BAAS: een arbocuratief zorgpad bij knieprothese

Daniël O. Strijbos; Geert van der Sluis; Tim Boymans; Michiel F. Reneman; P. Paul F.M. Kuijer

BAAS: een arbocuratief zorgpad bij knieprothese

Translated title of the contribution: The effectiveness and costs of the Back At work After Surgery (BAAS) work-integrated care pathway on return to work for patients receiving knee arthroplasty

Daniël O. Strijbos
, Geert van der Sluis
, Tim Boymans
, Michiel F. Reneman
, P. Paul F.M. Kuijer

Research output: Contribution to journal › Article › Academic

Abstract

OBJECTIVE: To evaluate the effectiveness and costs of the Back At work After Surgery (BAAS) integrated care pathway for workers receiving knee arthroplasty in the Netherlands. DESIGN: Comparative cohort study of the BAAS cohort versus two usual-care cohorts. METHODS: BAAS included explicit discussion of RTW in orthopedic consultations, workplace assessment, Goal Attainment Scaling, activity monitoring and an interdisciplinary online consult at 4-5 weeks postoperatively. Cohorts shared similar inclusion criteria and return-to-work and cost outcomes. Time to (full) RTW was analyzed with IPTW/Cox regression and costs with propensity score matching. RESULTS: Median time to first RTW was 27 days in BAAS versus 52 and 43 days in controls (HR 2.7 and 1.95). Full RTW took 183 versus 210 days (HR 1.4). Non-RTW within 12 months was 2% versus 16% and 13%. Intervention cost €845 with cost reductions of €4,493 per worker from employer perspective. CONCLUSION: BAAS accelerates return-to-work and delivers substantial economic benefits.

Translated title of the contribution	The effectiveness and costs of the Back At work After Surgery (BAAS) work-integrated care pathway on return to work for patients receiving knee arthroplasty
Original language	Dutch
Article number	D8878
Journal	Nederlands Tijdschrift voor Geneeskunde
Volume	170
Issue number	7
Publication status	Published - 25 Jun 2026

Cite this

@article{bcffe34ff1304895a043dc1a33333c25,

title = "BAAS: een arbocuratief zorgpad bij knieprothese",

abstract = "OBJECTIVE: To evaluate the effectiveness and costs of the Back At work After Surgery (BAAS) integrated care pathway for workers receiving knee arthroplasty in the Netherlands. DESIGN: Comparative cohort study of the BAAS cohort versus two usual-care cohorts. METHODS: BAAS included explicit discussion of RTW in orthopedic consultations, workplace assessment, Goal Attainment Scaling, activity monitoring and an interdisciplinary online consult at 4-5 weeks postoperatively. Cohorts shared similar inclusion criteria and return-to-work and cost outcomes. Time to (full) RTW was analyzed with IPTW/Cox regression and costs with propensity score matching. RESULTS: Median time to first RTW was 27 days in BAAS versus 52 and 43 days in controls (HR 2.7 and 1.95). Full RTW took 183 versus 210 days (HR 1.4). Non-RTW within 12 months was 2\% versus 16\% and 13\%. Intervention cost €845 with cost reductions of €4,493 per worker from employer perspective. CONCLUSION: BAAS accelerates return-to-work and delivers substantial economic benefits.",

author = "Strijbos, \{Dani{\"e}l O.\} and \{van der Sluis\}, Geert and Tim Boymans and Reneman, \{Michiel F.\} and Kuijer, \{P. Paul F.M.\}",

year = "2026",

month = jun,

day = "25",

language = "Dutch",

volume = "170",

journal = "Nederlands Tijdschrift voor Geneeskunde",

issn = "0028-2162",

publisher = "Vereniging Nederlands Tijdschrift voor Geneeskunde",

number = "7",

}

TY - JOUR

T1 - BAAS

T2 - een arbocuratief zorgpad bij knieprothese

AU - Strijbos, Daniël O.

AU - van der Sluis, Geert

AU - Boymans, Tim

AU - Reneman, Michiel F.

AU - Kuijer, P. Paul F.M.

PY - 2026/6/25

Y1 - 2026/6/25

N2 - OBJECTIVE: To evaluate the effectiveness and costs of the Back At work After Surgery (BAAS) integrated care pathway for workers receiving knee arthroplasty in the Netherlands. DESIGN: Comparative cohort study of the BAAS cohort versus two usual-care cohorts. METHODS: BAAS included explicit discussion of RTW in orthopedic consultations, workplace assessment, Goal Attainment Scaling, activity monitoring and an interdisciplinary online consult at 4-5 weeks postoperatively. Cohorts shared similar inclusion criteria and return-to-work and cost outcomes. Time to (full) RTW was analyzed with IPTW/Cox regression and costs with propensity score matching. RESULTS: Median time to first RTW was 27 days in BAAS versus 52 and 43 days in controls (HR 2.7 and 1.95). Full RTW took 183 versus 210 days (HR 1.4). Non-RTW within 12 months was 2% versus 16% and 13%. Intervention cost €845 with cost reductions of €4,493 per worker from employer perspective. CONCLUSION: BAAS accelerates return-to-work and delivers substantial economic benefits.

AB - OBJECTIVE: To evaluate the effectiveness and costs of the Back At work After Surgery (BAAS) integrated care pathway for workers receiving knee arthroplasty in the Netherlands. DESIGN: Comparative cohort study of the BAAS cohort versus two usual-care cohorts. METHODS: BAAS included explicit discussion of RTW in orthopedic consultations, workplace assessment, Goal Attainment Scaling, activity monitoring and an interdisciplinary online consult at 4-5 weeks postoperatively. Cohorts shared similar inclusion criteria and return-to-work and cost outcomes. Time to (full) RTW was analyzed with IPTW/Cox regression and costs with propensity score matching. RESULTS: Median time to first RTW was 27 days in BAAS versus 52 and 43 days in controls (HR 2.7 and 1.95). Full RTW took 183 versus 210 days (HR 1.4). Non-RTW within 12 months was 2% versus 16% and 13%. Intervention cost €845 with cost reductions of €4,493 per worker from employer perspective. CONCLUSION: BAAS accelerates return-to-work and delivers substantial economic benefits.

M3 - Article

SN - 0028-2162

VL - 170

JO - Nederlands Tijdschrift voor Geneeskunde

JF - Nederlands Tijdschrift voor Geneeskunde

IS - 7

M1 - D8878

ER -

BAAS: een arbocuratief zorgpad bij knieprothese

Abstract

Fingerprint

Cite this