Return to work after total hip and knee arthroplasty: a systematic review

Tilbury, C.; Schaasberg, W.; Plevier, José W M; Fiocco, Marta; Nelissen, Rob G H H; Vlieland, Thea Vliet

doi:10.1093/rheumatology/ket389

Cited by 97 publications

(114 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In contrast with previous studies, we did not find female gender, physical work and receiving workers' compensation 5,6,8 to be associated with worse work outcomes, which is most likely, again, due to differences in work outcome measurements.…”

Section: Discussioncontrasting

confidence: 99%

“…Our finding that older age, lower educational level and preoperative absenteeism from work were associated with partial or no return to work appear to be in accordance with previous studies. 5,7 In our analysis, self-employment was also found to be associated with partial or no return to work whereas it was associated with a faster return to work in previous research. 16 It should be noted, however, that, in that study, the speed of return to work was the outcome, regardless the number of working hours.…”

Section: Discussionsupporting

confidence: 51%

“…3,4 While the majority of patients return to work postoperatively (68%-95% following THA; 71%-83% after TKA), 5 the absolute number of patients who do not return to work is substantial. Research into potentially modifiable factors for return to work after total joint replacements is therefore warranted.…”

Section: Introductionmentioning

confidence: 99%

“…The determinants of return to work after THA or TKA have been addressed in two systematic reviews. 5,6 The authors, based on a limited number of studies (five THA, one TKA and one mixed study), concluded that sociodemographic (age, sex, educational level), work (self-employment, physical demands, preoperative work disability, accessibility of the workplace, receiving workers' compensation), joint function and surgical-(complications) and rehabilitation-related factors (surgical approach) are associated with postoperative work status. Clinical studies of both THA and TKA published after these reviews also identified one or more of these determinants.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Leichtenberg

Tilbury

Kuijer

et al. 2016

annals

View full text Add to dashboard Cite

INTRODUCTION A substantial number of patients undergoing total hip or knee arthroplasty (THA or TKA) do not or only partially return to work. This study aimed to identify differences in determinants of return to work in THA and TKA. METHODS We conducted a prospective, observational study of working patients aged <65 years undergoing THA or TKA for osteoarthritis. The primary outcome was full versus partial or no return to work 12 months postoperatively. Factors analysed included preoperative sociodemographic and work characteristics, alongside the Hip Disability and Osteoarthritis Outcome Score (HOOS)/ Knee Injury and Osteoarthritis Outcome Score (KOOS), and Oxford Hip and Knee Scores. RESULTS Of 67 THA and 56 TKA patients, 9 (13%) and 10 (19%), respectively, returned partially and 5 (7%) and 6 (11%), respectively, did not return to work 1 year postoperatively. Preoperative factors associated with partial or no return to work in THA patients were self-employment, absence from work and a better HOOS Activities of Daily Living (ADL) subscale score, whereas only work absence was relevant in TKA patients. Type of surgery modified the impact of ADL scores on return to work. CONCLUSIONS In both THA and TKA, absence from work affected return to work, whereas self-employment and better preoperative ADL subscale scores were also associated in THA patients. The impact of ADL scores on return to work was modified by type of surgery. These results suggest that strategies aiming to influence modifiable factors should consider THA and TKA separately.

show abstract

Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 51%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Leichtenberg

Tilbury

Kuijer

et al. 2016

annals

View full text Add to dashboard Cite

show abstract

“…Według danych z literatury w czasie od miesiąca do 12 miesięcy od zabiegu do pracy powraca 25-95% operowanych [6][7][8].…”

Section: Wstępunclassified

Factors affecting the maintenance of occupational activity over a 2–3-year period after total hip replacement

Pop

Bejer

Baran

et al. 2018

Med Pr

View full text Add to dashboard Cite

StreszczenieWstęp: Celem pracy była ocena statusu zawodowego osób po całkowitej endoprotezoplastyce stawu biodrowego w okresie 2-3 lat od zabiegu oraz analiza wpływu takich czynników, jak wiek, płeć, BMI (body mass index -wskaźnik masy ciała), sprawność funkcjonalna i samoocena stanu zdrowia na utrzymanie aktywności zawodowej. Materiał i metody: W badaniu wzięło udział 107 osób, w tym 56 kobiet i 51 mężczyzn. Średni wiek badanych wynosił 55,1 roku. Zastosowano wystandaryzowany autorski kwestionariusz, który zawierał pytania dotyczące danych osobowych i klinicznych, aktywności zawodowej oraz samooceny stanu zdrowia. Dokonano pomiaru masy ciała i wzrostu i wyliczono wskaźnik BMI. Wykorzystano także 100-punktową skalę Harrisa (Harris Hip Score) do oceny sprawności funkcjonalnej badanych. Wyniki: Po zabiegu endoprotezoplastyki stawu biodrowego ok. 60% pacjentów nie było aktywnych zawodowo -świadczenia rentowe pobierały 44 (41,1%) osoby, świadczenia emerytalne -18 (16,8%) osób, a zasiłek dla bezrobotnych -2 (1,9%) osoby. Nikt z badanych niepracujących przed zabiegiem (z powodu renty) nie podjął pracy po zabiegu. Płeć badanych nie miała istotnego statystycznie wpływu na podjęcie aktywności zawodowej po zabiegu, podobnie jak rodzaj wykonywanej pracy i BMI. Stwierdzono natomiast statystycznie istotne zależności między podejmowaniem aktywności zawodowej po zabiegu a poziomem sprawności funkcjonalnej ocenianej skalą Harrisa (p = 0,0350) i samooceną stanu zdrowia (p = 0,0057). Wnioski: Ponad połowa badanych nie podjęła pracy po całkowitej endoprotezoplastyce biodra w okresie 2-3 lat od zabiegu. W grupie osób pracujących umysłowo przed zabiegiem do pracy powróciło stosunkowo najwięcej osób spośród wszystkich badanych. Istotny wpływ na powrót do pracy miały wiek, sprawność funkcjonalna i samoocena stanu zdrowia. Med. Pr. 2018;69(2):191-198 Słowa kluczowe: zatrudnienie, endoprotezoplastyka stawu biodrowego, aktywność zawodowa, powrót do pracy, staw biodrowy, skala Harrisa Abstract Background: The purpose of this paper was to assess the occupational activity in patients after hip replacement over a 2-3-year post operational period and to analyze the effect of selected factors (age, gender, body mass index (BMI), functional state and self-assessed health status) on this activity. Material and Methods: In the research 107 people (56 women and 51 men) participated. The average age of the subject's was 55.1 years. A standardized author's survey questionnaire, including questions about personal and clinical data, occupational activity and self-assessment of health status, was applied. The body mass and height were measured and the BMI index was calculated. The 100 points Harris Hip Score (HHS) was used to assess the functional state in the respondents. Results: After the operation about 60% of the patients were not occupationally active; 44 (41.1%) respondents received the state health benefit, 18 (16.8%) respondents were eligible for pension benefit, and 2 (1.9%) respondents were unemployed with benefit. No one unemployed befor...

show abstract