Using Administrative Data to Assess the Risk of Permanent Work Disability: A Cohort Study.

作者: Matthias Bethge , Katja Spanier , Marco Streibelt

DOI: 10.1007/S10926-020-09926-7

关键词: Receiver operating characteristicDisability pensionMedicineWelfareCohort studyPensionRehabilitationLogistic regressionFramingham Risk ScoreDemography

摘要: Purpose Unmet rehabilitation needs are common. We therefore developed a risk score using administrative data to assess the of permanent work disability. Such may support identification individuals with high likelihood receiving disability pension. Methods Our sample was random and stratified 1% aged 18–65 years paying pension contributions. From records, we extracted sociodemographic about employment welfare benefits covering 2010–2012. outcome due that requested between January 2013 December 2017. comprehensive logistic regression model used estimates determine score. Results included 352,140 counted 6,360 (1.8%) pensions during 5-year follow-up. The area under receiver operating curve 0.839 (95% CI 0.834 0.844) for continuous Using threshold of ≥ 50 points (20.2% all individuals), correctly classified 80.6% (sensitivity: 71.5%; specificity: 80.8%). Using ≥ 60 (9.9% 90.3% 54.9%; 91.0%). Individuals 50 to < 60 had five times higher compared low scores, with ≥ 60 17 risk. Conclusions offers an opportunity screen people

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