[The effectiveness and costs of the Back At work After Surgery (BAAS) work-integrated care pathway on return to work for patients receiving knee arthroplasty].

Q4 Medicine

Nederlands tijdschrift voor geneeskunde Pub Date : 2026-06-25

Daniël O Strijbos, Geert van der Sluis, Tim Boymans, Michiel F Reneman, P Paul F M Kuijer

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引用次数: 0

Abstract

Objective: To evaluate the effectiveness and costs of the Back At work After Surgery (BAAS) integrated care pathway for workers receiving knee arthroplasty in the Netherlands.

Design: Comparative cohort study of the BAAS cohort versus two usual-care cohorts.

Methods: BAAS included explicit discussion of RTW in orthopedic consultations, workplace assessment, Goal Attainment Scaling, activity monitoring and an interdisciplinary online consult at 4-5 weeks postoperatively. Cohorts shared similar inclusion criteria and return-to-work and cost outcomes. Time to (full) RTW was analyzed with IPTW/Cox regression and costs with propensity score matching.

Results: Median time to first RTW was 27 days in BAAS versus 52 and 43 days in controls (HR 2.7 and 1.95). Full RTW took 183 versus 210 days (HR 1.4). Non-RTW within 12 months was 2% versus 16% and 13%. Intervention cost €845 with cost reductions of €4,493 per worker from employer perspective.

Conclusion: BAAS accelerates return-to-work and delivers substantial economic benefits.

本刊更多论文

[术后重返工作（BAAS）工作-综合护理路径对膝关节置换术患者重返工作的有效性和成本]。

目的：评估荷兰人工膝关节置换术后重返工作岗位（BAAS）综合护理路径的有效性和成本。设计：BAAS队列与两个常规护理队列的比较队列研究。方法：BAAS包括在骨科会诊、工作场所评估、目标实现量表、活动监测和术后4-5周的跨学科在线会诊中明确讨论RTW。群组的纳入标准、重返工作岗位和成本结果相似。使用IPTW/Cox回归分析（完全）RTW时间，使用倾向评分匹配分析成本。结果：BAAS患者到第一次RTW的中位时间为27天，对照组为52天和43天（HR为2.7和1.95）。完整的航程需要183天，而210天（HR 1.4）。12个月内未转航的比例分别为2%、16%和13%。干预成本为845欧元，从雇主的角度来看，每个工人的成本降低了4493欧元。结论：BAAS加速了返工，经济效益显著。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nederlands tijdschrift voor geneeskunde Medicine-Medicine (all)

CiteScore

0.30

自引率

0.00%

发文量

302

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