Determinants of return to work 12 months after total hip and knee arthroplasty

Leichtenberg, Claudia S.; Tilbury, C.; Kuijer, Paul; Verdegaal, S.H.M.; Wolterbeek, Ron; Nelissen, Rob G H H; Frings-Dresen, M. H. W.; Vlieland, T. P. M. Vliet

doi:10.1308/rcsann.2016.0158

Cited by 45 publications

(72 citation statements)

References 22 publications

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“…The present study includes the largest prospective cohort investigating RTW after TKA. Univariate analysis did show that preoperative sick leave was a strong predictor of no RTW, which is in line with previous studies [5,11,13]. Interestingly, sick leave was no significant predictor in the multivariate models.…”

Section: Discussionsupporting

confidence: 90%

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Not Physical Activity, but Patient Beliefs and Expectations are Associated With Return to Work After Total Knee Arthroplasty

Hoorntje

Leichtenberg

Koenraadt

et al. 2018

The Journal of Arthroplasty

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Section: Discussionsupporting

confidence: 90%

“…Concerning other factors that predict RTW after TKA, prospective studies including multivariate analysis to identify TKA-specific prognostic factors associated with RTW are limited [5,7,10,12,13]. The present study includes the largest prospective cohort investigating RTW after TKA.…”

Section: Discussionmentioning

confidence: 99%

Not Physical Activity, but Patient Beliefs and Expectations are Associated With Return to Work After Total Knee Arthroplasty

Hoorntje

Leichtenberg

Koenraadt

et al. 2018

The Journal of Arthroplasty

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“…This is because TKA patients have been reported to have more sick leave in the year before surgery and also because they return to work slower than total hip arthroplasty patients [37,38]. Additionally, TKA patients have reported inferior work performance rates to total hip arthroplasty patients [43,44].…”

Section: Discussionmentioning

confidence: 99%

Are patient-related pre-operative factors influencing return to work after total knee arthroplasty

et al. 2019

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Background: Osteoarthritis is one of the leading causes of disability in working-age patients. The total number of working-age patients undergoing total-knee arthroplasty (TKA) is continuously increasing. The purpose of this study was to identify predictive factors related to general health, health risk behaviors and socioeconomic status influencing the rate of return to work after a TKA. Methods: Overall there were 151,901 patients included in the Finnish Public Sector (FPS) study. The response rate varied between 65 and 73% during the study period. We used Cox proportional hazard models to examine patient-related predictive factors that may influence the rate of return to work after TKA in a cohort of patients (n = 452; n = 362 female; mean age 56.4 years). Predictive factors were measured on average 3.6 years before the operation. Results: Of the patients, 87% returned to work within one year after TKA at a mean of 116 calendar days. In multivariate analysis, patients at sick-leave ≤30 days during the last year before surgery were 2.2 times (95% confidence interval 1.72-2.92) more likely to return to work compared with those with N30 days of sick-leave. Compared with patients in manual work, those in higher or lower level non-manual work showed a 2.6-fold (1.95-3.52) and 1.5-fold (1.15-1.92) increased probability of returning to work. Age, sex, health risk behaviors, obesity, physical comorbidities, common mental disorders, and other studied health-related factors were not associated with the rate of return to work. Conclusions: Non-manual job, good self-rated general health and preoperative sick leave ≤30 days are associated with a higher rate of return to work.

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“…2015, Kuijer et al. 2016, Leichtenberg et al. 2016) have been found to be more likely to return to work.…”

Section: Discussionmentioning

confidence: 99%

Sick leave in Sweden before and after total joint replacement in hip and knee osteoarthritis patients

et al. 2016

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Background and purposeLittle is know about patterns of sick leave in connection with total hip and knee joint replacement (THR and TKR) in patients with osteoarthritis (OA).Patients and methodsUsing registers from southern Sweden, we identified hip and knee OA patients aged 40–59 years who had a THR or TKR in the period 2004–2012. Patients who died or started on disability pension were excluded. We included 1,307 patients with THR (46% women) and 996 patients with TKR (56% women). For the period 1 year before until 2 years after the surgery, we linked individual-level data on sick leave from the Swedish Social Insurance Agency. We created a matched reference cohort from the general population by age, birth year, and area of residence (THR: n = 4,604; TKR: n = 3,425). The mean number of days on sick leave and the proportion (%) on sick leave 12 and 24 months before and after surgery were calculated.ResultsThe month after surgery, about 90% of patients in both cohorts were on sick leave. At the two-year follow-up, sick leave was lower for both cohorts than 1 year before surgery, except for men with THR, but about 9% of the THR patients and 12–17% of the TKR patients were still sick-listed. In the matched reference cohorts, sick leave was constant at around 4–7% during the entire study period.InterpretationA long period of sick leave is common after total joint replacement, especially after TKR. There is a need for better knowledge on how workplace adjustments and rehabilitation can facilitate the return to work and can postpone surgery.

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Determinants of return to work 12 months after total hip and knee arthroplasty

Cited by 45 publications

References 22 publications

Not Physical Activity, but Patient Beliefs and Expectations are Associated With Return to Work After Total Knee Arthroplasty

Not Physical Activity, but Patient Beliefs and Expectations are Associated With Return to Work After Total Knee Arthroplasty

Are patient-related pre-operative factors influencing return to work after total knee arthroplasty

Sick leave in Sweden before and after total joint replacement in hip and knee osteoarthritis patients

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