Y van Zaanen1, A J Kievit2, R C I van Geenen3, T M J Pahlplatz2, M J M Hoozemans4, L Blankevoort2, M U Schafroth2, D Haverkamp5, T M J S Vervest6, D H P W Das7, V A Scholtes8, A J van der Beek9, P P F M Kuijer10. 1. Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam, Location AMC, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands. y.vanzaanen@amsterdamumc.nl. 2. Orthopaedic Research Center Amsterdam, Amsterdam UMC, University of Amsterdam, Amsterdam, Netherlands. 3. Department of Orthopaedic Surgery, Amphia Hospital, Breda, Netherlands. 4. Department of Human Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam, Netherlands. 5. Xpert Orthopaedics, Amsterdam, Netherlands. 6. Department of Orthopaedic Surgery, Tergooi Hospital, Hilversum, Netherlands. 7. Department and Research Center of Orthopaedic Surgery, St. Anna Hospital, Geldrop, Netherlands. 8. Joint Research Orthopedic Surgery, OLVG+, Amsterdam, Netherlands. 9. Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, Netherlands. 10. Department of Public and Occupational Health, Amsterdam Public Health Research Institute, Amsterdam Movement Sciences, Amsterdam UMC, University of Amsterdam, Location AMC, Meibergdreef 9, 1105 AZ, Amsterdam, Netherlands.
Abstract
PURPOSE: The aim of this study is to investigate whether total knee arthroplasty (TKA) patients who consulted an occupational medicine specialist (OMS) within 3 months after surgery, return to work (RTW) earlier than patients who did not consult an OMS. METHODS: A multi-center prospective cohort study was performed among working TKA patients, aged 18 to 65 years and intending to RTW. Time to RTW was analyzed using Kaplan Meier and Mann Whitney U (MWU), and multiple linear regression analysis was used to adjust for effect modification and confounding. RESULTS: One hundred and eighty-two (182) patients were included with a median age of 59 years [IQR 54-62], including 95 women (52%). Patients who consulted an OMS were less often self-employed but did not differ on other patient and work-related characteristics. TKA patients who consulted an OMS returned to work later than those who did not (median 78 versus 62 days, MWU p < 0.01). The effect of consulting an OMS on time to RTW was modified by patients' expectations in linear regression analysis (p = 0.05). A median decrease in time of 24 days was found in TKA patients with preoperative high expectations not consulting an OMS (p = 0.03), not in patients with low expectations. CONCLUSIONS: Consulting an OMS within 3 months after surgery did not result in a decrease in time to RTW in TKA patients. TKA patients with high expectations did RTW earlier without consulting an OMS. Intervention studies on how OMSs can positively influence a timely RTW, incorporating patients' preoperative expectations, are needed.
PURPOSE: The aim of this study is to investigate whether total knee arthroplasty (TKA) patients who consulted an occupational medicine specialist (OMS) within 3 months after surgery, return to work (RTW) earlier than patients who did not consult an OMS. METHODS: A multi-center prospective cohort study was performed among working TKA patients, aged 18 to 65 years and intending to RTW. Time to RTW was analyzed using Kaplan Meier and Mann Whitney U (MWU), and multiple linear regression analysis was used to adjust for effect modification and confounding. RESULTS: One hundred and eighty-two (182) patients were included with a median age of 59 years [IQR 54-62], including 95 women (52%). Patients who consulted an OMS were less often self-employed but did not differ on other patient and work-related characteristics. TKA patients who consulted an OMS returned to work later than those who did not (median 78 versus 62 days, MWU p < 0.01). The effect of consulting an OMS on time to RTW was modified by patients' expectations in linear regression analysis (p = 0.05). A median decrease in time of 24 days was found in TKA patients with preoperative high expectations not consulting an OMS (p = 0.03), not in patients with low expectations. CONCLUSIONS: Consulting an OMS within 3 months after surgery did not result in a decrease in time to RTW in TKA patients. TKA patients with high expectations did RTW earlier without consulting an OMS. Intervention studies on how OMSs can positively influence a timely RTW, incorporating patients' preoperative expectations, are needed.
Authors: Daniël O Strijbos; Geert van der Sluis; Tim A E J Boymans; Stephan de Groot; Simon Klomp; Carolien M Kooijman; Michiel F Reneman; P Paul F M Kuijer Journal: Musculoskeletal Care Date: 2022-05-04
Authors: J W H Luites; P P F M Kuijer; C T J Hulshof; R Kok; M W Langendam; T Oosterhuis; J R Anema; V P Lapré-Utama; C P J Everaert; H Wind; R J E M Smeets; Y van Zaanen; E A Hoebink; L Voogt; W de Hoop; D H Boerman; J L Hoving Journal: J Occup Rehabil Date: 2021-07-27