Evidence map›Paper›PMID 37486071›Full record

Trial reportEuropean psychiatry : the journal of the Association of European Psychiatrists2023

The cost-utility of a return-to-work intervention in comparison to routine care for patients with mental disorders in Germany: Results from the RETURN project.

Tamara Waldmann, Lina Riedl, Peter Brieger, Anne Lang, Daniela Blank, Monika Kohl, Adele Brucks, Markus Bühner, Johannes Hamann, Reinhold Kilian

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European psychiatry : the journal of the Association of European Psychiatrists, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. [Mental health problems among employees: service use and costs to the German healthcare system].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2024
    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

10 authors.

Tamara WaldmannDepartment of Psychiatry and Psychotherapy II, University of Ulm and BKH Günzburg, Günzburg, Germany.ORCID 0000-0002-8084-2827
Lina RiedlDepartment of Psychiatry and Psychotherapy of Technical, University of Munich, München, Germany.ORCID 0000-0002-0658-5332
Peter BriegerKbo-Isar-Amper Clinic, Academic Teaching Hospital of Ludwig-Maximilians University, Munich, Germany.
Anne LangKbo-Isar-Amper Clinic, Academic Teaching Hospital of Ludwig-Maximilians University, Munich, Germany.ORCID 0000-0002-4441-8279
Daniela BlankKbo-Isar-Amper Clinic, Academic Teaching Hospital of Ludwig-Maximilians University, Munich, Germany.ORCID 0009-0005-5603-3340
Monika KohlDepartment of Psychiatry and Psychotherapy of Technical, University of Munich, München, Germany.
Adele BrucksDepartment of Psychiatry and Psychotherapy of Technical, University of Munich, München, Germany.
Markus BühnerDepartment of Psychology, Ludwig-Maximilians University, Munich, Germany.ORCID 0000-0002-0597-8708
Johannes HamannDepartment of Psychiatry and Psychotherapy of Technical, University of Munich, München, Germany.ORCID 0000-0002-3861-6017
Reinhold KilianDepartment of Psychiatry and Psychotherapy II, University of Ulm and BKH Günzburg, Günzburg, Germany.ORCID 0000-0002-4401-5787

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOnly two-thirds of patients admitted to psychiatric wards return to their previous jobs. Return-to-work interventions in Germany are investigated for their effectiveness, but information regarding cost-effectiveness is lacking. This study investigates the cost-utility of a return-to-work intervention for patients with mental disorders compared to treatment as usual (TAU).

methodsWe used data from a cluster-randomised controlled trial including 166 patients from 28 inpatient psychiatric wards providing data at 6- and 12-month follow-ups. Health and social care service use was measured with the Client Sociodemographic and Service Receipt Inventory. Quality of life was measured with the EQ-5D-3L questionnaire. Cost-utility analysis was performed by calculating additional costs per one additional QALY (Quality-Adjusted Life Years) gained by receiving the support of return-to-work experts, in comparison to TAU.

resultsNo significant cost or QALY difference between the intervention and control groups has been detected. The return-to-work intervention cannot be identified as cost-effective in comparison to TAU.

conclusionsThe employment of return-to-work experts could not reach the threshold of providing good value for money. TAU, therefore, seems to be sufficient support for the target group.

Indexed as

Health Care CostsMental DisordersReturn to WorkAdultCost-Benefit AnalysisFemaleGermanyHumansMaleMiddle AgedQuality of LifeSick LeaveSurveys and Questionnairescost-utility analysismental disordermental healthreturn-to-work

Identifiers

PMID37486071
PMCPMC10486254

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.