Evidence map›Paper›PMID 32164777›Full record

Trial reportTrials2020

Improved recording of work relatedness during patient consultations in occupational primary health care: a cluster randomized controlled trial using routine data.

Salla Atkins, Tiia Reho, Nina Talola, Markku Sumanen, Mervi Viljamaa, Jukka Uitti

Open access · goldAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 20% 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.

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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
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 at 2 institutions in 2 countries.

Salla AtkinsNew Social Research and Faculty of Social Sciences, Tampere University, Tampere, Finland. Salla.atkins@tuni.fi.ORCID http://orcid.org/0000-0002-4116-893X
Tiia RehoFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Nina TalolaFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Markku SumanenFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Mervi ViljamaaPihlajalinna Työterveys, Tampere, Finland.
Jukka UittiFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Tampere University · FITampere University of Applied Sciences · FI

Funding

european social fund S20659
6 · The paper itself

Abstract

backgroundProlonging working careers is a key policy goal in ageing populations in Europe, but reaching this goal is complex. Occupational health services are in the best position to contribute towards prolonging working careers through preventing illnesses that cause work disability and early retirement. However, impacting on the trajectory between illness and work disability requires continuity of care and follow up, enabled through identifying patients at risk. We aimed to determine whether a combined educational and electronic reminder system in occupational health care could improve the recording and follow up of primary care visits made by patients at risk of work disability, and whether the system could impact on sickness absence rates.

methodsThis study is a pragmatic, cluster-randomized controlled trial using medical record data. Twenty-two Pihlajalinna Työterveys units were randomized into an intervention group receiving education and electronic reminders or a group receiving usual care through minimization methods. Patient consultation data were extracted from routine Pihlajalinna Työterveys patient registers from 2015 to 2017. In addition, process indicators were collected from the electronic system. Data were cleaned and analysed on an intention-to-treat basis using analysis of covariance.

resultsThere was no significant difference between intervention and control units in terms of sickness absences of different duration. Process indicators suggested that there was a change in physicians' practice of recording patients' risk of work disability and work-relatedness of visits following the educational intervention.

conclusionEducation with an electronic reminder can change physicians' practice, but long-term follow up is needed to determine whether this impacts on patients' sickness absences.

trial registrationISRCTN Registry: ISRCTN45728263. Registered on 12 April 2016.

Indexed as

Occupational Health ServicesPrimary Health CareSick LeaveAdultElectronic Health RecordsFemaleFinlandHealth Services ResearchHumansInsurance, DisabilityMaleMiddle AgedOccupational DiseasesPatient Education as TopicRegistriesReminder SystemsOccupational healthRandomized controlled trialsSickness absenceWork-related illnesses

Identifiers

PMID32164777
PMCPMC7068938
OpenAlexW3011780078

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.