Return to work and workplace activity limitations following total hip or knee replacement

Sankar, Ashwin; Davis, Aileen M.; Palaganas, Marvilyn; Beaton, Dorcas; Badley, Elizabeth M.; Gignac, Monique A. M.

doi:10.1016/j.joca.2013.06.005

Cited by 79 publications

(99 citation statements)

References 36 publications

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“…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%

“…Although not statistically significant, the direction of the association seen in TKA is in line with the literature. 8 We have, however, no plausible explanation for the relationship seen in patients who underwent THA, other than that the average improvement in patients partially or not returning to work was relatively small compared to those who fully returned to work.…”

Section: Discussionmentioning

confidence: 81%

“…Clinical studies of both THA and TKA published after these reviews also identified one or more of these determinants. 7,8 Overall, data on the determinants of partial or no return to work after total joint arthroplasty, and potential differences between THA and TKA, is scarce, particularly as, in the aforementioned systematic reviews, no synthesis of the individual studies could be made due to their limited number and large methodological variations. Moreover, the majority of studies included only THA patients, meaning that the factors related to return to work after TKA remain largely unknown.…”

Section: Introductionmentioning

confidence: 99%

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

Leichtenberg

Tilbury

Kuijer

et al. 2016

annals

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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.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 81%

Section: Introductionmentioning

confidence: 99%

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

Leichtenberg

Tilbury

Kuijer

et al. 2016

annals

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“…More research is needed, but leaves of absence may be particularly helpful in managing periods of severe disease or treatment needs (e.g., surgery). After a period of absence, individuals may be able to return to work with relatively good employment outcomes (49).…”

Section: Discussionmentioning

confidence: 99%

Availability, Need for, and Use of Work Accommodations and Benefits: Are They Related to Employment Outcomes in People With Arthritis?

Gignac

Cao

McAlpine

2015

Arthritis Care & Research

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ObjectiveTo examine the availability, need, and use of workplace policies for workers with osteoarthritis (OA) and inflammatory arthritis (IA) and their association with employment outcomes.MethodsParticipants (n = 219) were employed, ages ≥25 years, and diagnosed with OA or IA. They were recruited through community advertising and rheumatology clinics in 2 Canadian provinces. Respondents completed a 35–45‐minute telephone interview assessing demographics (age, sex), health (diagnosis, pain, activity limitations), work context (job control), employment outcomes (workplace activity limitations, absenteeism, productivity losses, reduced hours), benefits (extended health, short‐term leaves), and accommodations (flexible hours, modified schedules, special equipment/adaptations, work‐at‐home arrangements). Regression analyses examined differences in benefit/accommodation need and use.ResultsMany participants reported that arthritis impacted their work. But with the exception of extended health benefits, ∼50–65% of participants reported not needing each individual benefit/accommodation, although only 7.3% of respondents reported needing no benefits or accommodations at all. Greater job control and education were associated with greater perceived need and use of benefits/accommodations. Need was also associated with greater activity limitations, and disclosure of arthritis was related to use of benefits/accommodations. Participants needing but not using workplace policies often had significantly poorer employment outcomes compared to those using benefits/accommodations.ConclusionFindings are relevant to workers with arthritis and to employers. Results suggest that individuals with arthritis are unlikely to be a drain on workplace resources. Many individuals do not use benefits/accommodations until needed, and among those using them, there were generally positive relationships with diverse employment outcomes.

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“…[15]. W badaniach przeprowadzonych wśród 190 osób poddanych zabiegowi całkowitej endoprotezoplastyki stawu biodrowego wykazali, że 87% osób wróciło do pracy w okresie do roku od operacji.…”

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

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Bejer

Baran

et al. 2018

Med Pr

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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...

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Return to work and workplace activity limitations following total hip or knee replacement

Cited by 79 publications

References 36 publications

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

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

Availability, Need for, and Use of Work Accommodations and Benefits: Are They Related to Employment Outcomes in People With Arthritis?

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

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