Print Email Facebook Twitter Economic evaluation of a multi-stage return to work program for workers on sick-leave due to low back pain Title Economic evaluation of a multi-stage return to work program for workers on sick-leave due to low back pain Author Steenstra, I.A. Anema, J.R. van Tulder, M.W. Bongers, P.M. de Vet, H.C.W. van Mechelen, W. TNO Kwaliteit van Leven Publication year 2006 Abstract Objective: 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. Design: Economic evaluation alongside a randomised controlled trial (RCT). Study population: Workers sick-listed for a period of 2 to 6 weeks due to LBP. Interventions: 1. workplace assessment, work modifications and case management). 2. physiotherapy based on operant behavioural principles. 3. usual care: provided by an occupational physician. Outcomes: 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. Results: 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). 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. Conclusion: 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. © 2006 Springer Science+Business Media, LLC. Subject WorkplaceVeilig en Gezond WerkenCost-effectivenessOccupational healthOperant behaviouralParticipative ErgonomicsRandomized Controlled TrialReturn to workClinical trialComparative studyControlled clinical trialControlled studyCost effectiveness analysisCost utility analysisEconomic evaluationFunctional assessmentHealth statusInstrumental conditioningMajor clinical studyMedical leaveOccupational physicianPain assessmentPatient carePhysiotherapyQuality of lifeRandomized controlled trialSafetySocial aspectTreatment outcomeWork resumptionWorkplaceAdolescentAdultAgedBehavior TherapyCost of IllnessCost-Benefit AnalysisFemaleHealth Care CostsHuman EngineeringHumansLow Back PainMaleMiddle AgedNetherlandsOccupational DiseasesOccupational Health NursingOccupational TherapyRehabilitation, Vocational To reference this document use: http://resolver.tudelft.nl/uuid:b967c1ff-d858-4017-8c98-4fae15b4120c DOI https://doi.org/10.1007/s10926-006-9053-0 TNO identifier 239624 ISSN 1053-0487 Source Journal of Occupational Rehabilitation, 16 (4), 557-578 Document type article Files To receive the publication files, please send an e-mail request to TNO Library.