Return to work after surgical clipping versus endovascular treatment for ruptured intracranial aneurysms - A nationwide registry-based study.

Autor: Majewska P; Department of Neurosurgery, St. Olav's University Hospital, Trondheim, Norway.; Department of Neuromedicine and Movement Science, NTNU, Trondheim, Norway., Sandvei MS; Department of Clinical and Molecular Medicine, NTNU, Trondheim, Norway.; The Cancer Clinic, St. Olav's University Hospital, Trondheim, Norway., Gulati S; Department of Neurosurgery, St. Olav's University Hospital, Trondheim, Norway.; Department of Neuromedicine and Movement Science, NTNU, Trondheim, Norway., Müller TB; Department of Neurosurgery, St. Olav's University Hospital, Trondheim, Norway., Hara KW; Department of Public Health and Nursing, NTNU, Trondheim, Norway.; The Norwegian Labour and Welfare Administration for Trøndelag, Trondheim, Norway.; The National Competence Service for Complex Symptom Disorders, St. Olav's University Hospital, Trondheim, Norway., Romundstad PR; Department of Clinical and Molecular Medicine, NTNU, Trondheim, Norway., Solheim O; Department of Neurosurgery, St. Olav's University Hospital, Trondheim, Norway.; Department of Neuromedicine and Movement Science, NTNU, Trondheim, Norway.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2022 Dec 13; Vol. 17 (12), pp. e0278528. Date of Electronic Publication: 2022 Dec 13 (Print Publication: 2022).
DOI: 10.1371/journal.pone.0278528
Abstrakt: Objectives: The aim of this study was to assess return to work following aneurysmal subarachnoid haemorrhage (SAH) and compare working status after open surgical clipping and endovascular treatment.
Methods: This nationwide registry-based study included all adult patients in working age treated for a ruptured intracranial aneurysm in Norway between 2008 and 2018 who had a record of sickness leave on the day of treatment. Data from The Norwegian Patient Registry and The Norwegian Labour and Welfare Administration were linked on an individual level. Daily sickness and disability benefits recipiency one year preoperatively to one year postoperatively was analysed. Return to work after endovascular treatment and surgical clipping was compared.
Results: 183 patients were included in the study. Among patients who worked at one year preoperatively, 57% had returned to work one year after treatment. Mean number of days from treatment to the first day back at work in a continuous 3-month working period was 298 (95% CI: 276-321) vs. 319 (95% CI: 299-339) for patients who underwent endovascular treatment compared to patients treated with clipping (p = 0.365). Older patients were less likely to return to work after treatment (hazard ratio 0.977 per year of age, 95% CI 0.956-1.000, p = 0.046). There was no significant association between return to work and patient sex or location of the aneurysm.
Conclusions: Aneurysmal SAH profoundly affects patient working status. This study found no significant difference in time to return to work after treatment between patients treated with endovascular techniques compared to patients undergoing open surgery.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2022 Majewska et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje