@Article{Saltychev2012, author = "Saltychev, Mikhail and Laimi, Katri and El-Metwally, Ashraf and Oksanen, Tuula and Pentti, Jaana and Virtanen, Marianna and Kivimäki, Mika and Vahtera, Jussi", title = "Effectiveness of multidisciplinary primary prevention in decreasing the risk of work disability in a low-risk population", journal = "Scandinavian Journal of Work, Environment & Health", year = "2012", month = "Jan", day = "38", number = "1", pages = "27--37", keywords = "disability pension; early rehabilitation; low-risk population; multidisciplinary primary prevention; prevention; propensity score; rehabilitation; retirement; vocational rehabilitation; work disability", abstract = "'
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OBJECTIVE ': 'The aim of this study was to evaluate the effectiveness of a 4-week primary prevention program (vocationally oriented multidisciplinary early rehabilitation or VOMR) in reducing the risk of long-term work disability among public sector employees at risk of deteriorating work capacity because of work-related strain.
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METHODS ': 'As a part of the prospective Finnish public sector study, a follow-up study was carried out among 1394 public sector employees who underwent VOMR and their 4146 propensity score-matched controls. Baseline characteristics of 41 488 employees with full data on all 25 matching variables, measured from survey responses and national health registers, were used to calculate a propensity score for each employee to be granted rehabilitation. The cases were compared with the controls using Cox proportional hazard models as regards the risk of long-term work disability (sick leave >90 days or retirement on health grounds) after rehabilitation.
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RESULTS ': 'During a mean follow-up of 2.8 years [standard deviation (SD) 1.49, range 0.04–5.0], incident all-cause work disability was observed for 6.1% of the rehabilitants and 6.2% of the controls [hazard ratio (HR) 0.98, 95% confidence interval (95% CI) 0.76–1.25]. The corresponding HR for the main causes of work disability stemming from musculoskeletal diseases and mental disorders were 0.86 (95% CI 0.57–1.30) and 1.08 (95% CI 0.67–1.74), respectively.
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CONCLUSIONS ': 'VOMR was not associated with a lowered risk of long-term work disability compared to the controls. No support was obtained for the effectiveness of primary prevention for work disability in a low-risk cohort of employees.
", issn = "0355-3140", doi = "10.5271/sjweh.3169", url = "https://www.sjweh.fi/show_abstract.php?abstract_id=3169", url = "https://doi.org/10.5271/sjweh.3169" }