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Reducing Time Off Work Through an Integrated Care Pathway for Shoulder Injuries: Evidence from a Workers'

Anelise Silveira1,2, Lauren A Beaupre3,4,5, Donald Voaklander6

  • 1School of Health and Rehabilitation Sciences, Faculty of Health, Medicine and Behavioural Sciences, The University of Queensland, Level 7, 296 Herston Rd, Brisbane, QLD, 4006, Australia. anelise.silveira@uq.edu.au.

Journal of Occupational Rehabilitation
|May 8, 2026
PubMed
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This summary is machine-generated.

Implementing a care pathway for first-time shoulder injury claims accelerated return to modified duties. This proactive approach improved workplace rehabilitation without negatively impacting long-term return-to-work outcomes.

Area of Science:

  • Occupational Health
  • Rehabilitation Medicine
  • Injury Management

Background:

  • Workplace injuries, particularly shoulder injuries, pose significant challenges to return-to-work (RTW).
  • Standard care pathways may not always optimize recovery and RTW for injured workers.
  • Identifying prognostic factors is crucial for effective intervention.

Purpose of the Study:

  • To evaluate the impact of a specialized care pathway on RTW levels for workers with their first shoulder injury claim.
  • To identify demographic, injury-related, occupational, and program factors influencing RTW outcomes.

Main Methods:

  • Retrospective cohort study of 5075 workers with first shoulder injury claims.
  • Comparison between standard care (2004-2008) and a care pathway with collaborative RTW planning (2014-2018).
Keywords:
Care deliveryClaimReturn to workShoulder injuries

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  • Multinomial logistic regression used to analyze RTW levels and associated factors.

    • Main Results:

    • The care pathway cohort showed a significantly higher risk (1.8 times) of returning to modified duties compared to the standard care group.
    • While claim duration was shorter in the care pathway group, long-term wage replacement benefits were similar.
    • Factors like interpreter use, prolonged claims, poor compliance, and delayed treatment were linked to failure to RTW at pre-accident levels.

    Conclusions:

    • A specialized care pathway facilitates a quicker return to modified duties for shoulder injury claims.
    • This proactive intervention strategy optimizes workplace rehabilitation and minimizes long-term disability.
    • Understanding prognostic factors is key to successful RTW interventions.