Return to Work After Stroke

Saeki, Satoru; Ogata, Hiroyuki; Okubo, Toshiteru; Takahashi, Ken; Hoshuyama, Tsutomu

doi:10.1161/01.str.26.3.399

Cited by 86 publications

(70 citation statements)

References 4 publications

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“…30 There were only 3 studies that specifically examined employment status after stroke in samples of people working before stroke and used appropriate analytic strategies with uniform follow-up periods 31,32 or time-to-event analysis. 33 In all of these studies, slightly more than half of the patients had returned to paid employment at 6 to 12 months. In all other studies, either time of follow-up was highly variable or interpretation of results was compromised by problems with definition of work before stroke and at follow-up or results were likely to be confounded by selection bias.…”

Section: Return To Workmentioning

confidence: 93%

What Are the Social Consequences of Stroke for Working-Aged Adults?

Daniel

Wolfe

Busch

et al. 2009

Stroke

272

218

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Background and Purpose-Approximately one fourth of strokes occur in people aged Ͻ65 years. UK current policy calls for services that meet the specific needs of working-aged adults with stroke. We aimed to identify the social consequences of stroke in working-aged adults, which might subsequently inform the development and evaluation of services for this group. Methods-We reviewed quantitative and qualitative studies identifying social consequences for working-aged adults with stroke using multiple search strategies (electronic databases, bibliographic references, hand searches). Social consequences were defined as those pertaining to the World Health Organization International Classification of Functioning, Disability and Health domain "participation." Two authors reviewed articles using a standardized matrix for data extraction. Results-Seventy-eight studies were included: 66 were quantitative observational studies, 2 were quantitative interventional studies, 9 were qualitative studies, and one used mixed methods. Seventy studies reported data on return to work after stroke with proportions ranging from 0% to 100%. Other categories of social consequences included negative impact on family relationships (5% to 54%), deterioration in sexual life (5% to 76%), economic difficulties (24% to 33%), and deterioration in leisure activities (15% to 79%). Conclusions-Methodological variations account for the wide range of rates of return to work after stroke. There is limited evidence of the negative impact of stroke on other aspects of social participation. Robust estimates of the prevalence of such outcomes are required to inform the development of appropriate interventions. We propose strategies by which methodology and reporting in this field might be improved. (Stroke. 2009;40:e431-e440.)

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Section: Return To Workmentioning

confidence: 93%

What Are the Social Consequences of Stroke for Working-Aged Adults?

Daniel

Wolfe

Busch

et al. 2009

Stroke

272

218

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“…483,489 Furthermore, there has been no investigation of employment maintenance. Despite the limited research, the severity of stroke sequelae frequently has been shown to modulate return to work, with more severe impairments reducing the chance that the stroke survivor will return to work 486,[491][492][493][494] ; accordingly, amelioration of these impairments with the rehabilitation methods discussed in previous sections of the present statement might facilitate vocational reintegration. However, Shaw and colleagues 495 found that individuals' perception of their impairment level was key to returning to work, and thus, it may be that absolute impairment is less important than stroke survivors' beliefs in their abilities (ie, a personal factor within the ICF model).…”

Section: Return To Workmentioning

confidence: 99%

Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient

Miller¹,

Murray²,

Richards³

et al. 2010

Stroke

659

412

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“…The Kaplan-Meier method was also applied to health-related vocational management by Saeki et al (49) in a retrospective cohort study to evaluate the longitudinal trend of proportion of patients who return to work after their first stroke. The event of interest is the "return to work after first stroke," which was defined as one month or more of work in active employment after stroke.…”

Section: The Kaplan-meier Product Limit Methodsmentioning

confidence: 99%

“…Curves are not significantly different by log-rank test (P = 0981), but significantly different by Wilcoxon's test (P = .0492). Source: Saeki et al, 1995 …”

Section: Testing the Equality Of Survival Distributionsmentioning

confidence: 99%

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Survival Analysis in Public Health Research

Lee

1997

Annu. Rev. Public Health

168

130

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This paper reviews the common statistical techniques employed to analyze survival data in public health research. Due to the presence of censoring, the data are not amenable to the usual method of analysis. The improvement in statistical computing and wide accessibility of personal computers led to the rapid development and popularity of nonparametric over parametric procedures. The former required less stringent conditions. But, if the assumptions for parametric methods hold, the resulting estimates have smaller standard errors and are easier to interpret. Nonparametric techniques include the Kaplan-Meier method for estimating the survival function and the Cox proportional hazards model to identify risk factors and to obtain adjusted risk ratios. In cases where the assumption of proportional hazards is not tenable, the data can be stratified and a model fitted with different baseline functions in each stratum. Parametric modeling such as the accelerated failure time model also may be used. Hazard functions for the exponential, Weibull, gamma, Gompertz, lognormal, and log-logistic distributions are described. Examples from published literature are given to illustrate the various methods. The paper is intended for public health professionals who are interested in survival data analysis.

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Return to Work After Stroke

Cited by 86 publications

References 4 publications

What Are the Social Consequences of Stroke for Working-Aged Adults?

What Are the Social Consequences of Stroke for Working-Aged Adults?

Comprehensive Overview of Nursing and Interdisciplinary Rehabilitation Care of the Stroke Patient

Survival Analysis in Public Health Research

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