Total Knee Arthroplasty and the Unforeseen Impact on Return to Work: A Cross-Sectional Multicenter Survey

Kievit, Arthur J.; Geenen, Rutger C. I. van; Kuijer, Paul; Pahlplatz, Thijs M.J.; Blankevoort, Leendert; Schafroth, Matthias U.

doi:10.1016/j.arth.2014.01.004

Cited by 71 publications

(84 citation statements)

References 22 publications

(39 reference statements)

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“…… you get depressed; I suppose is the right term for it, when you're in constant pain. [5] 'You're a little bit young to have it at the moment'. I thought, well, the type of job that I do is quite a strenuous job.…”

Section: Theme 1: Delays In Surgical Interventionmentioning

confidence: 99%

“…I understand that, but you've got to trade that off with if it stops somebody working and then there are other effects to take into account, not just whether you're going to need it done again. [5] Maybe I should have had it earlier when my muscles were in a better state, but I was getting to the state where I was barely moving and be very careful about how I was walking, where I was walking and the surface that I was walking on. I was only using stairs when I absolutely had to.…”

Section: Theme 1: Delays In Surgical Interventionmentioning

confidence: 99%

“…More professional physio as opposed to do-it-yourself stuff at home. [5] The physio was just the general physio that I had… (they) just want to see whether you'll get the target of 100 degrees or whatever it is. You've got to do the bend, you've got to do the flexion and then have a walk around.…”

Section: Theme 1: Delays In Surgical Interventionmentioning

confidence: 99%

“…[1][2][3] Total knee replacement (TKR) is increasingly being judged as a highly successful procedure to reduce pain, improve function and quality of life in patients suffering from primaryOA. 4 5 TKR had previously been considered an intervention for the older retired patient. More than 90 000 knee replacement procedures were recorded in England and Wales in 2012, representing an increase of 7.3% compared with 2011.…”

Section: Introductionmentioning

confidence: 99%

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Return to work after knee replacement: a qualitative study of patient experiences

et al. 2016

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ObjectiveAn increasing number of patients in the working population are undergoing total knee replacement (TKR) for end-stage osteoarthritis. The timing and success of return to work is becoming increasingly important for this group of patients with social and economic implications for patients, employers and society. There is limited understanding of the patient variables that determine the ability to return to work. Our objective was (from the patient's perspective) to gain an insight into the factors influencing return to work following knee replacement.Setting and participantsThis qualitative study was undertaken in a secondary-care setting in a large teaching hospital in the north of England. Semistructured interviews were carried out with 10 patients regarding their experiences of returning to work following TKR.OutcomesInterviews were transcribed and analysed using a qualitative thematic approach to identify the factors influencing return to work from the patient's perspective.ResultsThree themes were identified that influenced the process of return to work, from the patient's perspective. These were delays in surgical intervention, limited and often inconsistent advice from healthcare professionals regarding return to work, and finally the absence of rehabilitation to optimise patient's recovery and facilitate return to work.ConclusionsThere is currently no consistent process to optimise return to work for patients of working age after TKR. The impact of delayed surgical intervention, limited advice regarding return to work, and a lack of work-focused rehabilitation, all contribute to potential delays in successful return to work. There is a need to change the focus of healthcare provision for this cohort of patients, and provide a tailored healthcare intervention to optimise patient outcomes.

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Section: Theme 1: Delays In Surgical Interventionmentioning

confidence: 99%

Section: Theme 1: Delays In Surgical Interventionmentioning

confidence: 99%

Section: Theme 1: Delays In Surgical Interventionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Return to work after knee replacement: a qualitative study of patient experiences

et al. 2016

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“…Many occupations require kneeling, such as floor laying, roofing, nursery teaching, plumbing and cleaning. One third of working adults do not return to work after knee replacement and kneeling is the work-related activity that is least improved by knee replacement [27]. Further research specifically with patients of working age is needed to understand the impact of difficulty kneeling and how healthcare can best support people to enable them to return to work.…”

Section: Discussionmentioning

confidence: 99%

Persistent pain after knee replacement: do factors associated with pain vary with degree of patient dissatisfaction?

Howells

Murray

Wylde

et al. 2016

Osteoarthritis and Cartilage

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Link to publication record in Explore Bristol Research PDF-document This is the author accepted manuscript (AAM). The final published version (version of record) is available online via ELSEVIER at http://www.sciencedirect.com/science/article/pii/S1063458416301996 . Please refer to any applicable terms of use of the publisher. University of Bristol -Explore Bristol Research General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. ABSTRACT PurposeTo explore the long-term impact of difficulty with kneeling and how healthcare services could be improved to help patients kneel after total knee replacement. MethodsTelephone interviews were conducted with 56 patients who had extreme difficulty kneeling at 7-10 years after knee replacement. Patients were asked about reasons for difficulty kneeling, how it impacted upon their lives, and experiences of healthcare services. Responses were recorded on a standardised proforma and a descriptive content analysis performed. ResultsMost people had difficulty kneeling because of pain or discomfort in the replaced knee. Many patients described this limitation affected their daily lives, including housework, gardening, religious practices, leisure activities and getting up after a fall. Patients often adapted to these limitations by finding alternatives to kneeling, assistance from others or home adaptations.Many patients had accepted that they could not kneel, however some still expressed frustrated. Few patients had consulted with healthcare professionals about kneeling difficulties, and unmet needs included the provision of information about kneeling and postoperative physiotherapy. InterpretationThis study provides an initial insight into how difficulty kneeling after knee replacement impacts upon patientsand the need for better healthcare provision.

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Prognostic factors for return to work following knee arthroplasty

Strijbos,

Straat,

van der Sluis

et al. 2024

Cochrane Database of Systematic Reviews

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Total Knee Arthroplasty and the Unforeseen Impact on Return to Work: A Cross-Sectional Multicenter Survey

Cited by 71 publications

References 22 publications

Return to work after knee replacement: a qualitative study of patient experiences

Return to work after knee replacement: a qualitative study of patient experiences

Persistent pain after knee replacement: do factors associated with pain vary with degree of patient dissatisfaction?

Prognostic factors for return to work following knee arthroplasty

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