ArticleJournal of occupational rehabilitation2026
Effects of a Work-Related Health Check (Check-Up 45+) on Utilization of Preventive and Rehabilitative Services - Results from a Randomized Controlled Trial.
Article in Journal of occupational rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundTo strengthen prevention and rehabilitation in the workforce, the German Pension Insurance (GPI) is mandated to offer a work-related health examination for individuals aged 45 and over (check-up 45+) within a pilot project framework. We are evaluating the effects of the check-up 45+ on the utilization of preventive and rehabilitative services in the pilot project of GPI Bavaria South.
methodsThe GPI agency selected individuals based on inclusion criteria and randomized them into either the intervention group (IG) or the control group (CG). Data on personal characteristics and service utilization are available in the administrative data of the GPI and are supplemented by additional case documentation for the IG. We conducted descriptive and inferential statistical analyses using intention-to-treat (ITT) and per-protocol (PP) approaches.
resultsThe study includes 20,229 individuals (IG: 10,106; CG: 10,123), with 4.5% of the IG participating in the check-up 45+. In the ITT, the application rate for preventive services is six times higher in the IG than in the CG (p < .001), while for rehabilitative services, it is 1.2 times higher (p ≤ .01). In the PP, effects are more pronounced for both preventive (RR = 110.8, p < .001) and rehabilitative (RR = 2.9, p < .001) services. Participation in the check-up 45+ significantly influences the timing of preventive service applications while this effect is less pronounced for rehabilitative services.
conclusionThis pilot strategy effectively identifies previously unrecognized needs for prevention or rehabilitation and increases service utilization. However, it primarily targets individuals with a low risk of premature workforce exit.
Indexed as
Identifiers
41670797What OpenQuestion holds
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.