Evidence map›Paper›PMID 40956371›Full record

ArticleJournal of occupational rehabilitation2025

The Effectiveness of the Back At work After Surgery (BAAS) Work-Integrated Care Pathway on Return to Work for Patients Receiving Knee Arthroplasty: A Study of Three Comparative Cohorts in the Netherlands.

Daniël O Strijbos, Geert van der Sluis, Wim F C van Houtert, A Carlien Straat, Yvonne van Zaanen, Carolien M Kooijman, Igor van den Brand, Stephan E de Groot, Michiel F Reneman, Tim Boymans and 1 more

Registry-linked trialAbstract readMulticenter StudyComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of occupational rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05690347 (Protocol for a Multicenter Study on), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT05690347 unknown statusnot on this map

Protocol for a Multicenter Study on (Cost)Effectiveness of the Back At Work After Surgery (BAAS): a Clinical Pathway for Knee Arthroplasty

TypeobservationalSponsorAcademisch Medisch Centrum - Universiteit van Amsterdam (AMC-UvA)Ran2022 to 2025Enrolled150ConditionsArthropathy of KneeArmsBack At work After Surgery (BAAS)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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  6. Observational
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

11 authors.

Daniël O StrijbosDepartment of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. d.o.strijbos@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-8286-7788
Geert van der SluisDepartment of Health Innovations, Nij Smellinghe Hospital Drachten, Compagnonsplein 1, 9202 NN, Drachten, The Netherlands.ORCID http://orcid.org/0000-0001-5938-5433
Wim F C van HoutertDepartment of Health Innovations, Nij Smellinghe Hospital Drachten, Compagnonsplein 1, 9202 NN, Drachten, The Netherlands.ORCID http://orcid.org/0009-0001-7215-5920
A Carlien StraatDepartment of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0003-0023-8732
Yvonne van ZaanenDepartment of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-7924-8839
Carolien M KooijmanDepartment of Orthopedics, Nij Smellinghe Hospital Drachten, Compagnonsplein 1, 9202 NN, Drachten, The Netherlands.
Igor van den BrandDepartment of Orthopedics, Elizabeth Tweesteden Hospital, Doctor Deelenlaan 5, 5042 AD, Tilburg, The Netherlands.
Stephan E de GrootElabo, Landdrostlaan 51, 7327 GM, Apeldoorn, The Netherlands.
Michiel F RenemanDepartment of Rehabilitation, University Medical Center Groningen, University of Groningen, Haren, The Netherlands.ORCID http://orcid.org/0000-0002-4058-3437
Tim Boymans *Maastricht UMC +, Department of Orthopaedics, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
P Paul F M Kuijer *Department of Public and Occupational Health, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-8277-3730

Funding

ZonMw 10320052010006
6 · The paper itself

Abstract

purposeConsidering the increase in the demand from working age patients seeking knee arthroplasty (KA) and the low return-to-work (RTW) rates, optimization of care for patients getting KA with a focus on RTW is essential. We evaluated a work-integrated care pathway-Back At work After Surgery (BAAS)-aimed at improving RTW compared with care-as-usual in the Netherlands.

methodsIn this multicenter study of three comparative cohorts, working patients who had primary KA were included. Patients in two Dutch hospitals (BAAS cohort) received integrated medical and occupational care, including structured pre- and postoperative consultations, goal setting, activity tracking, and interdisciplinary team meetings with both medical and occupational health professionals. Two independent control cohorts with comparable patient inclusion criteria (Expect TO work and ACTIVE) from 15 hospitals/clinics received care-as-usual. The primary outcomes were the time to first day of RTW and time to full RTW within 12 months. Inverse Probability of Treatment Weighting was used with known prognostic factors as covariates to account for possible differences in baseline characteristics.

resultsA total of 457 patients were included (BAAS n = 145; Expect TO work n = 179; ACTIVE n = 133). The median time to first day of RTW was 16-25 days shorter in the BAAS cohort (27 days) compared to Expect TO work (52 days; hazard ratio [HR] 2.7; 95% confidence interval [CI]:2.1-3.4) and ACTIVE cohort (43 days; HR:1.95; CI:1.5-2.6). At three months, 90% of BAAS patients had started RTW versus 63% and 77% in the control cohorts. BAAS patients also achieved full RTW earlier, with a median time reduced by 27 days compared to the ACTIVE cohort (HR:1.4; CI:1.1-1.8). The odds of full RTW at 12 months were higher in the BAAS cohort compared to Expect TO work, namely odds ratio (OR) 5.0 (CI:1.3-18.5) and ACTIVE OR 9.3 (CI:2.5-34.8).

conclusionThe BAAS work-integrated care pathway was more effective than care-as-usual in improving RTW after KA in the Netherlands. TRAIL REGISTRATION: This study was retrospectively registered at clinicaltrails.gov ( https://clinicaltrials.gov/ct2/show/NCT05690347 , date of first registration: 19-01-2023).

Indexed as

Arthroplasty, Replacement, KneeReturn to WorkAdultAgedCohort StudiesCritical PathwaysDelivery of Health Care, IntegratedFemaleHumansMaleMiddle AgedNetherlandsArthrosisKneeOccupational medicineOrthopedic proceduresRehabilitation

Identifiers

PMID40956371
PMCPMC12575484

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Registered trials

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.