Page 140 - The value of total hip and knee arthroplasties for patients

Chapter 7
Table 3: Determinants of return to work after total hip and knee arthroplasty in 19 studies THA
First autho and reference number
Nevitt et al. (14)
Jensen et al. (12)
Johnssson et al. (16)
Visuri et al. (17) Suarez et al. (10)
Weingarten et al. (6)
Sarkar et al. (13)
Berger et al. (18) Peak et al. (5)
Tanavalee et al. (4) Pagnano et al. (19)
Mobasheri et al. (20)
Bohm et al. (15)
Beneficial or limiting factors
*Predictors of working 1 year or 4 years postoperatively:
Patients being female and reporting some pain in joints other than hips were less likely to be working
Patients with more education and working 1 month pre-surgery were more likely to be working
*Predictor of working 1 year postoperatively:
Patients with a failed procedure less likely to be working *Predictor* of working 4 years postoperatively:
Patients with bilateral hip pain less likely to be working
Age, the use of walking aids and the experience of pain were related to working capacity at follow-up.
Duration of preoperative sick leave was associated with postoperative retirement and postoperative sick leave.
*Young age, mental work, and primary coxarthrosis , postoperative walking ability and upper and lower professionals were positively associated with return to work. *Physical work, “non-hip diseases”, unskilled workers and farmers were negatively associated with return to work.
Underlying illness, type of job before surgery, educational level, the preoperative ability to walk, kind of social security and environment (rural/urban) were univariately associated with return to work.
Age, sex and family structure (single, married, widowed, divorced) were not associated with return to work in univariate analyses.
*No association between the intervention (introduction of practice guidelines to identify “low-risk” patients who may be suitable for earlier discharge or transfer from the acute care hospital) and return to work.
Younger age and a good rating according to Merle d’Áubigné and the Harris hip score were significantly associated with return to work.
Not measured
The use of postoperative functional restrictions after uncemented THA has a significant impact on duration of return to work and the proportion of patients returning to work < 6 weeks
A mini-2-incision approach was associated with a faster return to work than a mini- posterior approach
No difference between 2-incision and mini-posterior approach within patients undergoing staged bilateralTHA regarding speed of return to work
Working pre-operatively and being male were associated with a faster return to work.
Being self-employed rather than a salaried employee did not affect the time to return to work postoperatively.
Being unemployed for over 1 year preoperatively was associated with a smaller chance of regaining employment postoperatively .
Working preoperatively, younger age, better Oxford 12 hip scores and general physical function scores, fewer functional limitations due to comorbidities, not collecting disability insurance and lower job satisfaction were associated with return to work.
No association between waiting time, being self-employed, job tenure, job motivation, workplace physical demand and workplace flexibility and return to work.
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