Patient-reported factors influencing return to work after joint replacement
M Bardgett1, J Lally2, A Malviya3
1Department of Orthopaedic Surgery, Newcastle upon Tyne NHS Foundation Trust, Newcastle upon Tyne NE7 7DN, UK, michelle.bardgett@nuth.nhs.uk.
Occupational Medicine (Oxford, England)
|December 16, 2015
Summary
Return to work after hip and knee replacement is influenced by patient factors and workplace support. Improved physical and psychological function post-surgery aids return to work (RTW).
Area of Science:
- Orthopedic Surgery
- Occupational Health
- Rehabilitation Medicine
Background:
- Osteoarthritis necessitates total hip and knee replacement in a growing working population.
- Return to work (RTW) is a critical outcome measure for these patients.
- Patient-specific variables influencing RTW post-arthroplasty remain poorly understood.
Purpose of the Study:
- To investigate patient-reported factors affecting return to work after hip and knee replacement surgery.
- To understand the patient's perspective on successful RTW following lower limb arthroplasty.
Main Methods:
- Cross-sectional, population-based postal survey of working-age patients post-hip or knee replacement.
- Qualitative thematic analysis of free-text comments on RTW experiences.
- Exploration of patient-reported influences on RTW.
Main Results:
- Patients reported enhanced physical and psychological performance at work post-surgery.
- A lack of informed advice regarding RTW was noted by patients.
- Workplace support and job role adaptations positively impacted RTW experiences.
Conclusions:
- RTW is multifactorial, involving patient, clinician, and occupational elements.
- Further qualitative research is needed to fully understand variables influencing RTW.
- Exploring the interplay of these factors is crucial for optimizing patient outcomes.
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