The effect of interdisciplinary treatment on sickness absence and disability pension among chronic pain patients on partial disability pension

Studies evaluating the effects of interdisciplinary treatment (IDT) on sickness absence and disability pension (SA/DP) have yielded contradictory findings. Evidence indicates that positive treatment effects are restricted to patients with a poor SA/DP prognosis. This study therefore analyzed the eff...

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Vydáno v:PloS one Ročník 20; číslo 2; s. e0317797
Hlavní autoři: Constan, Lea, Frumento, Paolo, LoMartire, Riccardo
Médium: Journal Article
Jazyk:angličtina
Vydáno: United States Public Library of Science 04.02.2025
Public Library of Science (PLoS)
Témata:
Adult
Biology and Life Sciences
Chronic pain
Chronic Pain - economics
Chronic Pain - therapy
Clinics
Cohort Studies
Disability pensions
Female
Health aspects
Humans
Illnesses
Insurance agencies
Interdisciplinary aspects
Intervention
Male
Medicine and Health Sciences
Middle Aged
Occupational training
Pain
Patients
Pensions
Pensions - statistics & numerical data
People and places
Persons with Disabilities
Prognosis
Regression analysis
Risk
Sick Leave - statistics & numerical data
Social aspects
Social Sciences
Sociodemographics
Sweden
Tumors
Worker absenteeism
Sweden
ISSN:1932-6203, 1932-6203
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Shrnutí:Studies evaluating the effects of interdisciplinary treatment (IDT) on sickness absence and disability pension (SA/DP) have yielded contradictory findings. Evidence indicates that positive treatment effects are restricted to patients with a poor SA/DP prognosis. This study therefore analyzed the effect of IDT in working age patients on partial disability pension, which is a group with a particularly poor prognosis. With data from 479 patients on partial disability pension, this register-based cohort study compared the effects of IDT to those of unspecified interventions. We considered two response variables: total net SA/DP days across the span of three years from the first visit to a Swedish specialist pain clinic, and the risk of having the maximum possible 1096 SA/DP days over the same period. Our results showed that both the total net SA/DP days (mean difference: 11; 95% confidence interval: -30 to 51) and the risk of 1096 SA/DP days (risk ratio: 1.0; 95% confidence interval: 0.6 to 1.4) were similar irrespective of intervention type. Under our theoretical model, we thereby found no support in favor of IDT over less intensive interventions in working age patients with partial DP. This raises questions about the specific criteria under which IDT proves effective.
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Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0317797