Occupational outcome after surgery in patients with a rotator cuff tear due to a work-related injury or occupational disease. A series of 262 cases

Nové-Josserand, Laurent; Liotard, Jean-Pierre; Godenèche, Arnaud; Neyton, Lionel; Borel, F.; Rey, Beatriz Comendador; Noël, É.; Walch, Gilles

doi:10.1016/j.otsr.2011.01.012

Cited by 28 publications

(44 citation statements)

References 20 publications

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“…Different proportions of patients involved in strenuous physical labor in the study groups may have influenced the return-to-work rates. In the current study, 61.9% of subjects did heavy work, compared with 68.3%, 6) 61.5%, 8) and 35.6% 9) in prior studies. Moreover, the definition of strenuous physical labor differed among the studies.…”

Section: Discussioncontrasting

confidence: 68%

“…Univariate analysis indicated that preoperative heavy work, defined as occupations requiring repetitive overhead activities 6) or lifting of heavy items, 8) and workers' compensation were significantly associated with return to work (P <0.01). Multivariate stepwise logistic regression analysis revealed that preoperative heavy work and female sex were significantly associated with return to work (P <0.05; Table 3).…”

Section: Resultsmentioning

confidence: 99%

“…In a prospective study of 365 patients, Collin et al 9) demonstrated that the percentages able to resume work and recreational physical activities at 6 and 9 months postoperatively were 83.6% and 94%, respectively. Bhatia et al 8) reported a return-to-work rate of 88.5% within 1 year postoperatively in 78 ARCR patients, whereas Nové-Josserand et al 6) reported a return rate of 59.5% within 2 years in 262 ARCR patients. The return-to-work rate after ARCR evidently varied among previous reports.…”

Section: Discussionmentioning

confidence: 99%

“…Workers' compensation leads to unfavorable surgical outcomes, which affects postoperative return to work. 7,[10][11][12][13] Furthermore, female sex, strenuous physical labor, the existence of persistent bursitis, 9) and age 6) are factors adversely affecting return to work. As described above, several studies have investigated the return-to-work status after ARCR; however, a consensus has not yet been reached.…”

Section: Factors Affecting Return To Work In Patients Undergoing Arthmentioning

confidence: 99%

“…Although clinical outcomes after ARCR generally are favorable, postoperative return to work is also an important issue. Nové-Josserand et al 6) reported a 59.5% postoperative return-to-work rate after 2 years of follow-up. Return-towork rates of 81.6%, 7) 88.5%, 8) 83.6%, 9) and 94% 9) have been reported after average follow-up periods of 45 months, 1 year Objective: Although clinical outcomes after arthroscopic rotator cuff repair are generally favorable, postoperative return to work is also an important issue.…”

Section: Introductionmentioning

confidence: 98%

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Factors Affecting Return to Work in Patients Undergoing Arthroscopic Rotator Cuff Repair

Imai

Gotoh

Hagie³

et al. 2019

PRM

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Section: Discussioncontrasting

confidence: 68%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Factors Affecting Return To Work In Patients Undergoing Arthmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

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Factors Affecting Return to Work in Patients Undergoing Arthroscopic Rotator Cuff Repair

Imai

Gotoh

Hagie³

et al. 2019

PRM

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Predictive factors for the duration until return to work after surgery for work‐related rotator cuff syndrome: A prospective study of 92 workers

Pichene-Houard

Paysant

Claudon

et al. 2021

American J Industrial Med

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Background Return to work (RTW) after surgery for a work‐related rotator cuff disorder (WRRCD) is often difficult. The study's purpose was to identify preoperative factors predicting RTW. Methods Ninety‐two workers with a WRRCD were identified by four surgeons. Before surgery, the workers completed a series of standardized questionnaires related to working conditions, health, and health beliefs. They were followed up prospectively for 20 months. Statistical analysis was based on single and multiple‐factor Cox models of the duration of absence from the time of surgery until RTW. Results The median age at inclusion was 49 years (27–62), with 52 women included (57%). Sixty‐one subjects (66%) were employed in highly physically demanding jobs. Forty‐two (46%) stayed at work until their surgery, whereas preoperative sick leave exceeded 100 days in 20 subjects (21%). Twenty months after surgery, 14 were still not back at work. For the other participants, the mean duration until RTW was 225 days (SD 156). In the fully adjusted model, variables that were significantly predictive of the duration until RTW were: work physical demand levels, preoperative sick leave, the number of body parts causing pain or discomfort in the last 12 months, self‐assessed 2‐year workability, and the Readiness for RTW (RRTW) Scale. Conclusions Several physical, psychological, and work‐related factors, easily recorded, can be identified preoperatively. They may be predictive of delayed return, loss of employment, or employability as a result of shoulder surgery.

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Predictive factors of return‐to‐work trajectory after work‐related rotator cuff syndrome: A prospective study of 96 workers

Pichene-Houard

Sirveaux

Clerc‐Urmès

et al. 2023

American J Industrial Med

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Objective: Sustained return to work after surgery for work-related rotator cuff syndrome (WRRCS) remains quite difficult. The main purpose of the present study was to identify predictive factors of a return-to-work (RTW) trajectory.Methods: A total of 96 workers with WRRCS were identified by 4 surgeons. They were followed prospectively before and after the surgery, until 1 year after RTW, or for 20 months after surgery when they did not. Participants completed a series of standardized questionnaires related to working conditions, health, and beliefs, and performed functional tests at the inclusion time. During the follow-up period, they were regularly asked about their working conditions (present or not at work), activity (normal or lightened physical duties) and schedules (full-or part-time job). Statistical analysis was based on single-and multiple-factor models of prediction of the workers' trajectory.Results: Three trajectories of RTW were distinguished, considering RTW and absenteeism that occurred during the follow-up: stable, unstable, and non-RTW. The median age of the sample was 49.5 [45.0-54.0], with 67.7% of workers employed in highly physically demanding jobs. In the multiple factor model, three factors were highly predictive of the trajectory: perceived health before surgery, having had a repaired ruptured-rotator-cuff tendinopathy, and the level of physical demand of the job. Conclusion:Three easy-to-collect predictive factors of RTW trajectory have been identified. They may be useful for healthcare professionals and care givers to identify vulnerable workers' risk of occupational dropout after arthroscopic surgery for rotator cuff tendinopathy.

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Occupational outcome after surgery in patients with a rotator cuff tear due to a work-related injury or occupational disease. A series of 262 cases

Abstract: Level IV - Retrospective study.

Cited by 28 publications

References 20 publications

Factors Affecting Return to Work in Patients Undergoing Arthroscopic Rotator Cuff Repair

Factors Affecting Return to Work in Patients Undergoing Arthroscopic Rotator Cuff Repair

Predictive factors for the duration until return to work after surgery for work‐related rotator cuff syndrome: A prospective study of 92 workers

Predictive factors of return‐to‐work trajectory after work‐related rotator cuff syndrome: A prospective study of 96 workers

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