| Return to work after surgery for lumbar disc herniation. A rehabilitation-oriented approach in insurance medicine. | |
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MedLine Citation:
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PMID: 10327508 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY DESIGN: An intervention study by the medical advisers of a social security sickness fund on a mandatorily insured patient population after open discectomy for herniated lumbar intervertebral disc. The medical advisers were randomized into two groups: a control group (n = 30) and an intervention group (n = 30). OBJECTIVES: To compare a rehabilitation-oriented approach in insurance medicine focused primarily on early mobilization and early resumption of professional activities with the usual claim-based practice. SUMMARY OF BACKGROUND DATA: This study included 710 patients, with a mean age of 39.2 years, who underwent surgery for herniated lumbar disc. METHODS: Medical advisers in the rehabilitation-oriented group examined the patients monthly, starting at 6 weeks after the surgical intervention. They used a newly developed protocol to motivate the patients and treating physicians toward social and professional reintegration. RESULTS: At 52 weeks, 10.1% of the patients guided by medical advisers from the rehabilitation-oriented group had not resumed work in contrast to 18.1% of the patients in the control group. It was statistically proven that this effect also holds during the follow-up period. CONCLUSIONS: A rehabilitation-oriented approach by the medical advisers of social security can increase the probability of a return to work for patients after lumbar disc herniation surgery. |
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Authors:
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P Donceel; M Du Bois; D Lahaye |
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Publication Detail:
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Type: Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Spine Volume: 24 ISSN: 0362-2436 ISO Abbreviation: Spine Publication Date: 1999 May |
Date Detail:
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Created Date: 1999-06-28 Completed Date: 1999-06-28 Revised Date: 2009-07-09 |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 872-6 Citation Subset: IM |
Affiliation:
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Department of Occupational and Insurance Medicine, School of Public Health, Katholieke Universiteit Leuven, Belgium. peter.donceel@med.kuleuven.ac.be |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Female Follow-Up Studies Humans Insurance, Major Medical* Intervertebral Disk Displacement / physiopathology, rehabilitation*, surgery* Lumbar Vertebrae / physiopathology, surgery* Male Prospective Studies Rehabilitation, Vocational / methods* Spinal Fusion Work Capacity Evaluation* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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