Do Patients With Chronic Low Back Pain Benefit From Early Intervention Regarding Absence From Work?

Norbye, Anja M. Davis; Omdal, Aina Vedvik; Nygaard, Marit; Romild, Ulla; Eldøen, Guttorm; Midgard, Rune

doi:10.1097/brs.0000000000001878

Cited by 5 publications

(3 citation statements)

References 27 publications

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“…Moreover, only a little increase (not even significant at 5%) of part-time RTW was observed in the French ICM program. Similar results of very low to no-significance have been found in other studies [ 41 , 42 ]. Our results are surprising considering that part-time RTW is actively encouraged in several EU countries [ 6 ], based on the existing empirical evidence showing that long sick leave spells may have negative effects (such as depression, social isolation and inactivity) [ 43 , 44 ].…”

Section: Discussionsupporting

confidence: 91%

Evaluating the Impact of Intensive Case Management for Severe Vocational Injuries on Work Incapacity and Costs

Leiva¹,

Rochaix

Kiefer

et al. 2021

J Occup Rehabil

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Purpose This study investigates the impact of an intensive case management program on sick leave days, permanent work incapacity levels and treatment costs for severe vocational injuries set up by the French National Insurance Fund in five health insurance districts. Methods The method employed relies on a four-step matching procedure combining Coarsened Exact Matching and Propensity Score Matching, based on an original administrative dataset. Average Treatment effects on the Treated were estimated using a parametric model with a large set of covariates. Results After one-year follow-up, workers in the treatment group had higher sickness absence rates, with 22 extra days, and the program led to 2.7 (95% CI 2.3–3.1) times more diagnoses of permanent work incapacity in the treatment group. With an estimated yearly operational cost of 2,722 € per treated worker, the average total extra treatment cost was 4,569 € for treated workers, which corresponds to a cost increase of 29.2% for the insurance fund. Conclusions The higher costs found for the treatment group are mainly due to longer sick leave duration for the moderate severity group, implying higher cash transfers in the form of one-off indemnities. Even though workers in the treated group have more diagnoses of permanent work incapacity, the difference of severity between groups is small. Our results on longer sick leave duration are partly to be explained by interactions between the case managers and the occupational physicians that encouraged patients to stay longer off-work for better recovery, despite the higher costs that this represented for the insurance fund and the well-documented adverse side effects of longer periods off-work.

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Section: Discussionsupporting

confidence: 91%

Evaluating the Impact of Intensive Case Management for Severe Vocational Injuries on Work Incapacity and Costs

Leiva¹,

Rochaix

Kiefer

et al. 2021

J Occup Rehabil

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show abstract

“…The results of the study, however, did find that an early intervention caused major constraints for both the experienced physiotherapist that examined patients and the overall clinic. Focus should instead be on the design of the RTW interventions and how it could be less time consuming [30]. The overall diversity and complexity of RTW interventions also suggests that there may be no single, optimal RTW approach that can be applied across contexts and populations.…”

Section: Return To Work Interventions For Young Adultsmentioning

confidence: 99%

Interventions for return to work following work-related injuries among young adults: A systematic literature review

Johansson

Rissanen

2021

WOR

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OBJECTIVE: To provide a review of current knowledge about interventions aimed to facilitate young adults to return to work following work-related injuries. METHODS: A systematic review of published literature from the year 2010 and onwards was conducted to identify studies examining return to work interventions for young adults (aged 19–29) following work-related injuries using PubMed and Web of Science. Two reviewers conducted the screening process and assessed the study quality using the National Heart, Lung, and Blood Institute assessment tool for Observational Cohort and Cross-Sectional studies. Due to wide heterogeneity and small number of studies retained post-screening, a descriptive summary analysis of the included studies was conducted. RESULTS: No studies were identified that focused exclusively on interventions for young adults. However, two studies, in which an age category of young adults was available, were included and assessed for quality. The study populations were primarily suffering from work-related injuries in the lower back or lower limbs. Both studies revealed that return to work interventions using a case manager coordinating and providing consultation, advice, and risk management to multidisciplinary teams was associated with lower sick leave days. CONCLUSIONS: Despite the emerging evidence that young adults have higher rates of work-related injuries compared to older colleagues, information concerning work-related injuries and return to work interventions specifically targeting young workers is still lacking. Further research is therefore needed to develop and evaluate return to work interventions for the population of young adults.

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“…LBP interferes with activities of daily living [ 7 ], work performance [ 8 , 9 ], and is a major reason for people to seek medical consultation [ 10 , 11 ]. This disorder contributes to a substantial burden on individuals, employers, the healthcare system and society in general.…”

Section: Introductionmentioning

confidence: 99%

Acupuncture and Neural Mechanism in the Management of Low Back Pain—An Update

et al. 2018

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Within the last 10 years, the percentage of low back pain (LBP) prevalence increased by 18%. The management and high cost of LBP put a tremendous burden on the healthcare system. Many risk factors have been identified, such as lifestyle, trauma, degeneration, postural impairment, and occupational related factors; however, as high as 95% of the cases of LBP are non-specific. Currently, LBP is treated pharmacologically. Approximately 25 to 30% of the patients develop serious side effects, such as drowsiness and drug addiction. Spinal surgery often does not result in a massive improvement of pain relief. Therefore, complementary approaches are being integrated into the rehabilitation programs. These include chiropractic therapy, physiotherapy, massage, exercise, herbal medicine and acupuncture. Acupuncture for LBP is one of the most commonly used non-pharmacological pain-relieving techniques. This is due to its low adverse effects and cost-effectiveness. Currently, many randomized controlled trials and clinical research studies have produced promising results. In this article, the causes and incidence of LBP on global health care are reviewed. The importance of treatment by acupuncture is considered. The efforts to reveal the link between acupuncture points and anatomical features and the neurological mechanisms that lead to acupuncture-induced analgesic effect are reviewed.

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Do Patients With Chronic Low Back Pain Benefit From Early Intervention Regarding Absence From Work?

Abstract: Supplemental Digital Content is available in the text

Cited by 5 publications

References 27 publications

Evaluating the Impact of Intensive Case Management for Severe Vocational Injuries on Work Incapacity and Costs

Evaluating the Impact of Intensive Case Management for Severe Vocational Injuries on Work Incapacity and Costs

Interventions for return to work following work-related injuries among young adults: A systematic literature review

Acupuncture and Neural Mechanism in the Management of Low Back Pain—An Update

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