Cochrane · systematic review · CD013098
Self‐certification versus physician certification of sick leave for reducing sickness absence and associated costs
Kausto, J, Verbeek, JH, Ruotsalainen, JH, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
WorkAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 3 · 42.9%Low 4 · 57.1%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Longer self‐certification compared to shorter self‐certification for reducing sickness absence in workers
Population: workers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
RCT: Average duration of sickness absence periods in days Longer self‐certification vs shorter self‐certification | no estimate extracted | 1 study · 237391 participants | Low Downgraded: risk of bias |
CBA: Average duration of sickness absence periods in days Longer self‐certification vs shorter self‐certification | no estimate extracted | 2 studies · 1869 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
RCT: Number of sickness absence periods per worker Longer self‐certification vs shorter self‐certification | no estimate extracted | 1 study · 237391 participants | Low Downgraded: risk of bias |
CBA: Number of sickness absence periods per worker Longer self‐certification vs shorter self‐certification | no estimate extracted | 2 studies · 1869 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
RCT: Average lost work time per 100 person‐years Longer self‐certification vs shorter self‐certification | no estimate extracted | 1 study · 237391 participants | Low Downgraded: risk of bias, indirectness |
CBA: Average lost work time per 100 person‐years Longer self‐certification vs shorter self‐certification | no estimate extracted | 4 studies · 17114 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
RCT: Costs of sickness absence and physician certification Longer self‐certification vs shorter self‐certification | no estimate extracted | 1 study · 237391 participants | Low Downgraded: risk of bias |