Costs by industry and diagnosis among musculoskeletal claims in a state workers compensation system: 1999-2004

Am J Ind Med. 2010 Mar;53(3):276-84. doi: 10.1002/ajim.20774.


Background: Musculoskeletal disorders (MSDs) are a tremendous burden on industry in the United States. However, there is limited understanding of the unique issues relating to specific industry sectors, specifically the frequency and costs of different MSDs.

Methods: Claim data from 1999 to 2004 from the Ohio Bureau of Workers' Compensation were analyzed as a function of industry sector (NAICS industry-sector categories) and anatomical region (ICD-9 codes).

Results: Almost 50% of the claims were lumbar spine (26.9%) or hand/wrist (21.7%). The majority of claims were from manufacturing (25.1%) and service (32.8%) industries. The industries with the highest average costs per claim were transportation, warehouse, and utilities and construction. Across industries, the highest costs per claim were consistently for the lumbar spine, shoulder, and cervical spine body regions.

Conclusion: This study provides insight into the severity (i.e., medical and indemnity costs) of MSDs across multiple industries, providing data for prioritizing of resources for research and interventions.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents, Occupational / statistics & numerical data
  • Adult
  • Age Distribution
  • Costs and Cost Analysis / statistics & numerical data
  • Female
  • Health Expenditures / statistics & numerical data
  • Humans
  • Industry / classification*
  • Industry / economics
  • Industry / statistics & numerical data
  • Insurance Claim Reporting / economics
  • Insurance Claim Reporting / statistics & numerical data*
  • Insurance, Health, Reimbursement / economics*
  • Insurance, Health, Reimbursement / statistics & numerical data
  • International Classification of Diseases
  • Male
  • Middle Aged
  • Musculoskeletal Diseases / classification
  • Musculoskeletal Diseases / diagnosis*
  • Musculoskeletal Diseases / economics
  • Musculoskeletal Diseases / epidemiology
  • Ohio / epidemiology
  • Sex Distribution
  • Workers' Compensation / economics*
  • Workers' Compensation / statistics & numerical data*
  • Workplace / statistics & numerical data
  • Young Adult