Multisite XXXX predicts medically certified disability retirement among Finns.

@entity4512 @entity66 @entity146 @entity102 @entity158 @entity717 @entity85 @entity25
BACKGROUND: @entity4512 at several sites (multisite @entity158 ) is more common than single-site @entity158 . Little is known on its effects on @entity717 ( @entity717 ) retirement. METHODS: A nationally representative sample comprised 4071 Finns in the workforce aged 30 to 63. Data (questionnaire, interview, clinical examination) were gathered in 2000-2001 and linked with national @entity717 registers for 2000-2011. @entity158 during the preceding month in 18 locations was combined into four sites (neck, upper limbs, low back, lower limbs). Hazard ratios (HR) of @entity717 were estimated by Cox regression. RESULTS: The HR of any @entity717 (n   =   477) was 1.6 (95% confidence interval 1.2-2.1) for one, 2.5 (1.9-3.3) for two, 3.1 (2.3-4.3) for three and 5.6 (4.0-7.8) for four @entity158 sites, when adjusted for age and gender. When additionally adjusted for clinically assessed @entity102 , the HRs varied from 1.4 (1.0-1.8) to 3.5 (2.5-4.9), respectively. When further adjusted for physical and psychosocial workload, education, body mass index, smoking, exercise and @entity25 , the HRs were 1.3 (0.9-1.7), 1.6 (1.2-2.2), 1.8 (1.3-2.5) and 2.5 (1.8-3.6). The number of @entity158 sites was especially strong in predicting DPs due to @entity85 (HRs in the full model; 3.1 to 4.3), but it also predicted DPs due to other @entity66 (respective HRs 1.3 to 2.3); @entity158 in all four sites was also predictive of DPs due to @entity146 (full model HR 2.2). CONCLUSIONS: The number of @entity158 sites independently predicted @entity717 retirement. Employees with multisite @entity158 may need specific support to maintain their work ability.
