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Patterns of sickness absence a decade after pain-related multidisciplinary rehabilitation
Division of Intervention and Implementation Research, Department of Public Health, Karolinska Institutet, Sweden.
Division of Intervention and Implementation Research, Department of Public Health, Karolinska Institutet, Sweden.
Division of Intervention and Implementation Research, Department of Public Health, Karolinska Institutet, Sweden.
Division of Intervention and Implementation Research, Department of Public Health, Karolinska Institutet, Sweden.
2011 (English)In: Pain, ISSN 0304-3959, E-ISSN 1872-6623, Vol. 152, no 8, p. 1727-1733Article in journal (Refereed) Published
Abstract [en]

Multidisciplinary programmes using a vocational approach can enhance work return in chronic pain patients, but little is known about the long-term effects of rehabilitation. The current study examined the patterns of sickness absence 10 years after participation in 3 treatment groups (physiotherapy, cognitive behavioural therapy, and vocational multidisciplinary rehabilitation) in comparison to a control group receiving treatment-as-usual. Cost-effectiveness was also assessed. Two hundred fourteen patients participated in a randomized controlled trial and were followed-up via register data 10 years after the interventions. On average, persons in multidisciplinary rehabilitation had 42.98 fewer days on sickness absence per year compared to those treated-as-usual (95% confidence interval −82.45 to −3.52, P=0.03). The corresponding reduction of sickness absence after physiotherapy and cognitive behavioural therapy was not significantly different from the control group. The effect of rehabilitation seems to be more pronounced for disability pension than for sick leave. The economic analyses showed substantial cost savings for individuals in the multidisciplinary group compared to the control group.

Place, publisher, year, edition, pages
Elsevier, 2011. Vol. 152, no 8, p. 1727-1733
Keywords [en]
Multidisciplinary rehabilitation, Neck pain, Back pain, Sickness absence, RCT, Cost effectiveness, Intervention study
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Anesthesiology and Intensive Care Neurology
Identifiers
URN: urn:nbn:se:oru:diva-66094DOI: 10.1016/j.pain.2011.02.004ISI: 000292862400011PubMedID: 21507573Scopus ID: 2-s2.0-79960469670OAI: oai:DiVA.org:oru-66094DiVA, id: diva2:1193318
Funder
AFA InsuranceAvailable from: 2018-03-26 Created: 2018-03-26 Last updated: 2018-03-28Bibliographically approved

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Bodin, Lennart

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