Sykefravaer og «Raskere tilbake»: En prospektiv klinisk studie av pasienter med langvarige
ryggsmerter
Engelsk titel: Sick leave and a «Return-to-Work» programme - a prospective clinical study on patients with
persistent low back pain
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Författare:
Grotle, Margareth
;
Klokk, Lars Petter
;
Kopperstad, Audun
Email: margreth.grotle@hioa.no.
Språk: Nor
Antal referenser: 19
Dokumenttyp:
Artikel
UI-nummer: 16023267
Sammanfattning
Objective: Explore 1-year course of sickleave and clinical outcome in patients with persistent low
back pain (LBP) referred to «Raskere tilbake»*, and assess whether psychological factors predicted
sickleave at 12 months follow-up.
Design: Prospective cohort study.
Material: All patients with LBP referred to Ålesund hospital outpatient back clinic during one year were
invited to participate.
Method: Standardised questionnaires at baseline, 3 and 12 months. Multivariate logistic regression
analyses was used to analyse the associations.
Results: A total of 131 patients were included; 98 responded at 3 months and 88 at 12 months. The
proportion of sickleave was reduced from 65% at baseline to 33% at 12 months (p<0.002). A statistically
significant reduction in number of sickleave days and improvement in clinical outcomes were also
observed. Sickleave at 12 months was statistically significant associated with emotional distress and
catastrophizing; odds ratio (OR) of 4.4 (CI 1.5 -12.8) and 4.2 (CI 1.5 - 11.7).
Conclusion. Patients who participated in the multidisciplinary «Raskere Tilbake» programme had a large
reduction in sickleave and improvement in clinical outcomes during the year of follow-up. Emotional
distress and catastrophizing at baseline increased the risk for sickleave at 12 months.