Journal of Rehabilitation Medicine 51-4inkOmslag | Page 50

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M. Rivano Fischer et al.
Table I. Description of background data on all patients in multimodal
rehabilitation (MMR); n=7,297
Background variables
Total
Men
Women
Patients in MMR 2007–11, n (%) 7,297
1,898 (26)
5,399 (74)
Age, year, mean (SD)
42 (10.0)
43 (10.2)
42 (10.0)
Pain duration, months, median (IQR) 64 (24–138) 57 (19–130) 67 (26–141)
a
Pain location, n (%)
Upper body
Lower body
Several/variable
Education level, n (%)
Primary school (9 years)
Secondary school (3 years)
University
Other
HADS Anxiety, n (%)
0–7
8–10
11–21
HADS Depression, n (%)
0–7
8–10
11–21
MPI, median (IQR)
Pain severity
Pain-related life interference
Life control
Affective distress
644 (34)
593 (31)
502 (26) 1,856 (34)
1,261 (23)
2,015 (37)
1,191 (16)
3,974 (55)
1,593 (22)
276 (4) 398 (21)
1,014 (53)
353 (19)
58 (3) 802 (15)
2,960 (55)
1,240 (23)
218 (4)
2,895 (40)
1,615 (22)
2,461 (34) 763 (40)
426 (22)
611(32) 2,132 (39)
1,189 (22)
1,850 (34)
3,155 (43)
1,633 (22)
2,148 (29) 749 (39)
438 (23)
603 (32) 2,406 (45)
1,195 (22)
1,545 (29)
There was a significant change (p < 0.001) in the
distribution of sick leave among the participants from
T1 to T3, with the percentage in the no sick-leave
category increasing from T1 to T3 and the percentage
in the other categories decreasing from T1 to T3. Fig.
3 illustrates the percentage of patients in the different
categories of sick leave at the 3 time-points. Post hoc
analysis showed a significant reduction in the percen-
tage of patients with sick leave between T1 and T2
(p < 0.001) and between T2 and T3 (p < 0.001).
Individual changes in extent of sick leave from
before multimodal rehabilitation to 2 years after
multimodal rehabilitation
Changes in sick leave categories for each patient
from T1 to T2 and T3 are illustrated in Table II. Of
the patients belonging to the no sick leave category at
a
missing value: on pain location n  = 426 (6%), on educational level n  = 263 (4%),
T1, 77% remained at T2. The percentage remaining in
on HADS anxiety 362 (5%), on HADS depression n  = 361 (5%), on MPI 184–220
the no sick leave category increased further to 85% at
(3%). HADS: Hospital Anxiety and Depression Scale; MPI: Multidimensional
Pain Inventory; SD: standard deviation; IQR: interquartile range.
T3. Of the patients belonging to the partial sick leave
(temporary and/or permanent) category
at T1, 38% moved to the no sick leave
100%
11
11
12
12
Sick-leave
category at T2. At T3 a total of 54% had
Full permanent
moved from the partial sick leave to the
80%
24
25
29
31
Temporary and permanent
no sick leave category. Of the patients
Partial
in the full-time sick leave (temporary
60%
19
20
No sick-leave
or mixed temporary and permanent)
21
23
40%
category at T1, 42% had moved to the
no sick leave category at T2, and at
46
43
20%
38
T3 a total of 58% had moved from the
34
full-time sick leave to the no sick leave
0%
category. Most patients in the full-time
365-273 (T0) 272-182
181-91
90-0 (T1)
permanent sick leave category at T1
Fig. 2. Level of sick leave at 4 3-month periods of time: 365–273 days (T0), 272–182
days, 181–91 days before multimodal rehabilitation (MMR), and 90–0 days (T1) before
remained in the same category at T2
MMR; n  = 7,297.
(64%), and 46% remained in the full-
time permanent sick leave category at
100%
T3. Nevertheless, 21% of those in the
10
11
12
Sick-leave
full-time permanent sick leave category
11
Full
permanent
80%
19
at T1 were in the no sick leave category
31
Temporary
and
permanent
16
at T2 and the share increased further,
Partial
19
60%
resulting in 30% moving to the no sick
No sick-leave
23
leave category at T3.
40%
20%
0%
2,500 (34)
1,854 (25)
2,517 (34)
Changes in extent of sick leave from before
multimodal rehabilitation to 2 years after
multimodal rehabilitation
4.3
4.6
2.8
3.7
51
(4.0–5.0)
(3.8–5.2)
(2.0–3.5)
(2.7–4.3)
4.3
4.6
2.8
3.7
(3.7–5.0)
(3.7–5.2)
(2.0–3.5)
(2.0–3.5)
4.3
4.6
2.8
3.7
(4.0–5.0)
(3.8–5.2)
(2.0–3.5)
(2.7–4.3)
63
34
T1
T2
T3
Fig. 3. Level of sick leave at 90–0 days before (T1) multimodal rehabilitation (MMR),
320–410 days after (T2) MMR and 775–985 days after (T3) MMR; n  = 7,297.
www.medicaljournals.se/jrm
Sick leave in men and women
Changes in sick leave category from T0
to T1 (p < 0.001) and T1 to T3 (p < 0.001)
were found in both men and women
(Table III).