Evidence map›Paper›PMID 35866584›Full record

ArticleOccupational medicine (Oxford, England)2022

Occupational recovery of Dutch workers with low back pain.

I Brus, E Speklé, P P Kuijer, M Hardenberg, P Coenen

Open access · hybridAbstract read
In one paragraph

Article in Occupational medicine (Oxford, England), 2022. 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
0.9field-weighted citation impact, top 27% 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, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Cardiovascular disease and absenteeism in Dutch occupational health: a retrospective study in a regular working population.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2025
    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

5 authors at 2 institutions in 1 country.

I BrusDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Amsterdam 1081 BT, The Netherlands.
E SpekléDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Amsterdam 1081 BT, The Netherlands.
P P KuijerDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Amsterdam 1081 BT, The Netherlands.
M HardenbergDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Amsterdam 1081 BT, The Netherlands.
P CoenenDepartment of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Amsterdam 1081 BT, The Netherlands.ORCID 0000-0002-4034-7063
GGD Amsterdam · NLArbo Unie · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow back pain (LBP) is a world leading cause of disability and has substantial impact on individuals and society as a whole. The largest part of the societal burden of LBP is caused by indirect costs, including sick leave.

aimsWe aimed to describe occupational recovery and associated costs for workers consulting an occupational physician (OP) with LBP, and to determine to what extent this differs by diagnoses: non-specific favourable LBP, non-specific unfavourable LBP, lumbosacral radicular syndrome (LRS) and specific LBP.

methodsWe analysed longitudinal dynamic cohort data from an occupational health service, representing ~1.2 million workers from various companies and sectors throughout the Netherlands. The OP registered data on sick leave and LBP diagnoses. A survival analysis was performed on sick leave duration to determine recovery and a linear regression analysis on cost per episode, adjusting for sex, age and working hours.

resultsWe analysed 5951 LBP episodes from 5472 workers who consulted an OP, with a median and mean duration sick leave of 95 and 151 days, respectively. The probability of not recovering was 82% at 30 days and 10% at 1 year. The mean cost per episode was €15 350. Specific LBP (€22 999; beta (95% confidence interval [CI]): 16 278 (13 325-19 165)) and LRS (€20 111; beta (95% CI): 13 589 (12 527-14 659)) had the longest and most costly episodes, compared to non-specific favourable LBP (€6745; reference group).

conclusionsWith LRS and non-specific unfavourable LBP accounting for over 83% of LBP-associated sick leave costs, the work-directed care of workers with these two diagnoses deserves increased attention.

Indexed as

Low Back PainOccupational Health ServicesCohort StudiesHumansRegression AnalysisSick Leave

Identifiers

PMID35866584
PMCPMC9578671
OpenAlexW4286486095

What OpenQuestion holds

Textmetadata
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.