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The statistical significance at the alpha level of 0.05 is indicated in the figure legends. Article information PLoS One. 2014; 9(8): e103263. Study protocols were approved by the NCGM ethics committee.

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Patients, mostly blue collar workers, with orthopaedic trauma of the back, upper or lower limb and multiple trauma were included in the study between January 1 st, 2004 to December 31 st, 2007 for the development sample and between January 1 st, 2008 and April 1 st, 2010 for the temporal validation sample.
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