Evidence map›Paper›PMID 29933319›Full record

ArticleJournal of occupational and environmental medicine2018

Early Return to Work Has Benefits for Relief of Back Pain and Functional Recovery After Controlling for Multiple Confounds.

William S Shaw, Candace C Nelson, Mary Jane Woiszwillo, Brittany Gaines, Susan E Peters

Abstract read
In one paragraph

Article in Journal of occupational and environmental medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. The clinical course of acute, subacute and persistent low back pain: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
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  10. How to get the most out of the fit note.The British journal of general practice : the journal of the Royal College of General Practitioners · 2021
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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

5 authors.

William S ShawUniversity of Connecticut Health Center, Farmington, Connecticut (Dr Shaw), University of Massachusetts Medical School, Worcester, Massachusetts (Dr Shaw), Liberty Mutual Research Institute for Safety, Hopkinton, Massachusetts (Dr Shaw, Dr Nelson, Ms Woiszwillo, Ms Gaines, and Dr Peters), Harvard School of Public Health, Boston, Massachusetts (Ms Nelson and Dr Peters), Massachusetts Department of Public Health, Boston, Massachusetts (Ms Nelson), University of Massachusetts, Boston, Massachusetts (Ms Gaines).
Candace C Nelson
Mary Jane Woiszwillo
Brittany Gaines
Susan E Peters

Funding

The Harvard TH Chan School of Public Health Center for Work, Health and WellbeingU19OH008861 · OH · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI SORENSEN, GLORIAN C · 2007 to 2025
$23.9M
ACL HHS U19OH008857ACL HHS U19OH008861NIOSH CDC HHS U19 OH008861
6 · The paper itself

Abstract

objectiveThe aim of the study was to evaluate the effect on health outcomes of an early or immediate return-to-work (RTW) after acute low back pain (LBP).

methodsA longitudinal cohort of workers (N = 557) consulting for uncomplicated LBP were assessed on demographic, pain, occupational, and psychosocial variables. Pain and function were assessed at 3-month postpain onset. We tested the longitudinal effects of an early RTW on 3-month outcomes.

resultsPain and function improved more rapidly for workers with an immediate (30.7%) or early (1 to 7 days) RTW (36.8%). Eleven demographic, health, or workplace variables were identified as potential confounds, but controlling for these factors only partially attenuated the benefits of an early RTW.

conclusionsAn early RTW improves acute LBP and functional recovery, and alternate confounding explanations only partially eclipse this therapeutic effect.

Indexed as

Return to WorkAdultBack PainConfounding Factors, EpidemiologicFemaleHumansLongitudinal StudiesMaleMiddle AgedPain MeasurementRecovery of FunctionRisk AssessmentSurveys and QuestionnairesTime Factors

Identifiers

PMID29933319
PMCPMC6200378

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.