affiliations: The University of Sydney (AU)
Corresponding author: Blyth, Fiona M
ORCID: Blyth, Fiona M
March, Lyn M
Nicholas, Michael K
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2003-05
Volume: 103
Issue: 1
Pages: 41-47
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/s0304-3959(02)00380-9
OpenAlex: W2017538611
Cited by: 191
References: 30
Citations by year: 2026: 2 · 2025: 5 · 2024: 2 · 2023: 6 · 2022: 5 · 2021: 6 · 2020: 3 · 2019: 12 · 2018: 13 · 2017: 5 · 2016: 11 · 2015: 9 · 2014: 11 · 2013: 13 · 2012: 11
FWCI: 5.14
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Workplace Health and Well-being
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
Keywords: chronic pain, employee performance, pain-related disability, litigation, absenteeism, population survey, employment, functional outcome
MeSH terms: Australia, Chronic Disease, Disability Evaluation, Female, Health Surveys, Humans, Jurisprudence, Male, Middle Aged, Pain, Pain Measurement, Sex Factors, Work, Work Capacity Evaluation, Workers' Compensation, Prevalence, Age Distribution

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Chronic pain, work performance and litigation

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