Evidence map›Paper›PMID 26516339›Full record

ArticleJournal of occupational medicine and toxicology (London, England)2015

Chronic low back pain among French healthcare workers and prognostic factors of return to work (RTW): a non-randomized controlled trial.

B Cougot, A Petit, C Paget, C Roedlich, G Fleury-Bahi, M Fouquet, P Menu, C Dubois, C Geraut, Y Roquelaure and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of occupational medicine and toxicology (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05286333 (Identification of Risk Factors for Recurrence of Low Back Pain and Occupational Repercussions Among Beneficiaries of a Multidisciplinary Follow-up Shared Between Physical and Rehabilitation Medicine and Occupational Medicine), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% of its field
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.

NCT05286333 completednot on this mapstarted 2022, after this paper: background citation

Identification of Risk Factors for Recurrence of Low Back Pain and Occupational Repercussions Among Beneficiaries of a Multidisciplinary Follow-up Shared Between Physical and Rehabilitation Medicine and Occupational Medicine: a Monocentric Prospective Study

TypeobservationalSponsorFondation IldysRan2022 to 2026Enrolled51ConditionsLow Back Pain
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Lumbar total disc replacement: predictors for long-term outcome.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2018
    Trial
  3. Review
  4. Article
  5. Article
  6. Descriptive review of junior OB/GYN physicians' work task financial compensation in German hospitals.Journal of occupational medicine and toxicology (London, England) · 2019
    Review
  7. Article
  8. Review
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

11 authors at 3 institutions in 1 country.

B CougotExternal Consultation on Occupational and Environmental Health, Department of Occupational and Environmental Health, Nantes University Hospital, 5 rue du Doyen Boquien, Nantes, F 44 093 France ; Laboratory of Psychology of Pays de la Loire (LPPL - UPRES EA 4638), Nantes University - Faculty of Psychology, Nantes, F 44 312 France.
A PetitLaboratory of Ergonomics & Epidemiology in Occupational Health, LEEST, UA-InVS - IFR 132, UPRES EA 4336 Faculty of Medicine, University of Angers, Angers, F 49 000 France.
C PagetLaboratory of Ergonomics & Epidemiology in Occupational Health, LEEST, UA-InVS - IFR 132, UPRES EA 4336 Faculty of Medicine, University of Angers, Angers, F 49 000 France.
C RoedlichExternal Consultation on Occupational and Environmental Health, Department of Occupational and Environmental Health, Nantes University Hospital, 5 rue du Doyen Boquien, Nantes, F 44 093 France.
G Fleury-BahiLaboratory of Psychology of Pays de la Loire (LPPL - UPRES EA 4638), Nantes University - Faculty of Psychology, Nantes, F 44 312 France.
M FouquetExternal Consultation on Occupational and Environmental Health, Department of Occupational and Environmental Health, Nantes University Hospital, 5 rue du Doyen Boquien, Nantes, F 44 093 France.
P MenuPhysical Medicine Rehabilitation Department, Nantes University Hospital, 85 rue Saint Jacques, Nantes, F 44 093 France.
C DuboisPhysical Medicine Rehabilitation Department, Nantes University Hospital, 85 rue Saint Jacques, Nantes, F 44 093 France.
C GerautExternal Consultation on Occupational and Environmental Health, Department of Occupational and Environmental Health, Nantes University Hospital, 5 rue du Doyen Boquien, Nantes, F 44 093 France.
Y RoquelaureLaboratory of Ergonomics & Epidemiology in Occupational Health, LEEST, UA-InVS - IFR 132, UPRES EA 4336 Faculty of Medicine, University of Angers, Angers, F 49 000 France.
D TripodiExternal Consultation on Occupational and Environmental Health, Department of Occupational and Environmental Health, Nantes University Hospital, 5 rue du Doyen Boquien, Nantes, F 44 093 France ; Laboratory of Psychology of Pays de la Loire (LPPL - UPRES EA 4638), Nantes University - Faculty of Psychology, Nantes, F 44 312 France.
Laboratoire de Psychologie des Pays de la Loire · FRUniversité d'Angers · FRCentre Hospitalier Universitaire d'Angers · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany factors influence the return to work of workers with chronic low back pain (CLBP). They have been said to vary according to socio-professional group. This study first aimed to compare prognostic factors influencing the return to work of CLBP healthcare workers (HCWs) and other workers (non-HCWs) after rehabilitation coupled with an occupational intervention. The second objective was to improve the evolution of indicators such as clinical examination, psychosocial impact and pain impact.

methodsBetween 2007 and 2012, a cohort of 217 CLBP workers (54.8 %-women; mean age = 41.3 ± 9.5 years, 118 non-HCWs; 99 HCWs mainly from the public sector) was included in an ambulatory rehabilitation program (standard physiotherapy or intensive network physiotherapy) coupled with an occupational intervention. Workers completed a questionnaire and had a clinical examination at baseline and after 24 months' follow up. Physical, social and occupational data was collected at the same time. Statistical analyses were performed to evaluate prognostic factors for return to work and compare the two worker populations.

resultsThere was no difference between groups for the rate of OP (occupational physician) intervention or type of physiotherapy. 77.3 % of workers returned to work after 2 years following inclusion. To be an HCW (OR 0.1; 95 % CI [0.03-0.34]), to have less than 112 sick- leave days (OR 1.00; 95 % CI [0.93-1.00]), a small fingertip-floor distance (OR 0.96; 95 % CI [0.93-0.99]), a low anxiety/depression score (OR 0.97; 95 % CI [0.95-1.00]), a low impact of CLBP on daily life (OR 0.96; 95 % CI [0.93-1.00]), and on quality of life (OR 0.98; 95 % CI [0.95-1.00]) at baseline were statistically associated with return to work after 2 years of follow up. Only the profession (workplace) was statistically associated with return to work after 2 years of follow up using multivariate analysis.

conclusionTo our knowledge, this is the first cohort study concerning predictive factors of RTW among CLBP workers after 2 years of follow up. Interventions in the work environment did not seem to predict job retention significantly. But only 50 % of the employees in both groups (HCW and non-HCW) had one intervention at their workplace after 2 years. This study underlined the fact that the type of physiotherapy with a well-trained physiotherapist used to take care of CLBP could not impact on the RTW forecast. To develop these initial results, it might be interesting to study the comparison between private and public sectors and to randomize the physiotherapeutic intervention.

Identifiers

PMID26516339
PMCPMC4625968
OpenAlexW2178982028

What OpenQuestion holds

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LicenceCC BY
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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.