Evidence map›Paper›PMID 19169654›Full record

Trial reportJournal of occupational rehabilitation2009

Coordinated and tailored work rehabilitation: a randomized controlled trial with economic evaluation undertaken with workers on sick leave due to musculoskeletal disorders.

Ute Bültmann, David Sherson, Jens Olsen, Carl Lysbeck Hansen, Thomas Lund, Jørgen Kilsgaard

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Journal of occupational rehabilitation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 66 papers, 16 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 16 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 16 syntheses or guidelines pooled it.

  1. Pooled it
  2. Models of care for managing non-specific low back pain.The Cochrane database of systematic reviews · 2025
    Pooled it
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  6. Multidisciplinary biopsychosocial rehabilitation for subacute low back pain.The Cochrane database of systematic reviews · 2017
    Pooled it
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  8. Workplace interventions to prevent work disability in workers on sick leave.The Cochrane database of systematic reviews · 2015
    Pooled it
  9. Multidisciplinary biopsychosocial rehabilitation for chronic low back pain.The Cochrane database of systematic reviews · 2014
    Pooled it
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  15. Workplace interventions for neck pain in workers.The Cochrane database of systematic reviews · 2011
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  20. Structured physiotherapy including a work place intervention for patients with neck and/or back pain in primary care: an economic evaluation.The European journal of health economics : HEPAC : health economics in prevention and care · 2019
    Trial

6 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ute BültmannDepartment of Health Sciences, Section of Social Medicine, Work & Health, University Medical Center Groningen, A. Deusinglaan 1, Building 3217, Room 605, 9713 AV, Groningen, The Netherlands. u.bultmann@med.umcg.nl
David Sherson
Jens Olsen
Carl Lysbeck Hansen
Thomas Lund
Jørgen Kilsgaard

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn Denmark, the magnitude and impact of work disability on the individual worker and society has prompted the development of a new "coordinated and tailored work rehabilitation" (CTWR) approach. The aim of this study was to compare the effects of CTWR with conventional case management (CCM) on return-to-work of workers on sick leave due to musculoskeletal disorders (MSDs).

methodsThe study was a randomized controlled trial with economic evaluation undertaken with workers on sick leave for 4-12 weeks due to MSDs. CTWR consists of a work disability screening by an interdisciplinary team followed by the collaborative development of a RTW plan. The primary outcome variable was registered cumulative sickness absence hours during 12 months follow-up. Secondary outcomes were work status as well as pain intensity and functional disability, measured at baseline, 3 and 12 months follow-up. The economic evaluation (intervention costs, productivity loss, and health care utilization costs) was based on administrative data derived from national registries.

resultsFor the time intervals 0-6 months, 6-12 months, and the entire follow-up period, the number of sickness absence hours was significantly lower in the CTWR group as compared to the control group. The total costs saved in CTWR participants compared to controls were estimated at US $ 1,366 per person at 6 months follow-up and US $ 10,666 per person at 12 months follow-up.

conclusionsWorkers on sick leave for 4-12 weeks due to MSD who underwent "CTWR" by an interdisciplinary team had fewer sickness absence hours than controls. The economic evaluation showed that-in terms of productivity loss-CTWR seems to be cost saving for the society.

Indexed as

Sick LeaveWork Capacity EvaluationCase ManagementCost SavingsDenmarkDisability EvaluationEmploymentHumansMusculoskeletal DiseasesRecovery of Function

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.