Returning to work after a hand injury: Does ethnicity matter?

Marom, Batia; Sharabi, Moshe; Carel, Rafael S.; Ratzon, Navah Z.

doi:10.1371/journal.pone.0229982

Cited by 7 publications

(10 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The follow-up time ranged from 1 to 58 months postinjury. The RTW rates ranged from 22 to 74% in the early phase postinjury ( 22 , 28 , 35 , 36 , 41 , 43 , 44 ) and from 44 to 94% ( 21 – 32 , 34 , 37 , 38 , 40 , 42 , 43 , 45 , 46 , 48 – 50 ) in the late phase.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies did not provide the definition ( 23 , 28 , 29 , 31 , 34 , 35 , 38 , 47 , 50 ). Concerning its measurement, RTW was reported as a binary outcome (yes/no status) in 23 studies ( 21 – 26 , 28 , 30 – 34 , 36 – 38 , 40 – 44 , 47 , 48 , 50 ), as time from injury to RTW in 6 studies ( 27 , 29 , 35 , 39 , 45 , 46 ), or as the number of days paid for work disability in one study ( 49 ).…”

Section: Resultsmentioning

confidence: 99%

“…Disagreement was found in the rating of study attrition and confounding factors. Seven studies (23%) were rated as having a low risk of bias ( 27 , 32 , 36 , 42 , 43 , 45 , 47 ), 2 studies (7%) as having a high risk of bias ( 35 , 48 ), and the 21 remaining studies (70%) as having a moderate risk ( 21 – 26 , 28 – 31 , 33 , 34 , 37 – 41 , 44 , 46 , 49 , 50 ).…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Systematic Review of Biopsychosocial Prognostic Factors for Return to Work After Acute Orthopedic Trauma: A 2020 Update

Duong

Garcia

Hilfiker

et al. 2022

Front. Rehabilit. Sci.

View full text Add to dashboard Cite

ObjectiveTo provide updated evidence on prognostic factors for return to work (RTW) in the early and late phases after acute orthopedic trauma from a biopsychosocial perspective.MethodsA systematic review of articles indexed in the MEDLINE, CINAHL, and Embase databases between 2010 and 2020 was performed. The inclusion criteria were cohort studies of employed populations sustaining acute orthopedic trauma with follow-up data on RTW. Biopsychosocial prognostic factors for RTW must be reported in the multiple regression models and divided into early (≤ 6 months) and late phases (> 6 months) postinjury. Two reviewers performed study selection, assessed the risk of bias and quality using the Quality in Prognosis Studies (QUIPS) tool and the Newcastle–Ottawa Scale (NOS), and extracted data independently.ResultsThirty articles were included with a follow-up period of 1–58 months. Based on the QUIPS tool, 7 studies (23%) were considered to have a low risk of bias, and 21 studies (70%) were considered to have a moderate risk of bias. Based on the NOS, the quality was high in 87% of the included studies. The RTW rates ranged from 22% to 74% in the early phase and from 44% to 94% in the late phase. In the early phase, strong evidence was found for injury severity. In the late phase, strong evidence was found for age, injury severity, level of pain, self-efficacy, educational level, blue-collar work, and compensation status; moderate evidence was found for recovery expectations and physical workload. There was limited or inconsistent evidence for the other factors.ConclusionBased on the levels of evidence, injury severity should be considered as one of the key barriers to RTW in the early and late phases postinjury. This finding underlines the need for serious injury prevention efforts. Our results also emphasize the multifaceted actions of the biopsychosocial model to facilitate RTW: promoting policies for older injured workers, improving access to medical and rehabilitation facilities, and adapting physical workload. Multiple other factors are likely important but require additional high-quality studies to assess their role in the RTW process.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Systematic Review of Biopsychosocial Prognostic Factors for Return to Work After Acute Orthopedic Trauma: A 2020 Update

Duong

Garcia

Hilfiker

et al. 2022

Front. Rehabilit. Sci.

