Page 141 - The value of total hip and knee arthroplasties for patients

Table 3: continued THA
First autho and reference number
Nunley et al. (11)
Cowie et al. (21)
TKA
Weingarten et al. (6)
Lyall et al. (22)
Lombardi et al. (25) Foote et al. (23) Styron et al. (24)
Beneficial or limiting factors
*Type of prosthesis, surgical exposure and preoperative functional activity scores were not associated with work outcomes (except for lower activity scores being associated with difficulties to perform squatting activities at work).
Female sex was associated with more time off work, working less hours after surgery, and reporting more problems with specific activities at work; Older patients reported more restrictions at work due to hip surgery, were less likely to be working at 1 year and reported more problems with specific activities at work than younger people.
patient age and BMI were associated with the time taken to return to work
*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.
Being unemployed before TKA was associated with not returning to work; Being unemployed beforeTKA was associated with having manual work.
Not assessed within patients who were treated with TKA Not assessed within patients who were treated with TKA
*Factors associated with faster return to work at least part-time and/or working full- time after 3 months were:
Female sex, self-employment, higher mental health scores, higher physical function scores, higher functional comorbidity scores, and a handicap accessible workplace.
*Factors associated with slower return to work at least part-time and/or working full- 7 time after 3 months were:
Having less pain preoperatively (a higher WOMAC pain score), having a more
physically demanding job, and receiving workers’ compensation.
Return to work after total hip and knee arthroplasty: a systematic review
*Multivariate analysis.THA: total hip arthroplasty;TKA: total knee arthroplasty.
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