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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
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Return to work after shoulder arthroplasty: a systematic review and meta-analysis
Michael E Steinhaus1, Anirudh K Gowd2, Daniel J Hurwit1
1Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA.
Journal of Shoulder and Elbow Surgery
|March 20, 2019
Summary
A majority of patients return to work after shoulder arthroplasty. Return to work rates were not significantly different by arthroplasty type or diagnosis, but were lower for heavy-intensity occupations.
Area of Science:
- Orthopedic Surgery
- Rehabilitation Medicine
Background:
- Rising incidence of shoulder arthroplasty necessitates focus on functional recovery and return to work (RTW).
- Understanding RTW rates is crucial for patient outcomes and occupational health after shoulder replacement.
Purpose of the Study:
- To determine the overall rate of return to work following shoulder arthroplasty.
- To identify factors influencing RTW, such as occupation intensity, arthroplasty type, diagnosis, and workers' compensation status.
Main Methods:
- Systematic review and meta-analysis adhering to PRISMA guidelines.
- Comprehensive literature search across 4 electronic databases up to April 2018.
- Random-effects meta-analysis to pool RTW rates from included studies.
Main Results:
- Seven studies involving 447 patients were analyzed, with an average follow-up of 4.4 years.
- Overall RTW rate was 63.6% at a mean of 2.3 months postoperatively.
- Significantly lower RTW rates were observed for patients with heavy-intensity occupations (61.7%) compared to others (67.6%).
Conclusions:
- Most patients successfully return to work after shoulder arthroplasty within approximately 2.3 months.
- Occupation intensity is a significant factor affecting RTW, with heavier jobs leading to lower rates.
- Arthroplasty type, underlying diagnosis, and workers' compensation status did not significantly impact RTW rates.
Keywords:
Return to workmeta-analysisreverse total shoulder arthroplastyshoulder arthroplastyshoulder hemiarthroplastytotal shoulder replacementMore Related Videos
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