title: Predictors for return to work for those with occupational respiratory disease: clinical and structural factors.
abstract: BACKGROUND
  Few occupational researchers have examined "return to work" among patients with work-related respiratory diseases. In addition, prior studies have emphasized individual patient characteristics rather than a more multi-dimensional approach that includes both clinical and structural factors.
  
  
  METHODS
  A retrospective chart review identified patients with occupational respiratory diseases in the Occupational Health Clinical Center, Syracuse, NY between 1991 and 2009. We assessed predictors of work status using an exploratory, sequential mixed methods research design, multinomial (n = 188) and Cox regressions (n = 130).
  
  
  RESULTS
  The findings suggest that patients with an increased number of diagnoses, non-union members, and those who took more than a year before clinical presentation had significantly poorer work status outcomes, after adjusting for age, education level, and relevant diagnoses.
  
  
  CONCLUSIONS
  Efforts to prevent slow return to work after developing occupational respiratory disease should recognize the importance of timely access to occupational health services, disease severity, union membership, and smoking status.
authors.affiliation: Department of Family Medicine, Occupational Health Clinical Center, State University of New York Upstate Medical University, Syracuse, New York.
authors.forename: Jeanette M
authors.initials: JM
authors.lastname: Zoeckler
authors.forename: Donald A
authors.initials: DA
authors.lastname: Cibula
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Morley
authors.forename: Michael B
authors.initials: MB
authors.lastname: Lax
mesh_terms: D000328:Adult; D059366:Asthma, Occupational; D015331:Cohort Studies; D015897:Comorbidity; D005260:Female; D006801:Humans; D007750:Labor Unions / Q000706:statistics & numerical data*; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D009784:Occupational Diseases; D010995:Pleural Diseases; D016016:Proportional Hazards Models; D029424:Pulmonary Disease, Chronic Obstructive; D012140:Respiratory Tract Diseases; D012189:Retrospective Studies; D062707:Return to Work / Q000706:statistics & numerical data*; D012220:Rhinitis; D012307:Risk Factors; D012852:Sinusitis; D013997:Time Factors
keywords: occupational medicine; prognostic factors; pulmonary disease; return to work; work outcomes; work-related respiratory disease