Trial reportBMJ (Clinical research ed.)2010
Randomised controlled trial of integrated care to reduce disability from chronic low back pain in working and private life.
Trial report in BMJ (Clinical research ed.), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02034864 (Comparison of the Effectiveness of 2 Manual Therapies on Functional Outcome in Sub-acute and Chronic Non-specific Low Back Pain at 3 Months), which is not on this map. Cited by 134 papers, 26 of them syntheses that pooled 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.
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.
Comparison of the Effectiveness of 2 Manual Therapies on Functional Outcome in Sub-acute and Chronic Non-specific Low Back Pain at 3 Months : a Randomised Controlled Trial
Who cites it
134 citing papers in PubMed, 26 syntheses or guidelines pooled it, 292 citations in OpenAlex.
- Effectiveness of the Participatory Approach on Return-to-Work of Sick-Listed Workers: A Systematic Review and Meta-analysis.Journal of occupational rehabilitation · 2026Pooled it
- Interventions to enhance work participation in people with chronic pain: A systematic review and meta-analysis including analysis of complex psychological intervention components.British journal of health psychology · 2026Pooled it
- Elements of Return-to-Work Interventions for Workers on Long-Term Sick Leave: A Systematic Literature Review.Journal of occupational rehabilitation · 2025Pooled it
- Models of care for managing non-specific low back pain.The Cochrane database of systematic reviews · 2025Pooled it
- Rehabilitation of sick-listed LBP patients in occupational health with collaboration of the workplace.International journal of occupational medicine and environmental health · 2024Pooled it
- Effectiveness of work-related interventions for return to work in people on sick leave: a systematic review and meta-analysis of randomized controlled trials.Systematic reviews · 2022Pooled it
- The Dutch Multidisciplinary Occupational Health Guideline to Enhance Work Participation Among Low Back Pain and Lumbosacral Radicular Syndrome Patients.Journal of occupational rehabilitation · 2022Guideline
- Teaming in Interdisciplinary Chronic Pain Management Interventions in Primary Care: a Systematic Review of Randomized Controlled Trials.Journal of general internal medicine · 2022Pooled it
- Psychological interventions for chronic, non-specific low back pain: systematic review with network meta-analysis.BMJ (Clinical research ed.) · 2022Pooled it
- Integrated care programmes for sport and work participation, performance of physical activities and quality of life among orthopaedic surgery patients: a systematic review with meta-analysis.BMJ open sport & exercise medicine · 2020Pooled it
- Meta-Analysis of Integrated Therapeutic Methods in Noninvasive Lower Back Pain Therapy (LBP): The Role of Interdisciplinary Functional Diagnostics.Pain research & management · 2020Pooled it
- Chronic Diseases and Employment: Which Interventions Support the Maintenance of Work and Return to Work among Workers with Chronic Illnesses? A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Pooled it
- Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: the need to present minimal important differences units in meta-analyses.Health and quality of life outcomes · 2018Pooled it
- Effectiveness of Workplace Interventions in Return-to-Work for Musculoskeletal, Pain-Related and Mental Health Conditions: An Update of the Evidence and Messages for Practitioners.Journal of occupational rehabilitation · 2018Pooled it
- Systematic Review of Prognostic Factors for Return to Work in Workers with Sub Acute and Chronic Low Back Pain.Journal of occupational rehabilitation · 2017Pooled it
- Return-to-work coordination programmes for improving return to work in workers on sick leave.The Cochrane database of systematic reviews · 2017Pooled it
- The effect of journal impact factor, reporting conflicts, and reporting funding sources, on standardized effect sizes in back pain trials: a systematic review and meta-regression.BMC musculoskeletal disorders · 2015Pooled it
- Radiofrequency denervation for chronic low back pain.The Cochrane database of systematic reviews · 2015Pooled it
- Workplace interventions to prevent work disability in workers on sick leave.The Cochrane database of systematic reviews · 2015Pooled it
74 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
objectiveTo evaluate the effectiveness of an integrated care programme, combining a patient directed and a workplace directed intervention, for patients with chronic low back pain.
designPopulation based randomised controlled trial.
settingPrimary care (10 physiotherapy practices, one occupational health service, one occupational therapy practice) and secondary care (five hospitals).
participants134 adults aged 18-65 sick listed for at least 12 weeks owing to low back pain.
interventionPatients were randomly assigned to usual care (n=68) or integrated care (n=66). Integrated care consisted of a workplace intervention based on participatory ergonomics, involving a supervisor, and a graded activity programme based on cognitive behavioural principles.
main outcome measuresThe primary outcome was the duration of time off work (work disability) due to low back pain until full sustainable return to work. Secondary outcome measures were intensity of pain and functional status.
resultsThe median duration until sustainable return to work was 88 days in the integrated care group compared with 208 days in the usual care group (P=0.003). Integrated care was effective on return to work (hazard ratio 1.9, 95% confidence interval 1.2 to 2.8, P=0.004). After 12 months, patients in the integrated care group improved significantly more on functional status compared with patients in the usual care group (P=0.01). Improvement of pain between the groups did not differ significantly.
conclusionThe integrated care programme substantially reduced disability due to chronic low back pain in private and working life. Trial registration Current Controlled Trials ISRCTN28478651.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.