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Purpose: The aim of this study is to assess the time to return to work (TRW) in patients undergoing trapezial resection using the Mini TightRope® system at our center and to investigate factors that might delay return to work following this surgery., Material and Methods: A retrospective study was conducted on patients who underwent Trapezial resection and suspensionplasty using the Mini TightRope® system between 2015 and 2016, with a minimum one-year follow-up. Telephone interviews were conducted along with a review of medical records and radiology reports, as well as temporary work disability documents, collecting epidemiological and occupational data. Groups were compared based on age, gender, dominant hand, biomechanical occupational requirements of the patients, and whether they had experienced prior temporary work disability., Results: A total of 36 patients (29 women and 7 men) with an average age of 55.7 years were included. The median time to return to work was 126 days. Self-employed workers re-entered the workforce 72 days earlier on average; workers who had experienced prior temporary work disability had a greater total temporary work disability duration and took 91 days longer to return to work compared to those who had not., Conclusions: Patients employed by others and those who had experienced prior temporary work disability before the surgery had longer temporary work disability periods. In our study, no differences were observed based on gender, dominant hand, or biomechanical work demands of the intervened patients., (Copyright © 2024 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)

Purpose: The aim of this study is to assess the time to return to work (TRW) in patients undergoing trapezial resection using the Mini TightRope® system at our centre and to investigate factors that might delay return to work following this surgery., Material and Methods: A retrospective study was conducted on patients who underwent Trapezial resection and suspensionplasty using the Mini TightRope® system between 2015 and 2016, with a minimum one-year follow-up. Telephone interviews were conducted along with a review of medical records and radiology reports, as well as temporary work disability documents, collecting epidemiological and occupational data. Groups were compared based on age, gender, dominant hand, biomechanical occupational requirements of the patients, and whether they had experienced prior temporary work disability., Results: A total of 36 patients (29 women and 7 men) with an average age of 55.7 years were included. The median time to return to work was 126 days. Self-employed workers re-entered the workforce 72 days earlier on average; workers who had experienced prior temporary work disability had a greater total temporary work disability duration and took 91 days longer to return to work compared to those who had not., Conclusions: Patients employed by others and those who had experienced prior temporary work disability before the surgery had longer temporary work disability periods. In our study, no differences were observed based on gender, dominant hand, or biomechanical work demands of the intervened patients., (Copyright © 2024 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)

Introduction: During the last years, the use of e-scooter has become more and more popular due to the versatility as the practicality in intra-urban mobility. However, e-scooter has turned into a spring of accidents, lot of them, severe, causing new public health problems and significantly increasing the direct and indirect healthcare costs., Objective: To characterize the epidemiology of the injuries caused by e-scooter related accidents and to study their indirect economic impact in work-related accidents hospital., Materials and Methods: Retrospective and descriptive study in which has been checked all the medical information about the patients attended in the ER (emergency room) of the Hospital Asepeyo Sant Cugat, who suffered e-scooter accident from January 2018 to December 2020., Results: 167 patients were included in the study. 55% (92) were male and 45% (75) were female. The average of age was 37.4 years-old. There were quantified 117 different fractures in 105 patients (63%). Other injuries documented were: 36 patients with multiple contusions, 16 head traumas and 4 wounds which required suture. The most frequent ligamentous injuries were 4 ACL ruptures, 3 ACJ dislocations and 2 patients with rupture of the UCL of the thumb. 105 patients required hospital admission, 3 of them in ICU. The 51% of the cases required surgical treatment of their injuries. In that period, as a consequence of the work inabilities generated by the total of the patients included in the study, the added cost for the hospital was around 1,062,444€., Conclusions: The popularization of e-scooters between the employed population has caused a high increased number of accidents in this range of age. Most of the injuries observed may be compared with those seen in high-energy traumas. These cause an important socio-economic impact due to the nature of the injuries and the potential complications that could appear. The work inabilities observed as a consequence of e-scooter related injuries in the employed population have caused a substantial economic impact, shooting up to more than 1,000,000€ the indirect cost of our hospital during the reviewed period., (Copyright © 2021 SECOT. Publicado por Elsevier España, S.L.U. All rights reserved.)

