Clinical Guidance to Optimize Work Participation After Injury or Illness: The Role of Physical Therapists

Daley, Deirdre; Payne, Lorena Pettet; Galper, Jill; Cheung, Anthony P.; Deal, Lori; Despres, Michelle; Garcia, Jodan D.; Kistner, Frances; Mackenzie, N; Perry, Trisha; Richards, Christine; Escorpizo, Reuben

doi:10.2519/jospt.2021.0303

Cited by 21 publications

(12 citation statements)

References 299 publications

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“…Important similarities between OPAL and our pathway are an interdisciplinary approach and patient‐centred care. This is in line with the clinical guidance of Daley and colleagues on work participation (Daley et al., 2021 ). They advised a timely combination of medical rehabilitation and occupational RTW care, including the use of self‐reported and performance‐based measures.…”

Section: Discussionsupporting

confidence: 87%

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Implementation of back at work after surgery (BAAS): A feasibility study of an integrated pathway for improved return to work after knee arthroplasty

Strijbos

Sluis

Boymans

et al. 2022

Musculoskeletal Care

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Purpose: Optimizing return to work after knee arthroplasty is becoming more important because of the growing incidence of KA among workers and poor return to work outcomes. The purpose of this study is to investigate the feasibility of Back At work After Surgery (BAAS): an integrated clinical pathway for return to work after knee arthroplasty.Method: Working patients who received unicompartmental knee arthroplasty (UKA) or total knee arthroplasty (TKA) between January 2021 and November 2021, younger than 65 years and motivated to return to work were eligible to participate. Feasibility was investigated on ve domains: reach, dose delivered, dose received, delity and patients' attitudes. These outcomes were obtained by a patientreported questionnaire and an interview with the occupational case manager and medical case manager.Results: Of the eligible 29 patients, eleven were willing to participate (response rate 38%; due to travel distance to and from the hospital). The dose delivered was between 91 and 100%, except information given about return to work from the orthopedic surgeon which was 18%. The dose received was 100%.For delity, case managers reported nine shortcomings for which ve solutions were mentioned. In terms of patients' attitude, all patients were satis ed and one patient mentioned an improvement.Conclusions: In terms of reach, participation was low: only 29%. The BAAS clinical pathway seems feasible based on dose delivered, dose received, delity and patient attitudes. The next step is to assess the effectiveness of the BAAS clinical pathway for return to work.

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Section: Discussionsupporting

confidence: 87%

“…We developed Back At work After Surgery (BAAS): an integrated clinical pathway for improved RTW after KA. This newly designed pathway follows the recommendations of the clinical guideline to optimise work participation by timely combination of medical and occupational care (Daley et al., 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Implementation of back at work after surgery (BAAS): A feasibility study of an integrated pathway for improved return to work after knee arthroplasty

Strijbos

Sluis

Boymans

et al. 2022

Musculoskeletal Care

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show abstract

“…Hindering factors for RTW need to be addressed. Based on earlier research potential effective interventions might be work-directed rehabilitation in patients with a knee-straining job, facilitating arrangements to improve access to the workplace, preoperatively managing patient expectations regarding work ability after TKA and introducing ergonomic measures to decrease the physical workload [ 33 , 34 ]. These measures could be initiated or coordinated by an OMS, even before surgery, so that the proposed interventions could be implemented in time [ 3 , 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Does Consulting an Occupational Medicine Specialist Decrease Time to Return to Work Among Total Knee Arthroplasty Patients? A 12-Month Prospective Multicenter Cohort Study

