Background and aims: Prevalence of chronic pain is very high in Europe; so is the burden of chronic pain, resulting in high direct and indirect costs. Not working is associated with higher risk on psychological problems and general health issues, higher incidence of suicide and early death. 
 Therefore, early vocational rehabilitation should be an essential part of care for chronic pain patients. The aim of this study is to develop a screening tool in order to detect as soon as feasible the focus of treatment towards Return To Work (RTW) and facilitate clear communication between all stakeholders, patient included.
Methods:  After performing a literature study three expert groups were organized. By means of a nominal group technique we selected work and pain related indicators who should at least being assessed. Moreover we detected short clinical tests evaluating functional and/or physical capacity which should, based on expert opinion being used. 
Results:  Currently, the first rough version is finalized; it consists of a questionnaire and a short clinical test (30sec STS).
Result are shown in two parts, enabling the physician to get a quick overview of patient expectancies and willingness to RTW, and factors influencing RTW.
In this pilot study (25 patients), user friendliness (medical doctor and patient) was high. Further validation studies will be done before broad implementation can occur.
Conclusion:  The use of a screening tool can facilitate the approach needed for  a succesful RTW in chronic pain patients.

CHRONIC PAIN AND VOCATIONAL REHABILITATION: A SCREENING TOOL