Economic Evaluation of a Multi-Stage Return to Work Program for Workers on Sick-Leave Due to Low Back Pain
Uložené v:
| Názov: | Economic Evaluation of a Multi-Stage Return to Work Program for Workers on Sick-Leave Due to Low Back Pain |
|---|---|
| Autori: | Willem van Mechelen, Maurits W. van Tulder, Ivan A. Steenstra, Paulien M. Bongers, Henrica C.W. de Vet, Johannes R. Anema |
| Prispievatelia: | TNO Kwaliteit van Leven |
| Zdroj: | Steenstra, I A, Anema, J R, van Tulder, M W, Bongers, P M, de Vet, H C W & van Mechelen, W 2006, 'Economic evaluation of a multi-stage return to work program for workers on sick-leave due to low back pain', Journal of Occupational Rehabilitation, vol. 16, no. 4, pp. 557-78. https://doi.org/10.1007/s10926-006-9053-0 Journal of Occupational Rehabilitation, 16(4), pp. 557-578. Steenstra, I A, Anema, J R, van Tulder, M, Bongers, P M, de Vet, H C W & van Mechelen, W 2006, 'Economic evaluation of a multi-stage return to work program for workers on sick leave due to low back pain', Journal of Occupational Rehabilitation, vol. 16, pp. 557-578. https://doi.org/10.1007/s10926-006-9053-0 |
| Informácie o vydavateľovi: | Springer Science and Business Media LLC, 2006. |
| Rok vydania: | 2006 |
| Predmety: | Male, Veilig en Gezond Werken, Cost-Benefit Analysis, Medical leave, Human Engineering, Operant behavioural, Occupational Health Nursing, 0302 clinical medicine, Behavior Therapy/economics, Cost of Illness, Occupational Therapy, Behavior Therapy, Controlled clinical trial, Treatment outcome, Workplace, Physiotherapy, Netherlands, Work resumption, Cost effectiveness analysis, Rehabilitation, Health Care Costs, Middle Aged, Occupational Therapy/economics, 3. Good health, Clinical trial, Occupational Diseases, Occupational Diseases/economics, Occupational physician, Randomized controlled trial, Randomized Controlled Trial, Social aspect, 8. Economic growth, Female, Cost utility analysis, Functional assessment, Safety, Quality of life, Adult, Return to work, Adolescent, Pain assessment, Major clinical study, Patient care, Health status, 1117 Public Health and Health Services, 03 medical and health sciences, Instrumental conditioning, Humans, Low back pain, Participative Ergonomics, Low Back Pain/economics, Aged, Occupational health, Rehabilitation, Vocational, Vocational/economics, Economic evaluation, Cost-effectiveness, Comparative study, Ergonomics, Controlled study, Low Back Pain |
| Popis: | To evaluate the cost-effectiveness and cost-utility of a return to work (RTW) program for workers on sick-leave due to low back pain (LBP), comparing a workplace intervention implemented between 2 to 8 weeks of sick-leave with usual care, and a clinical intervention after 8 weeks of sick-leave with usual care.Economic evaluation alongside a randomised controlled trial (RCT).Workers sick-listed for a period of 2 to 6 weeks due to LBP.1. workplace assessment, work modifications and case management). 2. physiotherapy based on operant behavioural principles. 3. usual care: provided by an occupational physician.The primary outcome was return to work (RTW). Other outcomes were pain intensity, functional status, quality of life and general health. The economic evaluation was conducted from a societal perspective. Outcomes were assessed at baseline (after 2-6 weeks on sick-leave), and 12 weeks, 26 weeks, and 52 weeks after the first day of sick-leave.The workplace intervention group returned to work 30.0 days (95% CI=[3.1, 51.3]) earlier on average than the usual care group at slightly higher direct costs (ratio of 1 day: 19 euro). Workers in the clinical intervention group that had received usual care in the first 8 weeks returned to work 21.3 days (95% CI= [-74.1, 29.2]) later on average. The group that had received the workplace intervention in the first 8 weeks and the clinical intervention after 8 weeks returned to work 50.9 days (95% CI=[-89.4, -2.7]) later on average. A workplace intervention was more effective than usual care in RTW at slightly higher costs and was equally effective as usual care at equal costs on other outcomes. A clinical intervention was less effective than usual care and associated with higher costs.The workplace intervention results in a safe and faster RTW than usual care at reasonable costs for workers on sick-leave for two to six weeks due to LBP. |
| Druh dokumentu: | Article |
| Jazyk: | English |
| ISSN: | 1573-3688 1053-0487 |
| DOI: | 10.1007/s10926-006-9053-0 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/17086503 https://researchinformation.amsterdamumc.org/en/publications/economic-evaluation-of-a-multi-stage-return-to-work-program-for-w https://rd.springer.com/article/10.1007/s10926-006-9053-0 https://europepmc.org/article/MED/17086503 https://research.vu.nl/en/publications/economic-evaluation-of-a-multi-stage-return-to-work-program-for-w https://www.narcis.nl/publication/RecordID/oai%3Atudelft.nl%3Auuid%3Ab967c1ff-d858-4017-8c98-4fae15b4120c https://espace.library.uq.edu.au/view/UQ:173900 https://research.vumc.nl/en/publications/2902fab4-8a4b-43ed-8e07-ea6344f0fc2b https://pure.amsterdamumc.nl/en/publications/b4b75ec9-70a9-4e48-8215-aaa3ef5db1aa https://doi.org/10.1007/s10926-006-9053-0 https://resolver.tno.nl/uuid:b967c1ff-d858-4017-8c98-4fae15b4120c |
| Rights: | Springer TDM |
| Prístupové číslo: | edsair.doi.dedup.....4c77a585f40deac85ecda08a09e6ffe3 |
| Databáza: | OpenAIRE |
Full Text Finder 
Nájsť tento článok vo Web of Science | Abstrakt: | To evaluate the cost-effectiveness and cost-utility of a return to work (RTW) program for workers on sick-leave due to low back pain (LBP), comparing a workplace intervention implemented between 2 to 8 weeks of sick-leave with usual care, and a clinical intervention after 8 weeks of sick-leave with usual care.Economic evaluation alongside a randomised controlled trial (RCT).Workers sick-listed for a period of 2 to 6 weeks due to LBP.1. workplace assessment, work modifications and case management). 2. physiotherapy based on operant behavioural principles. 3. usual care: provided by an occupational physician.The primary outcome was return to work (RTW). Other outcomes were pain intensity, functional status, quality of life and general health. The economic evaluation was conducted from a societal perspective. Outcomes were assessed at baseline (after 2-6 weeks on sick-leave), and 12 weeks, 26 weeks, and 52 weeks after the first day of sick-leave.The workplace intervention group returned to work 30.0 days (95% CI=[3.1, 51.3]) earlier on average than the usual care group at slightly higher direct costs (ratio of 1 day: 19 euro). Workers in the clinical intervention group that had received usual care in the first 8 weeks returned to work 21.3 days (95% CI= [-74.1, 29.2]) later on average. The group that had received the workplace intervention in the first 8 weeks and the clinical intervention after 8 weeks returned to work 50.9 days (95% CI=[-89.4, -2.7]) later on average. A workplace intervention was more effective than usual care in RTW at slightly higher costs and was equally effective as usual care at equal costs on other outcomes. A clinical intervention was less effective than usual care and associated with higher costs.The workplace intervention results in a safe and faster RTW than usual care at reasonable costs for workers on sick-leave for two to six weeks due to LBP. |
|---|---|
| ISSN: | 15733688 10530487 |
| DOI: | 10.1007/s10926-006-9053-0 |