et al. 2022

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Purpose The aim of this study is to investigate whether total knee arthroplasty (TKA) patients who consulted an occupational medicine specialist (OMS) within 3 months after surgery, return to work (RTW) earlier than patients who did not consult an OMS. Methods A multi-center prospective cohort study was performed among working TKA patients, aged 18 to 65 years and intending to RTW. Time to RTW was analyzed using Kaplan Meier and Mann Whitney U (MWU), and multiple linear regression analysis was used to adjust for effect modification and confounding. Results One hundred and eighty-two (182) patients were included with a median age of 59 years [IQR 54–62], including 95 women (52%). Patients who consulted an OMS were less often self-employed but did not differ on other patient and work-related characteristics. TKA patients who consulted an OMS returned to work later than those who did not (median 78 versus 62 days, MWU p < 0.01). The effect of consulting an OMS on time to RTW was modified by patients’ expectations in linear regression analysis (p = 0.05). A median decrease in time of 24 days was found in TKA patients with preoperative high expectations not consulting an OMS (p = 0.03), not in patients with low expectations. Conclusions Consulting an OMS within 3 months after surgery did not result in a decrease in time to RTW in TKA patients. TKA patients with high expectations did RTW earlier without consulting an OMS. Intervention studies on how OMSs can positively influence a timely RTW, incorporating patients’ preoperative expectations, are needed.

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“…Important similarities between OPAL and the BAAS clinical pathway are a interdisciplinary approach and patient centered care. Late work of Daley and colleagues gave also important clues for creating the care pathway based on the most recent literature and expert knowledge [11]. They advised a timely combination of medical rehabilitation and occupational RTW care, enhancing patient participation during the clinical pathway and recovery evaluation by self-reported and performance based outcomes.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…In this study, we developed Back At Work after Surgery (BAAS): an integrated clinical pathway for improved RTW after KA. Development of this newly designed pathway follows the recommendations of the recently published clinical guideline to optimize work participation, and has two pillars [11]. The rst pillar is a timely combination of medical and occupational care, and the second pillar is enhancing patient participation during the clinical pathway.…”

Section: Introductionmentioning

confidence: 99%

Implementation of Back At work After Surgery (BAAS): a feasibility study of an intergrated pathway for improved return to work after knee arthroplasty

Strijbos

Sluis

Boymans

et al. 2022

Preprint

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Purpose Optimizing return to work after knee arthroplasty becomes more important because of the growing incidence of KA among workers and poor return to work outcomes. The purpose of this study is to investigate the feasibility of Back At work After Surgery (BAAS): an integrated clinical pathway for return to work after knee arthroplasty. Method Working patients who received unicompartmental knee arthroplasty (UKA) or total knee arthroplasty (TKA) between January 2021 and November 2021, younger than 65 years and motivated to return to work were eligible to participate. Feasibility was investigated on five domains: reach, dose delivered, dose received, fidelity and patients’ attitudes. These outcomes were obtained by a patient-reported questionnaire and an interview with the case manager occupation and case manager medical. Results Of the eligible 29 patients, eleven were willing to participate (response rate 29%; due to travel distance to and from the hospital). The reach from professionals was 100%. The dose delivered between 91–100%, except information given about return to work from the orthopedic surgeon which was 18%. The dose received was 100%. For fidelity, case managersreported nine shortcomings for which five solutions were mentioned. In terms of patients’ attitude, all patients were satisfied and one patient mentioned an improvement. Conclusions In terms of reach, participation was low: only 29%. In terms of dose delivered, dose received, fidelity and patient attitudes of the BAAS clinical pathway seems feasible. The next step will be to assess the effectiveness of the BAAS clinical pathway for return to work.

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Clinical Guidance to Optimize Work Participation After Injury or Illness: The Role of Physical Therapists

Cited by 21 publications

References 299 publications

Implementation of back at work after surgery (BAAS): A feasibility study of an integrated pathway for improved return to work after knee arthroplasty

Implementation of back at work after surgery (BAAS): A feasibility study of an integrated pathway for improved return to work after knee arthroplasty

Does Consulting an Occupational Medicine Specialist Decrease Time to Return to Work Among Total Knee Arthroplasty Patients? A 12-Month Prospective Multicenter Cohort Study

Implementation of Back At work After Surgery (BAAS): a feasibility study of an intergrated pathway for improved return to work after knee arthroplasty

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