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Determinants of return to work 12 months after total hip and knee arthroplasty
- Source :
- Annals of the Royal College of Surgeons of England, 98(6), 387-395. Royal College of Surgeons of England, Annals of The Royal College of Surgeons of England, 98(6), 387-395
- Publication Year :
- 2016
-
Abstract
- 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 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.
- Subjects :
- Adult
Male
musculoskeletal diseases
medicine.medical_specialty
Activities of daily living
Adolescent
Subscale score
medicine.medical_treatment
Arthroplasty, Replacement, Hip
Total hip replacement
Osteoarthritis
Return to work
Arthroplasty
03 medical and health sciences
Disability Evaluation
Young Adult
0302 clinical medicine
Return to Work
Absenteeism
Activities of Daily Living
medicine
Humans
Prospective Studies
Arthroplasty, Replacement, Knee
Work absence
Aged
Netherlands
030203 arthritis & rheumatology
030222 orthopedics
business.industry
General Medicine
Middle Aged
medicine.disease
musculoskeletal system
Surgery
Orthopaedic Surgery
surgical procedures, operative
Physical therapy
Observational study
Female
business
Total hip or total knee replacement
Work limitations
Subjects
Details
- Language :
- English
- ISSN :
- 00358843
- Database :
- OpenAIRE
- Journal :
- Annals of the Royal College of Surgeons of England, 98(6), 387-395. Royal College of Surgeons of England, Annals of The Royal College of Surgeons of England, 98(6), 387-395
- Accession number :
- edsair.doi.dedup.....9a881badfaecc09c3cefc45edd53a5ce