Evidence map›Paper›PMID 29554017›Full record

Trial reportPain2018

Early workplace dialogue in physiotherapy practice improved work ability at 1-year follow-up-WorkUp, a randomised controlled trial in primary care.

Charlotte P Sennehed, Sara Holmberg, Iben Axén, Kjerstin Stigmar, Malin Forsbrand, Ingemar F Petersson, Birgitta Grahn

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Pain, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02609750 (WorkUp. Early Structured Care Including Workplace Interventions to Improve Work Ability in Patients With Neck and/or Back Pain. A Prospective Pare Wise Cluster Randomized Controlled Trial in Primary Care With One Year Follow up), which is not on this map. Cited by 29 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 4 pooled it
4.4field-weighted citation impact, top 5% 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.

NCT02609750 naactive not recruitingnot on this map

WorkUp. Early Structured Care Including Workplace Interventions to Improve Work Ability in Patients With Neck and/or Back Pain. A Prospective Pare Wise Cluster Randomized Controlled Trial in Primary Care With One Year Follow up

TypeinterventionalSponsorLund UniversityRan2013 to 2025Enrolled364ConditionsBack Pain, Neck PainArmsStructured care & workplace intervention, Treatment as Usual
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 4 syntheses or guidelines pooled it, 52 citations in OpenAlex.

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  12. 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
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Charlotte P SennehedDepartment of Clinical Sciences Lund, Orthopedics, Lund University, Lund, Sweden.
Sara HolmbergDepartment of Research and Development, Region Kronoberg, Växjö, Sweden.
Iben AxénUnit of Intervention and Implementation Research for Worker Health, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Kjerstin StigmarEpidemiology and Register Center South, Skåne University Hospital, Lund, Sweden.
Malin ForsbrandDepartment of Clinical Sciences Lund, Orthopedics, Lund University, Lund, Sweden.
Ingemar F PeterssonDepartment of Clinical Sciences Lund, Orthopedics, Lund University, Lund, Sweden.
Birgitta GrahnDepartment of Clinical Sciences Lund, Orthopedics, Lund University, Lund, Sweden.
Skåne University Hospital · SELund University · SEKarolinska Institutet · SERegion Blekinge · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Workplace involvement in rehabilitation for patients with musculoskeletal pain may improve work ability. Convergence Dialogue Meeting (CDM) is a model aimed at helping the patient, the care giver, and the employer to support work ability and return-to-work. Our aim was to study the effect on work ability when adding a workplace dialogue according to CDM in physiotherapy practice for patients with pain in ordinary primary care. We conducted a prospective pairwise cluster randomised controlled trial (ClinicalTrials.gov ID: NCT02609750) in primary care involving 20 primary care rehabilitation units with 1-year follow-up. Adult patients with acute/subacute neck and back pain, worked ≥4 weeks past year and not currently on sick leave or no more than 60 days of sick leave and considered at-risk of sick leave were included (n = 352). All patients received structured physiotherapy and the intervention was the addition of CDM, delivered by the treating physiotherapist. The main confirmatory outcome, work ability (defined as working at least 4 consecutive weeks at follow-up), was assessed by a weekly short text message question on number of sick leave days past week. Work ability was reached by significantly more patients in the intervention group (108/127, 85%) compared with the reference group (127/171, 74%) (P = 0.02). The intervention increased the odds of having work ability at 1-year follow-up, also after adjustment for baseline health-related quality of life (odds ratio 1.85, confidence interval 1.01-3.38). We conclude that an early workplace dialogue in addition to structured physiotherapy improved work ability significantly.

Indexed as

Physical Therapy ModalitiesReturn to WorkSick LeaveAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedMusculoskeletal PainQuality of LifeTreatment OutcomeWorkplace

Identifiers

PMID29554017
PMCPMC6085128
OpenAlexW2800647420

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.