Objective: To ascertain what epidemiological variables determine whether a patient with work incapacity as a result of fibromyalgia returns to work., Material and Methods: A retrospective cohort study was carried out that included 412 patients with fibromyalgia under 54 years of age and classified as having a total permanent disability by the National Institute of Social Security in Madrid in 2005. Follow-up from 2005 to 2019. We studied the variables of age, sex, marital status, CFS/MCS, psychiatric diagnosis, type of social security affiliation, occupation (CNO-11) and economic amount of the disability benefit in euros/month (4 tranches are established of <500, 500-750, 750-1000 and> 1000). We analyse the impact of these variables on return to work using a binary logistic regression model., Result: The mean age was 45+/-7. A total of 44% did not return to another job. The variables that were significant in the multivariate study were age (OR 0.93, CI 0.90 - 0.97), association with CFS and/or MCS (OR 0.07, CI 0.02 - 0.24), occupation (OR 0, 82; IC 0.73 - 0.92) and the amount of the disability benefit (OR 0.26; IC 0.19 - 0.35)., Conclusion: The probability of returning to another job decreases with age (1.07 times for each year), as the amount of the disability benefit increases (3.85 times for each successive tranche), as the level of qualification required for the occupation decreases (1.21 times for each successive CON-11 code) or if there is CFS and/or MCS (12.9 times)., (Copyright © 2021 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.)

Antecedentes: Las fracturas de radio distal Fernández III (FRDF III) son una urgencia muy frecuente. Las indicaciones quirúrgicas y no quirúrgicas persisten controversiales, así como el impacto funcional., Objetivo: Comparar la evolución clínica de los trabajadores con FRDF III, con manejo quirúrgico frente a no quirúrgico, no complicados, en un hospital especializado., Método: Estudio comparativo, observacional y longitudinal en trabajadores con FRDF III unilateral cerrada, de ambos sexos, con evolución menor de 5 días. Se excluyeron pacientes con comorbilidad afectante de consolidación ósea y polifracturados. Se eliminaron aquellos con información incompleta, con complicaciones, con aparato de yeso modificado 5 días después de su colocación, con mala reducción-estabilización acorde a la AO. Se aplicó la Escala Funcional de Mayo para Muñeca (EFMM) a los 3 y 6 meses del tratamiento. Se utilizó la prueba t de Student., Resultados: 159 pacientes, 34% mujeres, 66% hombres. Edad promedio 40.18 años. Manejo quirúrgico 42,5% (placa 8.7%, fijador 29%, fijador + clavillo 8.7%); no quirúrgico 33%. Diferencias significativas (p ≤ 0.05): EFMM 3 y 6 meses; a 3 meses: dolor, prensión; a 6 meses: movilidad; y días totales de incapacidad., Conclusiones: El tratamiento quirúrgico muestra mejores resultados funcionales, destacando el dolor y la prensión a 3 meses, y la movilidad a 6 meses, con reincorporación laboral en menos tiempo., Background: This fracture is a very frequent emergency. Surgical and non-surgical management are still controversial, such as functional impact., Objective: To compare clinical evolution of Fernandez III distal radius fractures, managed with surgically vs no surgical treatment, in a specialized hospital., Method: Comparative, observational, longitudinal study, released on workers with unilateral Fernandez III closed distal radius fractures, both sex, with evolution less than 5 days. Those patients with pathologies getting difficult in bone consolidation, and with several fractures were excluded. Those with incomplete information, complicated, and whom paste were modified after 5 days, and with bad reduction or stabilization fracture according AO were eliminated. Mayo Functional Wrist Scale (EFMM) was applied at 3 and 6 months. Student-t test was applied., Results: 159 patients recruited, 34% females, 66% males. Medium age 40 years old. Surgical treatment 42.5% (plaque 8.7%, external fixation 29%, external fixation and nails 8.7%). Non-surgical treatment 33%. Significative differences (p≤0.05): EFMM at 3 and 6 months; pain, grasp at 3 months; mobility at 6 months; total laboral inhability days., Conclusions: Surgical treatment shows better functional results, specially pain and grasp at 3 months, mobility at 6 months, and faster returning to work., (Copyright: © 2021 Permanyer.)

