Evaluation of effective return-to-work treatment programs for sick-listed patients with non-specific musculoskeletal complaints: a systematic review

Meijer, Eline; Sluiter, Judith K.; Frings‐Dresen, Monique H. W.

doi:10.1007/s00420-005-0622-x

Cited by 50 publications

(36 citation statements)

References 51 publications

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“…The meta-analysis of all included studies shows only a limited difference in RTW, as well as the presence of publication bias. This result is somewhat in opposition to the systematic review performed by Meijer et al (18). Two studies were in agreement with those included in our systematic review, i.e.…”

Section: Discussioncontrasting

confidence: 56%

“…Mitchell & Carmen (15), included from the SBU report for the meta-analysis, and Skouen et al (12), whereas only one was in agreement with the meta-analysis (15). A systematic review by Meijer et al (18), covering January 1990 to December 2004, assessed RCTs on RTW programmes for people on sick leave with non-specific musculoskeletal complaints (18). A total of 21 studies were included, of which 17 were assessed as having high study quality.…”

Section: Discussionmentioning

confidence: 99%

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Multidisciplinary interventions: Review of studies of return to work after rehabilitation for low back pain

Ropponen²,

2009

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Objective: The aim of this study was to analyse the efficacy of multidisciplinary interventions on return to work for people on sick leave due to low back pain. Methods: A systematic review of published studies was performed, including a meta-analysis. Identified publications were assessed for relevance and study quality. Results: A meta-analysis based on 5 studies from Scandinavia verified the scientific evidence for the efficacy of multidisciplinary interventions on return to work. Conclusion: Although long-term sick leave due to low back pain represents a large problem for the community and multidisciplinary interventions are often advocated, surprisingly few published studies have return to work as an outcome. There is evidence for a clinically relevant effect of multidisciplinary interventions on return to work.

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Section: Discussioncontrasting

confidence: 56%

Section: Discussionmentioning

confidence: 99%

Multidisciplinary interventions: Review of studies of return to work after rehabilitation for low back pain

Ropponen²,

2009

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“…The programmes should also consist of occupational and psychosocial rehabilitation and the correct form of pharmacotherapy. The teams that run them should consist of a physician, a physiotherapist and a psychologist [19]. Most of our data is similar to the data discussed by Anglophone writers.…”

Section: Ijomeh 2013;26(3) 397supporting

confidence: 81%

Return to work after spinal stenosis surgery and the patient’s quality of life

Truszczyńska¹,

Rapała²,

Truszczyński³

et al. 2013

International Journal of Occupational Medicine and Environmental Health

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Introduction: The return to work of patients who undergo spinal surgery poses important medical and social challenge. Objectives: 1) To establish whether patients who undergo spinal stenosis surgery later return to work. 2) To establish the patient's attitude towards employment. 3) To assess the quality of life of the patients and its influence on their attitude to work. Materials and Methods: The study population consisted of 58 patients aged from 21 to 80 years (the mean age was 52.33±14.12). There were 29 women (50%) and 29 men (50%) in the group. The patients' quality of life was measured by the use of the WHOQOL-BREF instrument. Individual interviews were conducted 3 to 8 months (a mean of 5.72 months ±1.6) after the surgery. Results: 1) Although 13 patients (22.3%) returned to work, 44 (75.9%) did not, these being manual workers of vocational secondary education. 2) Almost half of the patients (27 patients, i.e. 44%) intend to apply for disability pension, 16 patients (27.6%) consider themselves unfit to work, 22 patients (37.9%) do not feel like working again.3) The quality of life of the patients decreased. Domain scores for the WHOQOL-BREF are transformed to a 0-100 scale. The mean physical health amounted to 60.67 (±16.31), the mean psychological health was 58.78 (±16.01), while the mean social relations with family and friends were 59.91 (±20.69), and the mean environment 59.62 (±12.48). Conclusions: 1) A total of 75% of the patients operated for lumbar spinal stenosis do not return to their preoperative work. Difficulties in returning to work and decreased quality of life are associated with female sex, lower-level education, hard physical work and low income. 2) Physical health, psychological health, social relations and environment decreased to the mean of approximately 60.3) The quality of life of the patients who did return to work was similar to that of healthy people.

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“…Multivariate predictive models of pain-related disability, health care consumption, and sick leave have been developed for samples with back pain and upper limb pain, identifying significant psychological and physical predictors [5][6][7][8][9][10][11][12][13]. Intervention studies of back pain indicate the importance of targeting psychological, physical, and work-related factors to affect disability and sick leave [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Biopsychosocial Predictors of Pain, Disability, Health Care Consumption, and Sick Leave in First-Episode and Long-Term Back Pain: A Longitudinal Study in the General Population

et al. 2009

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Evaluation of effective return-to-work treatment programs for sick-listed patients with non-specific musculoskeletal complaints: a systematic review

Cited by 50 publications

References 51 publications

Multidisciplinary interventions: Review of studies of return to work after rehabilitation for low back pain

Multidisciplinary interventions: Review of studies of return to work after rehabilitation for low back pain

Return to work after spinal stenosis surgery and the patient’s quality of life

Biopsychosocial Predictors of Pain, Disability, Health Care Consumption, and Sick Leave in First-Episode and Long-Term Back Pain: A Longitudinal Study in the General Population

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