Library of evidence – content

Library of Evidence is a comprehensive web-based database which allows to explore evidence on EI with the use of easily searchable tables and tools supporting advanced filtering.

  • LRS
  • LPB
  • MSD
  • RD
  • RSI
  • UED
  • Whiplash
  • FM

93 studies

(in 116 publications)

  • 66 RCT
  • 27 Observational

+ 23 good practice examples from real world

Limitations

  • Mixed populations
  • diversity of interventions and means of their implementation
  • patients compliance
  • overlapping interventions and usual care
  • diversity of reported data formats and time points

El type

  • Stay-at-work
  • Return-to-work

Interventions

  • Multidisciplinary – 61
  • Therapy – 37
  • Service – 5

Library of Evidence – short description – inclusion criteria

a. Working age
b. Patients complained about the musculoskeletal disorders (MSD) or have been experiencing difficulties at work or have had periods of sick leave for less than 6 months due to MSD (acute and sub acute cases)
c. Healthy people at risk of a MSD

a. Rapid access (fast track) appointments (diagnosis, physiotherapy, CBT)
b. Multidisciplinary (two or more components from biopsychosocial model)
c. Case management with engagement from multiple levels of management
d. Care plans – return to work coordination programs
e. Multimodal prevention programs
f. Stay at work programs

a. Usual care
b. No intervention
c. Waiting list

Surgical intervention, different pharmacological interventions, interventions from one component of BPS model

Only if:
Work related and funtional end points (sick leave, work ability, return to work, presenteism)
then
Patient status (pain, disability) and healthcare utilization

a. full text
b. Only in English
c. Published from 2000 year

Evidence of Library

Searched:

  • MEDLINE (systematic comprehensive search)
  • EMBASE (systematic comprehensive search)
  • CENTRAL (systematic search)
  • AMED (systematic search)
  • OT Seeker (systematic search)
  • CIRRIE (systematic search)
  • NARIC (systematic search)
  • NIOSHTIC-2 (systematic search)
  • PEDro (simple search)
  • OSH Research (simple search)
  • OSHA (simple search)
  • ICTRP (simple search)

Last search: April 2016

Early Intervention

Fit for Work Global Alliance is led by The Work Foundation and supported by AbbVie.

Toolkit partners:

Toolkit sponsor:

Fit for Work Global Alliance is a multi-stakeholder initiative, driving policy and practice change across the work and health agendas in Europe and worldwide (over 35 countries). The vision is to raise awareness of the facts of MSKs and make the case for more investment in sustainable healthcare by promoting and supporting the implementation of early intervention practices. Fit for Work is led by The Work Foundation – Lancaster University, which is also providing the Secretariat. AbbVie is founding sponsor since 2008. All the research is produced independently by The Work Foundation, with full editorial control resting with the think-thank alone.

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