Trial reportDeutsches Arzteblatt international2025
A Work-Related Health Check to Identify the Need for Rehabilitation and Preventive Care (Check-Up 45+): A Multicenter Randomized Controlled Trial in General Practice (PReHa45).
Trial report in Deutsches Arzteblatt international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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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.
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.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness and cost-effectiveness of general health checks in adults: A systematic review.BMC public health · 2026Pooled it
- Evaluation of a general practitioner-based rehabilitation follow-up consultation to promote patients' use of medical rehabilitation aftercare: study protocol for a pragmatic cluster randomized crossover trial.BMC health services research · 2026Article
- Effects of a Work-Related Health Check (Check-Up 45+) on Utilization of Preventive and Rehabilitative Services - Results from a Randomized Controlled Trial.Journal of occupational rehabilitation · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGeneral practitioners are the main mediators of rehabilitation and prevention services for their patients, yet many who could benefit from such services do not receive them because there has not, to date, been any structured means of detecting need. We studied the efficacy of a work-related health check for persons aged 45 and over ("check-up 45+") to identify the need for rehabilitation and preventive care in general practice.
methodsIn a pragmatic, multicenter, 1:1 randomized controlled trial (registration no. DRKS00028303), the participating patients (aged 45 to 59) received, in addition to usual care, either a short questionnaire alone (695 patients) or, additionally, the "check-up 45+" (706 patients), in which the need for rehabilitation or prevention services was assessed with a validated "screening 45+" questionnaire and subsequent evaluation by the general practitioner. The primary endpoint was the number of applications for rehabilitation and prevention services, as determined from routine data derived from the German Pension Insurance (Deutsche Rentenversicherung). The secondary endpoints were approvals of services, actual provision of services, and needs identified by the "check-up 45+".
resultsApplications for rehabilitation and prevention services were four times more common for patients who received the "check-up 45+" than for those who did not (12.0% vs. 2.9%; p<0.001). The percentages of approved and completed services were higher as well (8.4% vs. 2.4%; 7.2% vs. 2.3%; p<0.001 for both). The "checkup 45+" identified a need for rehabilitation in 17.7% of patients and a need for preventive services in 26.3%.
conclusionThese findings indicate that the use of the "check-up 45+" in primary care increases the number of applications for rehabilitation and prevention services. The "check-up 45+" can improve needs-based access to rehabilitation and prevention services through early, structured recognition of the patient's needs and ensuing application for these services.
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