Employment after Coronary Angioplasty or Coronary Bypass Surgery in Patients Employed at the Time of Revascularization

Hlatky, Mark A.; Boothroyd, Derek B.; Horine, Sarah; Winston, Carla A.; Brooks, Maria M.; Rogers, William J.; Pitt, Bertram; Reeder, Guy S.; Ryan, Thomas J.; Smith, Hugh C.; Whitlow, Patrick L.; Wiens, Robert D.; Mark, Daniel B.

doi:10.7326/0003-4819-129-7-199810010-00006

Cited by 35 publications

(38 citation statements)

References 12 publications

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“…94 Our findings are consistent with research that shows low employment among heavy drinkers in the general population 94 and studies that show a strong association between preillness employment and postrecovery return to work. 95 Because none of the studies described the nature of employment (beyond whether it was fulltime or part-time), we could not determine whether patients returned to the same or equivalent jobs.…”

Section: Discussionmentioning

confidence: 99%

Employment and alcohol use after liver transplantation for alcoholic and nonalcoholic liver disease: A systematic review

et al. 2001

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The purpose of the study is to evaluate patterns of employment and alcohol use among liver transplant recipients with alcoholic (ALD) and nonalcoholic liver disease (non-ALD). MEDLINE, EMBASE, and bibliographic searches identified 5,505 potentially relevant articles published between January 1966 and October 1998. Eighty-two studies reporting data on 5,020 transplant recipients met our inclusion criteria. Pre-orthotopic liver transplantation (OLT), 29% of transplant recipients with ALD and 59% of those with non-ALD worked versus 33% and 80% at 3 years for transplant recipients with ALD and non-ALD, respectively (P < .00001 for each interval). We found no difference in the proportion of transplant recipients with ALD and non-ALD reporting early alcohol use post-OLT: 4% versus 5% at 6 months and 17% versus 16% at 12 months. However, among post-OLT drinkers, transplant recipients with non-ALD were more likely to drink moderately and those with ALD to drink excessively. At 7 years post-OLT, 32% of the patients with ALD reported using alcohol. The odds ratio for alcohol use among patients who maintained abstinence for fewer than 6 months pre-OLT versus those who maintained abstinence for greater than 6 months was 7.8 (95% confidence interval, 4.0 to 15.3). Before OLT and at long-term follow-up, substantially more transplant recipients with non-ALD than ALD were employed. The proportions of transplant recipients with ALD and non-ALD reporting alcohol use did not differ, although those with ALD tended to consume greater quantities. (Liver Transpl 2001;7:191-203.)

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Section: Discussionmentioning

confidence: 99%

Employment and alcohol use after liver transplantation for alcoholic and nonalcoholic liver disease: A systematic review

et al. 2001

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“…Personal motivation and expectations. Patients' desire and motivation to RTW is another important psychological predictor of RTW after a cardiac intervention because motivated sick-listed employees have proactive behaviours and attitudes to achieve the goal of work resumption (3,4,9,13,18,27,28,35). Other studies suggested the importance of considering patients' perceptions and attributions in order to identify people at risk of non-RTW, with particular regard to the predictive power of the positive expectations concerning their RTW (3,32).…”

Section: Psychological Factorsmentioning

confidence: 99%

Return to work after an acute cardiac event: the role of psychosocial factors

Fiabane¹

2014

PER

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Introduction: long-term sick leave is currently a considerable public health concern due to the enormous financial consequences for society. Return to work (RTW) after a cardiac event is a major goal of cardiac rehabilitation because it improves patients' quality of life and economic security, and reduces occupational disability costs. The aim of this article is to review the current and main psychosocial factors influencing the RTW process among cardiac patients. Materials and Methods: the review is based on PubMed, Scopus and PsycINFO analysis related to psychosocial factors predicting return to work after coronary angioplasty or heart surgery. We use the follow key-words: cardiac event, cardiac rehabilitation, psychosocial factors, return to work. The studies included in the review were published from 1968 to 2014. Results: psychosocial factors play an important role in determining whether patients resume their job and the duration of sickness absence after coronary angioplasty or heart surgery. The most important non medical factors associated with cardiac patients' RTW include socio-demographic (age, gender, education, professional category), psychological (depression, illness perception, personal motivation and expectations, personality), and psychosocial work-relatedfactors (work stress, social support, job satisfaction). Discussion: the early identification of psychosocial risk factors associated with prolonged work disability is an important task for occupational health, in order to favour a fast and healthy RTW after long-term sickness absence. Future studies are needed to explore the effectiveness of rehabilitative and RTW interventions which include psychosocial risks management for improving employment chances among cardiac patients on long-term sick leave.

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“…In the BARI study from the USA, Hlatky et al (36) described an 82% RTW in both the PCI and CABG groups, although patients had a substantially shorter sick leave following PCI (five versus eleven weeks). After five-year follow-up, there were no differences between the groups.…”

Section: Predictorsmentioning

confidence: 99%

Chapter 8. Sick leave due to coronary artery disease or stroke

Perk

Alexanderson

2004

Scand J Public Health

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The assessment of the literature on sick-leave with cardiovascular diseases include only studies with sufficient scientific quality. These studies describe sick leave following stroke, myocardial infarction, coronary artery bypass grafting (CABG), or percutaneous coronary intervention (PCI). We found limited scientific evidence for the following results: After stroke, more than half of the patients of working age returned to work (RTW) during the first year following onset (higher rate for the younger patients). The consequences of brain damage, e.g. impaired ADL ability or cognitive capacity, play an important role in this respect. Also after myocardial infarction most patients RTW. PCI is a milder coronary artery intervention than CABG and RTW is more rapid. However, in the long run there are no differences in sick leave. People at higher ages or with physically demanding jobs return to work to a lesser degree. An international comparison shows that the duration of sick leave due to these conditions in Sweden is longer than in other countries although there is no scientific evidence to support this practice. It appears that the interest in research on sick leave in patients with cardiovascular diseases has waned in recent years. Developments in acute cardiological care should inspire renewed scientific involvement in this area of research.

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Employment after Coronary Angioplasty or Coronary Bypass Surgery in Patients Employed at the Time of Revascularization

Abstract: Faster recovery after angioplasty speeds return to work but does not improve long-term employment, which is primarily associated with nonmedical factors.

Cited by 35 publications

References 12 publications

Employment and alcohol use after liver transplantation for alcoholic and nonalcoholic liver disease: A systematic review

Employment and alcohol use after liver transplantation for alcoholic and nonalcoholic liver disease: A systematic review

Return to work after an acute cardiac event: the role of psychosocial factors

Chapter 8. Sick leave due to coronary artery disease or stroke

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