Daniël O Strijbos, A Carlien Straat, Geert van der Sluis, Wim F C van Houtert, Johanna M van Dongen, Tim Boymans, P Paul F M Kuijer, Michiel F Reneman
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Productivity (absenteeism and presenteeism) and healthcare (primary and secondary) costs were assessed using cost questionnaires administered at 3, 6, 9, and 12 months post-surgery. Propensity score matching and multiple imputation addressed non-randomization and missing data, respectively. ROI was calculated by dividing the netto benefits-defined as reductions in productivity and healthcare costs, or productivity costs alone minus costs of the BAAS intervention-by the intervention costs multiplied by 100%.</p><p><strong>Results: </strong>Propensity score-matched analyses included 102 patients per cohort. The total netto benefits from employers and societal perspective were of €4,493 and €4,982, respectively. Intervention costs were €845/patient. This resulted in a ROI of 590% (95% CI 67-1112%) and 532% (95% CI 27-1037%) from the societal and employer's perspective, respectively, per Euro invested.</p><p><strong>Conclusions: </strong>The BAAS care pathway demonstrates a favorable economic impact through significant 12 month downstream reductions in absenteeism and healthcare costs, and a positive ROI from both the societal and employer perspective.</p><p><strong>Trail registration: </strong>This study was retrospectively registered at clinicaltrails.gov ( https://clinicaltrials.gov/ct2/show/NCT05690347 , date of first registration: 19-01-2023).</p>","PeriodicalId":48035,"journal":{"name":"Journal of Occupational Rehabilitation","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Return on Investment of the Back At Work After Surgery (BAAS) Care Pathway Compared to Care-as-Usual in Knee Arthroplasty.\",\"authors\":\"Daniël O Strijbos, A Carlien Straat, Geert van der Sluis, Wim F C van Houtert, Johanna M van Dongen, Tim Boymans, P Paul F M Kuijer, Michiel F Reneman\",\"doi\":\"10.1007/s10926-025-10328-w\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The Back At work After Surgery (BAAS) care pathway integrates medical and occupational care to enhance return to work (RTW) after knee arthroplasty (KA). 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引用次数: 0
摘要
目的:术后重返工作(BAAS)护理路径整合了医疗和职业护理,以提高膝关节置换术(KA)后重返工作(RTW)。BAAS在改善空运结果方面显示出有效性,但其经济影响尚不清楚。本研究比较了BAAS与照护的成本及投资回报(ROI)。方法:这项多中心前瞻性队列研究纳入了270名KA患者,比较BAAS途径(n = 137)和常规护理(ACTIVE试验,n = 133)。投资回报率从社会和雇主的角度进行评估。在手术后3个月、6个月、9个月和12个月使用成本问卷评估生产力(缺勤和出勤)和医疗保健(初级和二级)成本。倾向评分匹配和多重输入分别解决了非随机化和缺失数据。ROI的计算方法是将净收益(定义为生产力和医疗保健成本的降低,或仅生产力成本减去BAAS干预成本)除以干预成本乘以100%。结果:倾向评分匹配分析包括每个队列102例患者。雇主和社会角度的净收益总额分别为4493欧元和4982欧元。干预费用为845欧元/例。从社会和雇主的角度来看,这导致每欧元投资的投资回报率分别为590% (95% CI 67-1112%)和532% (95% CI 27-1037%)。结论:从社会和雇主的角度来看,BAAS护理途径显示出良好的经济影响,通过12个月的旷工率和医疗成本的显著降低,以及积极的投资回报率。试验注册:本研究在clinicaltrails.gov (https://clinicaltrials.gov/ct2/show/NCT05690347,首次注册日期:19-01-2023)上回顾性注册。
Return on Investment of the Back At Work After Surgery (BAAS) Care Pathway Compared to Care-as-Usual in Knee Arthroplasty.
Purpose: The Back At work After Surgery (BAAS) care pathway integrates medical and occupational care to enhance return to work (RTW) after knee arthroplasty (KA). BAAS has shown effectiveness in improving RTW outcomes, but its economic impact is unknown. This study evaluates the costs and return on investment (ROI) of BAAS compared with care-as-usual.
Methods: This multicenter, prospective cohort study involved 270 employed patients having KA, comparing the BAAS pathway (n = 137) to care-as-usual (ACTIVE trial, n = 133). The ROI was evaluated from societal and employer's perspectives. Productivity (absenteeism and presenteeism) and healthcare (primary and secondary) costs were assessed using cost questionnaires administered at 3, 6, 9, and 12 months post-surgery. Propensity score matching and multiple imputation addressed non-randomization and missing data, respectively. ROI was calculated by dividing the netto benefits-defined as reductions in productivity and healthcare costs, or productivity costs alone minus costs of the BAAS intervention-by the intervention costs multiplied by 100%.
Results: Propensity score-matched analyses included 102 patients per cohort. The total netto benefits from employers and societal perspective were of €4,493 and €4,982, respectively. Intervention costs were €845/patient. This resulted in a ROI of 590% (95% CI 67-1112%) and 532% (95% CI 27-1037%) from the societal and employer's perspective, respectively, per Euro invested.
Conclusions: The BAAS care pathway demonstrates a favorable economic impact through significant 12 month downstream reductions in absenteeism and healthcare costs, and a positive ROI from both the societal and employer perspective.
Trail registration: This study was retrospectively registered at clinicaltrails.gov ( https://clinicaltrials.gov/ct2/show/NCT05690347 , date of first registration: 19-01-2023).
期刊介绍:
The Journal of Occupational Rehabilitation is an international forum for the publication of peer-reviewed original papers on the rehabilitation, reintegration, and prevention of disability in workers. The journal offers investigations involving original data collection and research synthesis (i.e., scoping reviews, systematic reviews, and meta-analyses). Papers derive from a broad array of fields including rehabilitation medicine, physical and occupational therapy, health psychology and psychiatry, orthopedics, oncology, occupational and insurance medicine, neurology, social work, ergonomics, biomedical engineering, health economics, rehabilitation engineering, business administration and management, and law. A single interdisciplinary source for information on work disability rehabilitation, the Journal of Occupational Rehabilitation helps to advance the scientific understanding, management, and prevention of work disability.