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CompletedNCT07839559OIDTUpdated Nov 3, 2026

Disability Trajectories After Occupational Injury

An observational study in Occupational Injury and Work-Related Disability, sponsored by Sergio Gabriel Susmallian. Completed at 1 site in Israel. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-03.

Sponsored by Sergio Gabriel Susmallian · Observational

Updated Nov 3, 2026Now CompletedStart date moved+1 moreGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
1,500,000
Ages
18 Years and older
Sex
All
01

Study summary

This observational study will examine patterns of disability following occupational injuries using national administrative records from 2020 through 2024.

The study will evaluate how disability status changes over time after a recognized work-related injury. Particular attention will be given to temporary disability, progression to permanent disability, disability percentage, repeated disability determinations, and recurrent occupational injury claims.

The study will also examine whether characteristics such as age, sex, type of occupational injury, statutory impairment category, geographic region, and year of injury are associated with different disability trajectories.

No treatment or intervention will be assigned as part of this study. All information will be obtained retrospectively from existing administrative records.

Read the detailed description

Occupational injuries may result in short-term functional impairment, prolonged temporary disability, permanent disability, or repeated disability determinations. However, large-scale longitudinal information describing how disability status evolves after occupational injury is limited.

This retrospective observational cohort study will use national administrative data on recognized occupational injury claims recorded between January 1, 2020, and December 31, 2024. The database includes chronological claim and disability-determination records, statutory impairment classifications, assigned disability percentages, and temporary or permanent disability status.

The primary objective is to characterize longitudinal disability trajectories following occupational injury. The study will evaluate transitions from temporary to permanent disability and the time from the first observed occupational injury claim to permanent disability determination.

Secondary objectives include evaluating the severity of permanent disability, changes in disability percentage over time, repeated temporary or permanent disability determinations, recurrent occupational injury claims, and patterns of disability progression.

Where available, analyses will examine differences according to demographic characteristics, occupational injury category, statutory impairment classification, geographic region, and calendar year.

Claim records belonging to the same individual will be linked using anonymized claimant identifiers to reconstruct the chronological sequence of occupational injury claims and disability determinations. Time-to-event and longitudinal statistical methods will be used to identify factors associated with permanent disability and other disability trajectories.

Because the study uses previously collected administrative data, participants will not undergo study-specific interventions, treatment assignments, or additional clinical procedures.

02

Conditions studied

  • Occupational Injury
  • Work-Related Disability

Keywords

  • Occupational injury
  • Work-related injury
  • Disability progression
  • Workers' compensation
  • Recurrent occupational injury
03

In context

Lead sponsor

Sergio Gabriel Susmallian is the lead sponsor of 5 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The study population will include individuals with recognized occupational injury claims recorded in the national administrative database between January 1, 2020, and December 31, 2022. Eligible claimants will be followed through December 31, 2024 using chronologically linked administrative records. The cohort will include all eligible claimants with valid anonymized identifiers and sufficient date information to reconstruct claim and disability-determination histories. Data will include temporary and permanent disability status, assigned disability percentages, statutory impairment classifications, and repeated claim or disability-determination records. No participants will be recruited prospectively.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • 18 years old and older
  • Individuals with a recognized occupational injury claim recorded in the national administrative database between January 1, 2020, and December 31, 2022.
  • Availability of an anonymized claimant identifier permitting linkage of chronological claim and disability-determination records.
  • Availability of the date of the first observed occupational injury claim.
  • Availability of disability-status information and/or disability determination records during the study period.

Exclusion criteria

Exclusion Criteria:

  • Records not classified as recognized occupational injury claims.
  • Records that cannot be linked to an individual claimant because of missing or invalid anonymized identifiers.
  • Records with missing or invalid dates that prevent chronological reconstruction of the disability trajectory.
  • Duplicate records representing the same claim or disability determination.
05

Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
1,500,000 participants (actual)
Patient registry
No

Groups and cohorts

  • Workers With Recognized Occupational Injuries

    Individuals with recognized occupational injury claims recorded in the national administrative database between January 1, 2020, and December 31, 2024. Chronologically linked claim and disability-determination records will be used to evaluate temporary and permanent disability status, disability percentage, repeated determinations, and disability progression over time.