View full text Add to dashboard Cite

show abstract

“…While there is no definition of ‘missed’, delayed’, or ‘late’, we decided to use the term ‘late diagnosis’ for injuries that were detected 24 h after admission but during hospitalisation as they were eventually found [ 3 – 6 ]. Fractures of the upper extremity may be associated with reduced quality of life [ 7 – 9 ]. A timely treatment has been shown to be beneficial for a return to work [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment

Kim

Goelz

Münn

et al. 2021

BMC Musculoskelet Disord

View full text Add to dashboard Cite

Background We examined the visibility of fractures of hand and forearm in whole-body CT and its influence on delayed diagnosis. This study is based on a prior study on delayed diagnosis of fractures of hand and forearm in patients with suspected polytrauma. Methods Two blinded radiologists examined CT-scans of patients with fractures of hand or forearm that were diagnosed later than 24 h after admission and control cases with unremarkable imaging of those areas. They were provided with clinical information that was documented in the admission report and were asked to examine forearm and hands. After unblinding, the visibility of fractures was determined. We examined if time of admission or slice thickness was a factor for late or missed diagnoses. Results We included 72 known fractures in 36 cases. Of those 65 were visible. Sixteen visible fractures were diagnosed late during hospital stay. Eight more fractures were detected on revision by the radiologists. Both radiologists missed known fractures and found new fractures that were not reported by the other. Missed and late diagnoses of fractures occurred more often around 5 pm and 1 am. Slice thickness was not significantly different between fractures and cases with fractures found within 24 h and those found later. Conclusions The number of late diagnosis or completely missed fractures of the hand and forearm may be reduced by a repeated survey of WBCT with focus on the extremities in patients with suspected polytrauma who are not conscious. Level of evidence III

show abstract

“…While there is no definition of 'missed', delayed', or 'late', we decided to use the term 'late diagnosis' for injuries that were detected 24 h after admission but during hospitalisation as they were eventually found [3][4][5][6]. Fractures of the upper extremity may be associated with reduced quality of life [7][8][9]. A timely treatment has been shown to be beneficial for a return to work [10].…”

Section: Introductionmentioning

confidence: 99%

Detection of Missed Fractures of Hand and Forearm in Whole-Body CT in a Blinded Reassessment

Kim

Gölz

Münn

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: We examined the visibility of fractures of hand and forearm in whole-body CT and its influence on delayed diagnosis. This study is based on a prior study on delayed diagnosis of fractures of hand and forearm in patients with suspected polytrauma.Methods: Two blinded radiologists examined CT-scans of patients with fractures of hand or forearm that were diagnosed later than 24 hrs after admission and control cases with unremarkable imaging of those areas. They were provided with clinical information that was documented in the admission report and were asked to examine forearm and hands. After unblinding, the visibility of fractures was determined. We examined if time of admission or slice thickness was a factor for late or missed diagnoses.Results: We included 72 known fractures in 36 cases. Of those 65 were visible. Sixteen visible fractures were diagnosed late during hospital stay. Eight more fractures were detected on revision by the radiologists. Both radiologists missed known fractures and found new fractures that were not reported by the other. Missed and late diagnoses of fractures occurred more often around 5 pm and 1 am. Slice thickness was not significantly different between fractures and cases with fractures found within 24 hrs and those found later.Conclusions: The number of late diagnosis or completely missed fractures of the hand and forearm may be reduced by a repeated survey of WBCT with focus on the extremities in patients with suspected polytrauma who are not conscious.Level of Evidence III

show abstract

Returning to work after a hand injury: Does ethnicity matter?

Cited by 7 publications

References 27 publications

Systematic Review of Biopsychosocial Prognostic Factors for Return to Work After Acute Orthopedic Trauma: A 2020 Update

Systematic Review of Biopsychosocial Prognostic Factors for Return to Work After Acute Orthopedic Trauma: A 2020 Update

Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment

Detection of Missed Fractures of Hand and Forearm in Whole-Body CT in a Blinded Reassessment

Contact Info

Product

Resources

About