Cost-effectiveness of providing patients with information on managing mild low-back symptoms in an occupational health setting

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http://hdl.handle.net/10138/163195

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Rantonen , J , Karppinen , J , Vehtari , A , Luoto , S , Viikari-Juntura , E , Hupli , M , Malmivaara , A & Taimela , S 2016 , ' Cost-effectiveness of providing patients with information on managing mild low-back symptoms in an occupational health setting ' , BMC Public Health , vol. 16 , 316 . https://doi.org/10.1186/s12889-016-2974-4

Title: Cost-effectiveness of providing patients with information on managing mild low-back symptoms in an occupational health setting
Author: Rantonen, J.; Karppinen, J.; Vehtari, A.; Luoto, S.; Viikari-Juntura, E.; Hupli, M.; Malmivaara, A.; Taimela, S.
Contributor: University of Helsinki, Department of Public Health
Date: 2016-04-12
Language: eng
Number of pages: 13
Belongs to series: BMC Public Health
ISSN: 1471-2458
URI: http://hdl.handle.net/10138/163195
Abstract: Background: Evidence shows that low back specific patient information is effective in sub-acute low back pain (LBP), but effectiveness and cost-effectiveness (CE) of information in early phase symptoms is not clear. We assessed effectiveness and CE of patient information in mild LBP in the occupational health (OH) setting in a quasi-experimental study. Methods: A cohort of employees (N = 312, aged Results: Compared to NC, the Booklet reduced HC costs by 196(sic) and SA by 3.5 days per year. In 81 % of the bootstrapped cases the Booklet was both cost saving and effective on SA. Compared to NC, in the Combined arm, the figures were 107(sic), 0.4 days, and 54 %, respectively. PHI decreased in both interventions. Conclusions: Booklet information alone was cost-effective in comparison to natural course of mild LBP. Combined information reduced HC costs. Both interventions reduced physical impairment. Mere booklet information is beneficial for employees who report mild LBP in the OH setting, and is also cost saving for the health care system.
Subject: Low back pain
The Back Book
Prevention
Quasi-experimental study
Sickness absence
Intervention
Disability
Cohort study
RCT
Health economy
RANDOMIZED CONTROLLED-TRIAL
PRIMARY-CARE MANAGEMENT
EDUCATIONAL BOOKLET
SICKNESS ABSENCE
PHYSICAL-THERAPY
CLINICAL-TRIALS
GLOBAL BURDEN
WHITEHALL-II
FOLLOW-UP
PAIN
3142 Public health care science, environmental and occupational health
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