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Early multidisciplinary assessment was associated with longer periods of sick leave: a randomized controlled trial in a primary health care centre.

Carlsson L, Englund L, Hallqvist J, Wallman T - Scand J Prim Health Care (2013)

Bottom Line: Patients included were sick-listed for less than four weeks; 33 patients were randomized either to an assessment within a week by a physiotherapist, a psychotherapist, and an occupational therapist or to "standard care".The therapists used methods and tools they normally use in their clinical work.The proportion of patients who were part time sick-listed was significantly higher in the intervention group (10/18) than in the control group (2/15) (p = 0.027).

View Article: PubMed Central - PubMed

Affiliation: Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine Section, Uppsala University, Uppsala, Sweden. lars.carlsson@ltdalarna.se

ABSTRACT

Objective: To study the effects on sick leave from an early multidisciplinary assessment at a primary health care centre.

Design: Randomized controlled trial.

Setting: Patients who saw GPs at a primary health care centre in mid-Sweden and asked for a sickness certificate for psychiatric or musculoskeletal diagnoses were invited to participate. Patients included were sick-listed for less than four weeks; 33 patients were randomized either to an assessment within a week by a physiotherapist, a psychotherapist, and an occupational therapist or to "standard care". The therapists used methods and tools they normally use in their clinical work.

Main outcome measure: Proportion of patients still sick-listed three months after randomization, total and net days on sick leave, and proportion who were on part-time sick leave. Results. At follow-up after three months, in contrast to the pre-trial hypothesis, there was a trend toward a higher proportion of patients still sick-listed in the intervention group (7/18) as compared with the control group (3/15). The intervention group also had significantly longer sick-listing periods (mean 58 days) than the control group (mean 36 days) (p = 0.038). The proportion of patients who were part time sick-listed was significantly higher in the intervention group (10/18) than in the control group (2/15) (p = 0.027).

Conclusions: In this study an early multidisciplinary assessment was associated with longer periods on sick leave and more individuals on part-time sick leave.

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Related in: MedlinePlus

Flow chart of eligible patients invited to participate in the study and randomized participants.
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Figure 1: Flow chart of eligible patients invited to participate in the study and randomized participants.

Mentions: A total of 58 patients were invited to take part in the study. Eight GPs recruited the patients. In all, 36 patients agreed to participate in the study and were randomized, but three women (one in the control group and two in the intervention group) later withdrew from participation before assessment; 33 patients were finally committed to the study (Figure 1).


Early multidisciplinary assessment was associated with longer periods of sick leave: a randomized controlled trial in a primary health care centre.

Carlsson L, Englund L, Hallqvist J, Wallman T - Scand J Prim Health Care (2013)

Flow chart of eligible patients invited to participate in the study and randomized participants.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750435&req=5

Figure 1: Flow chart of eligible patients invited to participate in the study and randomized participants.
Mentions: A total of 58 patients were invited to take part in the study. Eight GPs recruited the patients. In all, 36 patients agreed to participate in the study and were randomized, but three women (one in the control group and two in the intervention group) later withdrew from participation before assessment; 33 patients were finally committed to the study (Figure 1).

Bottom Line: Patients included were sick-listed for less than four weeks; 33 patients were randomized either to an assessment within a week by a physiotherapist, a psychotherapist, and an occupational therapist or to "standard care".The therapists used methods and tools they normally use in their clinical work.The proportion of patients who were part time sick-listed was significantly higher in the intervention group (10/18) than in the control group (2/15) (p = 0.027).

View Article: PubMed Central - PubMed

Affiliation: Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine Section, Uppsala University, Uppsala, Sweden. lars.carlsson@ltdalarna.se

ABSTRACT

Objective: To study the effects on sick leave from an early multidisciplinary assessment at a primary health care centre.

Design: Randomized controlled trial.

Setting: Patients who saw GPs at a primary health care centre in mid-Sweden and asked for a sickness certificate for psychiatric or musculoskeletal diagnoses were invited to participate. Patients included were sick-listed for less than four weeks; 33 patients were randomized either to an assessment within a week by a physiotherapist, a psychotherapist, and an occupational therapist or to "standard care". The therapists used methods and tools they normally use in their clinical work.

Main outcome measure: Proportion of patients still sick-listed three months after randomization, total and net days on sick leave, and proportion who were on part-time sick leave. Results. At follow-up after three months, in contrast to the pre-trial hypothesis, there was a trend toward a higher proportion of patients still sick-listed in the intervention group (7/18) as compared with the control group (3/15). The intervention group also had significantly longer sick-listing periods (mean 58 days) than the control group (mean 36 days) (p = 0.038). The proportion of patients who were part time sick-listed was significantly higher in the intervention group (10/18) than in the control group (2/15) (p = 0.027).

Conclusions: In this study an early multidisciplinary assessment was associated with longer periods on sick leave and more individuals on part-time sick leave.

Show MeSH
Related in: MedlinePlus