    Other: Recognized Occupational Injury

Interventions

  • OtherRecognized Occupational Injury

    The exposure of interest is a recognized work-related injury recorded in the national administrative claims database. No intervention, treatment, or procedure is assigned as part of the study. Existing records will be analyzed to characterize subsequent temporary and permanent disability trajectories.

06

What researchers measure

Primary outcomes

  1. Time From First Observed Occupational Injury Claim to Permanent Disability

    Time in days from the first observed occupational injury claim to the first recorded permanent disability determination. Participants without a permanent disability determination will be censored at their last available record or December 31, 2024, whichever occurs first.

    Time frame: From the first observed occupational injury claim until the first permanent disability determination or end of follow-up, up to 5 years

07

Study locations

1 site
  • National Insurance Institute of Israel
    Jerusalem, 91099, Israel
08

References and documents

Publications

  • Langley J, Lilley R, Samaranayaka A, Derrett S. Work status and disability trajectories over 12 months after injury among workers in New Zealand. N Z Med J. 2014 Mar 7;127(1390):53-60. PubMed 24670590 ↗
  • Stover B, Wickizer TM, Zimmerman F, Fulton-Kehoe D, Franklin G. Prognostic factors of long-term disability in a workers' compensation system. J Occup Environ Med. 2007 Jan;49(1):31-40. doi: 10.1097/01.jom.0000250491.37986.b6. PubMed 17215711 ↗
  • Berecki-Gisolf J, Clay FJ, Collie A, McClure RJ. Predictors of sustained return to work after work-related injury or disease: insights from workers' compensation claims records. J Occup Rehabil. 2012 Sep;22(3):283-91. doi: 10.1007/s10926-011-9344-y. PubMed 22143197 ↗
  • McLeod CB, Reiff E, Maas E, Bultmann U. Identifying return-to-work trajectories using sequence analysis in a cohort of workers with work-related musculoskeletal disorders. Scand J Work Environ Health. 2018 Mar 1;44(2):147-155. doi: 10.5271/sjweh.3701. Epub 2017 Dec 23. PubMed 29274274 ↗
  • Sears JM, Fulton-Kehoe D, Hogg-Johnson S. Initial return to work and long-term employment patterns: Associations with work-related permanent impairment and with participation in workers' compensation-based return-to-work programs. Am J Ind Med. 2021 May;64(5):323-337. doi: 10.1002/ajim.23233. Epub 2021 Feb 22. PubMed 33616241 ↗

Individual participant data

Plan to share: No — Individual participant data will not be shared because the study uses de-identified administrative records obtained from a national insurance database under data-use and confidentiality restrictions. The investigators are not authorized to redistribute participant-level records. Aggregate results and summary statistical outputs may be reported in publications.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedDate before it movedWhere the date was before it moved

Ran from Jan 2018 to primary completion in Oct 2026, 105 months.

Start moved once since we started tracking on Sep 25, 2026: Sep 2026 → Jan 2018, on Nov 3, 2026.

Earlier changes are on the record history on ClinicalTrials.gov ↗

How these figures are worked out, and which studies are left out of them.

Registered
Sep 19, 2026
First posted
Sep 24, 2026
StartActual
Jan 1, 2018was Sep 2026
Primary completionActual
Oct 1, 2026
CompletionActual
Nov 1, 2026
Last update
Nov 3, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Status
Not yet recruiting→Completed
changed Nov 3, 2026
Start date
Sep 1, 2026→Jan 1, 2018 (actual)
Nov 3, 2026
Show all 1 update
  1. Nov 3, 2026
    Not yet recruiting→Completed
    Start date Sep 1, 2026→Jan 1, 2018 (now actual)
    + 2 other changes: verification date and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07839559
Lead sponsor
Sergio Gabriel Susmallian
Responsible party
Sergio Gabriel Susmallian (Medicine doctor, Assuta Medical Center) — Sponsor-investigator
First posted
Sep 24, 2026
Start date
Jan 1, 2018
Primary completion
Oct 1, 2026
Completion
Nov 1, 2026
Last update
Nov 3, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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