Substantial sick-leave costs savings due to a graded activity intervention for workers with non-specific sub-acute low back pain

Hynek Hlobil, Kimi Uegaki, J Bart Staal, Martine C de Bruyne, Tjabe Smid, Willem van Mechelen

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The objective of this study is to compare the costs and benefits of a graded activity (GA) intervention to usual care (UC) for sick-listed workers with non-specific low back pain (LBP). The study is a single-blind, randomized controlled trial with 3-year follow-up. A total of 134 (126 men and 8 women) predominantly blue-collar workers, sick-listed due to LBP were recruited and randomly assigned to either GA (N = 67; mean age 39 +/- 9 years) or to UC (N = 67; mean age 37 +/- 8 years). The main outcome measures were the costs of health care utilization during the first follow-up year and the costs of productivity loss during the second and the third follow-up year. At the end of the first follow-up year an average investment for the GA intervention of 475 euros per worker, only 83 euros more than health care utilization costs in UC group, yielded an average savings of at least 999 euros (95% CI: -1,073; 3,115) due to a reduction in productivity loss. The potential cumulative savings were an average of 1,661 euros (95% CI: -4,154; 6,913) per worker over a 3-year follow-up period. It may be concluded that the GA intervention for non-specific LBP is a cost-beneficial return-to-work intervention.

Original languageEnglish
Pages (from-to)919-24
Number of pages6
JournalEuropean Spine Journal
Volume16
Issue number7
DOIs
Publication statusPublished - Jul 2007

Cite this

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title = "Substantial sick-leave costs savings due to a graded activity intervention for workers with non-specific sub-acute low back pain",
abstract = "The objective of this study is to compare the costs and benefits of a graded activity (GA) intervention to usual care (UC) for sick-listed workers with non-specific low back pain (LBP). The study is a single-blind, randomized controlled trial with 3-year follow-up. A total of 134 (126 men and 8 women) predominantly blue-collar workers, sick-listed due to LBP were recruited and randomly assigned to either GA (N = 67; mean age 39 +/- 9 years) or to UC (N = 67; mean age 37 +/- 8 years). The main outcome measures were the costs of health care utilization during the first follow-up year and the costs of productivity loss during the second and the third follow-up year. At the end of the first follow-up year an average investment for the GA intervention of 475 euros per worker, only 83 euros more than health care utilization costs in UC group, yielded an average savings of at least 999 euros (95{\%} CI: -1,073; 3,115) due to a reduction in productivity loss. The potential cumulative savings were an average of 1,661 euros (95{\%} CI: -4,154; 6,913) per worker over a 3-year follow-up period. It may be concluded that the GA intervention for non-specific LBP is a cost-beneficial return-to-work intervention.",
keywords = "Adult, Cognitive Therapy/economics, Cost-Benefit Analysis, Female, Follow-Up Studies, Humans, Low Back Pain/economics, Male, Occupational Diseases/rehabilitation, Physical Therapy Modalities/economics, Sick Leave/economics",
author = "Hynek Hlobil and Kimi Uegaki and Staal, {J Bart} and {de Bruyne}, {Martine C} and Tjabe Smid and {van Mechelen}, Willem",
year = "2007",
month = "7",
doi = "10.1007/s00586-006-0283-9",
language = "English",
volume = "16",
pages = "919--24",
journal = "European Spine Journal",
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Substantial sick-leave costs savings due to a graded activity intervention for workers with non-specific sub-acute low back pain. / Hlobil, Hynek; Uegaki, Kimi; Staal, J Bart; de Bruyne, Martine C; Smid, Tjabe; van Mechelen, Willem.

In: European Spine Journal, Vol. 16, No. 7, 07.2007, p. 919-24.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Substantial sick-leave costs savings due to a graded activity intervention for workers with non-specific sub-acute low back pain

AU - Hlobil, Hynek

AU - Uegaki, Kimi

AU - Staal, J Bart

AU - de Bruyne, Martine C

AU - Smid, Tjabe

AU - van Mechelen, Willem

PY - 2007/7

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N2 - The objective of this study is to compare the costs and benefits of a graded activity (GA) intervention to usual care (UC) for sick-listed workers with non-specific low back pain (LBP). The study is a single-blind, randomized controlled trial with 3-year follow-up. A total of 134 (126 men and 8 women) predominantly blue-collar workers, sick-listed due to LBP were recruited and randomly assigned to either GA (N = 67; mean age 39 +/- 9 years) or to UC (N = 67; mean age 37 +/- 8 years). The main outcome measures were the costs of health care utilization during the first follow-up year and the costs of productivity loss during the second and the third follow-up year. At the end of the first follow-up year an average investment for the GA intervention of 475 euros per worker, only 83 euros more than health care utilization costs in UC group, yielded an average savings of at least 999 euros (95% CI: -1,073; 3,115) due to a reduction in productivity loss. The potential cumulative savings were an average of 1,661 euros (95% CI: -4,154; 6,913) per worker over a 3-year follow-up period. It may be concluded that the GA intervention for non-specific LBP is a cost-beneficial return-to-work intervention.

AB - The objective of this study is to compare the costs and benefits of a graded activity (GA) intervention to usual care (UC) for sick-listed workers with non-specific low back pain (LBP). The study is a single-blind, randomized controlled trial with 3-year follow-up. A total of 134 (126 men and 8 women) predominantly blue-collar workers, sick-listed due to LBP were recruited and randomly assigned to either GA (N = 67; mean age 39 +/- 9 years) or to UC (N = 67; mean age 37 +/- 8 years). The main outcome measures were the costs of health care utilization during the first follow-up year and the costs of productivity loss during the second and the third follow-up year. At the end of the first follow-up year an average investment for the GA intervention of 475 euros per worker, only 83 euros more than health care utilization costs in UC group, yielded an average savings of at least 999 euros (95% CI: -1,073; 3,115) due to a reduction in productivity loss. The potential cumulative savings were an average of 1,661 euros (95% CI: -4,154; 6,913) per worker over a 3-year follow-up period. It may be concluded that the GA intervention for non-specific LBP is a cost-beneficial return-to-work intervention.

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KW - Male

KW - Occupational Diseases/rehabilitation

KW - Physical Therapy Modalities/economics

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ER -