Results show systematic review ing of OTIs on RTW was challenging due to varying population s , different outcome measures , and poor descriptions of methodology .
There is evidence that OTIs as part of rehabilitation programs , increase RTW rates , although the method ological evidence of most studies is weak .
Background The primary aim of this review study was to gather evidence on the effectiveness in terms of return to work ( RTW ) of occupational therapy interventions ( OTIs ) in rehabilitation patients with non-congenital disorders .
A secondary aim was to be able to select the most efficient OTI .
[Coronary intervention and occupational rehabilitation--a prospective, randomized intervention study].
Coronary catheter revascularisation is less costly than bypass surgery due to lower direct ( medical ) and indirect costs ( loss of work ) . Many studies show that the time patients stay out of work following coronary intervention is much longer than necessary . This leads to a considerable increase of indirect costs , which can far exceed the medical costs of the treatment . This prospect i ve r and omised study was done to determine whether specific information to patient and family doctor results in an earlier return to work .  After catheter revascularisation 100 working patients ( mean age 52.4 years ) were r and omised either to the intervention group ( information to patient and family doctor ) or to the control group ( no specific information about return to work ) . Four months later 81 patients had returned to their previous jobs ( mean sick leave 18.9 + /- 24.8 days ) while 19 were still out of work . In the control group , the rate was 79 % and the mean sick leave was 16.4 + /- 22.0 days ( median 7 ) ; in the intervention group 83 % had returned to work after a mean of 21.5 + /- 27.4 days ( median 10 ) . There was no significant difference between the two groups , neither according to the rate of returned workers nor to the duration of sick leave . In the subgroup of patients with a private insurance ( 23 % of all ) 96 % started to work again ( mean sick leave 5.7 + /- 5.1 days median 3.5 ) , while the rate was 77 % in the group of panel patients ( mean sick leave 23.7 + /- 27.4 days , median 11 ) . The difference in sick leave between these two groups was highly significant ( p = 0.0003 ) . Specific information to the patient and family doctor has no effect on the time patients stay out of work following catheter revascularisation . It seems that the observed delay depends on social and psychological factors that can not be influenced directly
Results show systematic review ing of OTIs on RTW was challenging due to varying population s , different outcome measures , and poor descriptions of methodology .
There is evidence that OTIs as part of rehabilitation programs , increase RTW rates , although the method ological evidence of most studies is weak .
Background The primary aim of this review study was to gather evidence on the effectiveness in terms of return to work ( RTW ) of occupational therapy interventions ( OTIs ) in rehabilitation patients with non-congenital disorders .
A secondary aim was to be able to select the most efficient OTI .