Objective: To analyse the disease burden in patients with diabetic macular oedema (DMO) or with retinal vein occlusion macular oedema (RVOMO) from a societal perspective., Methods: Observational, cross-sectional, multicentre study conducted on patients >18 years old diagnosed with uni- or bilateral DMO or unilateral RVOMO. Data on the use of health resources from diagnosis was collected, and the impact of disease on work life was assessed. Costs were annualised (euros, January 2014). Differences were contrasted using Chi-squared test (or Fisher Exact test), Mann Whitney-U test or Kruskal-Wallis test (Dunn contrast)., Results: A total of 448 patients were included (DMO 255; RVOMO 193). There were significant differences in costs of diagnosis: RVOMO €1856, bilateral DMO €1661, and unilateral DMO €1401 (P<.001) and the aggregate medical costs: RVOMO €4639, bilateral DMO 6275€ and unilateral DMO 6269€ (P<.001). Cost by permanent time off work was higher in bilateral DMO €11712, than in unilateral DMO €4284€, and than in RVOMO €1052 (P<.05). Linear regression analysis showed that variables associated with direct health costs were: Diagnosis (bilateral DMO was associated with higher cost), as well as number of days in hospital, number of visits, time of observation, and number of days of time off work., Conclusions: Patients with bilateral DMO are associated with a higher direct health cost, as well as a higher indirect cost by impact of the disease on work life., (Copyright © 2015 Sociedad Española de Oftalmología. Published by Elsevier España, S.L.U. All rights reserved.)

Epilepsy is a chronic disease cursing with recurrent and paroxysmal crises due to anomalies in the electrical activity of brain, and is controllable in most of the patients by using antiepileptic drugs, in single or combination therapy. Probably one of the most complex aspects of epilepsy is the assessment of disability for work of the affected person. For this purpose, multiple factors need to be taken into account for homogeneous decision-making, and according to criteria of approval and within the principle of equity inherent in the granting of Social Security disability benefits. This requires the cooperation of all professionals involved in the different specialties, with reports using common criteria and taking into account the disease itself, as well as the effects of the prescribed treatments, the effects of which can contribute to the limitations in the performance of certain professions of risk., (Copyright © 2014 Sociedad Española de Médicos de Atención Primaria (SEMERGEN). Publicado por Elsevier España, S.L.U. All rights reserved.)

Chronic respiratory diseases often cause impairment in the functions and/or structure of the respiratory system, and impose limitations on different activities in the lives of persons who suffer them. In younger patients with an active working life, these limitations can cause problems in carrying out their normal work. Article 41 of the Spanish Constitution states that «the public authorities shall maintain a public Social Security system for all citizens guaranteeing adequate social assistance and benefits in situations of hardship». Within this framework is the assessment of fitness for work, as a dual-nature process (medico-legal) that aims to determine whether it is appropriate or not to recognise a person's right to receive benefits which replace the income that they no longer receive as they cannot carry out their work, due to loss of health. The role of the pulmonologist is essential in evaluating the diagnosis, treatment, prognosis and functional capacity of respiratory patients. These recommendations seek to bring the complex setting of fitness for work evaluation to pulmonologists and thoracic surgeons, providing action guidelines that allow them to advise their own patients about their incorporation into working life., (Copyright © 2013 SEPAR. Published by Elsevier Espana. All rights reserved.)

Background: The spinal injuries in workers have become a large scale health problem. The purpose of this study is to review the differences in the spine pathologies from incapacity to work, as well as factors that could alter the recovery time and the possibility of returning the patient to work., Methods: Statistical preliminary review study in 37 patients enrolled in the Instituto Mexicano del Seguro Social, workers, undertaken to spinal pathology surgery, comparing days of incapacity with proposed internationally, as well as his return to work., Results: The results show that 37% of the patients studied are still active in the social security, 2 years after surgery. The days of disability generated by the pathology in this study group (212.3 days) are significantly higher than what is set on the Medical Disability Advisor (56 days, almost 4 times more)., Conclusion: The study shows the need to develop the same analysis in other hospitals, comparing the proportion of cases that return to the work and total disability times for diagnostics.