Is consulting an occupational physician associated with earlier return to work among total knee arthroplasty patients? A prospective cohort study in the Netherlands
| Autor: | van Zaanen, Yvonne, Kievit, Arthur J., van Geenen, R., Pahlplatz, Thijs M. J., Hoozemans, Marco, Blankevoort, Leendert, Schafroth, Matthias U., Haverkamp, Daniel, Vervest, Ton M. J. S., Das, Dirk H P W, Scholtes, Vanessa, van der Beek, A. J., Kuijer, P. Paul F.M. |
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| Přispěvatelé: | Public and occupational health, Graduate School, Amsterdam Movement Sciences, Orthopedic Surgery and Sports Medicine, APH - Quality of Care, APH - Personalized Medicine, APH - Societal Participation & Health, AMS - Musculoskeletal Health, AMS - Sports |
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | Safety and Health at Work, Vol 13, Iss, Pp S153-(2022) Safety and health at work, 13(Suppl.). Occupational Safety and Health Research Institute.(OSHRI) |
| ISSN: | 2093-7911 |
| Popis: | Introduction: After total knee arthroplasty (TKA) only 70% of patients return to work (RTW) and in general timely RTW is associated with successful RTW. This study aimed to examine whether patients who consulted an occupational physician (OP) RTWearlier than patients who did not consult an OP. Materials and methods: A multi-center prospective cohort study was performed among TKA patients between 18 to 65 years and having a paid job. Patients provided information on whether an OP was consulted or not within three months after TKA and were compared for time to RTW using Kaplan Meier curves (KM). Results: One hundred and eighty-two (182) patients were included with a median age of 59 years [IQR 54-62]; 95 patients were women (52%). Patient and work-related characteristics did not differ between patients who consulted an OP or not, except that self-employed patients consulted anOP less often than employed patients. TKA patients who consulted an OP did RTW later (median 84 days [IQR 61-115]) than those who did not (median 64 days [IQR 35-118] (KM p¼0.03). Conclusions: Consulting an OP was not associated with an earlier RTW. Additional analyses to adjust for confounding and effect modification are needed to confirm this result. |
| Databáze: | OpenAIRE |
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