Return to Work Coordination Programmes for Work Disability A Meta-Analysis of Randomised Controlled Trials 英文参考文献.docVIP

下载本文档

4
0
约3.59万字
约 13页
2017-05-13 发布于上海
举报
版权申诉

Return to Work Coordination Programmes for Work Disability A Meta-Analysis of Randomised Controlled Trials 英文参考文献.doc

1、原创力文档（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

Return to Work Coordination Programmes for Work Disability A Meta-Analysis of Randomised Controlled Trials 英文参考文献

ReturntoWorkCoordinationProgrammesforWork Disability:AMeta-AnalysisofRandomisedControlled Trials StefanSchandelmaier1*,ShanilEbrahim2,SusanC.A.Burkhardt1,WoutE.L.deBoer1, ThomasZumbrunn3,GordonH.Guyatt2,JasonW.Busse2,4,ReginaKunz1 1Academy of Swiss Insurance Medicine, University Hospital Basel, Basel, Switzerland, 2Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton,Ontario,Canada,3ClinicalTrialUnit,UniversityHospitalBasel,Basel,Switzerland,4DepartmentofAnesthesia,McMasterUniversity,Hamilton,Ontario,Canada Abstract Background: The dramatic rise in chronically ill patients on permanent disability benefits threatens the sustainability of socialsecurityinhigh-incomecountries.Socialinsuranceorganizationshavestartedtoinvestinpromising,butcostlyreturn towork(RTW)coordinationprogrammes.Thebenefit,however,remainsuncertain.Weconductedasystematicreviewto determine the long-term effectiveness of RTW coordination compared to usual practice in patients at risk for long-term disability. Methods and Findings: Eligible trials enrolled employees on work absence for at least 4 weeks and randomly assigned themtoRTWcoordinationortousualpractice.Wesearched5databases(toApril2,2012).Twoinvestigatorsperformed standardised eligibility assessment, study appraisal and data extraction independently and in duplicate. The GRADE frameworkguidedourassessmentofconfidenceinthemeta-analyticestimates.Weidentified9trialsfrom7countries,8 focusingonmusculoskeletal,and1onmentalcomplaints.Mosttrialsfollowedparticipantsfor12monthsorless.Notrial assessedpermanentdisability.ModeratequalityevidencesuggestsabenefitofRTWcoordinationonproportionatworkat endoffollow-up(riskratio=1.08,95%CI=1.03to1.13;absoluteeffect=5in100additionalindividualsreturningtowork, 95%CI=2to8),overallfunction(meandifference[MD]ona0to100scale=5.2,95%CI=2.4to8.0;minimalimportant difference[MID]=10),physicalfunction(MD=5.3,95%CI=1.4to9.1;MID=8.4),mentalfunction(MD=3.1,95%CI=0.7to 5.6;MID=7.3)andpain(MD=6.1