Cost-effectiveness of multidisciplinary treatment in sick-listed patients with upper extremity musculoskeletal disorders: a randomized, controlled trial with one-year follow-up

ISRCTN	ISRCTN88676585
DOI	https://doi.org/10.1186/ISRCTN88676585
Secondary identifying numbers	ZonMw number: 3140.0006; NTR76

Submission date: 12/09/2005
Registration date: 12/09/2005
Last edited: 20/10/2008

Recruitment status: No longer recruiting
Overall study status: Completed
Condition category: Musculoskeletal Diseases

Prospectively registered

Protocol

Statistical analysis plan

Results

Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Eline Meijer
Scientific

Academic Medical Centre
Universiteit van Amsterdam
Coronel Institute for Occupational and Environmental Health
P.O. Box 22700
Amsterdam
1100 DE
Netherlands

Phone	+31 (0)20 566 5325
Email	e.m.meijer@amc.uva.nl

Study information

Study design	Randomised, active controlled, parallel group trial
Primary study design	Interventional
Secondary study design	Randomised controlled trial
Study setting(s)	Not specified
Study type	Treatment
Scientific title
Study objectives	To determine the effectiveness and cost-effectiveness of a return-to-work outpatient multidisciplinary treatment programme for sick-listed workers with non-specific upper extremity musculoskeletal complaints.
Ethics approval(s)	Received from the local medical ethics committee
Health condition(s) or problem(s) studied	Chronic non-specific musculoskeletal complaints in the upper extremity
Intervention	1. Multidisciplinary treatment program of 13 full-time days, carried out by a commercial rehabilitation centre: each day's schedule consisted of four (1.5 hour) sessions: one session was dedicated to personal effectiveness (psychologist), one to return-to-work (reintegration expert) and two sessions enclosed physical training (physical therapist), including activities outside the building and individual counselling sessions. Patients were treated in groups of about eight individuals. 2. Usual care; supervision by occupational health services: usual care was coordinated by the occupational physician at the occupational health services. Usual care could include treatment at the workplace and in the regular health care system, initiated by a general practitioner, or medical specialist.
Intervention type	Other
Primary outcome measure	Return to regular work and costs.
Secondary outcome measures	1. Pain 2. Other complaints such as paraesthesia, stiffness, coldness 3. Process evaluation: 3.1. Grip strength 3.2. Disability 3.3. Physical functioning 3.4. Kinesiophobia
Overall study start date	01/11/2001
Completion date	01/01/2005

Eligibility

Participant type(s)	Patient
Age group	Adult
Lower age limit	18 Years
Sex	Both
Target number of participants	38
Key inclusion criteria	1. Bank employees in the Netherlands or workers at one of the two universities in Amsterdam 2. With non-specific upper extremity musculoskeletal disorders 3. Employment on a contract of at least 50% of full-time working hours 4. Sick leave for over 50% of the contractual hours during a period between four and 20 weeks 5. Aged between 18 and 65 years 6. Required to comprehend and have communication skills in Dutch
Key exclusion criteria	Does not comply with the above inclusion criteria
Date of first enrolment	01/11/2001
Date of final enrolment	01/01/2005

Locations

Countries of recruitment

Netherlands

Study participating centre

Academic Medical Centre

Amsterdam
1100 DE
Netherlands

Sponsor information

Academic Medical Centre (AMC) (The Netherlands)
Hospital/treatment centre

Coronel Institute for Occupational and Environmental Health
P.O. Box 22700
Amsterdam
1100 DE
Netherlands

Website	http://www.amc.uva.nl/
"ROR"	https://ror.org/03t4gr691

Funders

Funder type

Research organisation

The Netherlands Organisation for Health Research and Development (ZonMw) (The Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to share	No
IPD sharing plan summary	Not provided at time of registration
Publication and dissemination plan	Not provided at time of registration
IPD sharing plan

Study outputs

Output type	Details	Date created	Date added	Peer reviewed?	Patient-facing?
Results article	Results	01/09/2006		Yes	No